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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)

Grant number: 19/14819-8
Support Opportunities:Scholarships in Brazil - Doctorate (Direct)
Effective date (Start): March 01, 2020
Effective date (End): August 31, 2024
Field of knowledge:Health Sciences - Medicine - Medical Clinics
Principal Investigator:Bruno Gualano
Grantee:Fabiana Infante Smaira
Host Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil
Associated scholarship(s):23/07265-1 - Promotion of a healthy lifestyle in patients with systemic lupus erythematosus: safety, efficacy and feasibility of the study Living Well With Lupus, BE.EP.DD

Abstract

Patients with Systemic Lupus Erythematosus spend most of their daily hours in sedentary behavior and tend to be inactive. Sedentary behavior and physical inactivity are independent risk factors for poorer markers of health and mortality in the general population and in clinical cases. In addition, the food pattern is a determining factor in the individuals' health. Due to the lack of studies on the dietary pattern of patients with Systemic Lupus Erythematosus, it is believed that these patients present the same feeding profile of the general population, which is, high consumption of foods with unbalanced nutritional composition and high caloric density, characterized by an inadequate supply of micronutrients. In this context, new interventions focused on the practice of physical activity and food consumption management would be of great therapeutic relevance. However, to date, there are no studies focused on these strategies in patients with Systemic Lupus Erythematosus. Therefore, it is fundamental to evaluate the lifestyle changes resulting from a new intervention proposal. Thence, this project aims to: assess the safety, efficacy, and viability of clinical intervention, as well as the barriers and facilitators for engagement in lifestyle changes. It is a randomized, parallel group, controlled clinical study in which the following pre and post-intervention data will be collected: 1) sedentary behavior parameters and level of physical activity; 2) eating habits; 3) clinical parameters; 4) safety parameters and intervention feasibility. In addition, focus groups will be carried out at the end of the follow-up in order to qualitatively assess the impacts of the intervention. The findings of this project will be of great clinical relevance once they can serve as a basis for new prescriptions focused on the change of food and physical activity habits, which are risk factors for patients with Lupus. (AU)

