Multiple SclerosisLIMSNCT05402501
Lifestyle Intervention for Patients With Multiple Sclerosis
An observational study of Multiple Sclerosis, run by Amsterdam UMC, location VUmc at 1 site in Netherlands.
Trial summary
The LIMS study is an observational study that investigates the effectiveness of an online lifestyle program for patients with multiple sclerosis (MS). The patients will be monitored during 27 months, starting 3 months prior to the start of the lifestyle program. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Multiple Sclerosis
- What is being tested?
- Lifestyle intervention program "Leef! met MS"
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 900 participants
- Where
- 1 siteNetherlands
- Study dates
- 15 Apr 2021to Nov 2024
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients with multiple sclerosis (MS) who signed up for the online lifestyle intervention of Voeding Leeft will be asked to participate in this observational study.
Who may be able to join
- MS diagnosis
- Motivated to adapt their lifestyle
- Able to complete online questionnaires by themselves
- Able to do grocery shopping and to (let someone) prepare the meals from the program
- In a subpopulation (n=200): daily use of a smartphone
Who cannot join
- Not able to participate in an online lifestyle intervention (e.g. not having an email address, laptop/computer, internet)
- An inability to speak or read Dutch
- Vegan diet
- Not willing to eat fish
- BMI <18.5 and >35 kg/m2
- Pregnant or breastfeeding
Show all 11Show fewer
- Diagnosis of an eating disorder or psychiatric disorder (according to the DSM-V criteria)
- History of bariatric surgery
- Another disorder, such as inflammatory bowel disease (e.g. Crohn's disease or ulcerative colitis), cardiovascular disease (e.g. severe heart failure), malignancy, diabetes type 1 and 2
- Having previously participated in a lifestyle intervention of Voeding Leeft or currently participating in another lifestyle program or lifestyle study.
- Currently under treatment at a dietician or lifestyle coach
Trial locations and contacts
1 site in 1 country.
Ilse Nauta, Drs. contact
Netherlands1 site, 1 recruiting
- Recruiting
Amsterdam UMC, location VUmc
Amsterdam, North Holland, 1081 HV
Brigit de Jong, Dr., b.dejong@amsterdamumc.nl
Ilse Nauta, Drs., i.nauta1@amsterdamumc.nl
About this study
The LIMS study is an observational study that investigates the effectiveness of an online lifestyle program for patients with multiple sclerosis (MS). The patients will be monitored during 27 months, starting 3 months prior to the start of the lifestyle program.
Read the detailed description
This study aims to investigate the effect of an online lifestyle program on the impact of multiple sclerosis (MS) on daily functioning. MS patients will participate in the online lifestyle intervention of Voeding Leeft and will complete online questionnaires at 7 time-points: 3 months before the start of the intervention (run-in), before the start of the intervention (baseline), and 3, 6, 12, 18 and 24 months after the start of the intervention. A subsample (n=200) will also take part in measurements through mobile applications. The investigators hypothesize that the lifestyle program will reduce the impact of MS on the patients' daily functioning.
- Conditions
- Multiple Sclerosis
- Being tested
- Lifestyle intervention program "Leef! met MS"
- Keywords
- Lifestyle
- Medical subject headings
- Multiple Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Lifestyle intervention program "Leef! met MS"Behavioural
The lifestyle program consists of a three-months intensive program, followed by a 21-months 'inspiration' program with occasional meetings.
| Study group | Role | What they receive |
|---|---|---|
| Patients with multiple sclerosis (MS) | Patients will participate in an online lifestyle program organized by Voeding Leeft, which consists of four main topics: diet, physical activity, relaxation and sleep. Receives: Behavioral: Lifestyle intervention program "Leef! met MS" |
What is being measured
The primary outcome is the main question the study is designed to answer.
