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Trial registered on ANZCTR
Registration number
ACTRN12615001028594
Ethics application status
Approved
Date submitted
15/09/2015
Date registered
1/10/2015
Date last updated
9/02/2021
Date data sharing statement initially provided
9/02/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Mother and Infant Nutrition Investigation - Investigating micronutrient intake and status in mothers and babies, and their possible effects on thyroid function
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Scientific title
Micronutrient intake and status (iodine, selenium and iron) and their possible effects on thyroid function in postpartum women and their infants in New Zealand
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Secondary ID [1]
287476
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Nil
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Universal Trial Number (UTN)
U1111-1173-9926
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Trial acronym
MINI
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Micronutrient deficiency
296218
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Postnatal depression
296219
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Thyroid function
296268
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Condition category
Condition code
Diet and Nutrition
296491
296491
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0
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Other diet and nutrition disorders
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Mental Health
296492
296492
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0
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Depression
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Metabolic and Endocrine
296537
296537
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0
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Normal metabolism and endocrine development and function
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
As an observational study, the objectives are to investigate postpartum women’s micronutrient intake and status (namely iodine, selenium and iron); investigating the effects of iodine, selenium and iron on thyroid function; investigating infant iodine and selenium status during the first year of life;and to what extent inadequate status of iodine, selenium and iron are associated with the risk of postnatal depression in participating women; investigating possible effects of iodine, selenium and iron status on early child development; investigating retrospective selenium status of postpartum women and their infants. The overall duration for mothers and their babies will be completed when the baby is 1 year old.
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Intervention code [1]
292859
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Not applicable
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Comparator / control treatment
Not applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
296117
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investigating postpartum women’s micronutrient status (namely iodine, selenium and iron) by testing urine, blood, breastmilk (if applicable) and nail samples;
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Assessment method [1]
296117
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Timepoint [1]
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When their infants are between 3 weeks and 3 months of age; When their infants are 6 months of age;
When their infants are 12 months of age
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Secondary outcome [1]
317552
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investigating to what extent inadequate status of iodine, selenium and iron assessed by testing urine and blood samples are associated with the risk of postnatal depression assessed by Edinburgh Postnatal Depression Scale in participating women;
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Assessment method [1]
317552
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Timepoint [1]
317552
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When their infants are between 3 weeks and 3 months of age;
When their infants are 6 months of age;
When their infants are 12 months of age.
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Secondary outcome [2]
317666
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investigating postpartum women’s micronutrient intake (namely iodine, selenium and iron) by dietary assessment tools (including 4 day weighed dietary diary and Food Frequency Questionnaire;
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Assessment method [2]
317666
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Timepoint [2]
317666
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When their infants are between 3 weeks and 3 months of age; When their infants are 6 months of age;
When their infants are 12 months of age
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Secondary outcome [3]
317667
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investigating infant selenium status (assessed by tesing urine samples) during the first year of life
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Assessment method [3]
317667
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Timepoint [3]
317667
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When they are between 3 weeks and 3 months of age;
When they are 6 months of age;
When they are 12 months of age
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Secondary outcome [4]
317668
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investigating maternal health (assessed by designed questionnaire specificially for this study) and child development (the Ages and Stages Questionnaire) through the first year of the life
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Assessment method [4]
317668
0
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Timepoint [4]
317668
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When their infants are between 3 weeks and 3 months of age;
When their infants are 6 months of age;
When their infants are 12 months of age;
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Secondary outcome [5]
317670
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investigating the retrospective selenium status of postpartum women and their infants by assessing nail clippings
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Assessment method [5]
317670
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Timepoint [5]
317670
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When their infants are 6 months of age;
When their infants are 12 months of age
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Secondary outcome [6]
317863
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nvestigating the effects of iodine, selenium and iron (a composite, assessed by testing blood, urine and breastmilk samples) on thyroid function by serum assays
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Assessment method [6]
317863
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Timepoint [6]
317863
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When their infants are between 3 weeks and 3 months of age;
when their infants are 6 months of age;
when their infants are 12 months of age
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Secondary outcome [7]
317864
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investigating infant iodine status (assessed by testing urine samples) during the first year of life
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Assessment method [7]
317864
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Timepoint [7]
317864
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when they are between 3 weeks and 3 months of age;
when they are 6 months of age;
when they are 12 months of age.
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Eligibility
Key inclusion criteria
The target population for the study is healthy women aged 16 years or older who have delivered a healthy term singleton infant. Since the study will follow participating mothers and their infants until the baby is 12 months old, continued participation requires that the infant does not contract or suffer from any serious on-going health problems.
Postpartum women's new born infants will be included in the study if they are healthy. These infants can be a boy or girl, and are aged between 3 weeks and 12 months.
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Minimum age
3
Weeks
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Women will be excluded if they develop significant health problems or severe chronic conditions; women will also be excluded if they have been treated for hyperthyroidism or hypothyroidism.
