In April 2000, another landmark walnut study was published in the Annals of Internal Medicine. The study, a follow-up to the1993 Loma Linda study, was conducted at the Hospital Clinic of Barcelona. Researchers had 49 men and women with high cholesterol incorporate walnuts into a healthy Mediterranean diet, substituting a handful of walnuts a day for some of the monounsaturated fat in the diet. Participants lowered their "bad" LDL cholesterol by almost 6 per cent and heart disease risk by 11 per cent beyond what would be expected from the Mediterranean diet alone.
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