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Food as Medicine: Can nuts be used safely to improve bowel health in people with end stage kidney disease ?

Food as Medicine: Can nuts improve bowel health in people with end stage kidney disease without compromising biochemical parameters ?

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12617000600347
Enrollment
33
Registered
2017-04-27
Start date
2018-02-26
Completion date
2018-02-28
Last updated
2018-10-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Constipation is a common problem in people with end stage kidney failure. Treatment of this condition with a high fibre diet and adequate fluid is not possible in this group of people because they need to follow a specialized diet and restrict their fluid intake. The aim of this study is to determine if a non drug treatment in the form of 40g of almonds daily for 4 weeks will help improve the symptoms of constipation. Other outcomes such as improvements to the level of inflammation, dietary intake, memory, gut bacteria and quality of life will also be investigated.

Interventions

The intervention is the prescription of 40g of nuts (specifically raw almonds) daily for 4 weeks to individuals undertaking hemodialysis in a satellite hemodialysis unit in the Illawarra Shoalhaven Local Health District. Participants will undergo a 2 week washout period , then commence the intervention for 4 weeks. This will be followed by another 2 week washout period and 4 weeks of usual diet with no nuts. Intervention adherence or fidelity will be assessed by a self recorded food diary a

The intervention is the prescription of 40g of nuts (specifically raw almonds) daily for 4 weeks to individuals undertaking hemodialysis in a satellite hemodialysis unit in the Illawarra Shoalhaven Local Health District. Participants will undergo a 2 week washout period , then commence the intervention for 4 weeks. This will be followed by another 2 week washout period and 4 weeks of usual diet with no nuts. Intervention adherence or fidelity will be assessed by a self recorded food diary and via the assessment of the remaining supply returned to the project coordinator each week

Sponsors

Illawarra Shoalhaven Local Health District
Lead SponsorGovernment body

Study design

Allocation
Non-randomised trial
Intervention model
Crossover
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

End stage kidney failure receiving satellite hemodialysis not pregnant not on acute antibiotics

Exclusion criteria

pregnancy receiving a short term course of antibiotics allergy to almonds dysphagia dental problems a current diagnosis of acute diverticulitits or fecal impaction deemed unable to follow instructions adequately due to language or cognitive impairment

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026