Skip to main content
Top
Published in: Trials 1/2022

Open Access 01-12-2022 | Mood Disorders | Study protocol

Effect of Nigella sativa supplementation on kidney function, glycemic control, oxidative stress, inflammation, quality of life, and depression in diabetic hemodialysis patients: study protocol for a double-blind, randomized controlled trial

Authors: Alireza Rahmani, Vahid Maleki, Bahram Niknafs, Omid Mohammad Tavakoli-Rouzbehani, Ali Tarighat-Esfanjani

Published in: Trials | Issue 1/2022

Login to get access

Abstract

Background and objectives

The kidney is probably the most crucial target of microvascular damage in diabetes, which can ultimately eventuate end-stage renal disease (ESRD). Hemodialysis is the most usual way of renal replacement therapy in ESRD. Patients receiving hemodialysis are susceptible to many complications like hyperglycemia, inflammation, depression, anxiety, and poor quality of life. So, they are constrained to consume many drugs. Medicinal herbs are used in different cultures as a reliable source of natural remedies. This study aims to determine the efficacy of Nigella sativa (NS) oil supplementation on blood glucose, kidney function tests, inflammation, oxidative stress, quality of life, and depression in hemodialysis patients.

Methods and analysis

This double-blind, randomized controlled trial will enroll 46 patients with diabetes mellitus who give hemodialysis thrice a week. Patients who have an inflammatory or infectious disease and who are receiving nonsteroidal anti-inflammatory drugs will be excluded. Patients will be randomized to the treatment and control group, which will be recommended using two soft gels of NS and paraffin oil, respectively. Laboratory tests will be assessed at baseline and end of the study, including fasting blood sugar, glycated albumin, insulin, creatinine, blood urea nitrogen, urea, uric acid, superoxide dismutase, malondialdehyde, total antioxidant capacity, high sensitive C reactive protein, and 24-h urine volume. Also, the kidney disease and quality of life and hospital anxiety and depression scale questionnaires will be evaluated.

Discussion

Previous studies have reported a positive effect of Nigella sativa supplementation in chronic kidney disease, but there is no evidence that this plant is safe in hemodialysis patients. The results of this study can be helpful in better control of blood sugar and kidney function and reduce complications in diabetic hemodialysis patients.

Trial registration

Iranian Registry of Clinical Trials . Registered on 31 May 2020
Appendix
Available only for authorised users
Literature
7.
go back to reference Grams M, McDonald S: Chapter 77: Epidemiology of chronic kidney disease and dialysis. In Comprehensive Clinical Nephrogy (6th Edition). Edited by Feehally J JR, Floege J, Tonelli M. London: Elsevier Inc.; 2018: 903-912 Grams M, McDonald S: Chapter 77: Epidemiology of chronic kidney disease and dialysis. In Comprehensive Clinical Nephrogy (6th Edition). Edited by Feehally J JR, Floege J, Tonelli M. London: Elsevier Inc.; 2018: 903-912
13.
go back to reference Hsu WL, Li SY, Liu JS, Huang PH, Lin SJ, Hsu CC, et al. High uric acid ameliorates indoxyl sulfate-induced endothelial dysfunction and is associated with lower mortality among hemodialysis patients. Toxins (Basel). 2017;9(1). https://doi.org/10.3390/toxins9010020. Hsu WL, Li SY, Liu JS, Huang PH, Lin SJ, Hsu CC, et al. High uric acid ameliorates indoxyl sulfate-induced endothelial dysfunction and is associated with lower mortality among hemodialysis patients. Toxins (Basel). 2017;9(1). https://​doi.​org/​10.​3390/​toxins9010020.
14.
go back to reference Palmer SC, Natale P, Ruospo M, Saglimbene VM, Rabindranath KS, Craig JC, Strippoli GF: Antidepressants for treating depression in adults with end-stage kidney disease treated with dialysis. Cochrane Database Syst Rev 2016, 2016:Cd004541. Palmer SC, Natale P, Ruospo M, Saglimbene VM, Rabindranath KS, Craig JC, Strippoli GF: Antidepressants for treating depression in adults with end-stage kidney disease treated with dialysis. Cochrane Database Syst Rev 2016, 2016:Cd004541.
15.
go back to reference Hosseini SH, Espahbodi F, Mirzadeh Goudarzi SM. Citalopram versus psychological training for depression and anxiety symptoms in hemodialysis patients. Iran J Kidney Dis. 2012;6(6):446–51.PubMed Hosseini SH, Espahbodi F, Mirzadeh Goudarzi SM. Citalopram versus psychological training for depression and anxiety symptoms in hemodialysis patients. Iran J Kidney Dis. 2012;6(6):446–51.PubMed
18.
go back to reference Parvan K, Lakdizaji S, Roshangar F, Mostofi M. Quality of sleep and its relationship to quality of life in hemodialysis patients. J Caring Sci. 2013;2:295–304.PubMedPubMedCentral Parvan K, Lakdizaji S, Roshangar F, Mostofi M. Quality of sleep and its relationship to quality of life in hemodialysis patients. J Caring Sci. 2013;2:295–304.PubMedPubMedCentral
Metadata
Title
Effect of Nigella sativa supplementation on kidney function, glycemic control, oxidative stress, inflammation, quality of life, and depression in diabetic hemodialysis patients: study protocol for a double-blind, randomized controlled trial
Authors
Alireza Rahmani
Vahid Maleki
Bahram Niknafs
Omid Mohammad Tavakoli-Rouzbehani
Ali Tarighat-Esfanjani
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Trials / Issue 1/2022
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-021-05917-y

Other articles of this Issue 1/2022

Trials 1/2022 Go to the issue