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Trial registered on ANZCTR
Registration number
ACTRN12612000515897
Ethics application status
Approved
Date submitted
11/05/2012
Date registered
15/05/2012
Date last updated
1/11/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Do older people experience a greater post-meal inflammatory response to a fast food breakfast?
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Scientific title
In older adults aged 70-75 years versus younger adults aged 20-25 years, does the ingestion of a high fat fast food breakfast, compared with a lower fat 'healthy' breakfast, elicit a greater post-meal inflammatory response.
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Secondary ID [1]
280454
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Nil
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Universal Trial Number (UTN)
U1111-1130-5408
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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:
senescence
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cardiovascular disease
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inflammation
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Condition category
Condition code
Diet and Nutrition
286686
286686
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0
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Other diet and nutrition disorders
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Cardiovascular
286687
286687
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0
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Coronary heart disease
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Inflammatory and Immune System
286688
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A single meal of a fast food breakfast of two sausage and egg breakfast sandwiches, and a hash brown, consisting of 4395 kJ, 63g fat, 75g carbohydrate and 43g protein. The meal is consumed for breakfast after an overnight fast (7pm to 7am) and followed by a two week wash-out period between study meals.
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Intervention code [1]
284817
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Lifestyle
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Comparator / control treatment
A single meal of a 'healthy' breakfast of rolled oats prepared in skim milk, low fat cottage cheese with two fresh apricots, one slice whole wheat toast with reduced fat peanut butter, consisting of 2616 kJ, 17.4g fat, 75g carbohydrate and 43g protein. The meal is consumed for breakfast after an overnight fast (7pm to 7am) and followed by a two week wash-out period between study meals.
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Control group
Active
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Outcomes
Primary outcome [1]
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Inflammatory cytokine profile of IL-6, IL-1, TNF-a, MCP-1 and CRP as measured by immunolite fluorescent analysis in plasma samples.
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Assessment method [1]
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Timepoint [1]
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Baseline, and at 30 minute intervals for 5 hours.
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Primary outcome [2]
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Chylomicron size distribution as measured by laser diffraction particle size analysis.
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Assessment method [2]
287091
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Timepoint [2]
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Baseline, and at 1 hour intervals for 5 hours.
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Secondary outcome [1]
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Endotoxin concentration as measured by Limulus amoebocyte lysate assay.
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Assessment method [1]
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Timepoint [1]
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Baseline, and at 1 hour intervals for 5 hours.
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Secondary outcome [2]
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Peripheral Blood Mononuclear Cell (PBMC) gene expression as measured by oligonucleotide microarray.
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Assessment method [2]
297349
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Timepoint [2]
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Baseline, and at 30 minute intervals for 5 hours.
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Secondary outcome [3]
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Plasma amino acid, glucose and fatty acid profile by gas chromatography spectrometry.
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Assessment method [3]
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Timepoint [3]
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Baseline, and at 30 minute intervals for 5 hours.
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Secondary outcome [4]
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Plasma insulin, GLP-1 and glucagon as measured by immunoassay.
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Assessment method [4]
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Timepoint [4]
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Baseline, and at 30 minute intervals for 5 hours.
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Eligibility
Key inclusion criteria
Aged 20-25 or 70-75 years old
Non-vegetarian
No allergies to peanuts, dairy, gluten
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Minimum age
20
Years
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Maximum age
75
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
Vegetarian
Food allergies to peanuts, dairy, gluten
Family history of diabetes
Family history of heart disease
Anti-inflammatory pharmaceutical use
BMI >30
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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)
Participants will be recruited by public notices and advertisements placed in community newspapers. Telephone screening will firstly identify participants within the required age ranges and exclude those likely to be experiencing exclusion factors (family history of diabetes and heart disease, anti-inflammatory pharmaceutical use and BMI >30). Participants meeting this screening will be forwarded the Participant Information Sheet and Consent form. The participants will be invited to a face to face meeting with the researchers to ensure the Participant Information Sheet has been read and understood. If written consent is provided, a written general health questionnaire and baseline blood sample will be drawn to verify inclusion criteria by excluding diabetes and risk of heart disease. Participants meeting the inclusion requirement will be invited to undertake the study and a date provided for the first breakfast meal. Allocation will be concealed by use of sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a 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
Crossover
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Other design features
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Phase
Not Applicable
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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
1/07/2012
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Actual
19/10/2012
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Date of last participant enrolment
Anticipated
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Actual
9/07/2013
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Date of last data collection
Anticipated
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Actual
30/07/2013
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Sample size
Target
30
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Accrual to date
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Final
30
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Recruitment outside Australia
Country [1]
4294
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Liggins Institute Trust
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Address [1]
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The Liggins Institute Trust
PO Box 110085, Auckland 1148
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Country [1]
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New Zealand
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Primary sponsor type
Individual
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Name
David Cameron-Smith
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Address
The University of Auckland, Private Bag 92019, Auckland 1142
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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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Amber Milan
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Address [1]
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The University of Auckland, Private Bag 92019, Auckland 1142
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Country [1]
284086
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The University of Auckland Human Participants Ethics Committee
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Ethics committee address [1]
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UAHPEC Secretary Research Integrity Unit Level 10, Building 620 49 Symonds Street Auckland 1010
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
287218
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Approval date [1]
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03/05/2012
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Ethics approval number [1]
287218
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8026
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Summary
Brief summary
Meals high in fat cause a marked postprandial increase in low-grade inflammation. Although short-term, the resulting inflammatory response may have implications in long-term risk for chronic illness such as cardiovascular disease (CVD). It is unknown whether the postprandial inflammatory response to high-fat meals differs in older adults, and is still not clear how digestion and metabolism of fats is affected by age. This study aims to analyse the digestive, physiological, inflammatory and immune responses to a single meal in young adults compared with older adults, of either a ‘fast-food’ breakfast (high in saturated fat and calories), or a ‘healthy’ breakfast (low in saturated fat, following dietary guidelines set out by The Australian Guide to Healthy Eating).
