About this trial
This study will evaluate whether a 12-week dietary intervention can improve gut health, inflammation, and quality of life in adults with ulcerative colitis in remission.
Participants will be randomly assigned to one of three groups: a Mediterranean diet, a Mediterranean diet combined with time-restricted feeding (eating within an 8-hour window each day), or standard dietary advice. The Mediterranean diet emphasizes fruits, vegetables, whole grains, legumes, nuts, olive oil, and fish, while limiting processed foods and red meat.
The main outcome will be changes in short-chain fatty acids in stool samples, which are markers of gut health. Additional outcomes include changes in inflammation markers, gastrointestinal symptoms, and quality of life.
The results of this study may help identify effective dietary strategies to support patients with ulcerative colitis.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 18 to 60 years
Diagnosis of ulcerative colitis
Clinical remission for at least 6 months
Fecal calprotectin < 250 µg/g in the last 3 months
Disqualifiers
Active ulcerative colitis
History of gastrointestinal surgery
Liver or kidney disease
Pregnancy
Trial design
Parallel
Treatments tested in this trial
Mediterranean Diet
BehavioralParticipants will receive individualized nutritional counseling to follow a Mediterranean diet, emphasizing high intake of fruits, vegetables, whole grains, legumes, nuts, olive oil, and fish, and reduced consumption of red meat and ultra-processed foods. Dietary plans will be tailored to individual energy requirements.
Mediterranean Diet + Time-Restricted Feeding
BehavioralParticipants will follow a time-restricted feeding protocol (16:8), consisting of a daily 16-hour fasting period and an 8-hour eating window (12:00-20:00). During the eating window, participants will consume meals based on Mediterranean diet guidelines, with individualized dietary counseling to ensure adequate nutritional intake.
Standard Dietary Advice
BehavioralParticipants will receive standard dietary counseling based on current clinical guidelines for ulcerative colitis. This includes general recommendations for a balanced diet without specific emphasis on Mediterranean dietary patterns or time-restricted feeding.
Treatment groups
Trial outcomes
Primary outcomes
Change in fecal short-chain fatty acid (SCFA) levels
Fecal SCFA concentrations will be measured using gas chromatography and expressed as total and individual SCFA levels.
Secondary outcomes
Change in fecal calprotectin
Fecal calprotectin levels will be measured as a marker of intestinal inflammation.
Sponsors and contacts
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