Multiple Sclerosis Impact Scale (MSIS-29)
Questionnaire that measures the impact of MS on their daily functioning
Measured: Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Secondary outcomes (17)
12-item Short Form Health Survey (SF-12)
Questionnaire that measures quality of life
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
EuroQol 5 Dimensions Questionnaire (EQ-5D)
Questionnaire that measures quality of life
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
BMI
BMI in kg/m^2
Measured: Assessed at 7 time-points during 27 months Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Waist circumference
Waist circumference in centimeters
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Bristol stool chart
Tool used to indicate stool type
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Medical Consumption Questionnaire (iMCQ)
Questionnaire that measures health-care consumption
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Hospital Anxiety and Depression Scale (HADS)
Questionnaire that measures symptoms of depression and anxiety
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Checklist Individual Strength-20-r (CIS-20)
Questionnaire that measures the level of fatigue
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Multiple Sclerosis Neuropyschological Screening Questionnaire - patient version (MSNQ-P)
Questionnaire that measures the level of subjective cognitive complaints
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Medical Outcomes Study Sleep Scale (MOS-ss)
Questionnaire that measures sleep quality
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Dutch Norm for Healthy Physical Activity (In Dutch: Nederlandse Norm voor Gezond Bewegen (NNGB))
Questionnaire that measures the level of physical activity
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Perceived stress scale (PSS)
Questionnaire that measures the level of perceived stress
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
iMTA Productivity Cost Questionnaire (iPCQ)
Questionnaire that measures work productivity and the frequency of sick leave
Measured: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Neurokeys keyboard app
Only in a subsample (n=200); Real-world keystroke dynamics collected by smartphone technology.
Measured: Continuous measures during a period of 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
MS sherpa app - Smartphone-adapted Symbol Digit Modalities Test (sSDMT)
Only in a subsample (n=200); Patients will use the MS sherpa app to perform a smartphone-adapted Symbol Digit Modalities Test (sSDMT) on their mobile phone.
Measured: Weekly tests during a period of 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
MS sherpa app - Smartphone-adapted two-minute walking test
Only in a subsample (n=200); Patients will use the MS sherpa app to perform a two-minute walking test outside.
Measured: Weekly tests during a period of 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
MS sherpa app - questionnaire
Only in a subsample (n=200); Patients will use the MS sherpa app to answer seven questions on a likert-scale (e.g. about pain, stress, energy, memory) within the mobile application.
Measured: Weekly questionnaire during a period of 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Jun 2022
- Study start15 Apr 2021
- Primary completionNov 2024 (estimated)
- Study completionNov 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Multiple SclerosisStudies of the same condition, open and under way.
- More trials run by Amsterdam UMC, location VUmcThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 900 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Amsterdam UMC, location VUmc
- Sponsor type
- University, hospital or other
- Collaborators
- National MS Foundation, The Netherlands, Voeding Leeft
- Responsible party
- Principal investigator, Ilse Nauta, Amsterdam UMC, location VUmc
- Investigators
- Brigit de Jong, Principal investigator, Amsterdam UMC, location VUmc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05402501
- Sponsor's protocol ID
- 2021.0089
- Acronym
- LIMS
- Status last verified
- May 2022
- First submitted
- 19 Apr 2022
- Last updated
- 2 Jun 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Gravesteijn AS, Nauta IM, Stob M, Wilmsen N, Coles E, de Groot V, E van Kempen ZL, Killestein J, Van Oosten BW, Strijbis EM, Uitdehaag BMJ, de Jong BA. Sustained Benefits of a Multidomain Lifestyle Intervention in Multiple Sclerosis in the LIMS Study: A 24-Month Follow-Up. Neurology. 2026 Oct 27;107(8):e218542. doi: 10.1212/WNL.0000000000218542. Epub 2026 Sep 24.
PubMed 42784777
Study at a glance
From the registry record, last updated by the sponsor on 2 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Lifestyle Intervention for Patients With Multiple Sclerosis
- ClinicalTrials.gov ID
- NCT05402501
- Acronym / sponsor ID
- LIMS / 2021.0089
- Conditions
- Multiple Sclerosis
- Keywords
- Lifestyle
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 900 participants (estimated)
- Lead sponsor
- Amsterdam UMC, location VUmcUniversity, hospital or other
- Collaborators
- National MS Foundation, The Netherlands, Voeding Leeft
- Study start
- 15 Apr 2021 (actual)
- Primary completion
- Nov 2024 (estimated)
- Study completion
- Nov 2024 (estimated)
- First posted
- 2 Jun 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The LIMS study is an observational study that investigates the effectiveness of an online lifestyle program for patients with multiple sclerosis (MS). The patients will be monitored during 27 months, starting 3 months prior to the start of the lifestyle program.
