<?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>IRCT20250506065624N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-05-24</date_registration>
      <primary_sponsor>Tabriz University of Medical Sciences</primary_sponsor>
      <public_title>Effect of zinc gluconate supplementation on nutritional status, exercise performance and some of the biochemical parameters in Boccia paralympic athletes</public_title>
      <acronym></acronym>
      <scientific_title>Effect of zinc gluconate supplementation on nutritional status, exercise performance and some of the biochemical parameters in Boccia paralympic athletes</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-05-26</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>24</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/83413</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants will be randomly assigned to either the intervention or placebo group using simple randomization through the Random Allocation Software (RASS). This software will automatically generate a random allocation sequence in which each participant will have an equal probability (50%) of being assigned to one of the two groups. In this method, the allocation of each individual will be entirely independent of others, and the order of participant enrollment will not influence the randomization process.
To ensure allocation concealment, the random codes generated by the software will be placed in sealed, opaque, and sequentially numbered envelopes, to be opened in the order of participant enrollment. These codes will only indicate group designation (Group A or Group B), and both the investigators and participants will remain blinded to the actual content of the intervention (supplement or placebo) until data collection is complete. This procedure is intended to minimize allocation bias and enhance the internal validity of the study, Blinding description: In this study, in order to minimize bias and enhance the validity of the results, a double-blind design will be employed, whereby neither the participants nor the principal investigator will be aware of the group assignments (intervention or control). The blinding process will be implemented according to the following steps:
First, eligible participants will be randomly assigned to either the intervention or control group. To maintain impartiality, the allocation will be performed by an independent individual who will not be involved in data collection or data analysis. The intervention supplement and the placebo will be identical in appearance, color, size, odor, and packaging, and will be prepared by a pharmaceutical company. Each participant will receive the assigned product based on numerical coding (e.g., A and B). These codes will remain confidential with the individual responsible for blinding until the completion of data analysis.
All participants will receive standardized instructions on how to consume the supplement, without any knowledge of their group assignment. Furthermore, the researcher responsible for data collection and analysis will remain blinded to the group allocations throughout the study. After the data collection phase is complete, the codes will be unblinded and the data will be analyzed accordingly.
The use of this approach is expected to minimize the risk of both conscious and unconscious bias on the part of the researcher and the participants, thereby improving the internal validity of the study.</study_design>
      <phase>3</phase>
      <hc_freetext>Boccia athletes with cerebral palsy.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: 12 athletes from Tabriz city, whose anthropometric measurements, sports performance, blood sampling and questionnaire completion will be taken at the beginning of the study. Then, these individuals will receive 30 mg zinc gluconate supplement, 1 tablet daily for 8 weeks, and again at the end of the study, measurements related to anthropometry, sports performance, blood sampling and questionnaire completion will be taken. Intervention 2: Control group: 12 Boccia athletes from Tabriz city, who will have anthropometric measurements, sports performance, blood sampling, and questionnaire completion at the beginning of the study. Then, these individuals will receive 1 tablet of maltodextrin placebo with the same dose, volume, shape, size, taste, and smell daily for 8 weeks, and again at the end of the study, measurements related to anthropometry, sports performance, blood sampling, and questionnaire completion will be taken.</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>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is there are not extra data more than results presented in our articles</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Seyed Sajjad Niknam</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Nutrition and Food Sciences, Attar Neishabouri Street, Golgasht Street, Tabriz, Iran</address>
        <city>Tabriz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>5165665931</zip>
        <telephone>+98 21 6511 4742</telephone>
        <email>sajjadniknam257@gmail.com</email>
        <affiliation>Tabriz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Vahideh Ebrahimzadeh Attari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faculty of Nutrition and Food Sciences, Attar Neishabouri Street, Golgasht Street, Tabriz, Iran</address>
        <city>Tabriz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>5165665931</zip>
        <telephone>+98 41 3727 5552</telephone>
        <email>ebrahimzadehv@tbzmed.ac.ir</email>
        <affiliation>Tabriz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Athletes with physical and mobility disabilities
Age between 18 years and 40 years
At least two years of practice experience
Willing to participate in the study</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>40 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: 12 athletes from Tabriz city, whose anthropometric measurements, sports performance, blood sampling and questionnaire completion will be taken at the beginning of the study. Then, these individuals will receive 30 mg zinc gluconate supplement, 1 tablet daily for 8 weeks, and again at the end of the study, measurements related to anthropometry, sports performance, blood sampling and questionnaire completion will be taken.</i_keyword>
      <i_keyword>Control group: 12 Boccia athletes from Tabriz city, who will have anthropometric measurements, sports performance, blood sampling, and questionnaire completion at the beginning of the study. Then, these individuals will receive 1 tablet of maltodextrin placebo with the same dose, volume, shape, size, taste, and smell daily for 8 weeks, and again at the end of the study, measurements related to anthropometry, sports performance, blood sampling, and questionnaire completion will be taken.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Nutritional status (energy intake, macronutrients, micronutrients, anthropometric indices, appetite). Timepoint: Beginning and end of the study. Method of measurement: Anthropometric measurements including weight, height, BMI calculation, determination of arm circumference and thickness of skinfold fat of the triceps muscle area using calipers will be performed by the researcher at the beginning and end of the study. Considering the severe physical and motor disability of the athletes, weighing with and without a wheelchair on a scale with an accuracy of 0.1 kg will be used to determine weight. A tape measure with an accuracy of 0.1 cm will be used to measure height and alternative methods of determining height such as ulna or determining the length of the lower leg. Initially, the study participants will use a 5-item questionnaire based on a Likert scale (answers 0 to 10) to determine appetite, the validity and reliability of which have been previously determined, and a 3-day food record will be performed to determine calorie and nutrient intake.</prim_outcome>
      <prim_outcome>Athletic performance (throwing distance, muscle strength). Timepoint: Beginning and end of the study. Method of measurement: At the beginning and end of the study, after the eligible individuals have been selected and grouped, the researcher and the assistant coach in charge measure the participants' throwing distance and the individuals' muscular strength using a hand grip device, and the results before and after are compared and evaluated based on existing standards.</prim_outcome>
      <prim_outcome>On some biochemical parameters (serum levels of lactate dehydrogenase, creatine kinase, serum zinc, growth hormone, IGF1 and testosterone). Timepoint: Beginning and end of the study. Method of measurement: At the beginning and end of the study, a 5cc blood sample will be taken the morning after the training session, following a 10 to 12 hour fast, to determine serum levels of some biochemical indicators, including serum levels of creatine kinase, growth hormone, IGF1, lactate dehydrogenase, serum zinc, testosterone, fasting blood sugar, and lipid profile.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></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>Tabriz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-04-14</approval_date>
        <contact_name>Ethics committee of Tabriz University of Medical Sciences</contact_name>
        <contact_address>Golgasht Street Tabriz East Azarbaijan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
