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A continuous-flow moving bed biofilm reactor (IAMBBR) alternating microaerobic and aerobic conditions was used to remove carbon, nitrogen and phosphorus through simultaneous nitrification and denitrification coupled to phosphorus removal (SNDPR). The IAMBBR was operated under different dissolved oxygen (DO) ranges (0.2-2, 0.2-3 and 0.2-4 mg L-1) and feed C/N ratios (2.8, 3.6 and 4.2) at HRT of 1 day. At a DO range of 0.2-3 mg L-1 and feed C/N ratio of 3.6, the IAMBBR achieved simultaneous removal of dissolved organic carbon (DOC), total