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Trial registered on ANZCTR
Registration number
ACTRN12622000591752
Ethics application status
Approved
Date submitted
26/11/2021
Date registered
21/04/2022
Date last updated
21/04/2022
Date data sharing statement initially provided
21/04/2022
Date results provided
21/04/2022
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effects of a physical conditioning program in the aquatic environment on health indicators in the elderly.
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Scientific title
Effects of a physical conditioning program in the aquatic environment on functional autonomy, physical condition, balance, psycho-social aspects and health indicators in elderly females.
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Secondary ID [1]
305902
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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:
Mental health
324459
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fat mass
324460
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blood pressure
324461
0
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functional autonomy
324465
0
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physical inactivity
324466
0
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Condition category
Condition code
Musculoskeletal
321954
321954
0
0
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Normal musculoskeletal and cartilage development and function
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Cardiovascular
321955
321955
0
0
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Hypertension
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Mental Health
321956
321956
0
0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention consisted of a training programme in an aquatic environment. Supervised resistance training was performed for 14 weeks. All sessions were conducted by a graduate in physical activity and sport sciences. The sessions were conducted in a heated pool three times a week for 60 min per session. The group was made up of all the women participants; the exercises were individual. The sessions began with a 15 min warm-up consisting of aerobic and resistance exercises (10 min) and stretching (5 min) of all the muscle groups involved, followed by 30 min of comprehensive interval resistance training involving four 5 min sessions with a 2 min rest between each session.
In each session, the same exercises (pectoral/back, hip flexor/extensor, biceps/triceps, knee flexor/extensor, shoulder and core) were performed for 1 min consecutively, with intervals of 30, 20 and 10 s and at low, moderate and high perceived intensity, respectively. According to the perceived exertion scale, when participants needed to increase the intensity of the upper hemisphere exercises, they put on resistance gloves or resistance dumbbells, whereas for the lower-hemisphere exercises, they put on resistance anklets.
Finally, in the last 10–15 min, stretching (5 min) and relaxation exercises (10 min) were performed. In all the intervention sessions, the perception of effort was controlled using the Borg scale.
Additionally, all participants received the same nutritional education, based on the mediterranean diet (MD) divided into four theoretical and practical workshops of 60 min for 14 weeks in order to provide updated information about the benefits of following an adequate food pattern. Trained dietitians conducted the sessions. The topics covered in the sessions were: (1) food and nutrition, MD pyramid and a modern lifestyle—daily, weekly and occasional dietary guidelines to achieve a healthy and balanced diet; (2) health and gastronomy—preparation of healthy menus that include components of the MD with an impact on cardiovascular prevention and cognitive deterioration; (3) MD associated with healthy aging, hydration and macro- and micronutrients; and (4) a seminar on sugars and sweeteners—presentation of the effects of sugar consumption on health and the evaluation of different types of sugars and sweeteners and processed products and risk of diseases associated with the consumption of foods not included in the MD. An attendance checklist was made, however, all the participants attended all the sessions, with the aim of standardizing the diet of the sample, to avoid eating habits being a potential confounding factor of the results obtained as an effect of the training.
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Intervention code [1]
322298
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Lifestyle
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Intervention code [2]
322299
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Behaviour
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Comparator / control treatment
The control group received the nutritional education part, in the same way as the experimental group. However, they did not perform any type of physical exercise intervention.
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Control group
Active
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Outcomes
Primary outcome [1]
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Autonomy assesed by Autonomy-Supportive Coaching Questionnaire (ASCQ)
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Assessment method [1]
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Timepoint [1]
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Baseline and after 14 weeks of intervention.
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Primary outcome [2]
329712
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Physical activity assessed by International physical activity questionnaire (IPAQ)
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Assessment method [2]
329712
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Timepoint [2]
329712
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Baseline and after 14 weeks of intervention.
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Primary outcome [3]
330885
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Autonomy assesed by Basic Psychological Needs in Exercise Scale (BPNES)
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Assessment method [3]
330885
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Timepoint [3]
330885
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Baseline and after 14 weeks of intervention.
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Secondary outcome [1]
403560
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Enjoyment, using the Intrinsic Motivation Inventory scale.
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Assessment method [1]
403560
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Timepoint [1]
403560
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Baseline and after 14 weeks of intervention.
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Secondary outcome [2]
403561
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Eating habits assessed with a short questionnaire of 14 items, validated for the Spanish population and used by the Mediterranean Diet (MD) Prevention group (Predimed). The name of the questionnaire is Predimed.
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Assessment method [2]
403561
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Timepoint [2]
403561
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Baseline and after 14 weeks of intervention.
