Effect of Walnuts on Sperm Parameters and Male Fertility

NCT ID: NCT01954498

Last Updated: 2020-12-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2020-03-31

Brief Summary

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The investigators are testing the hypothesis that two ounces of whole-shelled walnuts/day added to the diet of men seeking care for infertility will beneficially affect sperm parameters and fertility. The investigators will compare the walnut intervention to the commonly suggested recommendation of adding an OTC multivitamin supplement to the diet.

Detailed Description

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Purpose: The investigators are testing the hypothesis that two ounces of whole-shelled walnuts/day added to the diet of men with oligo- astheno- or teratospermia will beneficially affect sperm parameters. The investigators found in a previous study (Robbins et al. 2012, Biology of Reproduction 87(4):101, 1-8.) that walnuts added to a Western diet improved sperm parameters in healthy, young men of unknown fertility and the most improvement occurred in participants with poor sperm parameters at baseline. The investigators now test the walnut dietary intervention in a fertility clinic population known to have poor sperm parameters. The investigators will compare the walnut intervention to the usual care suggestion of adding an OTC multivitamin supplement to the diet. Neither walnuts nor the OTC multivitamin have been tested for efficacy in this fertility clinic population previously.

Methods: A randomized, parallel two-group, dietary intervention trial with single-blind masking of outcome assessors will be conducted with up to 140 men who present for fertility work-up with semen parameters below the 25th centile for count, and 10th centile for motility and/or morphology according to the WHO 5th Edition, Laboratory Manual for the Processing and Examining of Human Semen, 2010. Repeated measures at baseline and 12 weeks include: semen analyses (primary outcome), blood fatty acid/ nutrient profiles (secondary outcomes); IPAQ physical activity questionnaire and IIEF index of erectile function (potential modifiers or confounders). Dietary intake will be assessed throughout using 24-hour ASA dietary recall x 5 and fertility assessed by questionnaire at one year post enrollment.

Conditions

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Oligozoospermia Asthenozoospermia Teratozoospermia Fertility

Keywords

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Randomized controlled trial Spermatozoa Sperm Male Infertility Walnuts Nutrition Male Reproduction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Walnuts

2 ounces whole-shelled walnuts per day for 12 weeks

Group Type EXPERIMENTAL

Walnuts

Intervention Type DIETARY_SUPPLEMENT

OTC (over-the-counter) multivitamin

OTC multivitamin tablet 2 per day for 12 weeks

Group Type ACTIVE_COMPARATOR

OTC multivitamin

Intervention Type DIETARY_SUPPLEMENT

Interventions

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Walnuts

Intervention Type DIETARY_SUPPLEMENT

OTC multivitamin

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Age 21 years or older
* Sperm concentration \< or = to 41 million per ml
* Sperm motility \< or = to 40%
* Normal sperm morphology forms \< or = to 5.5%
* Patients of Howard H. Kim, MD seen at the Male Reproductive Medicine and Microsurgery Clinic, Cedars-Sinai Medical Center, Los Angeles, California
* Have eaten walnuts throughout life without adverse reaction

Exclusion Criteria

* Allergy to walnuts or tree nuts
* Food allergy
* Known genetic cause of infertility
* Known anatomical cause of infertility
* History of seizure disorder
Minimum Eligible Age

21 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Cedars-Sinai Medical Center

OTHER

Sponsor Role collaborator

University of California, Los Angeles

OTHER

Sponsor Role lead

Responsible Party

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Wendie A Robbins

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Howard H Kim, MD

Role: PRINCIPAL_INVESTIGATOR

Cedars-Sinai Medical Center, Los Angeles, CA

Wendie A Robbins, RN, PhD

Role: PRINCIPAL_INVESTIGATOR

University of California, Los Angeles

Locations

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Male Reproductive Medicine and Microsurgery Clinic, Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

University of California Los Angeles

Los Angeles, California, United States

Site Status

Countries

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United States

References

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Robbins WA, Xun L, FitzGerald LZ, Esguerra S, Henning SM, Carpenter CL. Walnuts improve semen quality in men consuming a Western-style diet: randomized control dietary intervention trial. Biol Reprod. 2012 Oct 25;87(4):101. doi: 10.1095/biolreprod.112.101634. Print 2012 Oct.

Reference Type BACKGROUND
PMID: 22895856 (View on PubMed)

Other Identifiers

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20130929

Identifier Type: -

Identifier Source: org_study_id