Lupus & antiphospholipid syndrome

Beneficial effects associated to a healthy lifestyle in systemic lupus erythematosus: A cross-sectional study

LupusPublished Cross-sectional study

Authors' conclusion

A healthy lifestyle, especially physical activity is associated with beneficial effects including quality of life, depression and fatigue in SLE.

Study context

Population
Systemic lupus erythematosus (SLE) patients (44.3 ± 31.7 years, 87.6% female)
Participants
145 patients
Exposure
Healthy lifestyle vs no healthy lifestyle in SLE
  • Healthy lifestylen = 49
Outcome
SLE health domains (healthy vs no healthy lifestyle), independent of SLE disease activity
Methodological detailslinear regression modeling, Wilcoxon's signed-rank test
  • Linear regression modeling
  • Wilcoxon's signed-rank test

Main finding

As reported in the abstract

Β (physical quality of life, PCS)

4.5

95% CI 1.5–7.9P = 0.01

Healthy lifestyle

Β (depression)

−5.0

95% CI −8.2 to −0.2P = 0.02

Healthy lifestyle

Β (fatigue)

−0.8

95% CI −1.5 to −0.2P = 0.01

Healthy lifestyle

Observational data: associations, not effects.

Further findings

dsDNA-antibodies

P = 0.049

Per 1,000 kcal of weekly physical activity energy expenditure (PAEE)

PCS point increase 1.8 (0.9-2.6), p = 0.0001
CES-D point decrease 0.2 (0.03-0.4), p = 0.01
FFbH point increase 2.8 (1.2-4.4), p = 0.0006
Physical activity had the highest impact on health domains vs smoking or diet adherence, consistent after adjusting for multiple potential confounders

Original publication

Beneficial effects associated to a healthy lifestyle in systemic lupus erythematosus: A cross-sectional study. Lupus. Published 11 May 2023. doi:10.1177/09612033231175289

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