Life Study: Lifestyle Intervention in Fibroid Elimination

Study Overview
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Brief Summary
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The study will evaluate a lifestyle, nutrition, and exercise program to assess whether this program is acceptable and feasible for patients..Researchers will examine if the LIFE program can modify fibroid recurrence.

Detailed Description
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This prospective cohort pilot study will enroll asymptomatic, post-surgical patients who underwent a laparoscopic, open, robotic myomectomy, or other procedure ie Sonata, Accessa for fibroid removal. Patients will be offered enrollment into a lifestyle, nutrition, supplement, and exercise program to assess whether this program is acceptable and feasible for patients. Surveys will be collected at 3-6 month intervals.

Official Title
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Effects of Implementing a Post-surgical Dietary and Lifestyle Protocol on Uterine Fibroid Recurrence

Conditions
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Uterine Fibroid

Intervention / Treatment
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* Other: LIFE program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants ages 18-50, who are seeking care at the Center for Fibroid Care at NYU Participants who have had a procedure or surgery performed to removed fibroids within the last 3 months and are now considered fibroid free. Be English speaking and be able to read/write in English Visit with PCP within the last 3 months with labs Exclusion Criteria: Currently Pregnant Use of any medication, hormonal or GNRH agonists, that would affect fibroid growth Postmenopausal women Non-English speaking Fibroid procedure or surgery outside of the 3-month window Women who are physically incapable of following a physical activity regimen Women with multiple dietary restrictions that would impact their ability to follow recommended dietary plan. (ie. GI disorders)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Study group<br>Healthy patients aged 18-50 who have a uterus, identify as female and have come to the outpatient Center for Women's Health (CWH) for management of bleeding, pelvic pain and fibroids. They will be offered enrollment post-surgery or procedure and will be followed longitudinally for 12 months. | Other: LIFE program<br>* During the nutritionist visits, subjects will be asked to discuss and evaluate their current diet and will be given recommended dietary changes. The recommended dietary changes include focusing on eating nutrient dense foods, staying consistent with the timing of meals, limiting added sugars, aiming to have balanced meals and snacks, being a mindful eater, and aiming to drink approximately 2 liters of water a day. Additionally, they will review the nutrition survey with the registered dietician. During the office visits with a doctor, subjects will be given exercise counseling. They will be asked to do 150 minutes per week of moderate intensity aerobic activity<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptability of LIFE program as measured by Self report survey | Patient satisfaction survey will assess if patients found the program acceptable on a 5 point Likert scale ( not at all acceptable, fair, moderate, good excellent). | 12 month visit. | 
| Change in improvement in quality of life as measured by Quality of Life Scale (QOLS) | The Quality of Life Scale (QOLS) was originally a 15-item instrument that measured five conceptual domains of quality of life: material and physical well-being, relationships with other people, social, community and civic activities, personal development and fulfillment, and recreation. Using a 7-point response scale, scores are summed so that a higher score indicates higher quality of life. The QOLS is scored by adding up the score on each item to yield a total score for the instrument. Scores can range from 16 to 112. | Baseline, 6 month, 12 month | 
| Change in fibroid recurrence as measured by standard of care ultrasounds | Adherence to a lifestyle program changes rate of fibroid recurrence as assessed by standard of care pelvic ultrasound results. | Baseline, 6 month, 12 month |