The purposes of this study were to determine the effect of almonds rich in oleic acid as an alternative to complex carbohydrates on metabolic and anthropometric parameters during weight reduction and to evaluate self-reported satiety and satisfaction. A convenience sample of 57 adults was recruited from the Diabetes and Cardiovascular Risk Reduction Program at City of Hope National Medical Center. Subjects were randomized to an almond-enriched hypocaloric diet or to a complex carbohydrate-enriched hypocaloric diet for twenty-four weeks. Mixed model analysis showed that the use of almonds more favorably influenced weight loss (p< 0.0001), body mass index (p = 0.0001), waist circumference (p = 0.0255) and fat mass (p = 0.0205) compared to complex carbohydrates. Additionally, blood ketone levels were statistically significantly higher in the almond group (p = 0.0230) than in the complex carbohydrate group. No significant difference was found in the total cholesterol:HDL ratio between the groups, however both groups had statistically improved ratios over time with resulting decreases in cardiovascular risk. The glucose (p = 0.0006), insulin (p< 0.0001), insulin:glucose ratio (p = 0.0008), HgbAlc (p
School of Public Health
Zaida R. Cordero-Maclntyre
Doctor of Public Health (DrPH)
Year Degree Awarded
Date (Title Page)
Library of Congress/MESH Subject Headings
Obesity -- diet therapy; Diet, Reducing; Fatty Acids -- metabolism; Energy Intake; Cholesterol, Dietary; Weight Loss.
Loma Linda University Libraries
This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.
Wien, Michelle Ann, "The Effects of a Hypocaloric Diet Enriched in Oleic Acid Using Almonds Versus Complex Carbohydrates on Metabolic and Anthropometric Parameters During Weight Reduction" (2002). Loma Linda University Electronic Theses, Dissertations & Projects. 978.
Loma Linda University Electronic Theses and Dissertations
Loma Linda University. Del E. Webb Memorial Library. University Archives