Postpartum women's new born infants will be excluded if if they are suffering from serious health conditions.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Both
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Statistical methods / analysis
The main outcome measure was iodine excreted per day and the sample size was calculated using G*Power 3.1 (Heinrich Heine University, Dusseldorf)[38] based on data (mean and standard deviation (SD)) from a preliminary study of breastfeeding women[24] .The analysis utilised one–way ANOVA with two groups (95% power, alpha = 0.05, two tailed) and three repeat measures. Eighty participants were needed, using expected mean daily urine iodine concentrations of 140 and 100 µg/day for iodine supplement users and non-users, respectively, and a standard deviation of 60.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
20/04/2016
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Actual
20/04/2016
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Date of last participant enrolment
Anticipated
8/01/2018
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Actual
30/01/2018
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Date of last data collection
Anticipated
12/02/2019
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Actual
28/02/2019
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Sample size
Target
80
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Accrual to date
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Final
95
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Recruitment outside Australia
Country [1]
7169
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New Zealand
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State/province [1]
7169
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Lower North Island
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Funding & Sponsors
Funding source category [1]
292052
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University
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Name [1]
292052
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School of Food and Nutrition Postgraduate Funding, Massey University
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Address [1]
292052
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School of Food and Nutrition
Massey University
Riddet Reception
Riddet Road
Palmerston North 4474
New Zealand
or PO Box 11 222
Palmerston North 4442
New Zealand
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Country [1]
292052
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New Zealand
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Funding source category [2]
297244
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University
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Name [2]
297244
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Massey University Research Fund (MURF)
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Address [2]
297244
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College of Health, Massey University Manawatu
Private Bag 11 222
Palmerston North 4442
New Zealand
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Country [2]
297244
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New Zealand
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Funding source category [3]
300203
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Charities/Societies/Foundations
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Name [3]
300203
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Oakley Mental Health Research Fundation
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Address [3]
300203
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PO Box 302499
North Harbour
Auckland 0751
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Country [3]
300203
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New Zealand
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Primary sponsor type
Individual
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Name
Ying Jin
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Address
School of Food and Nutrition
Massey University
Riddet Complex
Riddet Road, Massey University
Palmerston North 4474
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Country
New Zealand
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Secondary sponsor category [1]
290725
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University
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Name [1]
290725
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Massey University
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Address [1]
290725
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School of Food and Nutrition
Massey University
Riddet Reception
Riddet Road
Palmerston North 4474
New Zealand
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Country [1]
290725
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
293534
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Health and Disability Ethics Committees (HDECs)
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Ethics committee address [1]
293534
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C/- MEDSAFE, Level 6, Deloitte House 10 Brandon Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
293534
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New Zealand
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Date submitted for ethics approval [1]
293534
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06/10/2015
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Approval date [1]
293534
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18/11/2015
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Ethics approval number [1]
293534
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15/NTA/172
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Ethics committee name [2]
295898
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Royal New Zealand Plunket Society Ethics Committee
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Ethics committee address [2]
295898
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Plunket National Office, Level 3 Simp House 40 Mercer Street Wellington 6011
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Ethics committee country [2]
295898
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New Zealand
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Date submitted for ethics approval [2]
295898
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03/06/2016
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Approval date [2]
295898
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29/06/2016
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Ethics approval number [2]
295898
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Summary
Brief summary
The objective of this study is to investigate intake and status of micronutrients (iodine, selenium, and iron) and to explore effects on thyroid function and risk of postnatal depression in postpartum women and their infants, resident in the lower North Island of New Zealand. This follows two recent government initiatives - mandatory fortification of bread with iodised salt in September 2009; and the provision of an iodine supplement for all pregnant and lactating women from July 2011. The study aims are to analyse postpartum women’s iodine, selenium, iron intake and status, measure whether multiple micronutrient deficiencies may adversely affect thyroid function; assess whether postpartum women remain iodine deficient despite the two recent government initiatives; investigate to what extent inadequate status of iodine, selenium and iron are associated with the risk of postnatal depression in participating women, which, subsequently, may adversely affect their infant’s development. Iodine is an important trace element for both postpartum women and their infants; iodine deficiency has been described as the single greatest cause of preventable mental impairment. Coexisting inadequacy of iodine, selenium, and iron status has been suggested to impair optimal thyroid function. It is important to investigate the intakes and status of iodine, selenium, and iron together, rather than investigating a single micronutrient in isolation. We will recruit 250 postpartum women (at least 3 weeks to 3 months postpartum) of a range of ethnicities and socio-economic backgrounds, within the lower North island of New Zealand. Dietary assessment will be used to collect data about intake of selected micronutrients. Maternal health and child development through the first year of the life will be assessed by questionnaires. Biological samples (urine, breast milk and blood samples and nail clippings) will be collected to measure micronutrient status and thyroid function.
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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
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Ms Ying Jin
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Address
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School of Food and Advanced Technology, Massey University Riddet Reception Riddet Road Palmerston North 4474 New Zealand
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Country
60354
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New Zealand
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Phone
60354
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+64 6 951 7556
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Fax
60354
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Email
60354
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[email protected]
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Contact person for public queries
Name
60355
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Ying Jin
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Address
60355
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School of Health Science Massey University Riddet Reception Riddet Road Palmerston North 4474 New Zealand
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Country
60355
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New Zealand
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Phone
60355
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+64 6 951 7556
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Fax
60355
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Email
60355
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[email protected]
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Contact person for scientific queries
Name
60356
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Ying Jin
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Address
60356
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School of Health Science Massey University Riddet Reception Riddet Road Palmerston North 4474 New Zealand
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Country
60356
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New Zealand
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Phone
60356
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+64 6 951 7556
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Fax
60356
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Email
60356
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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
Prevalence of thyroid dysfunction in postpartum women with suboptimal iodine and selenium and adequate iron status.
2021
https://dx.doi.org/10.1111/cen.14502
Embase
Use of Iodine Supplements by Breastfeeding Mothers Is Associated with Better Maternal and Infant Iodine Status.
2021
https://dx.doi.org/10.1007/s12011-020-02438-8
N.B. These documents automatically identified may not have been verified by the study sponsor.
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