Healthy Lifestyle Intervention in Patients with Systemic Lupus Erythematosus: the Living Well with Lupus Study

NCT ID: NCT04431167

Last Updated: 2024-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-01

Study Completion Date

2023-08-28

Brief Summary

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This research program aims to investigate the clinical, physiological, metabolic and molecular effects of lifestyle change in patients with systemic lupus erythematosus with high cardiovascular risk. This 6-month parallel-group randomized controlled trial aims to investigate the feasibility and efficacy of a newly developed lifestyle change intervention - through recommendations for structured and unstructured physical activity and healthy eating - on increasing physical activity level and improving eating habits. Potential effects of the intervention on cardiovascular and cardiometabolic risk factors, health-related quality of life, symptoms of anxiety and depression, sleep quality and immune function will be investigated. Gold-standard techniques and a variety of analyses will be performed to access the potential mechanisms involved in response to this intervention.

Detailed Description

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Conditions

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Systemic Lupus Erythematosus

Keywords

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Life style Behavioral intervention Cardiovascular risk Life quality

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Experimental group and no intervention group (usual care group)
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The researcher responsible for performing the blood flow measurement will be blinded to the allocation of groups

Study Groups

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Living well with Lupus Group

A newly developed intervention focused on promoting lifestyle change through recommendations for structured and unstructured physical activity and healthy eating.

Group Type EXPERIMENTAL

Living well with Lupus

Intervention Type BEHAVIORAL

The lifestyle change intervention will involve two constructs: increasing the level of physical activity and improving eating habits, each with its own specific domains and goals. It will be based on a structured program of physical exercises and selection of individualized goals in the domains of transportation, leisure and work to reduce sedentary behavior with the aim of increasing the level of physical activity, as well as establishing changes in dietary aspects, involving consumption domains, structure, behavior and eating attitude using nutritional counseling techniques.

Usual Care Group

This group will receive all regular medical care and advice healthy

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Living well with Lupus

The lifestyle change intervention will involve two constructs: increasing the level of physical activity and improving eating habits, each with its own specific domains and goals. It will be based on a structured program of physical exercises and selection of individualized goals in the domains of transportation, leisure and work to reduce sedentary behavior with the aim of increasing the level of physical activity, as well as establishing changes in dietary aspects, involving consumption domains, structure, behavior and eating attitude using nutritional counseling techniques.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Women between 18 and 65 years old diagnosed with systemic lupus erythematosus
* one or more high cardiovascular risk factors
* SLEDAI score ≤ 4
* Treatment with prednisone at a dosage \<10 mg/d and treatment with hydroxychloroquine in a stable dose

Exclusion Criteria

* another rheumatic diseases (except for secondary Sjogren's syndrome)
* participation in structured exercise training programs and/or prescriptive diets
* illiterate or with diagnosed cognitive disorders or musculoskeletal impairments that potentially compromise understanding and participation in the intervention
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

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Bruno Gualano

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Caruso Mazzolani B, Infante Smaira F, Mendes Sieczkowska S, Romero M, C Santo Andre H, G Pasoto S, de Sa Pinto AL, Rodrigues Lima F, Braga Benatti F, Roschel H, Weber MB, Gualano B. Acceptability and impact of a lifestyle intervention for systemic lupus erythematosus: Qualitative analysis of living well with lupus study. Lupus. 2025 Apr;34(5):474-483. doi: 10.1177/09612033251326986. Epub 2025 Mar 13.

Reference Type DERIVED
PMID: 40083122 (View on PubMed)

Sieczkowska SM, Mazzolani BC, Smaira FI, Romero M, Pasoto SG, de Sa Pinto AL, Lima FR, De Oliveira VR, Ueda S, Benatti FB, Roschel H, Gualano B. Effects of a lifestyle intervention on cardiovascular risk factors in systemic lupus erythematosus patients: The study "Living well with lupus". Clin Rheumatol. 2024 Mar;43(3):1003-1013. doi: 10.1007/s10067-024-06870-2. Epub 2024 Jan 27.

Reference Type DERIVED
PMID: 38280124 (View on PubMed)

Sieczkowska SM, Smaira FI, Mazzolani BC, Romero M, Pasoto SG, de Sa Pinto AL, Lima FR, De Oliveira VR, Ueda S, Benatti FB, Roschel H, Gualano B. 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. 2023 Oct;43(10):1799-1810. doi: 10.1007/s00296-023-05370-x. Epub 2023 Jun 24.

Reference Type DERIVED
PMID: 37354245 (View on PubMed)

Other Identifiers

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Living well with lupus Study

Identifier Type: -

Identifier Source: org_study_id