None listed
Conditions
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 and via the assessment of the remaining supply returned to the project coordinator each week
Sponsors
Study design
Eligibility
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