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”

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...

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Published in:Rheumatology international 2023-10, Vol.43 (10), p.1799-1810
Main Authors: Sieczkowska, Sofia Mendes, Smaira, Fabiana Infante, Mazzolani, Bruna Caruso, Romero, Marina, Pasoto, Sandra Gofinet, de Sá Pinto, Ana Lúcia, Lima, Fernanda Rodrigues, De Oliveira, Victor Rodrigues, Ueda, Serli, Benatti, Fabiana Braga, Roschel, Hamilton, Gualano, Bruno
Format: Article
Language:English
Subjects:
Clinical trials
Exercise
Intervention
Lifestyles
Lupus
Medicine
Medicine & Public Health
Protocols
Rheumatology
Sedentary behavior
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Summary: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).
ISSN:1437-160X
0172-8172
1437-160X
DOI:10.1007/s00296-023-05370-x