Evidence map›Paper›PMID 41179857›Full record

ArticleFrontiers in medicine2025

A qualitative analysis of follow-up interviews with SLE patients from the "living well with lupus" study.

Fabiana Infante Smaira, Bruna Caruso Mazzolani, Sofia Mendes Sieczkowska, Marina Romero, Sandra Pasoto, Ana Lúcia de Sá Pinto, Fernanda Rodrigues Lima, Fabiana Braga Benatti, Hamilton Roschel, Mary Beth Weber and 1 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Fabiana Infante Smaira *Applied Physiology and Nutrition Research Group - School of Physical Education and Sport and Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Bruna Caruso Mazzolani *Applied Physiology and Nutrition Research Group - School of Physical Education and Sport and Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Sofia Mendes Sieczkowska *Applied Physiology and Nutrition Research Group - School of Physical Education and Sport and Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Marina RomeroSchool of Applied Sciences, Universidade Estadual de Campinas, São Paulo, Brazil.
Sandra PasotoHospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Ana Lúcia de Sá PintoApplied Physiology and Nutrition Research Group - School of Physical Education and Sport and Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Fernanda Rodrigues LimaApplied Physiology and Nutrition Research Group - School of Physical Education and Sport and Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Fabiana Braga BenattiApplied Physiology and Nutrition Research Group - School of Physical Education and Sport and Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Hamilton RoschelApplied Physiology and Nutrition Research Group - School of Physical Education and Sport and Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.
Mary Beth WeberHubert Department of Global Health (HDGH), Rollins School of Public Health, Emory University, Atlanta, Georgia.
Bruno GualanoApplied Physiology and Nutrition Research Group - School of Physical Education and Sport and Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: "Living Well with Lupus" (LWWL) consisted of a lifestyle intervention program tailored for patients with systemic lupus erythematosus (SLE) and high cardiovascular risk. In the present study, we assessed the maintenance of behavior changes related to physical activity and healthy eating after the 6-month LWWL program. Methods: Semi-structured interviews were conducted with 25 participants from the intervention group between 7 and 28 months after the program ended. Using qualitative content analysis, themes regarding behavior maintenance and perceived effects were identified. Results: Our findings suggest that maintaining the new lifestyle behaviors resulted in health benefits such as weight loss, pain reduction, and improved well-being; whereas worsening health, with increased anxiety, fatigue, and pain were reported among those that did not maintain the new behaviors over time. Most importantly, the main barriers to maintaining lifestyle changes included adverse weather conditions, family conflicts, health problems, and high work demands. On the other hand, family and professional support were highlighted as facilitators. Conclusion: These results suggest the importance of ongoing support to promote adherence to lifestyle changes in SLE patients. Integrated interventions with family and professional support are essential for sustaining these changes, highlighting the need for a holistic approach to health promotion for patients with chronic conditions.

Indexed as

follow-uphealthy eatinglifestyle interventionphysical activitysystemic lupus erythematosus

Identifiers

PMID41179857
PMCPMC12575327

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.