ClinicalTrials.gg
CompletedNCT01954498Updated Mar 13, 2026

Effect of Walnuts on Sperm Parameters and Male Fertility

An interventional study of Walnuts and OTC multivitamin in Oligozoospermia, Asthenozoospermia and Teratozoospermia, sponsored by University of California, Los Angeles. Completed at 2 sites in United States. Open to male participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2026-03-13.

Sponsored by University of California, Los Angeles · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
21 Years and older
Sex
Male
01

Study summary

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.

Read the detailed description

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.

02

Conditions studied

  • Oligozoospermia
  • Asthenozoospermia
  • Teratozoospermia
  • Fertility

Keywords

  • Randomized controlled trial
  • Spermatozoa
  • Sperm
  • Male Infertility
  • Walnuts
  • Nutrition
  • Male Reproduction
03

In context

Oligospermia

64 studies on the registry are indexed under Oligospermia; 17 are open to participants now.

This study's enrollment of 80 is above the median of 65 across 46 interventional studies indexed under Oligospermia.

Browse Oligospermia studies →

Lead sponsor

University of California, Los Angeles is the lead sponsor of 1,170 studies on the registry; 195 are open to participants now.

Of its 95 completed or terminated interventional studies of FDA-regulated products, 70 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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

Exclusion Criteria:

  • Allergy to walnuts or tree nuts
  • Food allergy
  • Known genetic cause of infertility
  • Known anatomical cause of infertility
  • History of seizure disorder
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    Walnuts

    2 ounces whole-shelled walnuts per day for 12 weeks

    Dietary Supplement: Walnuts

  • Active comparator
    OTC (over-the-counter) multivitamin

    OTC multivitamin tablet 2 per day for 12 weeks

    Dietary Supplement: OTC multivitamin

Interventions

  • Dietary supplementWalnuts
  • Dietary supplementOTC multivitamin
06

What researchers measure

Primary outcomes

  1. Sperm count

    Change from baseline to three months in sperm count

    Time frame: 12 weeks

  2. Sperm motility

    Change from baseline to 12 weeks in sperm motility

    Time frame: 12 weeks

  3. Sperm morphology

    Change from baseline to 12 weeks in sperm morphology

    Time frame: 12 weeks

Secondary outcomes

  1. Fertility

    Fertilization of ova through natural conception or assisted reproductive technology

    Time frame: 12 months

  2. Blood fatty acid and nutrient profile

    Change from baseline to 12 weeks in blood fatty acid profile and nutrients

    Time frame: 12 weeks

  3. Sperm aneuploidy

    Change from baseline to 12 weeks in sperm aneuploidy

    Time frame: 12 weeks

  4. Sperm DNA strand breakage

    Change from baseline to 12 weeks in sperm DNA integrity

    Time frame: 12 weeks

Other outcomes

  1. Physical Activity

    IPAQ (International Physical Activity Questionnaire) assessment of change from baseline to 12 weeks

    Time frame: 12 weeks

  2. Sexual function

    IIEF (International Index of Erectile Function) assessment of change from baseline to 12 weeks

    Time frame: 12 weeks

  3. Dietary intake

    ASA-24 (Automated Self-administered) 24-hour dietary recalls x 5 over 12 weeks

    Time frame: 12 weeks

07

Study locations

2 sites
  • Male Reproductive Medicine and Microsurgery Clinic, Cedars-Sinai Medical Center
    Los Angeles, California 90048, United States
  • University of California Los Angeles
    Los Angeles, California 90095, United States
08

References and documents

Publications

  • 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. PubMed 22895856 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of May 2014, a primary completion of Mar 2020 and a completion of Mar 2020. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 20, 2013
First posted
Oct 1, 2013
Start
May 2014
Primary completionActual
Mar 2020
CompletionActual
Mar 2020
Last update
Mar 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01954498
Responsible party
Sponsor
First posted
Oct 1, 2013
Start date
May 2014
Primary completion
Mar 2020
Completion
Mar 2020
Last update
Mar 13, 2026

Study contacts

Howard H Kim, MD
principal investigator · Cedars-Sinai Medical Center, Los Angeles, CA
Wendie A Robbins, RN, PhD
principal investigator · University of California, Los Angeles

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2020. You cannot join it, but the record below documents what was studied.

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