Evidence map›Paper›PMID 38643180›Full record

ArticleNature communications2024

Diet changes due to urbanization in South Africa are linked to microbiome and metabolome signatures of Westernization and colorectal cancer.

M C Ramaboli, S Ocvirk, M Khan Mirzaei, B L Eberhart, M Valdivia-Garcia, A Metwaly, K Neuhaus, G Barker, J Ru, L T Nesengani and 17 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
8.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
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  3. Emerging trends in the global burden of colorectal cancer.Nature reviews. Clinical oncology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors at 11 institutions in 5 countries.

M C Ramaboli *African Microbiome Institute, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.ORCID http://orcid.org/0000-0002-5295-5277
S Ocvirk *Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
M Khan MirzaeiInstitute of Virology, Helmholtz Centre Munich - German Research Centre for Environmental Health, Neuherberg, Germany.ORCID http://orcid.org/0000-0003-2801-4474
B L EberhartDivision of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
M Valdivia-GarciaSection of Nutrition, Department of Metabolism, Digestion and Reproduction, Faculty of Medicine, Imperial College London, London, UK.
A MetwalyChair of Nutrition and Immunology, TUM School of Life Sciences, Technical University of Munich, Freising, Germany.ORCID http://orcid.org/0000-0001-5740-0230
K NeuhausCore Facility Microbiome, ZIEL - Institute for Food and Health, Technical University of Munich, Freising, Germany.ORCID http://orcid.org/0000-0002-6020-2814
G BarkerSection of Nutrition, Department of Metabolism, Digestion and Reproduction, Faculty of Medicine, Imperial College London, London, UK.
J RuInstitute of Virology, Helmholtz Centre Munich - German Research Centre for Environmental Health, Neuherberg, Germany.
L T NesenganiDepartment of Agriculture and Animal Health, University of South Africa, Pretoria, South Africa.
D Mahdi-JoestIntestinal Microbiology Research Group, German Institute of Human Nutrition, Potsdam, Germany.ORCID http://orcid.org/0009-0004-2820-6323
A S WilsonDivision of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
S K JoniDepartment of Nutrition and Dietetics, School of Public Health, University of the Western Cape, Cape Town, South Africa.
D C LaymanDepartment of Nutrition and Dietetics, School of Public Health, University of the Western Cape, Cape Town, South Africa.
J ZhengThe Metabolomics Innovation Centre & Department of Biological Sciences, University of Alberta, Edmonton, Alberta, Canada.
R MandalThe Metabolomics Innovation Centre & Department of Biological Sciences, University of Alberta, Edmonton, Alberta, Canada.
Q ChenSection of Nutrition, Department of Metabolism, Digestion and Reproduction, Faculty of Medicine, Imperial College London, London, UK.
M R PerezDivision of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-2432-4603
S FortuinAfrican Microbiome Institute, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
B GauntZithulele Hospital, Mqanduli District, Mqanduli, Eastern Cape Province, South Africa.
D WishartThe Metabolomics Innovation Centre & Department of Biological Sciences, University of Alberta, Edmonton, Alberta, Canada.
B MethéCenter for Medicine and the Microbiome, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
D HallerZIEL - Institute for Food and Health, Technical University of Munich, Freising, Germany.ORCID http://orcid.org/0000-0002-6977-4085
J V LiSection of Nutrition, Department of Metabolism, Digestion and Reproduction, Faculty of Medicine, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-5763-6670
L DengInstitute of Virology, Helmholtz Centre Munich - German Research Centre for Environmental Health, Neuherberg, Germany.ORCID http://orcid.org/0000-0003-0225-0663
R SwartDepartment of Nutrition and Dietetics, School of Public Health, University of the Western Cape, Cape Town, South Africa.ORCID http://orcid.org/0000-0002-7786-3117
S J D O'KeefeAfrican Microbiome Institute, Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. sjokeefe@pitt.edu.
University of Pittsburgh · USImperial College London · GBHelmholtz Zentrum München · DEUniversity of Alberta · CAUniversity of the Western Cape · ZALeibniz-Institute for Food Systems Biology at the Technical University of Munich · DEStellenbosch University · ZAGerman Institute of Human Nutrition · DETechnical University of Munich · DEUniversity of South Africa · ZAZithulele Hospital · ZA

Funding

Randomized Controlled Trial of Resistant Starch to Reduce Colon Cancer Risk in Alaska Native PeopleR01CA204403 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI O'KEEFE, STEPHEN J.D., THOMAS, TIMOTHY K · 2017 to 2021
$2.8M
NCI NIH HHS R01 CA204403
6 · The paper itself

Abstract

Transition from traditional high-fiber to Western diets in urbanizing communities of Sub-Saharan Africa is associated with increased risk of non-communicable diseases (NCD), exemplified by colorectal cancer (CRC) risk. To investigate how urbanization gives rise to microbial patterns that may be amenable by dietary intervention, we analyzed diet intake, fecal 16 S bacteriome, virome, and metabolome in a cross-sectional study in healthy rural and urban Xhosa people (South Africa). Urban Xhosa individuals had higher intakes of energy (urban: 3,578 ± 455; rural: 2,185 ± 179 kcal/d), fat and animal protein. This was associated with lower fecal bacteriome diversity and a shift from genera favoring degradation of complex carbohydrates (e.g., Prevotella) to taxa previously shown to be associated with bile acid metabolism and CRC. Urban Xhosa individuals had higher fecal levels of deoxycholic acid, shown to be associated with higher CRC risk, but similar short-chain fatty acid concentrations compared with rural individuals. Fecal virome composition was associated with distinct gut bacterial communities across urbanization, characterized by different dominant host bacteria (urban: Bacteriodota; rural: unassigned taxa) and variable correlation with fecal metabolites and dietary nutrients. Food and skin microbiota samples showed compositional differences along the urbanization gradient. Rural-urban dietary transition in South Africa is linked to major changes in the gut microbiome and metabolome. Further studies are needed to prove cause and identify whether restoration of specific components of the traditional diet will arrest the accelerating rise in NCDs in Sub-Saharan Africa.

Indexed as

Colorectal NeoplasmsGastrointestinal MicrobiomeSouthern African PeopleCross-Sectional StudiesDietDiet, WesternFecesHumansMetabolomeSouth AfricaUrbanization

Identifiers

PMID38643180
PMCPMC11032404
OpenAlexW4394987432

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.