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The text provides a comprehensive overview of the health benefits associated with dietary patterns rich in fruits, vegetables, nuts, and dried fruits. It emphasizes the positive impact on conditions like cardiovascular disease and diabetes. However, it can be refined for clarity and conciseness. Here’s a streamlined version:

 

“Dietary patterns rich in fruits and vegetables are well-established in reducing disease risk, especially for diabetes and cardiovascular issues. Extensive research underscores the positive impact of fruit and vegetable consumption on conditions like obesity, type 2 diabetes, and high blood pressure. Notably, the 2015 US Dietary Guidelines Advisory Committee report consistently links health outcomes to fruit and vegetable intake.

 

Despite proven benefits, there’s a significant gap between recommended and actual fruit and vegetable consumption. While dried fruits’ role in health is less studied, global health agencies recommend them as a convenient way to boost fruit intake.

 

Tree nuts, including pistachios, are extensively studied for their cardiovascular benefits, associated with lower risks of all-cause mortality and chronic diseases. Nuts and dried fruits contribute essential nutrients, dietary fiber, potassium, and bioactive compounds, promoting overall health.

 

This review examines the role of dried fruits and nuts in cardiovascular health and their impact on metabolic risk factors. It highlights emerging research on raisins and pistachios, representative of these food categories.

 

The 2016 Dietary Guidelines recommend three healthy eating patterns, emphasizing fruits, nuts, and seeds. However, fruit consumption in the US remains historically low, with 40% of adults eating less than one serving daily. Children’s consumption has slightly improved but still falls short of recommended levels.

 

Traditional dried fruits, integral to Mediterranean diets, are valued for sweetness and stability. Despite their nutritional equivalence to fresh foods, dried fruit consumption is lower than desired. Only 7% of adults consume dried fruits, with raisins being the most common choice, particularly due to their widespread use in various food products.”

“In addition, adult consumers of dried fruits exhibited significantly higher intake of fiber, vitamins A, C, E, thiamin, riboflavin, niacin, and folate. Notably, vitamin B12 was the only exception, showing no significant difference among dried fruit consumers. Furthermore, those who included dried fruits in their diet demonstrated elevated levels of calcium, phosphorus, magnesium, iron, zinc, copper, and potassium, along with a lower sodium intake.

 

Nut consumption is linked to a reduced risk of cardiovascular disease and diabetes, primarily attributed to its anti-inflammatory properties. Prospective studies and clinical trials have consistently associated nut consumption with a decrease in inflammatory markers. Studies reveal a connection between nut consumption and a lowered risk of fatal coronary heart disease, with increased frequency correlating to a decreased risk. Despite increased caloric intake, meta-analyses found no association between nut consumption and elevated body weight, BMI, or waist circumference.

 

While some studies show inconsistent results regarding nut consumption and disease risk, overall, tree nuts and dried fruits contribute significantly to improving Healthy Eating Index (HEI) scores. Consumers of these foods tend to have HEI scores around 60, surpassing the average US dietary HEI of approximately 50. Although there’s room for improvement, increasing dried fruit and nut consumption enhances nutrient intake and the quality of the American diet.

 

Moreover, the consumption of both nuts and dried fruits is linked to reduced waist circumference and BMI. Limited clinical studies on raisins suggest potential benefits in reducing postprandial insulin response, modulating sugar absorption, and positively affecting blood pressure. Further longitudinal studies are essential to validate these associations. Notably, regular consumption of nuts, including pistachios, as part of a moderate-fat diet is associated with glucose- and insulin-lowering effects, promoting a healthier metabolic profile and potentially reversing certain metabolic consequences.”