<?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>IRCT20161110030823N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2018-02-01</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>The effect of vitamin D and vitamin C given  with outdoor physical activity on obesity, Blood sugar, blood pressure, body cholesterol</public_title>
      <acronym></acronym>
      <scientific_title>The effect of supplementation vitamin D and vitamin C analoge with endurance physical activity on metabolic syndrome patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2016-03-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>180</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/24378</url>
      <study_type>observational</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Supportive, Other design features: The randomization method in this study will be done using the random numbers table. Thus, the matching of individuals will be in terms of age and gender variables, first blocks of individuals and individuals in each block are completely randomized to the study population.&#13;
The study blindness method will be used to allocate a training expert to individuals, and the supplement or placebo will be given to him by the subjects he or she will study. Therefore, the study researchers, as well as the subjects studied, will not be informed of the number of subjects, Randomization description: individuals will be in terms of age and gender variables, first blocks of individuals and individuals in each block are completely randomized to the study population, Blinding description: The study blindness method will be used to allocate a training expert to individuals, and the supplement or placebo will be given to him by the subjects he or she will study. Therefore, the study researchers, as well as the subjects studied, will not be informed of the number of subjects.</study_design>
      <phase>2-3</phase>
      <hc_freetext>metabolic syndrome.</hc_freetext>
      <i_freetext>Intervention 1: Vitamin C group: who was take only 500 mg/day vitamin C supplements [Morning Time]. Intervention 2: Vitamin C plus physical activity group either morning 7:30 A.M and afternoon after 3:00 PM: who was participated in 30 min/d of endurance physical activity and also will take 500 mg/d vitamin C supplements. Intervention 3: Vitamin D group: who was take only 2000 IU/day vitamin D supplements (Morning Time). Intervention 4: Vitamin D plus physical activity group either morning 7:30 PM and afternoon after 3:00 PM: who was participated in 30 min/d of endurance physical activity and also was taken 2000 IU/day vitamin D supplements. Intervention 5: Placebo group: A- who were participate in 30 min/d of endurance physical activity and also will take placebo. B- Who were not participated in 30 min/d of endurance physical activity and also was taken placebo.</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 Because it is clinical trial need more focuses</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Halgord Ali M.Farag</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Iraq-Slemani-halabja</address>
        <city>Halabja</city>
        <country1>Iraq</country1>
        <zip>1234</zip>
        <telephone>+98 219123717305</telephone>
        <email>Halgordtamas@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Mohammad Javad Hosseinzadeh MD</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Nutritional Sciences and Dietetics—Tehran University of Medical Sciences – No44- Hojjat-dost Alley- Naderi St. Keshawarz Blvd, Tehran, Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1416643931</zip>
        <telephone>+98 219123717305</telephone>
        <email>mhosseinzadeh@tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iraq</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Participants having MetS, according to IDF definition
waist circumference ≥ 94 cm for men and ≥ 80 cm for women
(triglyceride level ≥ 150 mg/dl),
(high density lipoprotein &lt; 40 mg/dl in male and &lt; 50 mg/dl in female),
(raised systolic blood pressure ≥130 or diastolic blood pressure ≥ 85 mm Hg),
(raised fasting plasma glucose ≥100 mg/dl),
age between 30 and 50 years,
both male and female, living in Halabja at least 3 years.</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>50 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>If the study participants use medications that might affect blood pressure, plasma glucose and lipid profiles throughout the study, they were excluded.
The use of any other supplements containing vitamin D and C was also being the exclusion criteria.
Getting pregnant at the middle of the study and lack of use the supplements for average 10 days, was excluded.
For physical activity, if the participants are not follow to recommended time and less than 25 mints, they were being excluded.
Individuals with type I and type II diabetes who are taking oral hypoglycemic agents or injecting insulin, or any medical therapy affecting the result,
smoker [Light smokers include low-rate daily smokers (&lt; 5 cigarettes per day during their life)],
heart failure and those with known chronic renal insufficiency or creatinine ≥1.4 mg/dl;
inflammatory gastrointestinal pathology or malabsorption syndrome, neoplasms,
alcohol intake &gt;40 g/day; and long-term institutionalization or residing in nursing homes,
pregnancy or lactation as well as post-menopausal women and women with surgical menopause was not to be included.
