Eating behaviorsPub Date : 2024-02-28DOI: 10.1016/j.eatbeh.2024.101863
Pia E. Niemelä , Hanna A. Leppänen , Ari Voutilainen , Essi M. Möykkynen , Kirsi A. Virtanen , Anu A. Ruusunen , Reeta M. Rintamäki
{"title":"Prevalence of eating disorder symptoms in people with insulin-dependent-diabetes: A systematic review and meta-analysis","authors":"Pia E. Niemelä , Hanna A. Leppänen , Ari Voutilainen , Essi M. Möykkynen , Kirsi A. Virtanen , Anu A. Ruusunen , Reeta M. Rintamäki","doi":"10.1016/j.eatbeh.2024.101863","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101863","url":null,"abstract":"<div><h3>Aims</h3><p>To examine the prevalence of eating disorder symptoms (EDS) in 16 years and older individuals with insulin-dependent diabetes including both clinical and subclinical eating disorder symptoms.</p></div><div><h3>Methods</h3><p>We searched PubMed, Embase, Scopus, PsycINFO, and CINAHL databases to discover studies reporting prevalence of eating disorder symptoms in patients with insulin-dependent diabetes (both type 1 and type 2). We performed a meta-analysis to estimate the pooled prevalence of eating disorder symptoms and an independent meta-analysis to estimate the prevalence of insulin omission.</p></div><div><h3>Results</h3><p>A total of 45 studies were included in the meta-analysis of eating disorder symptoms. Diabetes Eating Problem Survey (DEPS-R) was the most frequently used screening tool (in 43 % of studies, <em>n</em> = 20). The pooled prevalence of eating disorder symptoms was 24 % (95 % CI 0.21–0.28), whereas in studies using DEPS-R, it was slightly higher, 27 % (95 % CI 0.24–0.31), with the prevalence ratio (PR) of 1.1. The prevalence differed between screening tools (χ<sup>2</sup> = 85.83, df = 8, <em>p</em> < .0001). The sex distribution was associated with the observed prevalences; in studies with a higher female prevalence (>58 %), the pooled eating disorder symptom prevalence was higher [30 % (95 % CI 0.26–0.34) vs. 18 % (95 % Cl 0.14–0.22), PR 1.7]. The prevalence of insulin omission was 21 % (95 % CI 0.13–0.33).</p></div><div><h3>Conclusions</h3><p>Eating disorder symptoms and insulin omission are common in patients with insulin-dependent diabetes regardless of age. DEPS-R is the most used screening tool. Studies with a higher proportion of female participants report higher prevalence rates.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101863"},"PeriodicalIF":2.8,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471015324000229/pdfft?md5=4baa3eaa31c6a2d44e17cf06af4c73ec&pid=1-s2.0-S1471015324000229-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140042467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-02-28DOI: 10.1016/j.eatbeh.2024.101862
Savannah R. Roberts , Tiffany A. Brown
{"title":"Introduction to the special issue on the influence of social media on body image and disordered eating","authors":"Savannah R. Roberts , Tiffany A. Brown","doi":"10.1016/j.eatbeh.2024.101862","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101862","url":null,"abstract":"","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101862"},"PeriodicalIF":2.8,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Strike a pose: Immediate effects of a model-created social media literacy video on body image and mood","authors":"Jenna Campagna , Anusha Purakayastha , Rachel Berry , Rachel F. Rodgers","doi":"10.1016/j.eatbeh.2024.101852","DOIUrl":"10.1016/j.eatbeh.2024.101852","url":null,"abstract":"<div><p>Exposure to idealized social media imagery has been shown to be detrimental to body image among young women, and social media literacy may be protective. This mixed methods study aimed to evaluate the effects of an online video narrated by a high-profile, plus-size model on the body image and negative mood of young women and predictors of the effects. A sample of 304 young women, average age 20.95 (<em>SD</em> = 2.09) years, completed an online survey including pre- and post-exposure measures of state body image and negative mood, and trait measures of upward social media appearance comparison, thin-ideal internalization, and selfie-investment. A subset (<em>n =</em> 148) responded to open-ended questions to obtain feedback on the video coded categorically and through thematic analysis. Findings revealed immediate improvements in state body satisfaction and negative mood, with higher levels of trait appearance comparison and selfie investment associated with smaller effects of the video. Participants endorsed the video as raising awareness of unrealistic images but limited in terms of mitigating appearance comparison and selfie-investment. Furthermore, participants described that Iskra's status as a professional model also influenced their reactions. These findings highlight the importance of assessing for unintended paradoxical effects of social media literacy efforts and ensuring that such interventions are empirically based.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101852"},"PeriodicalIF":2.8,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139831465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-02-13DOI: 10.1016/j.eatbeh.2024.101853
Rami Bou Khalil , Anthony Kassab , Sami Richa , Maude Seneque , Patrick Lefebvre , Ariane Sultan , Antoine Avignon , Laurent Maimoun , Eric Renard , Philippe Courtet , Sebastien Guillaume
