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Trial registered on ANZCTR
Registration number
ACTRN12608000075381
Ethics application status
Approved
Date submitted
8/02/2008
Date registered
11/02/2008
Date last updated
16/11/2018
Date data sharing statement initially provided
16/11/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Can a 5 month intensive exercise program in type 1 diabetic adolescents improve cardiac and peripheral vascular function?
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Scientific title
Randomised controlled trial of the effects of exercise on the cardiovascular function of type 1 diabetic adolescents
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Universal Trial Number (UTN)
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Trial acronym
ACE Trial
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 1 diabetes
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Condition category
Condition code
Metabolic and Endocrine
2938
2938
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
On the first visit weight, height, waist and hip circunference, blood pressure, fasting blood test, body composition (DEXA scan) and brachial ultrasound will be obtained. On the second visit participants will perform an incremental exercise test to maximal effort (VO2max test) on a stationary bicycle. On the thrid visit cardiac magnetic reasonance imaging (MRI) will be performed at rest and during bouts of steady-state submaximal exercise using a supine leg ergometer. Participants will then be randomised to an exercise or non-exercise group. The exercise intervention will consist of 20 weeks of exercise training (60 minutes, 4 times a week of combined aerobic and resistance training). After 20 weeks all participants (exercising and non-exercising) will have their initial assessments repeated.
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Intervention code [1]
2542
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Treatment: Other
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Comparator / control treatment
Control group will not participate in any exercise
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Control group
Active
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Outcomes
Primary outcome [1]
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Aerobic Capacity assessed by VO2max test
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Assessment method [1]
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Timepoint [1]
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at baseline and 20 weeks after randomisation
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Primary outcome [2]
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Left ventricular function assessed by MRI
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Assessment method [2]
3822
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Timepoint [2]
3822
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at baseline and 20 weeks after randomisation
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Secondary outcome [1]
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Body composition assessed by Dual energy X-ray absorptiometry (DEXA) scan
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Assessment method [1]
6445
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Timepoint [1]
6445
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at baseline and 20 weeks after randomisation
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Secondary outcome [2]
6446
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Arterial flow assessed by ultrasound
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Assessment method [2]
6446
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Timepoint [2]
6446
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at baseline and 20 weeks after randomisation
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Secondary outcome [3]
6447
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Glycemic control (HbA1c) assessed by blood test
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Assessment method [3]
6447
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Timepoint [3]
6447
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at baseline and 20 weeks after randomisation
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Eligibility
Key inclusion criteria
Type 1 Diabetes as defined by the American Association of Diabetes
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Minimum age
14
Years
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Maximum age
20
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
Participants will be excluded if: body mass index < 16 or > 40 kg/m2 or percentage of fat > 40%; hypertension defined as resting systolic blood pressure >140mmHg and/or diastolic pressure >90mmHg; evidence or history of musculoskeletal or cardiovascular disease; use of cardiovascular or hypertensive medication; evidence of diabetic complications; any contraindication for MRI scans and pregnancy.
