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Trial registered on ANZCTR
Registration number
ACTRN12612000021875
Ethics application status
Approved
Date submitted
4/01/2012
Date registered
5/01/2012
Date last updated
4/05/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of dairy-based high-protein, variable-carbohydrate diets and exercise on muscle maintenance and movement
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Scientific title
In overweight sedentary adults, is a high protein, dairy based calorie restricted diet combined with exercise, compared with high carbohydrate, adequate protein calorie restricted diet combined with exercise, more effective in maintaining skeletal muscle mass during weight loss
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Secondary ID [1]
279663
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Nil
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Universal Trial Number (UTN)
U1111-1126-7965
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Trial acronym
DAIRY-FIT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obesity
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Sarcopenia
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Condition category
Condition code
Diet and Nutrition
285657
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Modification of diet into two groups:
G1 = High dairy, high protein moderate carbohydrate (CHO) diet
G2 = High dairy, high protein, high CHO diet
Both groups will have their diet modified for a period of 16 weeks by a qualified dietitian. Group 1's (G1) diet will consist of foods that will make up 40% energy needs from Carbohydrates, 30% energy needs from Protein sources and 30% energy needs from Fat sources and will be individualised for each subject. Group 2's (G2) diet will consist of foods that will make up 55% of energy needs from Carbohydrates, 30% energy needs from Protein sources and 15% energy needs from Fat sources and will be individualised for each subject.
During the 16 week dietary modification period, participants will complete 3 supervised and 3 unsupervised exercise sessions per week for the entire duration. The supervised exercise sessions will take place at RMIT University Bundoora by CERT3/4 qualified fitness instructors or equivalent.
The diets will not be provided to participants but the dietitian will work with each individual to ensure they achieve the required energy ratios. There are no set number of meals, again this is based on the individual.
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Prevention
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Intervention code [3]
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Lifestyle
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Comparator / control treatment
The comparator group (G3) will undertake a “healthy” diet (high CHO, adequate protein) for 16 weeks and complete the same exercise regime as G1 and G2. The healthy diet will consist of 55% energy needs from Carbohydrates, 30% energy needs from Fat sources and 15% energy needs from Protein sources.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in body composition: lean mass (kg) and fat mass (kg) as measured by Dual-energy X-ray absorptiometry (DXA) and anthropometric measures
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Assessment method [1]
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Timepoint [1]
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Measured at baseline and at 8 and 16 weeks after intervention commencement
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Secondary outcome [1]
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Strength and Cardio-respiratory fitness.
Strength will be assessed using four common resistance exercises (seated leg extension, hamstring curls, seated row and chest-press) through 1 repetition maximum (1RM) tests. Cardio-respiratory fitness will be measured through a VO2 max test where a facemask and heart rate monitor are worn throughout an increasing intensity test to fatigue.
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Assessment method [1]
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Timepoint [1]
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Measured at baseline and at 8 and 16 weeks after intervention commencement
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Secondary outcome [2]
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Blood profile (lipids; glucose and insulin (HOMA index)
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Assessment method [2]
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Timepoint [2]
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Measured at baseline and at 8 and 16 weeks after intervention commencement
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Secondary outcome [3]
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Daily energy expenditure will be measured using Sensewear armbands which measures motion, accelerometry, galvanic skin response, skin temperature and heat flux to give a measure of energy expenditure over several days
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Assessment method [3]
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Timepoint [3]
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Measured at baseline and at 8 and 16 weeks after intervention commencement
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Eligibility
Key inclusion criteria
Body Mass Index (BMI) between 27-40 kg/m2 i.e. classified as overweight, class I Obese or class II Obese; Sedentary
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Minimum age
35
Years
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Maximum age
59
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
Metabolic risk factors (hypercholesterolemia, hyperinsulinemia, and hyperglycemia, hypertenisive), heart and other organ disease, orthopaedic injury, gastrointestinal disease, clinically diagnosed dairy protein allergy, clinically diagnosed lactose intolerance.
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Study design
Purpose of the study
Treatment
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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)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomization will be initially stratified by baseline BMI values (27–29, 30–34, and 35–40 kg/m2) and sex. Subsequently, simple randomisation by roll of dice within the stratified segregation will be used to allocate individuals to each of the 3 groups. This will ensure that an equal number of subjects from each category of BMI will be allocated to a dietary intervention group.
