Mediterranean vs. Fermented Food Diets for Lupus

KH
WJ
Overseen ByWendy J Dahl, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of Florida
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to assess how well individuals with lupus (an autoimmune disease where the body attacks its own tissues) can adhere to either a Mediterranean diet or a high-fermented-food diet over four months. Researchers seek to determine the practicality and ease of following these diets for lupus patients. Those diagnosed with lupus and receiving medical care for it might be suitable candidates. Participants should not have allergies to gluten, soy, or cow's milk, and should not currently follow a vegetarian or vegan diet. As an unphased trial, this study offers a unique opportunity to contribute to research that may enhance dietary recommendations for lupus patients.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that the Mediterranean diet is likely safe for people with lupus. Studies have found that those who follow this diet closely often have a lower chance of developing lupus. It also helps manage the disease and improve heart health in those who already have lupus. No major safety concerns have been reported for this diet.

Evidence suggests that a high fermented food diet might help reduce inflammation and support overall immune health. This diet includes foods like yogurt and kimchi, which benefit gut health. Research has not identified any specific safety risks for this diet either.

Both diets seem well-tolerated and may offer benefits for people with lupus. For those considering joining a trial, these diets appear to be safe options based on current research.12345

Why are researchers excited about this trial?

Researchers are excited about these dietary approaches for lupus because they offer a natural, food-based strategy that could complement or even reduce the need for medications like corticosteroids and immunosuppressants, which often come with significant side effects. The Mediterranean diet is rich in anti-inflammatory foods like fruits, vegetables, and healthy fats, which might help manage lupus symptoms by reducing inflammation in the body. On the other hand, a high fermented food diet could improve gut health and boost the immune system by introducing beneficial probiotics. These dietary patterns offer a holistic way to potentially manage lupus, tapping into the body's natural processes rather than solely relying on pharmaceutical interventions.

What evidence suggests that this trial's dietary patterns could be effective for lupus?

This trial will compare the effects of a Mediterranean diet with a high fermented food diet for individuals with lupus. Studies have shown that a Mediterranean diet can lower the risk of developing systemic lupus erythematosus (SLE) and may reduce disease activity by fighting inflammation. This diet includes omega-3 fatty acids, which help reduce inflammation, a key issue in lupus. While the Mediterranean diet won't cure lupus, it can improve some symptoms and boost overall health.

In contrast, consuming many fermented foods might impact the gut, which plays a role in lupus. Research suggests that fermented foods, rich in fiber and polyphenols, support a healthy gut and immune system. These foods might reduce inflammation by encouraging the growth of beneficial gut bacteria. Both diets show potential benefits, but their specific effects on lupus are still being studied in this trial.13567

Are You a Good Fit for This Trial?

This trial is for adults over 18 with Systemic Lupus Erythematosus (SLE) who are being treated by a specialist. Participants must speak English, be able to consent, and follow the study's procedures. It excludes pregnant individuals or those planning pregnancy, people with certain food allergies or intolerances, vegetarians/vegans, and those already consuming high levels of fermented foods or dietary fiber.

Inclusion Criteria

Able to provide informed consent and undertake study questionnaire completion in English
Be willing and able to comply with all the study-related procedures
I have been diagnosed with lupus and am seeing a specialist for it.

Exclusion Criteria

Self-disclosure of lactose intolerance
Baseline dietary fiber intake > 30 g/day
MEDAS score at baseline > 9
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline

Participants follow their usual diet for 1 month to establish baseline dietary habits

1 month
Monthly online questionnaires

Intervention

Participants adhere to either a Mediterranean or high-fermented-food diet for 3 months

3 months
Monthly online questionnaires and blood sample collection at the end of the intervention

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • High Fermented Food Dietary Pattern
  • Mediterranean Dietary Pattern
Trial Overview The study tests how well participants with SLE can stick to two diets: the Mediterranean diet and a diet rich in fermented foods. This randomized controlled trial lasts four months and aims to see if these diets can reduce inflammation associated with lupus.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Mediterranean dietExperimental Treatment1 Intervention
Group II: Fermented foodExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Florida

Lead Sponsor

Trials
1,428
Recruited
987,000+

Citations

The Anti‐Lupus Plate: Mapping Nutritional Interventions to ...The fiber and polyphenol‐rich food intake presumably favors the gut microbiota and the immune system, relevant in SLE pathophysiology. 2.5.2.
Systemic lupus erythematosus and the gut microbiomeDietary interventions, such as polyphenol-rich or high-fiber diets, show promise in modulating microbiome composition, including reducing pro-inflammatory ...
Effect of diet on the microbiota and immune system in ...This article explores gut microbiota dysbiosis in SLE patients and potential mechanisms related to dietary interventions and immune function.
The Role of Diet in Influencing the Diversity of Gut ...This human study showed that dietary polyphenol as dihydrochalcones and flavanones affected the gut microbiome and ameliorated lupus disease ...
The role of probiotics in promoting systemic immune tolerance ...Generally, doctors recommend a diet composed of about 50% carbohydrates, 15% protein, and 30% fat. Studies have shown that the initiator of ...
Mediterranean vs. High-Fermented-Food Diet Adherence on ...The primary aim of the study is to evaluate the feasibility of 'good and very good' adherence to the Mediterranean dietary pattern and to a high-fermented-food ...
Immunomodulatory Effects of Diet and Nutrients in Systemic ...As a broad range of evidence has demonstrated that some diets and nutrients have antioxidant, anti-inflammatory and immunomodulatory effects on ...
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