<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20090901002394N43</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-06-13</date_registration>
      <primary_sponsor>Iran University of Medical Sciences</primary_sponsor>
      <public_title>Effect of isowhey and omega-3 fatty acids on mobility, muscle strength in prefrail older adult</public_title>
      <acronym></acronym>
      <scientific_title>Effect of isowhey supplementation alone, or in combination with omega-3 fatty acids, on mobility, muscle strength and cognitive state in prefrail older adults</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-06-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>90</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/38772</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Prevention, Randomization description: For random allocation of individuals to the three groups, the permuted block randomization method will be applied, using a computer program, and the length of blocks will be considered randomly as 3, 6 or 9, Blinding description: Blinding: Placebo and supplements are similar in appearance and coded by someone other than the researcher.
 
All investigators, study staff, and participants will be unaware of the allocations. When the statistical model of the primary and secondary results is not complete, the randomization code will not be broken.</study_design>
      <phase>3</phase>
      <hc_freetext>Frailty syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: Daily intake of 20 gr isowhey and omega-3 placebo for 12 weeks. Intervention 2: Intervention group 2: Daily intake of 20 gr isowhey and two  omega-3 fatty acids capsules for 12 weeks. Intervention 3: Control group: Placebos with same characteristics for 4 weeks.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is There is no more information.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr Shima Jazayeri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Iran University of Medical Sciences,Hemmat Highway,Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1449614535</zip>
        <telephone>+98 86704805</telephone>
        <email>Jazayeri.sh@iums.ac.ir</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr Shima Jazayeri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Iran University of Medical Sciences,Hemmat Highway,Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1449614535</zip>
        <telephone>+98 21 8670 4805</telephone>
        <email>Jazayeri.sh@iums.ac.ir</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Community dwelling older adults
Man or woman aged 60 years or older
Meet one or two CHS frailty criteria:                                                 1 - Weight loss 2 - Weakness 3 - Exhaustion 4 - Slowness of movement 5 - Low physical activity</inclusion_criteria>
      <agemin>60 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Taking any steroids
Taking anticoagulant drugs
Regular consumption of omega-3 fatty acid supplements over the 3 months prior to study (more than twice a week)
Critical illnesses including kidney failure, liver, heart disease, or chronic pulmonary failure, diabetes, malignancy (over the past 5 years)
A history of exercises  during the past two years (more than twice a week)
Regular use of food supplements (more than twice a week) other than calcium and vitamin B12
Smoking and alcohol consumption
Use of mobility devices  (wheelchairs, cane ...)
severe cognitive problems</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>R54</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Age-related physical debility</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
      <i_code>Placebo</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1: Daily intake of 20 gr isowhey and omega-3 placebo for 12 weeks</i_keyword>
      <i_keyword>Intervention group 2: Daily intake of 20 gr isowhey and two  omega-3 fatty acids capsules for 12 weeks</i_keyword>
      <i_keyword>Control group: Placebos with same characteristics for 4 weeks</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Muscle strength (Handgrip Strength):Muscle strength will assess by handgrip Strength,The difference in the rate of these outcomes changes between the intervention and placebo groups will be determined. Timepoint: At the beginning, and at the end of weeks 6 and 12 hand grip strength will  be implemented. Method of measurement: Muscle strength will assess by hand grip Strength. Measured using a dynamometer device.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Mini Nutritional Assessment (MNA): assessment of the nutritional status is conducted with a brief nutritional assessment. The difference in the rate of change between the intervention and placebo groups will be determined. Timepoint: Participants in the study will be evaluated at the beginning and end of the intervention(at the end of 12 week intervention). Method of measurement: Nutritional status will assess with MNA(mini nutritional assessment) questionnaire.</sec_outcome>
      <sec_outcome>Physical performance: The difference in the rate of change between the intervention and placebo groups will be determined. Timepoint: At the beginning, and at the end of weeks 6 and 12 hand grip strength will be implemented. Method of measurement: It will be run using a clinical test (TUG; Time Up and GO) and will be performed by evaluator.</sec_outcome>
      <sec_outcome>Gait Speed: The difference in the rate of change between interventional and placebo groups will be determined. Timepoint: At the beginning, and at the end of weeks 6 and 12 hand grip strength will be implemented. Method of measurement: It will be run using a clinical test and will be performed by evaluator.</sec_outcome>
      <sec_outcome>Cognitive status : In order to assess the cognitive status of elderly people participating in the intervention, they will be evaluated. The difference in the rate of these outcomes changes between the intervention and placebo groups will be determined. Timepoint: Participants in the study will be evaluated at the beginning and end of the intervention(at the end of 12 week intervention). Method of measurement: Cognitive function will assess by cognitive examination. Stroop وDSB(Digit Span Backward).</sec_outcome>
      <sec_outcome>CRP(C-Reactive Protein). Timepoint: Participants in the study will be evaluated at the beginning and end of the intervention(at the end of 12 week intervention). Method of measurement: Turbidimetric test.</sec_outcome>
      <sec_outcome>BDNF(Brain-derived neurotrophic factor). Timepoint: Participants in the study will be evaluated at the beginning and end of the intervention(at the end of 12 week intervention). Method of measurement: ELISA.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name>University of social welfare and rehabilitation sciences</sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Iran University of Medical Sciences</source_name>
      <source_name>University of social welfare and rehabilitation sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2017-10-14</approval_date>
        <contact_name>Ethics committee of Iran University of Medical Sciences</contact_name>
        <contact_address>Iran University of Medical Sciences, Besides Milad Tower, Hemmat, Tehran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