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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
Parallel
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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
1/03/2012
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Actual
12/03/2012
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Date of last participant enrolment
Anticipated
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Actual
3/06/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
90
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Accrual to date
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Final
115
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
4845
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3083
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Dairy Health & Nutrition Consortium
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Address [1]
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Dairy Innovation Australia
671 Sneydes Road
Werribee, Victoria 3030
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor John Hawley
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Address
Centre for Exercise and Nutrition
Mary MacKillop Institute for Health Research
Australian Catholic University
Level 5, 215 Spring Street
Melbourne VIC 3000
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Professor Louise Burke
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Address [1]
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Department of Sports Nutrition
Australian Institute of Sport
PO Box 176
BELCONNEN
ACT 2616
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Country [1]
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Dr Vernon Coffey
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Address [1]
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Exercise Metabolism Group
School of Medical Sciences
Building 223.2.51
RMIT University
PO Box 71
Bundoora
Victoria 3083
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Country [1]
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Australia
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Other collaborator category [2]
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Individual
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Name [2]
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Ms Evelyn Parr
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Address [2]
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Centre for Exercise and Nutrition
Mary MacKillop Institute for Health Research
Australian Catholic University
Level 5, 215 Spring Street
Melbourne VIC 3000
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Country [2]
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Australia
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Other collaborator category [3]
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Individual
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Name [3]
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Professor Stuart Phillips
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Address [3]
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Ivor Wynne Centre, Room E210
Department of Kinesiology
McMaster University
1280 Main Street West
Hamilton, ON L8S 4K1
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Country [3]
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Canada
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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RMIT Human Research Ethics Committee
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Ethics committee address [1]
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Research & Innovation, RMIT University, GPO Box 2476V, Melbourne, 3001
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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15/12/2011
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Approval date [1]
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20/01/2012
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Ethics approval number [1]
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76/11
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Summary
Brief summary
The willingness of the majority of Australians to adopt a sedentary lifestyle accompanied by an excess energy intake underpins the current epidemic of lifestyle diseases. In an effort to prevent the rise of inactivity-related conditions, medical and health professionals prescribe energy-restricted weight-loss programmes combined with increased physical activity as a means to reduce body mass (weight) and improve health outcomes. However, typical diet-induced weight loss leads to an imbalance in body composition that reduces an individuals’ functional capacity (i.e., movement and activity patterns) and increases their susceptibility to metabolic disorders. Specifically, the complex interactions between elevated levels of body fat and a reduced muscle size result in a high fat: muscle ratio, leading to a cascade of events that accelerate pre-existing health conditions (i.e., sarcopenia) and simultaneously predispose an individual to further (new) health risks. At present, the optimal diet to achieve weight loss and promote favourable body composition changes in overweight adults remains highly controversial. More information is needed to determine the effects of different diets on energy metabolism, energy balance and body composition. Indeed, the biggest concern for the majority of Australian adults is how to lose fat mass while preserving muscle mass and the health benefits that accrue from a nutrient-rich high-quality protein diet and physical activity. Accordingly, the aim of this project is to discover and characterise the best composition of mildly energy restricted high-protein (dairy-based), variable-carbohydrate diets consumed in association with resistance training to improve health.
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Trial website
http://www.rmit.edu.au/browse;ID=6b379xz4gl2a;STATUS=A;SECTION=2;PAGE_AUTHOR=Julia%20Wong
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Trial related presentations / publications
Parr, E.B., Coffey, V.G., Cato, L.E., Phillips, S.M., Burke, L.M., Hawley, J.A. A randomized trial of high-dairy-protein, variable-carbohydrate diets and exercise on body composition in adults with obesity, Obesity (Silver Spring), 2016, 24(5): 1035-45.
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Public notes
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Contacts
Principal investigator
Name
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Prof John Hawley
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Address
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Centre for Exercise and Nutrition, Mary MacKillop Institute for Health Research, Australian Catholic University, Level 5, 215 Spring Street, Melbourne VIC 3000
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Country
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Australia
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Phone
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+61 3 9953 3552
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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John Hawley
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Address
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Centre for Exercise and Nutrition, Mary MacKillop Institute for Health Research, Australian Catholic University, Level 5, 215 Spring Street, Melbourne VIC 3000
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Country
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Australia
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Phone
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+61 3 9953 3552
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Fax
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+61-3-9467 8181
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Email
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[email protected]
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Contact person for scientific queries
Name
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John Hawley
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Address
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Centre for Exercise and Nutrition, Mary MacKillop Institute for Health Research, Australian Catholic University, Level 5, 215 Spring Street, Melbourne VIC 3000
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Country
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Australia
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Phone
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+61 3 9953 3552
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Fax
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+61-3-9467 8181
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Email
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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
Circulating microrna responses between 'high' and 'low' responders to a 16-Wk diet and exercise weight loss intervention.
2016
https://dx.doi.org/10.1371/journal.pone.0152545
N.B. These documents automatically identified may not have been verified by the study sponsor.
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