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Scientific publications (14)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
ESTEVES, GABRIEL P.; MAZZOLANI, BRUNA CARUSO; SMAIRA, FABIANA INFANTE; SANTO ANDRE, HELOISA C.; IRAHA, AMANDA YURI; ASTLEY, CAMILLA; MARQUES, ISABELA GOUVEIA; AMARANTE, MILLA CORDEIRO; REZENDE, NATHALIA SAFFIOTI; SIECZKOWSKA, SOFIA MENDES; et al. Food consumption based on processing level (according to Nova system) during the COVID-19 pandemic among adolescents with immunocompromised conditions: a case-control study. FRONTIERS IN NUTRITION, v. 10, p. 9-pg., . (21/02742-0, 19/14820-6, 17/13552-2, 15/26937-4, 20/07860-9, 15/03756-4, 20/02741-1, 19/20814-9, 16/00006-7, 19/14819-8, 19/15231-4)
SMAIRA, FABIANA INFANTE; MAZZOLANI, BRUNA CARUSO; LEMES, ITALO RIBEIRO; DA SILVA, RAFAEL PIRES; PINTO, ANA J.; SIECZKOWSKA, SOFIA M.; AIKAWA, NADIA E.; PASOTO, SANDRA G.; MEDEIROS-RIBEIRO, ANA C.; SAAD, CARLA G. S.; et al. No Associations Between Physical Activity and Immunogenicity in SARS-CoV-2 Seropositive Patients With Autoimmune Rheumatic Diseases Prior to and After Vaccination. JOURNAL OF PHYSICAL ACTIVITY & HEALTH, v. N/A, p. 4-pg., . (17/23688-9, 19/14820-6, 17/13552-2, 15/26937-4, 15/03756-4, 20/04877-8, 19/14819-8, 19/15231-4)
ESTEVES, GABRIEL P.; MAZZOLANI, BRUNA CARUSO; SMAIRA, FABIANA INFANTE; MENDES, ELIZABETH SILVA; DE OLIVEIRA, GABRIELA GUIMARAES; ROSCHEL, HAMILTON; GUALANO, BRUNO; PEREIRA, ROSA MARIA R.; DOLAN, EIMEAR. Nutritional recommendations for patients undergoing prolonged glucocorticoid therapy. RHEUMATOLOGY ADVANCES IN PRACTICE, v. 6, n. 2, p. 13-pg., . (19/14820-6, 19/05616-6, 16/00006-7, 20/08637-1, 20/07860-9, 19/14819-8)
SMAIRA, FABIANA INFANTE; MAZZOLANI, BRUNA CARUSO; ESTEVES, GABRIEL PERRI; ANDRE, HELOISA C. SANTO; AMARANTE, MILLA CORDEIRO; CASTANHO, DANIELA FERNANDES; CAMPOS, KAREN JENNIFER DE; BENATTI, FABIANA BRAGA; PINTO, ANA JESSICA; ROSCHEL, HAMILTON; et al. Poor Eating Habits and Selected Determinants of Food Choice Were Associated With Ultraprocessed Food Consumption in Brazilian Women During the COVID-19 Pandemic. FRONTIERS IN NUTRITION, v. 8, . (19/14819-8, 20/07860-9, 17/13552-2, 15/26937-4, 19/14820-6)
SIECZKOWSKA, MENDES; SMAIRA, FABIANA INFANTE; MAZZOLANI, BRUNA CARUSO; GUALANO, BRUNO; ROSCHEL, HAMILTON; PECANHA, TIAGO. Efficacy of home-based physical activity interventions in patients with autoimmune rheumatic diseases: A systematic review and meta-analysis. SEMINARS IN ARTHRITIS AND RHEUMATISM, v. 51, n. 3, p. 576-587, . (19/07150-4, 19/14820-6, 17/13552-2, 16/23319-0, 19/14819-8, 19/15231-4)
GUALANO, BRUNO; LEMES, ITALO R.; SILVA, RAFAEL P.; PINTO, ANA J.; MAZZOLANI, BRUNA C.; SMAIRA, FABIANA, I; SIECZKOWSKA, SOFIA M.; AIKAWA, NADIA E.; PASOTO, SANDRA G.; MEDEIROS-RIBEIRO, ANA C.; et al. Association between physical activity and immunogenicity of an inactivated virus vaccine against SARS-CoV-2 in patients with autoimmune rheumatic diseases. BRAIN BEHAVIOR AND IMMUNITY, v. 101, p. 8-pg., . (19/14819-8, 15/03756-4, 15/26937-4, 19/15231-4, 17/23688-9, 17/13552-2, 19/14820-6)
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; 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". RHEUMATOLOGY INTERNATIONAL, v. 43, n. 10, p. 12-pg., . (17/13552-2, 19/14820-6, 19/15231-4, 19/14819-8)
