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Trial registered on ANZCTR
Registration number
ACTRN12614000624684
Ethics application status
Approved
Date submitted
5/06/2014
Date registered
13/06/2014
Date last updated
15/12/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
ABPA Study: Postprandial Metabolic Responses to Regular Activity Breaks and Physical Activity in Healthy Normal Weight Adults
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Scientific title
Postprandial serum glucose, insulin, and triglyceride responses in healthy normal weight adults during prolonged sitting interrupted by regular activity breaks, physical activity or both.
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Secondary ID [1]
284727
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prolonged Sitting
292076
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Postprandial lipidemia
292078
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postprandial glycemia
292079
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postprandial lnsulinemia
292080
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Condition category
Condition code
Diet and Nutrition
292415
292415
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0
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Other diet and nutrition disorders
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Metabolic and Endocrine
292416
292416
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0
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Metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will complete, in random order, three intervention periods and one control period. Each period will be separated by six days and will be conducted on two consecutive days; 7.5 hours from 8:30 am to 4:00 pm on the first day, and 6 hours from 7:30 am to 1:30 pm on the second day.
The three interventions periods are as follows:
1. Physical activity: participants will walk on the treadmill at 60 % of maximal oxygen consumption (VO2max) for 30 min at the end of day one of the trial, at all other times they will be seated
2. Regular Activity Breaks: participants will walk on the treadmill at the same speed and incline as the physical activity intervention, for 2 min every 30 min throughout both day one and day two the trial
3. Regular activity breaks and physical activity: participants will walk on the treadmill for 2 min every 30 min throughout day one and two. In addition they will also complete 30 min of continuous walking at the end of day one. All walking on the treadmill will be at the same speed and incline as the physical activity intervention
The control period is:
Prolonged Sitting: participants will remain seated for the duration
On day one of each trial participants will be fed standardised meals at 15 and 205 min, and be provided with a standardised meal to consume at home during the evening between day one and two. On day two of each trial participants will be fed a standardised test meal providing 0.7 g fat per kg body mass at 0 min. At 305 min participants will be provided a buffet lunch.
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Intervention code [1]
289510
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Lifestyle
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Comparator / control treatment
No Physical Activity. The Prolonged sitting intervention is the control condition. Participants will remain seated for the duration of the trial. Feeding will occur as in the other three trials.
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Control group
Active
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Outcomes
Primary outcome [1]
292281
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Postprandial triglyceride response will be assessed by collecting blood samples at the time points listed below, and using them to calculate incremental area under the curve. Concentrations of triglycerides will be measured in each of these samples using enzymatic calorimetric methods.
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Assessment method [1]
292281
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Timepoint [1]
292281
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Baseline day one, baseline day two, 20, 45, 60 120, 180, 240, 300 min after consumption of the test meal on day two
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Primary outcome [2]
292282
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Postprandial glucose response will be assessed by collecting blood samples at the time points listed below, and using them to calculate incremental area under the curve. Concentrations of glucose will be measured in each of these samples using enzymatic calorimetric methods
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Assessment method [2]
292282
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Timepoint [2]
292282
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Baseline day one, baseline day two, 20, 45, 60 120, 180, 240, 300 min after consumption of the test meal on day two
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Primary outcome [3]
292283
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Postprandial insulin response will be assessed by collecting blood samples at the time points listed below, and using them to calculate incremental area under the curve. Concentrations of insulin will be measured in each of these samples using an electrochemiluminescent immunoassay
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Assessment method [3]
292283
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Timepoint [3]
292283
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Baseline day one, baseline day two, 20, 45, 60 120, 180, 240, 300 min after consumption of the test meal on day two
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Secondary outcome [1]
308616
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Postprandial non esterified fatty acids (NEFA) response will be assessed by collecting blood samples at the time points listed below, and using them to calculate incremental area under the curve. Concentrations of NEFA will be measured in each of these samples using enzymatic calorimetric methods
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Assessment method [1]
308616
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Timepoint [1]
308616
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Baseline day one, baseline day two, 20, 45, 60 120, 180, 240, 300 min after consumption of the test meal on day two
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Secondary outcome [2]
308617
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Substrate utilisation and energy expenditure will be measured by indirect calorimetry
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Assessment method [2]
308617
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Timepoint [2]
308617
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Day one: baseline, 105, 225, 345, 400 and 435 min
Day two: baseline, 75, 195 and 285 min
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Secondary outcome [3]
308618
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Energy intake will be measured by calculation the energy content of all food consumed during the study.
