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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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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 ≤ 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).

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Acknowledgements

B.C.M., F.I.S., S.M.S. and B.G. were supported by São Paulo Research Foundation—FAPESP (Grants #2019/14820-6, #2019/14819-8, #2019/15231-4 and #2017/13552-2),MR was supported by Support fund to education, research and extension at the State University of Campinas—FAEPEX accord 519.292 (98082-22) and SGP was supported by National Council for Scientific and Technological Development—CNPq (#303116/2022-6).

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  1. Sofia Mendes Sieczkowska, Fabiana Infante Smaira and Bruna Caruso Mazzolani have contributed equally to this work.

Authors and Affiliations

  1. Applied Physiology and Nutrition Research Group, Center of Lifestyle Medicine, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Arnaldo, 455, 3° Andar, São Paulo, SP, 01246-903, Brazil

    Sofia Mendes Sieczkowska, Fabiana Infante Smaira, Bruna Caruso Mazzolani, Marina Romero, Ana Lúcia de Sá Pinto, Fernanda Rodrigues Lima, Fabiana Braga Benatti, Hamilton Roschel & Bruno Gualano

  2. Rheumatology Division, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Arnaldo, 455, Sao Paulo, SP, 05403-900, Brazil

    Sandra Gofinet Pasoto, Ana Lúcia de Sá Pinto, Fernanda Rodrigues Lima, Victor Rodrigues De Oliveira, Serli Ueda & Bruno Gualano

  3. School of Applied Sciences, Universidade Estadual de Campinas, Campinas, São Paulo, 13484-350, Brazil

    Marina Romero & Fabiana Braga Benatti

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Sieczkowska, S.M., Smaira, F.I., Mazzolani, B.C. et al. 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”. Rheumatol Int 43, 1799–1810 (2023). https://doi.org/10.1007/s00296-023-05370-x

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