Anaerobic ammonium oxidation (Anammox) is considered as one of the high efficiency and low energy consumption processes, while excessive amounts of nitrate in effluents and delayed anammox bacterial growth have limited the use of the anammox process. We enhanced the nitrogen removal efficiency of the anammox process and expedited reactor start-up by utilizing gravel balls as innovative carriers. The total nitrogen removal efficiency was enhanced (93.11%) and the start-up time was shortened from 98 to 67 days. Moreover, microbial analysis revealed an increase in the microbial community’s richness and diversity. High-throughput analysis indicated that gravel ball addition improved the relative abundance of the anammox bacteria Candidatus Kuenenia. Thus, this study offered new perspectives on how gravel ball addition affects the anammox process and provided a potential carrier for practical engineering-scale anammox reactors.
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