GUALANO, BRUNO; SIECZKOWSKA, SOFIA M.; LEMES, ITALO RIBEIRO; DA SILVA, RAFAEL PIRES; PINTO, ANA J.; MAZZOLANI, BRUNA C.; SMAIRA, FABIANA I.; AIKAWA, NADIA E.; KUPA, LEONARD V. K.; PASOTO, SANDRA G.; et al. Physical Activity: A Strategy to Improve Antibody Response to a SARS-CoV-2 Vaccine Booster Dose in Patients With Autoimmune Rheumatic Diseases. JOURNAL OF PHYSICAL ACTIVITY & HEALTH, v. 20, n. 4, p. 6-pg., . (17/23688-9, 19/14820-6, 17/13552-2, 15/26937-4, 15/03756-4, 20/04877-8, 19/14819-8, 19/15231-4)
ISABELA GOUVEIA MARQUES; CAMILLA ASTLEY; SOFIA MENDES SIECZKOWSKA; AMANDA YURI IRAHA; TATHIANE CHRISTINE FRANCO; FABIANA INFANTE SMAIRA; BRUNA CARUSO MAZZOLANI; LUANA CRISTINA DO AMARAL MIRANDA; BIANCA PIRES IHARA; ROSA MARIA R. PEREIRA; et al. Lessons learned from a home-based exercise program for adolescents with pre-existing chronic diseases during the COVID-19 quarantine in Brazil. Clinics, v. 76, . (19/20814-9, 19/14820-6, 19/14819-8, 19/15231-4, 15/03756-4, 16/00006-7, 17/13552-2)
PECANHA, TIAGO; MEIRELES, KAMILA; PINTO, ANA JESSICA; NUNES REZENDE, DIEGO AUGUSTO; IRAHA, AMANDA YURI; MAZZOLANI, BRUNA CARUSO; SMAIRA, FABIANA INFANTE; KLUSER SALES, ALLAN ROBSON; BONFIGLIOLI, KARINA; DE SA-PINTO, ANA LUCIA; et al. Increased sympathetic and haemodynamic responses to exercise and muscle metaboreflex activation in post-menopausal women with rheumatoid arthritis. JOURNAL OF PHYSIOLOGY-LONDON, v. 599, n. 3, . (19/14819-8, 15/26937-4, 17/13552-2, 14/11671-6, 19/07150-4)
PINTO, ANA J.; MEIRELES, KAMILA; PECANHA, TIAGO; MAZZOLANI, BRUNA C.; SMAIRA, I, FABIANA; REZENDE, DIEGO; BENATTI, FABIANA B.; RIBEIRO, ANA C. M.; PINTO, ANA L. S.; LIMA, FERNANDA R.; et al. Acute cardiometabolic effects of brief active breaks in sitting for patients with rheumatoid arthritis. AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM, v. 321, n. 6, p. E782-E794, . (19/14819-8, 19/14820-6, 17/13552-2, 16/23319-0, 15/26937-4, 18/19418-9)
MAZZOLANI, BRUNA CARUSO; SMAIRA, FABIANA INFANTE; ASTLEY, CAMILLA; IRAHA, AMANDA YURI; PINTO, ANA JESSICA; MARQUES, ISABELA GOUVEIA; CORDEIRO AMARANTE, MILLA; REZENDE, NATHALIA SAFFIOTI; SIECZKOWSKA, SOFIA MENDES; FRANCO, TATHIANE CHRISTINE; et al. Changes in Eating Habits and Sedentary Behavior During the COVID-19 Pandemic in Adolescents With Chronic Conditions. FRONTIERS IN PEDIATRICS, v. 9, . (19/20814-9, 19/14819-8, 19/14820-6, 16/00006-7, 17/13552-2, 19/15231-4, 15/03756-4, 15/26937-4)
GUALANO, BRUNO; SAAD, CARLA G. S.; SIECZKOWSKA, SOFIA M.; LEMES, ITALO RIBEIRO; DA SILVA, RAFAEL PIRES; PINTO, ANA J.; MAZZOLANI, BRUNA C.; SMAIRA, FABIANA, I; GIL, SAULO; OLIVEIRA-JUNIOR, GERSIEL; et al. Effect of an exercise bout before the booster dose of an inactivated SARS-CoV-2 vaccine on immunogenicity in immunocompromised patients. Journal of Applied Physiology, v. 132, n. 3, p. 7-pg., . (19/15231-4, 17/13552-2, 17/23688-9, 15/26937-4, 20/04877-8, 19/14820-6, 19/14819-8, 15/03756-4)
MAZZOLANI, BRUNA CARUSO; SMAIRA, FABIANA INFANTE; ESTEVES, GABRIEL PERRI; SANTO ANDRE, HELOISA C.; AMARANTE, MILLA CORDEIRO; CASTANHO, DANIELA; CAMPOS, KAREN; BENATTI, FABIANA BRAGA; PINTO, ANA JESSICA; ROSCHEL, HAMILTON; et al. Influence of Body Mass Index on Eating Habits and Food Choice Determinants Among Brazilian Women During the COVID-19 Pandemic. FRONTIERS IN NUTRITION, v. 8, . (20/07860-9, 17/13552-2, 15/26937-4, 19/14819-8, 19/14820-6)

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