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Trial registered on ANZCTR
Registration number
ACTRN12616001245482
Ethics application status
Approved
Date submitted
30/08/2016
Date registered
6/09/2016
Date last updated
16/10/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Micronutrient supplementation for improving micronutrient status in underweight and overweight/obese primary school children
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Scientific title
The effect of a multiple micronutrient supplement on the micronutrient status of underweight and overweight/obese primary school children in Vietnam – a randomised controlled trial
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Secondary ID [1]
290038
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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:
Anaemia
300087
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Micronutrient status of primary school children
300088
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Underweight
300142
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Overweight and obesity
300143
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Condition category
Condition code
Blood
299974
299974
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0
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Anaemia
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Diet and Nutrition
299975
299975
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0
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Other diet and nutrition disorders
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Diet and Nutrition
300020
300020
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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
Intervention: a multiple micronutrient supplement
Composition of each capsule: 12.5 mg iron, 10 mg zinc, 400 micrograms vitamin A, 0.5 mg vitamin B1, 0.5 mg vitamin B2, 0.5 mg vitamin B6, 0.9 microgram vitamin B12, 30 mg vitamin C, 5 micrograms vitamin D3, 5 mg vitamin E, 150 micrograms folic acid, 6 mg vitamin B3, 0.56 mg copper, 90 micrograms iodine and 17 micrograms selenium. One capsule will be consumed by each participant five times per week (Monday to Friday) for six months.
Adherence: school staff will administer the supplement (1 capsule) to each child every day (Monday to Friday) for six months. School staff will monitor and record if the supplement has been taken; both empty and unused blister packs will be collected from school staff to further assess adherence. A blood sample will be taken at the beginning and end of study to confirm the effectiveness of the supplement in increasing haemoglobin concentration, and improving iron, zinc, vitamin A and other micronutrient status.
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Intervention code [1]
295790
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Prevention
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Comparator / control treatment
Placebo (placebo capsule) administered to each child five times per week (Monday to Friday) for six months. Adherence will be monitored as in the intervention group.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Haemoglobin concentration.
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Assessment method [1]
299459
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Timepoint [1]
299459
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Measured at baseline and at 6 months after intervention commencement.
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Primary outcome [2]
299461
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Iron status (assessed by serum ferritin).
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Assessment method [2]
299461
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Timepoint [2]
299461
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Measured at baseline and at 6 months after intervention commencement.
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Primary outcome [3]
299505
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Zinc status (assessed by serum zinc).
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Assessment method [3]
299505
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Timepoint [3]
299505
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Measured at baseline and at 6 months after intervention commencement.
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Secondary outcome [1]
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Primary outcome [4]: Vitamin A status (assessed by serum retinol).
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Assessment method [1]
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Timepoint [1]
327223
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Timepoint [4]: Measured at baseline and at 6 months after intervention commencement.
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Secondary outcome [2]
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Primary outcome [5]: Vitamin D status (assessed by serum 25-hydroxyvitamin D).
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Assessment method [2]
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Timepoint [2]
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Timepoint [5]: Measured at baseline and at 6 months after intervention commencement.
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Secondary outcome [3]
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Primary outcome [6]: Selenium status (assessed via serum selenium).
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Assessment method [3]
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Timepoint [3]
327225
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Timepoint [6]: Measured at baseline and at 6 months after intervention commencement.
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Secondary outcome [4]
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Primary outcome [7]: Serum/plasma concentrations of other micronutrients (composite outcome: serum copper, serum iron, serum folate).
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Assessment method [4]
327227
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Timepoint [4]
327227
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Timepoint [7]: Measured at baseline and at 6 months after intervention commencement.
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Secondary outcome [5]
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Growth (assessed by height, weight and z-scores).
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Assessment method [5]
327228
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Timepoint [5]
327228
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Measured at baseline and at 6 months after intervention commencement.
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Secondary outcome [6]
327358
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Body composition (assessed by triceps skinfold thickness, mid-upper arm circumference and waist circumference).
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Assessment method [6]
327358
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Timepoint [6]
327358
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Measured at baseline and at 6 months after intervention commencement.
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Secondary outcome [7]
327359
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Dietary intakes (assessed via a 24-h recall collected for 7 days at 4 time points).
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Assessment method [7]
327359
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Timepoint [7]
327359
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Measured for 7 days at baseline, and at 1.5, 3, and 5 months after intervention commencement.
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Secondary outcome [8]
327377
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Morbidity and health status (assessed via daily health/illness records collected by school health staff, daily health/illness records collected by parents; school absence recorded by school staff; and C-reactive protein concentration measured at baseline and at 6 months.
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Assessment method [8]
327377
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Timepoint [8]
327377
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Measured daily for 6 months.
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Secondary outcome [9]
327378
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Physical activity (assessed via a 24-h recall collected for 7 days at 4 time points).
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Assessment method [9]
327378
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Timepoint [9]
327378
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Measured for 7 days at baseline, and at 1.5, 3, and 5 months after intervention commencement.
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Secondary outcome [10]
327379
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Cost-benefit analysis (analysis based on calculating total expenditure for the intervention and benefits gained from improvements in micronutrient status in the intervention group).
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Assessment method [10]
327379
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Timepoint [10]
327379
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6 months after intervention commencement.