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Secondary outcome [3]
403562
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Body composition measured by Anthropometry; skin folds, perimeters and diameters. Body perimeters were measured with an anthropometric tape. A pachymeter was used for the diameters. For the folds a plicometer was used.
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Assessment method [3]
403562
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Timepoint [3]
403562
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Baseline and after 14 weeks of intervention.
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Eligibility
Key inclusion criteria
To be over 60 years old; not to have undergone surgery in the last year; not to present musculoskeletal, neurological or orthopedic diseases that could affect the ability to perform the tests; to be able to walk independently without orthopedic assistance; and not to have previously performed any of the tests included in the study.
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Minimum age
60
Years
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Maximum age
75
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
To be a man, women under 60 years of age, women dieting at the time of the study with a nutritionist or doing physical activity outside the study.
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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)
Centralized computer randomization
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation)
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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
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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
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Actual
1/10/2020
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Date of last participant enrolment
Anticipated
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Actual
1/11/2020
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Date of last data collection
Anticipated
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Actual
8/02/2021
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Sample size
Target
45
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Accrual to date
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Final
40
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Recruitment outside Australia
Country [1]
24353
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Spain
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State/province [1]
24353
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Alicante
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Funding & Sponsors
Funding source category [1]
310251
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Self funded/Unfunded
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Name [1]
310251
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Bernardo José Cuestas Calero
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Address [1]
310251
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Catholic University of Murcia
Faculty of Sports
Av. de los Jerónimos, 135, 30107 Guadalupe de Maciascoque, Murcia
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Country [1]
310251
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Spain
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Primary sponsor type
Individual
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Name
Alejandro Martínez Rodriguez
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Address
University of Alicante
Department of Analytical Chemistry, Nutrition and Food Sciences
Faculty of Sciences
03690 San Vicente del Raspeig (Alicante)
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Country
Spain
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Secondary sponsor category [1]
311350
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Individual
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Name [1]
311350
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Pablo Jorge Marcos Pardo
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Address [1]
311350
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University of Almería
SPORT Research Group (CTS-1024)
Area of Physical Education and Sport
Department of Education
Carretera Sacramento s/n, 04120 La Cañada de San Urbano, Almería (Spain)
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Country [1]
311350
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Spain
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
309926
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University Human Research Ethics Committee of the Catholic University of San Antonio (Murcia),
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Ethics committee address [1]
309926
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Campus de los Jerónimos, Guadalupe 30107 (Murcia) - Spain
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Ethics committee country [1]
309926
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Spain
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Date submitted for ethics approval [1]
309926
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Approval date [1]
309926
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07/06/2019
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Ethics approval number [1]
309926
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Summary
Brief summary
Aging is linked to functional deterioration in humans and can become a serious problem due to the prevalence of degenerative diseases, so physical exercise can be effective in reducing the risk of disease and slowing functional deterioration in the elderly. Interventions based on dry strength training have been shown to be effective in improving physical fitness and health in this population. On the other hand, resistance work performed in the aquatic environment has also proved to be beneficial in the quality of life of the elderly. Therefore, this research aimed to test the effects of aquatic strength training on health indicators, balance, functional autonomy and their perception of quality of life in this population. For this purpose, two groups of people over 65 years of age from the province of Alicante were studied. The program was divided into an experimental group that trained in water and a control group that did not perform any training. The water group performed 20 to 30 minutes of strength, endurance and power training, plus 10 minutes of flexibility. In addition, by means of progression graphs and feedback on the task and the results obtained throughout the program, motivation and a positive climate for physical activity and adherence to the training program were encouraged.
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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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Dr Alejandro Martínez Rodriguez
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Address
115862
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University of Alicante
Department of Analytical Chemistry, Nutrition and Food Sciences
Faculty of Sciences
03690 San Vicente del Raspeig (Alicante)
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Country
115862
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Spain
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Phone
115862
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+34 696210163
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Fax
115862
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Email
115862
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[email protected]
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Contact person for public queries
Name
115863
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Alejandro Martínez Rodriguez
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Address
115863
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University of Alicante
Department of Analytical Chemistry, Nutrition and Food Sciences
Faculty of Sciences
03690 San Vicente del Raspeig (Alicante)
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Country
115863
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Spain
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Phone
115863
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+34 696210163
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Fax
115863
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Email
115863
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[email protected]
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Contact person for scientific queries
Name
115864
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Alejandro Martínez Rodriguez
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Address
115864
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University of Alicante
Department of Analytical Chemistry, Nutrition and Food Sciences
Faculty of Sciences
03690 San Vicente del Raspeig (Alicante)
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Country
115864
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Spain
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Phone
115864
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+34 696210163
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Fax
115864
0
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Email
115864
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
No additional documents have been identified.
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