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Trial registered on ANZCTR
Registration number
ACTRN12624000587505
Ethics application status
Approved
Date submitted
22/03/2024
Date registered
8/05/2024
Date last updated
29/09/2024
Date data sharing statement initially provided
8/05/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Pilot Study: Response to Stress and Relaxation in Healthy Adults
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Scientific title
Pilot Study Investigating Relationship between Habitual Diet and Response to Acute Stress or Relaxation in Healthy Adults
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Secondary ID [1]
311802
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Nil known
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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:
Stress
333321
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Anxiety
333322
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Condition category
Condition code
Mental Health
330007
330007
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0
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Anxiety
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Metabolic and Endocrine
330008
330008
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0
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Normal metabolism and endocrine development and function
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Mental Health
330009
330009
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will answer questionaires on habitual diet (food frequency questionaire) and potentially confounding variables sleep, exercise, personality, and trait anxiety. They will then be exposed to a stress intervention (trier social stress test) and a relaxation intervention (progressive muscle relaxaion). Self-reported stress and anxiety, salivary cortisol, and heart rate variability will be measured throughout the two interventions.
The trier social stress test is 20 minutes long, and will be administred in groups of four. It involves participants playing the role of a job applicant and giving a 2 minute speech followed by a maths task, in front of a video camera and researchers who are posing as interviewers. The progressive muscle relaxation will be 20 minutes long and involves participants sitting with their eyes closed and listening to a recording which instructs participants to create tension in a certain muscle group (e.g. forehead) and then relax, progressing through several muscle groups in the body. The stress and relaxation intervention will be done on the same day, seperated by 1 hour. Both interventions will be done in person with supervison by research staff.
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Intervention code [1]
328249
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Lifestyle
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Cortisol
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Assessment method [1]
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Concentration in saliva
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Timepoint [1]
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Baseline, following intervention, and at 20 and 40 minute post-intervention for each of the trier stress test and progressive muscle relaxation interventions
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Primary outcome [2]
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Self-reported stress
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Assessment method [2]
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Visual analogue scale
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Timepoint [2]
337760
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Baseline, following intervention, and at 20 and 40 minute post-intervention for each of the trier stress test and progressive muscle relaxation interventions
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Primary outcome [3]
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Self-reported anxiety
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Assessment method [3]
337761
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The State Anxiety Inventory Questionnaire
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Timepoint [3]
337761
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Baseline, following intervention, and at 20 and 40 minute post-intervention for each of the trier stress test and progressive muscle relaxation interventions
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Secondary outcome [1]
433193
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Cytokines (interferon-gamma (IFN-gamma), cytokine-induced neutrophil chemoattractant type-1 (CINC-1), monocyte chemoattractant protein-1 (MCP-1), tumour necrosis factor-alpha (TNF-a), granulocyte-macrophage colony-stimulating factor (GM-CSF), interleukin (IL)-18, IL-12p70, IL-1ß, IL-17A, IL-33, IL-1a, and IL-6) will be measured in combined samples. This is an exploratory outcome.
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Assessment method [1]
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Concentration in saliva
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Timepoint [1]
433193
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Baseline, following intervention, and at 20 and 40 minute post-intervention for each of the trier stress test and progressive muscle relaxation interventions
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Secondary outcome [2]
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Heart Rate Variability
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Assessment method [2]
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Armband heart rate monitor
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Timepoint [2]
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Baseline, following intervention, and at 20 and 40 minute post-intervention for each of the trier stress test and progressive muscle relaxation interventions
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Eligibility
Key inclusion criteria
Healthy males and females
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Minimum age
18
Years
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Maximum age
35
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
Exclusion criteria include any serious ongoing medical conditions, low or high blood pressure (systolic less than 90 or higher than 120 or diastolic less than 60 or higher than 80), body mass index outside 19-26 kg/m2, and medication which can affect stress response including but not limited to antidepressant medication, blood pressure medication and asthma medication. Sex hormones can affect response to acute stress so women who are pregnant, lactating or using hormonal contraceptives will be excluded, and sessions will be run only during women’s luteal phase. People who work night shifts or have previously completed the Trier Social Stress Test procedure will also be excluded, as well as those with a current or prior diagnosis of Major Axis I DSM-IV disorders (American Psychiatric Association, 1994) including drug abuse or dependence, or high levels of anxiety or depression (The Hospital Anxiety and Depression Scale score above 15).
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised 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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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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
20/05/2024
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Actual
2/05/2024
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Date of last participant enrolment
Anticipated
31/07/2024
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Actual
4/06/2024
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Date of last data collection
Anticipated
31/07/2024
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Actual
6/06/2024
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Sample size
Target
16
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Accrual to date
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Final
15
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Recruitment outside Australia
Country [1]
26213
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New Zealand
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State/province [1]
26213
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Manawatu
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Funding & Sponsors
Funding source category [1]
316138
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Other Collaborative groups
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Name [1]
316138
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The New Zealand Institute for Plant & Food Research
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Address [1]
316138
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Country [1]
316138
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New Zealand
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Primary sponsor type
Other Collaborative groups
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Name
The New Zealand Institute for Plant & Food Research
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Address
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Country
New Zealand
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Secondary sponsor category [1]
318313
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None
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Name [1]
318313
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Address [1]
318313
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Country [1]
318313
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314963
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
314963
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https://ethics.health.govt.nz/about/northern-b-health-and-disability-ethics-committee/
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Ethics committee country [1]
314963
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New Zealand
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Date submitted for ethics approval [1]
314963
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08/12/2023
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Approval date [1]
314963
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12/02/2024
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Ethics approval number [1]
314963
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2024 EXP 18588
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Summary
Brief summary
The overall aim of this research is to test whether habitual dietary components or patterns are associated with differences in an individual’s response to acute psychosocial stress, or a de-stress (relaxation) intervention. The hypothesis is that a healthy diet will be associated with better recovery from acute stress, and a better response to a relaxation intervention. The ultimate outcome is to identify dietary interventions and mechanisms which have the potential to reduce stress, increase response to mental health treatment, and increase stress-resilience, and can be investigated further. The objective of this proposed pilot study is to ensure efficacy of the acute stress and relaxation methods (and biological response) before running a larger study, and to determine participant numbers needed for a sufficiently powered larger study.
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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 Tracey Bear
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Address
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Plant & Food Research Food Industry Science Centre, Fitzherbert Science Centre, 23 Batchelar Road, Palmerston North 4410, New Zealand
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Country
133270
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New Zealand
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Phone
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+64 211702101
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Fax
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Email
133270
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[email protected]
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Contact person for public queries
Name
133271
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Tracey Bear
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Address
133271
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Plant & Food Research Food Industry Science Centre, Fitzherbert Science Centre, 23 Batchelar Road, Palmerston North 4410, New Zealand
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Country
133271
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New Zealand
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Phone
133271
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+64 211702101
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Fax
133271
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Email
133271
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[email protected]
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Contact person for scientific queries
Name
133272
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Tracey Bear
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Address
133272
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Plant & Food Research Food Industry Science Centre, Fitzherbert Science Centre, 23 Batchelar Road, Palmerston North 4410, New Zealand
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Country
133272
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New Zealand
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Phone
133272
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+64 211702101
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Fax
133272
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Email
133272
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[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
No individual participant data will be shared for confidentiality and intellectual property purposes.
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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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