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CompletedNCT05031663Almond ImmuneUpdated Dec 9, 2025

Effect of Almonds on Immune Strength and Response to Flu Vaccination in Overweight Older Men and Postmenopausal Women: A Randomized Controlled Study

An interventional study of Almond group and Control Group in Immune Response and Inflammation, sponsored by Loma Linda University. Completed at 1 site in United States. Open to participants aged 40 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-09.

Sponsored by Loma Linda University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
61
Allocation
Randomized
Ages
40 Years to 70 Years
Sex
All
01

Study summary

This research study will test the effects of almonds on immune functions and immune response to influenza vaccine in overweight middle-aged men and postmenopausal women

Read the detailed description

The proposed study is a parallel-group, free-living, observer-blind, randomized controlled dietary intervention trial on 66 overweight middle-aged men and post menopausal women. This study will be carried out in two phases: Phase 1 will examine the effects of almonds on clinically relevant markers of immune function, and Phase 2 will assess the antibody response to influenza vaccination following almond consumption. Participants will attend a baseline clinic and will be randomized to one of two groups. The Almond group will receive 15% of daily energy intake in the form of almonds as a snack and the Control group will continue thier usual diet but completely avoid almonds and restrict other nuts to less than 2 servings per week. The intervention will be for 12 weeks, at which time both group participants will receive the influenza vaccination, and continue the same dietary intervention for another 28 weeks.

02

Conditions studied

  • Immune Response
  • Inflammation

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Keywords

  • Almonds
  • Immunity
  • Inflammation
03

In context

Inflammation

3,439 studies on the registry are indexed under Inflammation; 629 are open to participants now.

This study's enrollment of 61 is above the median of 50 across 2,437 interventional studies indexed under Inflammation.

Browse Inflammation studies →

Lead sponsor

Loma Linda University is the lead sponsor of 297 studies on the registry; 48 are open to participants now.

Of its 28 completed or terminated interventional studies of FDA-regulated products, 23 (82%) have results posted.

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

04

Who can participate

Ages eligible
40 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Overweight men and post menopausal women (Basal Metabolic Index 25-32)
  • Age limit between 40-70 years
  • Be able to commute to Loma Linda University

Exclusion criteria

Exclusion Criteria:

  • Intolerance or allergy to almonds
  • Bad dentures, inability to chew almonds
  • Regular intake of almonds and or other nuts
  • Use of immune boosting supplements
  • Exposure to antibiotics and corticosteroids immediately prior to study
  • Have received influenza vaccination in past 10 months
  • Uncontrolled chronic disease and psychiatric illness
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
61 participants (actual)

Study arms

  • Experimental
    Almonds

    The almond group will receive 15% of their daily energy intake in the form of almonds

    Dietary Supplement: Almond group

  • Placebo comparator
    Control

    The control group will be encouraged to continue their usual diet but completely avoid almonds and restrict other nuts to less than 2 servings per week

    Dietary Supplement: Control Group

Interventions

  • Dietary supplementAlmond group

    Participants in the Almond group will receive 15% of their daily energy intake in the form of almonds as a snack

  • Dietary supplementControl Group

    The control group will continue their usual diet but will completely avoid almonds and restrict other nuts to less than 2 servings per week

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What researchers measure

Primary outcomes

  1. changes in lymphocyte populations

    Immunophenotyping will be performed by flow cytometry to measure the number of T helper, T cytotoxic, Naïve and memory cells and B cells

    Time frame: baseline to 12 weeks

  2. changes in lymphocyte activity and cytokine production

    PBMC cells will be separated from blood, activated and cultured using phytohemagglutinin (PHA). Inflammatory cytokine production will be measured in the resulting supernatant using ELISA

    Time frame: baseline to 12 weeks

  3. changes in natural killer (NK) cell activity

    The NK degranulation assay will be performed on blood samples. The test will be conducted using a modified flow cytometry method that measures the expression of CD107a

    Time frame: baseline to 12 weeks

  4. changes in serum inflammatory cytokine concentration

    Changes in the concentrations of the inflammatory cytokines will be performed on serum using enzyme-linked immunoassay (ELISA)

    Time frame: baseline to 12 weeks

  5. changes in complete blood count (CBC)

    changes in the complete blood count will be performed on whole blood with the use of an automated hematology analyzer at a certified clinical facility

    Time frame: baseline to 12 weeks

Secondary outcomes

  1. changes in upper respiratory infection questionnaire score

    Upper respiratory tract infections will be tracked using the Jackson and Dowling questionnaire. The questionnaire will be completed daily by participants, either manually or electronically , throughout the 28-week study period. The scale for the questionnaire is from 0-42. The higher score means worse outcome.

    Time frame: baseline to 28 weeks

  2. changes in blood zinc levels

    Zinc levels in blood will be analyzed in trace element- free tubes and assayed by atomic absorption spectrophotometry using standard reference material obtained from the National Institute of Standards and Technology to check the accuracy and precision of the determinations

    Time frame: baseline to 12 weeks

07

Study locations

1 site
  • Loma Linda University School of Public Health
    Loma Linda, California 92350, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05031663
Lead sponsor
Loma Linda University
Responsible party
Joan Sabate,DrPH, MD (Professor of Nutrition, Loma Linda University) — Principal investigator
First posted
Sep 2, 2021
Start date
Aug 12, 2021
Primary completion
May 10, 2023
Completion
May 10, 2023
Last update
Dec 9, 2025

Study contacts

Joan Sabate, DrPh
principal investigator · Loma Linda University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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