A randomized controlled trial of an intervention promoting physical activity and healthy eating recommendations in systemic lupus erythematosus: the protocol study "Living Well with Lupus"

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Sieczkowska, Sofia Mendes ; Smaira, Fabiana Infante ; Mazzolani, Bruna Caruso ; Romero, Marina ; Pasoto, Sandra Gofinet ; Pinto, Ana Lucia de Sa ; Lima, Fernanda Rodrigues ; De Oliveira, Victor Rodrigues ; Ueda, Serli ; Benatti, Fabiana Braga ; Roschel, Hamilton ; Gualano, Bruno

• Document type: Journal article
• Source: RHEUMATOLOGY INTERNATIONAL; v. 43, n. 10, p. 12-pg., 2023-06-24.

Abstract

There is a paucity of studies assessing multidisciplinary interventions focused on tackling physical inactivity/sedentary behavior and poor dietary habits in SLE. The Living well with Lupus (LWWL) is a randomized controlled trial to investigate whether a six-month lifestyle change intervention will improve cardiometabolic risk factors (primary outcome) among systemic lupus erythematosus (SLE) patients with low disease activity (SLEDAI score & LE; 4) and with high cardiovascular risk. As secondary goals, we will evaluate: (1) the intervention's safety, efficacy, and feasibility in promoting lifestyle changes, and (2) the effects of the intervention on secondary outcomes (i.e., clinical parameters, functional capacity, fatigue, psychological aspects, sleep quality and health-related quality of life). Patients will be randomly allocated to either a control (i.e., standard care) or a lifestyle intervention group using a simple randomization (1:1 ratio, blocks of 20). Mixed Model analyses will be conducted for comparing groups following an intention-to-treat approach. A per protocol analysis will also be conducted. This study has the potential to generate new, clinically relevant data able to refine the multidisciplinary management of SLE patients. Protocol version number: NCT04431167 (first version). (AU)

• FAPESP's process: 17/13552-2 - Reducing sedentary time in clinical populations: the take a stand for health study
• Grantee: Bruno Gualano
• Support Opportunities: Research Projects - Thematic Grants
• FAPESP's process: 19/14820-6 - Healthy lifestyle promotion in patients with Systemic Lupus Erythematosus: effects on life quality and psychological aspects
• Grantee: Bruna Caruso Mazzolani
• Support Opportunities: Scholarships in Brazil - Doctorate (Direct)
• FAPESP's process: 19/15231-4 - Promotion of healthy lifestyle in patients with Systemic Erythematosus Lupus: effects on cardiometabolic risks factors the randomized and controlled clinical trial living well with Lupus
• Grantee: Sofia Mendes Sieczkowska
• Support Opportunities: Scholarships in Brazil - Doctorate
• FAPESP's process: 19/14819-8 - Promotion of healthy lifestyle in patients with Systemic Lupus Erythematosus: assessment of safety, efficiency and feasibility of the study 'Vivendo bem com Lúpus' (Living well with Lupus)
• Grantee: Fabiana Infante Smaira
• Support Opportunities: Scholarships in Brazil - Doctorate (Direct)