Lupus & antiphospholipid syndrome

A randomized controlled trial of a lifestyle intervention on wellbeing in patients with systemic lupus erythematosus: Results from “Living well with lupus”

LupusPublished Randomised controlled trial

Authors' conclusion

The LWWL intervention improved fatigue and the role physical domain of quality of life in SLE patients with high cardiovascular risk.

Study context

Population
Adults with systemic lupus erythematosus (SLE) and high cardiovascular risk, São Paulo, Brazil, August 2020 to March 2023
Participants
80 adults
Comparison
Living Well with Lupus (LWWL) healthy lifestyle intervention vs standard care
Methodological detailsparallel-group, 6-month
  • Parallel-group
  • 6-month

Further findings

OutcomeEMD (95% CI)P value
SF-36 role physical domain · post-interventionES −1.03 (95% CI −1.6; −0.4); in favour of LWWL−1.0 (−1.6 to −0.4)P = 0.01
FACIT fatigue score · post-interventionES 1.24 (95% CI 0.5; 2.0); in favour of LWWL7.1 (1.6–12.6)P = 0.01

Other wellbeing variables (other SF-36 domains, functional capacity, anxiety and depression symptoms, sleep quality) · post-intervention

No significant between-group differences (p > .05)

Complete-case sensitivity analyses

Corroborated findings; suggested improvements in mood and strength after the programme

Original publication

A randomized controlled trial of a lifestyle intervention on wellbeing in patients with systemic lupus erythematosus: Results from “Living well with lupus”. Lupus. Published 30 October 2025. doi:10.1177/09612033251394423

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