Thursday, December 26, 2024 12/26/2024

A culturally tailored anti-inflammatory diet for Hispanic patients with ulcerative colitis

Award Number: R01DK140964
ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT SUMMARY Ulcerative colitis (UC) is on the rise globally, including among Hispanic/Latinos (H/L). Despite growing evidence of the importance of diet in UC, few clinical trials have examined the impact of diet on inflammation–especially among H/L. The long-term goal of our team is to develop evidence-based, personalized dietary treatments for UC that consider individual patient-factors including cultural food preferences to improve both disease inflammation and adherence. From our pilot data, we have evidence that cultural, native diets may help to decrease disease inflammation compared to Western diets and that stool microbiome signatures may provide guidance on future flares. We also have pilot data from my K23 cohort suggesting that H/L patients with UC carry polyunsaturated fatty acids (PUFA) pathway genetic variants in enzymes that alter the imbalance of n-6 to n-3 PUFA ratios in the blood and tissues. These levels in prior studies have been associated with UC risk. The overall objectives of this study are then to test the effect of a culturally tailored low fat (1:1 ratio of n-6 to n-3), high fiber diet on disease remission in H/L patients with mild to moderate UC. We will also will test whether baseline individual factors such as the stool microbiome composition and circulating blood levels of PUFAs impact diet-mediated inflammation. The central hypothesis is that patients will have a greater likelihood of achieving disease remission by week 8 on the culturally tailored diet than when on their usual diet. Further, individual factors such as stool microbiome composition and PUFA blood levels will predict response to diet therapy. The central hypothesis will be tested by pursuing three specific aims: 1) Determine the effect of a culturally tailored anti-inflammatory Hispanic diet on UC inflammation; 2) Identify the stool microbiota composition and functional metabolites underpinning the relationship between diet and UC inflammation; and 3) Evaluate the influence of PUFA metabolism on UC inflammation. Under the first aim, we will evaluate the efficacy of a culturally tailored, high fiber and low-fat diet using a cross-over design on 122 patients with mild to moderate UC. Our primary outcome will be clinical and biochemical remission using the validated simple clinical colitis index (SCCAI) and Fecal Calprotectin (FC) at week 8. Patients will receive catered meals for the diet intervention and stipends for groceries when on placebo diet. Under the second aim, we will examine microbiota abundance and microbiota-derived metabolites at baseline and that associate with changes occurring from the diet intervention and among responders/non-responders to diet. The third aim examines the influence of PUFA metabolism (including PUFA serum levels) as predictors of disease inflammation and response to diet. The proposed research is significant because we are developing an evidence-based anti-inflammatory diet for UC tested in a controlled clinical trial that also considers cultural foods, which is unprecedented in prior studies. Our research is innovative because it is the first attempt to tailor dietary therapy in UC that examines individualized predictors of response to diet.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2024	UNIVERSITY OF MIAMI	1320 S DIXIE HWY STE 1200	CORAL GABLES	FL	33146	MIAMI-DADE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	12/2/2024	NEW	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $333,863 )
2024	2024	UNIVERSITY OF MIAMI	1320 S DIXIE HWY STE 1200	CORAL GABLES	FL	33146	MIAMI-DADE	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	8/30/2024	NEW	$333,863
														Subtotal = $333,863

Grand Total All Awards = $333,863

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A culturally tailored anti-inflammatory diet for Hispanic patients with ulcerative colitis

Award Number: R01DK140964

ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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