Patients with a history of bariatric surgery and use of weight-loss medications was also not be included.
those with high triglyceride level &gt; 400 mg/dl, higher systolic blood pressure level &gt;140 and diastolic blood pressure &gt; 90, and finally raised fasting plasma glucose &gt;125 mg/dl was not included.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>E78.8</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>lipoprotein metabolic disorder</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Vitamin C group: who was take only 500 mg/day vitamin C supplements [Morning Time]</i_keyword>
      <i_keyword>Vitamin C plus physical activity group either morning 7:30 A.M and afternoon after 3:00 PM: who was participated in 30 min/d of endurance physical activity and also will take 500 mg/d vitamin C supplements</i_keyword>
      <i_keyword>Vitamin D group: who was take only 2000 IU/day vitamin D supplements (Morning Time)</i_keyword>
      <i_keyword>Vitamin D plus physical activity group either morning 7:30 PM and afternoon after 3:00 PM: who was participated in 30 min/d of endurance physical activity and also was taken 2000 IU/day vitamin D supplements</i_keyword>
      <i_keyword>Placebo group: A- who were participate in 30 min/d of endurance physical activity and also will take placebo. B- Who were not participated in 30 min/d of endurance physical activity and also was taken placebo.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Serum level of vitamin D. Timepoint: at the begining of the study and 3 month after intervention. Method of measurement: ng/ml - specific kits.</prim_outcome>
      <prim_outcome>Serum level of vitamin C. Timepoint: at the begining of the study and 3 month after intervention. Method of measurement: HPLC - mg/dL.</prim_outcome>
      <prim_outcome>Systolic blood pressure. Timepoint: at the begining of the study and 3 month after intervention. Method of measurement: Mercury Sphygmomanometerwith the accuracy of 1 mmgh.</prim_outcome>
      <prim_outcome>Diastolic blood pressure. Timepoint: at the begining of the study and 3 month after intervention. Method of measurement: Mercury Sphygmomanometerwith the accuracy of 1 mmgh.</prim_outcome>
      <prim_outcome>High-density Lipoprotein. Timepoint: at the begining of the study and 3 month after intervention. Method of measurement: mg/dL - was measured after precipitation of the apolipoprotein B containing lipoproteins with phosphotungistic acid.</prim_outcome>
      <prim_outcome>Low-density lipoprotein. Timepoint: at the begining of the study and 3 month after intervention. Method of measurement: mg/dL - enzymatic – photometric.</prim_outcome>
      <prim_outcome>Triglyceride. Timepoint: at the begining of the study and 3 month after intervention. Method of measurement: mg/dL -using triglyceride kits by enzymatic colorimetric tests with glycerol phosphate oxidase.</prim_outcome>
      <prim_outcome>Fasting plasma glucose. Timepoint: at the begining of the study and 3 month after intervention. Method of measurement: enzymatic colorimetric method using glucose oxidase.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Body mass index. Timepoint: before treatment and 3 months following end of treatment. Method of measurement: weight / (height)2 - kg/m2.</sec_outcome>
      <sec_outcome>Waist circumference. Timepoint: before treatment and 3 months following end of treatment. Method of measurement: cm – tapeline.</sec_outcome>
      <sec_outcome>Parathyroid hormone. Timepoint: before treatment and 3 months following end of treatment. Method of measurement: Elisa.</sec_outcome>
      <sec_outcome>Calcium. Timepoint: before treatment and 3 months following end of treatment. Method of measurement: chemical analyzers instrument.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Tehran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2016-02-16</approval_date>
        <contact_name>Ethics committee of Tehran University of Medical Sciences</contact_name>
        <contact_address>Keshavarz blv., Ghods st.  Tehran  Tehran  Iran, Islamic Republic Of Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