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Trial website
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Trial related presentations / publications
Milan AM, D’Souza RF, Pundir S, Pileggi CA, Thorstensen EB, Barnett MP, Markworth JF, Cameron-Smith D, Mitchell C. Older adults have delayed amino acid absorption after a high protein mixed breakfast meal. The journal of nutrition, health & aging. 2015 Oct 1;19(8):839-45. Milan AM, Nuora A, Pundir S, Pileggi CA, Markworth JF, Linderborg KM, Cameron-Smith D. Older adults have an altered chylomicron response to a high-fat meal. British Journal of Nutrition. 2016 Mar 14;115(05):791-9 Milan, A. M., Pundir, S., Pileggi, C. A., Markworth, J. F., Lewandowski, P. A., & Cameron-Smith, D. (2017). Comparisons of the Postprandial Inflammatory and Endotoxaemic Responses to Mixed Meals in Young and Older Individuals: A Randomised Trial. Nutrients, 9(4), 354. Milan, A; Pundir, S; Pileggi, CA; Markworth, JF; Roy, NC; Cameron-Smith, D. (2015). The impact of age on the inflammatory, endotoxaemic, and oxidative stress responses to a high fat meal. Joint Annual Scientific Meeting of the Nutrition Society of New Zealand and the Nutrition Society of Australia, Wellington, New Zealand, December 1-4 [Presentation]. Milan, A; Nuora, A; Pundir, S; Pileggi, C; Markworth JF; Linderborg, K; Cameron-Smith, D. Postprandial fatty acid appearance is altered in older adults after high or low fat mixed meals. Food Structures, Digestion and Health, 3rd International Conference, Wellington, New Zealand, October 28-30 (2015) [Poster]. Milan, A; Nuora, A; Villa, K; Linderborg, K; Cameron-Smith, D. Acute dynamic and compositional changes in chylomicrons after a high-fat breakfast meal: Impact of age. Nutrition Society of New Zealand Conference: Queenstown Research Week, August 28-29 (2014) [Presentation].. Milan, A; Pundir, S; Pileggi, C; Chiang, V; Lee, W; Markworth JF; Cameron-Smith, D. Acute chylomicronaemic and endotoxaemic responses to a high fat breakfast meal: Impact of age. Food Structures, Digestion and Health, 2nd International Conference, Melbourne, Australia, October 21-24 (2013) [Poster].
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Public notes
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Contacts
Principal investigator
Name
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Prof David Cameron-Smith
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Address
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Liggins Institute University of Auckland 2-6 Park Avenue Grafton, Auckland Private Bag 92019 Auckland 1142
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Country
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New Zealand
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Phone
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+64 9 9231336
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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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Amber Milan
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Address
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Liggins Institute
University of Auckland
2-6 Park Avenue
Grafton, Auckland
Private Bag 92019
Auckland 1142
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Country
17396
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New Zealand
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Phone
17396
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+64 9 9239975
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Fax
17396
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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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David Cameron-Smith
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Address
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Liggins Institute
University of Auckland
2-6 Park Avenue
Grafton, Auckland
Private Bag 92019
Auckland 1142
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Country
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New Zealand
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Phone
8324
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+64 9 9231336
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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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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
Embase
Older adults have an altered chylomicron response to a high-fat meal.
2016
https://dx.doi.org/10.1017/S000711451500505X
Embase
Comparisons of the postprandial inflammatory and endotoxaemic responses to mixed meals in young and older individuals: A randomised trial.
2017
https://dx.doi.org/10.3390/nu9040354
Embase
Comparison of the acute postprandial circulating B-vitamin and vitamer responses to single breakfast meals in young and older individuals: Preliminary secondary outcomes of a randomized controlled trial.
2019
https://dx.doi.org/10.3390/nu11122893
N.B. These documents automatically identified may not have been verified by the study sponsor.
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