Detailed description
This study aims to investigate the effect of an online lifestyle program on the impact of multiple sclerosis (MS) on daily functioning. MS patients will participate in the online lifestyle intervention of Voeding Leeft and will complete online questionnaires at 7 time-points: 3 months before the start of the intervention (run-in), before the start of the intervention (baseline), and 3, 6, 12, 18 and 24 months after the start of the intervention. A subsample (n=200) will also take part in measurements through mobile applications. The investigators hypothesize that the lifestyle program will reduce the impact of MS on the patients' daily functioning.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Patients with multiple sclerosis (MS) | – | Behavioral: Lifestyle intervention program "Leef! met MS"Patients will participate in an online lifestyle program organized by Voeding Leeft, which consists of four main topics: diet, physical activity, relaxation and sleep. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients with multiple sclerosis (MS) who signed up for the online lifestyle intervention of Voeding Leeft will be asked to participate in this observational study.
Key inclusion criteria (5 listed)
- MS diagnosis
- Motivated to adapt their lifestyle
- Able to complete online questionnaires by themselves
- Able to do grocery shopping and to (let someone) prepare the meals from the program
- In a subpopulation (n=200): daily use of a smartphone
Key exclusion criteria (11 listed)
- Not able to participate in an online lifestyle intervention (e.g. not having an email address, laptop/computer, internet)
- An inability to speak or read Dutch
- Vegan diet
- Not willing to eat fish
- BMI <18.5 and >35 kg/m2
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Lifestyle intervention program "Leef! met MS"The lifestyle program consists of a three-months intensive program, followed by a 21-months 'inspiration' program with occasional meetings. | Behavioural | Patients with multiple sclerosis (MS) |
Primary outcome
Multiple Sclerosis Impact Scale (MSIS-29)
Time frame: Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Questionnaire that measures the impact of MS on their daily functioning
17 secondary outcomes
12-item Short Form Health Survey (SF-12)
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
EuroQol 5 Dimensions Questionnaire (EQ-5D)
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
BMI
Time frame: Assessed at 7 time-points during 27 months Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Waist circumference
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Bristol stool chart
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Medical Consumption Questionnaire (iMCQ)
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Hospital Anxiety and Depression Scale (HADS)
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Checklist Individual Strength-20-r (CIS-20)
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Multiple Sclerosis Neuropyschological Screening Questionnaire - patient version (MSNQ-P)
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Medical Outcomes Study Sleep Scale (MOS-ss)
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Dutch Norm for Healthy Physical Activity (In Dutch: Nederlandse Norm voor Gezond Bewegen (NNGB))
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Perceived stress scale (PSS)
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
iMTA Productivity Cost Questionnaire (iPCQ)
Time frame: Assessed at 7 time-points during 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Neurokeys keyboard app
Time frame: Continuous measures during a period of 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
MS sherpa app - Smartphone-adapted Symbol Digit Modalities Test (sSDMT)
Time frame: Weekly tests during a period of 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
MS sherpa app - Smartphone-adapted two-minute walking test
Time frame: Weekly tests during a period of 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
MS sherpa app - questionnaire
Time frame: Weekly questionnaire during a period of 27 months | Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jun 2022.
- Derived from this study: PubMed 42784777Gravesteijn AS, Nauta IM, Stob M, Wilmsen N, Coles E, de Groot V, E van Kempen ZL, Killestein J, Van Oosten BW, Strijbis EM, Uitdehaag BMJ, de Jong BA. Sustained Benefits of a Multidomain Lifestyle Intervention in Multiple Sclerosis in the LIMS Study: A 24-Month Follow-Up. Neurology. 2026 Oct 27;107(8):e218542. doi: 10.1212/WNL.0000000000218542. Epub 2026 Sep 24.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ilse Nauta, Drs. contact
Brigit de Jong principal investigator
Amsterdam UMC, location VUmc
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Multiple Sclerosis, run by Amsterdam UMC, location VUmc at 1 site in Netherlands.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 2 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Netherlands. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Brigit de Jong, Dr. (+31204442834, b.dejong@amsterdamumc.nl), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Multiple Sclerosis Impact Scale (MSIS-29) (time frame: Change over time between baseline and follow-up time-points will be compared to change over time between the run-in period and baseline.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05402501, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jun 2022.