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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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
1/04/2008
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Actual
7/07/2008
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Date of last participant enrolment
Anticipated
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Actual
9/10/2009
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Date of last data collection
Anticipated
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Actual
12/03/2010
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Sample size
Target
80
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Accrual to date
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Final
75
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Recruitment outside Australia
Country [1]
782
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New Zealand
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State/province [1]
782
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Funding & Sponsors
Funding source category [1]
3062
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Charities/Societies/Foundations
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Name [1]
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The National Heart Foundation of New Zealand
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Address [1]
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National Office
9 Kalmia St, Ellerslie
PO Box 17160, Greenlane
Auckland
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Country [1]
3062
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New Zealand
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Funding source category [2]
3063
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Charities/Societies/Foundations
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Name [2]
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Maurice & Phyllis Paykel Trust
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Address [2]
3063
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PO Box 37760
Parnell, Auckland
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Country [2]
3063
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New Zealand
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Funding source category [3]
3064
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Other Collaborative groups
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Name [3]
3064
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Australasian Paediatric Endocrine Group
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Address [3]
3064
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PO Box 180
Morrisset NSW
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Country [3]
3064
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Australia
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Primary sponsor type
Individual
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Name
Dr Paul Hofman
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Address
Liggins Institute 85 Park Rd, Grafton Auckland NZ
University of Auckland 1023
Private Bag 92019
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Country
New Zealand
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Secondary sponsor category [1]
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Individual
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Name [1]
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Miss Silmara Gusso
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Address [1]
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Liggins Institute 85 Park Rd, Grafton Auckland NZ
University of Auckland 1023
Private Bag 92019
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Country [1]
2759
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New Zealand
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Secondary sponsor category [2]
2760
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Individual
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Name [2]
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Dr Wayne Cutfield
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Address [2]
2760
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Liggins Institute 85 Park Rd, Grafton Auckland NZ
University of Auckland 1023
Private Bag 92019
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Country [2]
2760
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296669
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Northern X Ethics Committee
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Ethics committee address [1]
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Ministry of Health 3rd floor Unisys Building 650 Great South Rd, Penrose 1051 private Bag 92522
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
296669
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10/05/2011
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Approval date [1]
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16/09/2011
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Ethics approval number [1]
296669
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NTX/11/05/042
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Summary
Brief summary
Aerobic capacity is reduced in adults with type 1 diabetes (T1D). Structural and functional changes of the heart and vessels may play an important role on the decreased aerobic capacity in T1D. Exercise training in T1D adults has demonstrated increased aerobic capacity and decreased insulin use. However the exact impact of training on cardiac and vascular function and structure has yet to be established. In T1D adolescents the changes in cardiovascular morphology and function remain less defined. Signs of cardiovascular abnormalities have been observed at rest. However other studies have found no functional or structural cardiovascular changes. T1D adolescents already have reduced aerobic capacity. However, few studies have examined the causes for this reduction and the impact of exercise training and none have investigated the impact of training on heart and vessels structure or function. Considering that T1D adolescents have been exposed to diabetes for a short period of time and will face years of exposure to the diabetes health related risks, they form an important group of interest. Therefore this study aims to investigate the cardiovascular function and structure of T1D adolescents using magnetic resonance imaging and ultrasound and to examine the impact of 20 weeks of exercise training on the cardiac and vascular function and structure.
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Trial website
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Trial related presentations / publications
Two articles were published with the study results. Gusso, S., Pinto, T., Baldi, J. C., Derraik, J. G., Cutfield, W. S., Hornung, T., & Hofman, P. L. (2017). Exercise training improves but does not normalize left ventricular systolic and diastolic function in adolescents with type 1 diabetes. Diabetes Care, 40(9), 1264-1272. doi:10.2337/dc16-2347 Gusso, S., Pinto, T., Baldi, J., Robinson, E., Cutfield, W., & Hofman, P. (2012). Diastolic function is reduced in adolescents with type 1 diabetes in response to exercise. Diabetes Care, 35(10), 2089-2094. doi:10.2337/dc11-2331
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Public notes
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Contacts
Principal investigator
Name
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Prof Paul Hofman
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Address
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85 Park Rd, Grafton. Auckland, NZ. Postal code 1023
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Country
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New Zealand
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Phone
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+64 9 923 6453
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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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Silmara Gusso
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Address
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Liggins Institute 85 Park Rd, Grafton Auckland NZ
University of Auckland Private Bag 92019. Postal code 1023
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Country
11515
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New Zealand
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Phone
11515
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+ 64 9 923 3795
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Fax
11515
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+64 9 373 8763
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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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Dr Paul Hofman
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Address
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Liggins Institute 85 Park Rd, Grafton Auckland NZ
University of Auckland Private Bag 92019
Postal Code 1023
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Country
2443
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New Zealand
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Phone
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+ 64 9 373 7599 ext 86453
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Fax
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+64 9 373 8763
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Email
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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)?
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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
Exercise training improves but does not normalize left ventricular systolic and diastolic function in adolescents with type 1 diabetes.
2017
https://dx.doi.org/10.2337/dc16-2347
N.B. These documents automatically identified may not have been verified by the study sponsor.
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