Inflammatory Back Pain

The investigators will evaluate the effect of a gluten free diet (GFD) in IBP patients, randomly assigned to receive standard therapy for IBP or standard therapy for IBP plus GFD, for a period of at least one year.

Gluten free diet

Department of Internal Medicine, Giovanni Paolo II Hospital of Sciacca

Department of Internal Medicine, University Hospital of Palermo

Inflammatory Back Pain and Gluten Free Diet

Musculoskeletal (back pain) evaluation, from baseline at 12 months of GFD, according to the scores calculated on the basis of Visual Analogue Scales for Musculoskeletal (back pain), taking into account whether the patients adhered or not to the GFD.

Changes in cytokines production from peripheral blood mononuclear (PBMC), from baseline (i.e. at diagnosis) at 12 months of GFD, taking into account whether the patients adhered or not to the GFD.

Prevalence of IBP in CD and in NCWS patients.

Pasquale Mansueto

University of Palermo

Participants can be assigned to the financially incentivized weight loss group in which they can receive 50 dollars at the end of the month if they achieve their monthly weight loss goal.

Participants can be assigned to standard of care where they receive no intervention.

Participants can be assigned to the supervised exercise arm which they will receive supervised professional training once a week.

Diabetes

Supervised exercise intervention is training with professional trainers once a week. It will include aerobic exercise tailored to the individual participant.

Supervised exercise

Financially incentivized weight loss encourages participants to achieve a monthly goal weight reduction for a 50 dollars prize.

Financially incentivized weight Loss

usual care dictated by GCP at BCDiabetes.ca

Standard Care at BCDiabetes

Vancouver General Hospital

Lifestyle Strategies for Improving Diabetes Outcomes

Impact of Two Lifestyle Strategies for Improving Diabetes Related Health Outcomes in a Specialty Care Setting: A Randomized Controlled Trial

We will assess the effect of supervised training and financially incentivized weight loss on three month average blood glucose in patients with diabetes.

proportion of patientst achieving apoB <0.8 mmol/L

proportion of patients achieving SBP < 140 mmHg

proportion of patients achieving A1c < 7.0%

this composite outcome will reflect overall change in QoL scoring during study

There is no plan to share IPD to other researchers except those involved in the trial

fasciitis/illamående

Inflammatory Back Pain and Gluten Free Diet

Lifestyle Strategies for Improving Diabetes Outcomes

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