To determine the appropriate proportion of Medicago sativa in the diet of Japanese sea cucumber (Apostichopus japonicus), the effects of five diets containing zero (A0), 5% (A1), 10% (A2), 15% (A3) and 20% (A4) M. sativa meal on growth, body composition and immune enzyme activity in A. japonicus (3.16±0.66 g) were assessed. The A2 diet produced the highest growth rate (0.73%), feed conversion ratio (FCR) and crude protein content (52.10%), significantly higher (P<0.05) than the A1 and A4 diets. The activity of catalase in sea cucumbers from group A4 (142.28 U/mL) was significantly higher than those in groups A0, A1 and A2 (P<0.05). Superoxide dismutase (SOD) activity in A3 (136.58 U/mL) was significantly higher than the A0 group (P<0.05). Additionally, lysozyme (LZM) content in the A3 group (1.92 μg/mL) was significantly higher than those in groups A0, A1 and A2 (P<0.05). The results suggest that the optimum proportion of M. sativa in A. japonicus diets is 10%.