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Secondary outcome [11]
339832
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Cognitive function (assessed by a visual recall task)
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Assessment method [11]
339832
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Timepoint [11]
339832
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Measured at baseline and at 6 months after intervention commencement.
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Secondary outcome [12]
339833
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Dietary pattern (assessed via a Food Frequency Questionnaire that assessed intakes over the previous 7 days).
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Assessment method [12]
339833
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Timepoint [12]
339833
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Measured at baseline
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Eligibility
Key inclusion criteria
Primary school children aged 6-9 years
Apparently healthy
Haemoglobin concentration <110 g/L
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Minimum age
6
Years
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Maximum age
9
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
Haemoglobin concentration <70 g/L
Current/planned vitamin and mineral supplementation
Chronic disease
Chronic infection
Congenital abnormality
Severe malnutrition
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking 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
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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
20/09/2016
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Actual
3/10/2016
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Date of last participant enrolment
Anticipated
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Actual
10/01/2017
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Date of last data collection
Anticipated
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Actual
16/08/2017
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Sample size
Target
348
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Accrual to date
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Final
357
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Recruitment outside Australia
Country [1]
8148
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Viet Nam
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State/province [1]
8148
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Funding & Sponsors
Funding source category [1]
294412
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Government body
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Name [1]
294412
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National Institute of Nutrition, Vietnam
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Address [1]
294412
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48B Tang Bat Ho Street
Hai Ba Trung District
Hanoi
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Country [1]
294412
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Viet Nam
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Funding source category [2]
294413
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University
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Name [2]
294413
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Deakin University
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Address [2]
294413
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221 Burwood Highway
Burwood VIC 3125
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Country [2]
294413
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Australia
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Primary sponsor type
Individual
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Name
Dr Ewa Szymlek-Gay
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Address
Institute for Physical Activity and Nutrition (IPAN)
School of Exercise and Nutrition Sciences
Deakin University
221 Burwood Highway
Burwood VIC 3125
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Country
Australia
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Secondary sponsor category [1]
293261
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Individual
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Name [1]
293261
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Dr Hoang Thi Duc Ngan
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Address [1]
293261
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National Institute of Nutrition
48B Tang Bat Ho Street
Hai Ba Trung District
Hanoi
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Country [1]
293261
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Viet Nam
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295831
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Deakin University Human Research Ethics Committee (DUHREC)
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Ethics committee address [1]
295831
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221 Burwood Highway Burwood VIC 3125
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Ethics committee country [1]
295831
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Australia
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Date submitted for ethics approval [1]
295831
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05/06/2016
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Approval date [1]
295831
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04/08/2016
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Ethics approval number [1]
295831
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2016-181
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Ethics committee name [2]
295832
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Ethics Committee of the National Institute of Nutrition
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Ethics committee address [2]
295832
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48B Tang Bat Ho Street Hai Ba Trung District Hanoi
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Ethics committee country [2]
295832
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Viet Nam
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Date submitted for ethics approval [2]
295832
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11/01/2016
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Approval date [2]
295832
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19/04/2016
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Ethics approval number [2]
295832
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610/VDD-QLKH; dated 30/9/2016
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Summary
Brief summary
Micronutrient deficiencies are a major health problem among underweight children in Vietnam. Similarly, overweight/obese children are at an increased risk of micronutrient deficiencies. This is of concern because both underweight and overweight/obesity affect many school children in Vietnam. The aim of this study is to assess the effect of a multiple micronutrient supplement on the micronutrient status of underweight and overweight/obese primary school children in rural areas in Vietnam.
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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
68642
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Dr Ewa Szymlek-Gay
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Address
68642
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Institute for Physical Activity and Nutrition (IPAN)
School of Exercise and Nutrition Sciences
221 Burwood Highway
Burwood VIC 3125
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Country
68642
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Australia
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Phone
68642
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+61 3 9244 5404
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Fax
68642
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Email
68642
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[email protected]
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Contact person for public queries
Name
68643
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Hoang Thi Duc Ngan
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Address
68643
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National Institute of Nutrition
48B Tang Bat Ho Street
Hai Ba Trung District
Hanoi
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Country
68643
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Viet Nam
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Phone
68643
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+84 43 9713088
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Fax
68643
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Email
68643
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[email protected]
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Contact person for scientific queries
Name
68644
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Ewa Szymlek-Gay
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Address
68644
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Institute for Physical Activity and Nutrition (IPAN)
School of Exercise and Nutrition Sciences
221 Burwood Highway
Burwood VIC 3125
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Country
68644
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Australia
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Phone
68644
0
+61 3 9244 5404
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Fax
68644
0
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Email
68644
0
[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
Dimensions AI
Anthropometric Status among 6–9-Year-Old School Children in Rural Areas in Hai Phong City, Vietnam
2018
https://doi.org/10.3390/nu10101431
Embase
Anaemia and its relation to demographic, socio-economic and anthropometric factors in rural primary school children in Hai Phong City, Vietnam.
2019
https://dx.doi.org/10.3390/nu11071478
Dimensions AI
Multiple micronutrient supplementation improves micronutrient status in primary school children in Hai Phong City, Vietnam: a randomised controlled trial
2021
https://doi.org/10.1038/s41598-021-83129-9
N.B. These documents automatically identified may not have been verified by the study sponsor.
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