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Assessment method [3]
308618
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Timepoint [3]
308618
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Day one: 15, 205 and 630 min'
Day two: 0 and 305 min
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Secondary outcome [4]
308619
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Appetite will be measured by questionnaire which will ask participants to rate their feelings of hunger, and satiety on a 10 cm visual analogue scale
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Assessment method [4]
308619
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Timepoint [4]
308619
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Day one: baseline, 30, 90, 150, 200, 220, 270, 330, 390 min
Day two: baseline, 15, 60, 120, 180, 240, 300, 335 min
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Eligibility
Key inclusion criteria
Healthy men and women who do not regularly undertake more than 3 hours of physical activity a week, and have a predominantly sedentary occupation
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Pregnancy; or planning a pregnancy in the next four months
A personal history of cardiovascular disease; metabolic syndrome, diabetes, or dislipidemia;
Bleeding tendency, abnormal bruising or coagulation disorder;
Smoker;
On medication known to influence lipid or carbohydrate metabolism;
Employment in a non-sedentary occupation;
Regular participation in more than 150 min of moderate to vigorous physical activity;
Contraindications for participating in physical activity
Intolerance/Allergy to gluten or dairy
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will initially attend a screening visit at which blood pressure and fasting lipid and glucose concentrations will be measured. If blood pressure, glucose and lipids are within the acceptable range participants will complete an aerobic capacity test (VO2max). Participants will then complete the four trial conditions in a predetermined randomized order. The randomization code will be sealed in opaque envelopes. An envelope will be opened prior to each participant's first session, and the code contained within will dictate the order the interventions will be completed by that participant
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
STATA software will be used to generate the randomization sequence for the order the interventions will be performed for each participant.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
30/06/2014
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Actual
30/06/2014
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Date of last participant enrolment
Anticipated
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Actual
29/09/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
36
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Accrual to date
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Final
36
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Recruitment outside Australia
Country [1]
6093
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New Zealand
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State/province [1]
6093
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Otago
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Funding & Sponsors
Funding source category [1]
289344
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Charities/Societies/Foundations
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Name [1]
289344
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National Heart Foundation of New Zealand
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Address [1]
289344
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9 Kalmia St, Ellerslie, PO Box 17160, Greenlane, Auckland 1546
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Country [1]
289344
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New Zealand
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Funding source category [2]
289345
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Government body
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Name [2]
289345
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Lottery Grants Board
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Address [2]
289345
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Department of Internal Affairs, PO Box 805, Wellington 6140
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Country [2]
289345
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New Zealand
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Funding source category [3]
289346
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University
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Name [3]
289346
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University of Otago Research Grant
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Address [3]
289346
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University of Otago
PO Box 56
Dunedin
9054
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Country [3]
289346
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New Zealand
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Primary sponsor type
Individual
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Name
Meredith Peddie
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Address
Department of Human Nutrition
University of Otago
PO Box 56
Dunedin
9054
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Country
New Zealand
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Secondary sponsor category [1]
288029
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Individual
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Name [1]
288029
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Tracy Perry
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Address [1]
288029
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Department of Human Nutrition
University of Otago
PO Box 56
Dunedin
New Zealand
9054
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Country [1]
288029
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New Zealand
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Other collaborator category [1]
277988
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Individual
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Name [1]
277988
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Nancy Rehrer
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Address [1]
277988
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School of Physical Education, Sport and Exercise Sciences
University of Otago
PO Box 56
Dunedin
New Zealand
9054
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Country [1]
277988
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New Zealand
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Other collaborator category [2]
277989
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Individual
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Name [2]
277989
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Murray Skeaff
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Address [2]
277989
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Department of Human Nutrition
University of Otago
PO Box 56
Dunedin
New Zealand
9054
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Country [2]
277989
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291114
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University of Otago Human Ethics Committee
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Ethics committee address [1]
291114
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University of Otago PO Box 56 Dunedin New Zealand 9054
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Ethics committee country [1]
291114
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Date submitted for ethics approval [1]
291114
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Approval date [1]
291114
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28/03/2013
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Ethics approval number [1]
291114
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13/112
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Summary
Brief summary
Sedentary behavior is a risk factor for cardiovascular disease and type 2 diabetes. Observational studies indicate that regularly interrupting sedentary behavior with short bouts of physical activity lowers this risk. The results of two acute intervention trials provided strong experimental evidence that breaking prolonged sitting with regular short bouts of physical activity positively effected postprandial glucose and insulin concentrations. However, the effect of interrupting prolonged sitting with brief bouts of physical activity on postprandial lipid concentrations is still not fully understood. To address this we will conduct a well-designed experimental trial to examine the potential cardio-metabolic benefits of regularly breaking prolonged sitting with short bouts of physical activity. This study will ensure that future physical activity guidelines and public health policies around limiting periods of prolonged sitting are based on sound, experimental evidence.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
48918
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Dr Meredith Peddie
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Address
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Department of Human Nutrition
University of Otago
PO Box 56
Dunedin
New Zealand
9054
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Country
48918
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New Zealand
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Phone
48918
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+64 3 479 5673
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Fax
48918
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Email
48918
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[email protected]
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Contact person for public queries
Name
48919
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Meredith Peddie
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Address
48919
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Department of Human Nutrition
University of Otago
PO Box 56
Dunedin
New Zealand
9054
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Country
48919
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New Zealand
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Phone
48919
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+64 3 479 5673
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Fax
48919
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Email
48919
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[email protected]
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Contact person for scientific queries
Name
48920
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Meredith Peddie
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Address
48920
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Department of Human Nutrition
University of Otago
PO Box 56
Dunedin
New Zealand
9054
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Country
48920
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New Zealand
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Phone
48920
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+64 3 479 5673
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Fax
48920
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Email
48920
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Regular activity breaks combined with physical activity improve postprandial plasma triglyceride, nonesterified fatty acid, and insulin responses in healthy, normal weight adults: A randomized crossover trial.
2017
https://dx.doi.org/10.1016/j.jacl.2017.06.007
N.B. These documents automatically identified may not have been verified by the study sponsor.
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