This application for a K24 award is to provide support for Paul R. Conlin, MD to allow him protected time to devote to patient-oriented research and to act as a mentor for beginning clinical investigators. His long-term goal is to make significant contributions to the understanding of lifestyle modifications as they impact on renal and cardiovascular disease risk factors through clinical trials. Dr. Conlin has investigated the impact of dietary patterns and sodium on renal/adrenal function and cardiovascular disease risk factors. He was recently a collaborating investigator in the DASH (Dietary Approaches to Stop Hypertension) and DASH-Sodium studies, which showed that a low-fat diet enriched in fruits, vegetables and low-fat dairy products (DASH diet) either alone or with sodium restriction significantly lowered blood pressure. He is now studying the effect of three dietary patterns on renal and cardiovascular disease risk factors (blood pressure and lipid profile). This application proposes new specific aims in which he will study the effects of the DASH diet on the kidney- in particular, renal blood flow, renal vascular resistance and sodium excretion. These studies will test the hypotheses that the DASH diet vasodilates the renal vasculature and enhances sodium excretion in a manner that mimics ACE inhibition. These studies will be performed in individuals with high normal and Stage 1 hypertension, and subgroup analyses will be performed in African Americans. The results of these studies will reveal the added-value of the DASH diet on risk factors and protective effects on renal function in patients at risk for renal/cardiovascular disease. Dr. Conlin is fully committed to recruiting and mentoring junior clinical investigators destined for careers in patient-oriented research, particularly those interested in renal cardiovascular physiology, interventional nutrition or academic endocrinology, He has recently mentored 6 fellows and junior faculty, many of whom have achieved independent grant support. In addition, he will teach junior patient-oriented research investigators in the K30 funded """"""""Scholars in Clinical Science"""""""" Program at Harvard Medical School. Thus, with the support of this award he will have significant impact on future patient-oriented research at multiple levels.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Midcareer Investigator Award in Patient-Oriented Research (K24)
Project #
5K24DK063214-04
Application #
7019113
Study Section
Diabetes, Endocrinology and Metabolic Diseases B Subcommittee (DDK)
Program Officer
Rankin, Tracy L
Project Start
2003-05-01
Project End
2008-01-31
Budget Start
2006-02-01
Budget End
2007-01-31
Support Year
4
Fiscal Year
2006
Total Cost
$149,530
Indirect Cost
Name
Brigham and Women's Hospital
Department
Type
DUNS #
030811269
City
Boston
State
MA
Country
United States
Zip Code
02115
Prentice, Julia C; Conlin, Paul R; Gellad, Walid F et al. (2015) Long-term outcomes of analogue insulin compared with NPH for patients with type 2 diabetes mellitus. Am J Manag Care 21:e235-43
Conlin, Paul R; Asefzadeh, Baharak; Pasquale, Louis R et al. (2015) Accuracy of a technology-assisted eye exam in evaluation of referable diabetic retinopathy and concomitant ocular diseases. Br J Ophthalmol 99:1622-7
Prentice, Julia C; Conlin, Paul R; Gellad, Walid F et al. (2014) Capitalizing on prescribing pattern variation to compare medications for type 2 diabetes. Value Health 17:854-62
Garg, Rajesh; Sun, Bei; Williams, Jonathan (2014) Effect of low salt diet on insulin resistance in salt-sensitive versus salt-resistant hypertension. Hypertension 64:1384-7
Kerfoot, B Price; Turchin, Alexander; Breydo, Eugene et al. (2014) An online spaced-education game among clinicians improves their patients' time to blood pressure control: a randomized controlled trial. Circ Cardiovasc Qual Outcomes 7:468-74
Haring, Bernhard; von Ballmoos, Moritz C Wyler; Appel, Lawrence J et al. (2014) Healthy dietary interventions and lipoprotein (a) plasma levels: results from the Omni Heart Trial. PLoS One 9:e114859
Goldfine, A B; Conlin, P R; Halperin, F et al. (2013) A randomised trial of salsalate for insulin resistance and cardiovascular risk factors in persons with abnormal glucose tolerance. Diabetologia 56:714-23
Gadgil, Meghana D; Appel, Lawrence J; Yeung, Edwina et al. (2013) The effects of carbohydrate, unsaturated fat, and protein intake on measures of insulin sensitivity: results from the OmniHeart trial. Diabetes Care 36:1132-7
McMahon, Graham T; Fonda, Stephanie J; Gomes, Helen E et al. (2012) A randomized comparison of online- and telephone-based care management with internet training alone in adult patients with poorly controlled type 2 diabetes. Diabetes Technol Ther 14:1060-7
Williams, Jonathan S; Chamarthi, Bindu; Goodarzi, Mark O et al. (2012) Lysine-specific demethylase 1: an epigenetic regulator of salt-sensitive hypertension. Am J Hypertens 25:812-7

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