{"title":"Weight suppression at lowest weight as an indicator of eating disorder clinical severity: A retrospective cohort study","authors":"Rami Bou Khalil , Anthony Kassab , Sami Richa , Maude Seneque , Patrick Lefebvre , Ariane Sultan , Antoine Avignon , Laurent Maimoun , Eric Renard , Philippe Courtet , Sebastien Guillaume","doi":"10.1016/j.eatbeh.2024.101853","DOIUrl":"10.1016/j.eatbeh.2024.101853","url":null,"abstract":"<div><h3>Objectives</h3><p>Weight suppression (WS) defines the difference between the highest weight in adulthood and the current weight. WS at lowest weight is the difference between the highest and the lowest ever weight. Weight rebound is the difference between the past lowest weight and current weight. The distinction in the capacities of WS, weight rebound, and WS at the lowest weight remains unclear regarding their efficacy in forecasting clinical endpoints. This study assessed the relationship between WS, WS at lowest weight and/or weight rebound and eating disorder (ED) clinical severity.</p></div><div><h3>Methods</h3><p>In this retrospective cohort study, adult participants were selected at the Outpatient Unit for multidisciplinary assessment of ED, Montpellier, France, between February 2012 and October 2014 and May 2017 and January 2020. ED clinical severity was evaluated using the Eating Disorder Examination Questionnaire (EDE-Q).</p></div><div><h3>Results</h3><p>The sample included 303 patients: 204 with anorexia nervosa (AN) and 99 with bulimia nervosa (BN). The EDE-Q total score was positively correlated with WS at lowest weight in patients with AN (Spearman's rho = 0.181, <em>p</em> = 0.015) and with BN (Spearman's rho = 0.377; <em>p</em> < 0.001). It was also positively correlated with weight rebound (Spearman's rho = 0.319; <em>p</em> = 0.003) in patients with BN. In the multivariate analysis, EDE-Q total score was associated with WS at lowest weight only in patients with BN (β = 0.265; <em>p</em> = 0.03).</p></div><div><h3>Conclusion</h3><p>WS at lowest weight seems to be a good measure of ED clinical severity. More research is needed for better understanding WS at lowest weight in assessment and treatment of patients with ED.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101853"},"PeriodicalIF":2.8,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139871515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-01-01DOI: 10.1016/j.eatbeh.2024.101843
Andy J. Kim , Sherry H. Stewart , Simon B. Sherry , Daniel S. McGrath , Christopher J. Mushquash , Janine V. Olthuis , Aislin R. Mushquash
{"title":"Clarifying the pathway from anxiety sensitivity to binge eating: The mediating role of depressive symptoms in a 3-week, 3-wave longitudinal study of undergraduates","authors":"Andy J. Kim , Sherry H. Stewart , Simon B. Sherry , Daniel S. McGrath , Christopher J. Mushquash , Janine V. Olthuis , Aislin R. Mushquash","doi":"10.1016/j.eatbeh.2024.101843","DOIUrl":"10.1016/j.eatbeh.2024.101843","url":null,"abstract":"<div><p>Anxiety sensitivity (AS) – characterized by a persistent fear that arousal-related bodily sensations will lead to serious cognitive, physical, and/or social consequences – is associated with various psychopathologies, including depressive symptoms and binge eating<span>. This 3-week, 3-wave longitudinal study examined the relation between AS (including its global AS factor and lower-order AS cognitive, physical, and social concern dimensions), depressive symptoms, and binge eating among 410 undergraduates from two universities. Using generalized estimating equation models, we found that global AS, AS social concerns, and depressive symptoms predicted binge eating during any given week. Mediation analyses showed that global AS (as a latent variable with its lower-order AS dimensions as indicators), AS cognitive concerns, and AS physical concerns at Wave 1 predicted subsequent increases in depressive symptoms at Wave 2, which, in turn, led to increases in binge eating at Wave 3. Findings contribute to a better understanding of the interplay between AS, depressive symptoms, and binge eating, highlighting the role of binge eating as a potential coping mechanism for individuals with high AS, particularly in managing depressive symptoms. This study underscores the importance of AS-targeted intervention and prevention efforts in addressing depressive symptoms and binge eating.</span></p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"52 ","pages":"Article 101843"},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139413422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-01-01DOI: 10.1016/j.eatbeh.2024.101844
Luana Giacone, Cynthia Sob, Michael Siegrist, Christina Hartmann
{"title":"Intuitive eating and its influence on self-reported weight and eating behaviors","authors":"Luana Giacone, Cynthia Sob, Michael Siegrist, Christina Hartmann","doi":"10.1016/j.eatbeh.2024.101844","DOIUrl":"10.1016/j.eatbeh.2024.101844","url":null,"abstract":"<div><p>Intuitive eating (IE) is an adaptive eating behavior that involves paying attention to the body's physiological signals, including eating when hungry and stopping when feeling full. A growing body of literature has examined the effect of IE on the development of maladaptive eating behaviors and body weight, even though IE is not centered around the latter. However, longitudinal observation studies among the general population are still rare. Therefore, this study aimed to longitudinally examine the links between IE and changes in body weight, maladaptive eating behaviors (reward, external, restrained eating), and overeating frequency over time. For this purpose, we used data from the first (2017) and the fourth waves (2020) of the Swiss Food Panel 2.0 survey, which included 1821 randomly selected Swiss participants. The same participants completed a self-administered questionnaire annually, measuring their self-reported eating behaviors and weight status. IE was measured with the Intuitive Eating Scale-2. Results showed that women with high IE scores were more likely to maintain their body weights (within ±2 kg) and less likely to gain weight (>2 kg) than women with low IE scores. No such effects were found for men. Furthermore, IE was linked to a reduction in maladaptive eating behaviors and overeating frequency over time in both genders. Results suggest that IE may counteract maladaptive eating behaviors, which can promote weight stability over time. Therefore, the encouragement of IE patterns seems to be a promising strategy to address problematic eating behaviors and the challenges associated with controlling food intake and prevention of overeating.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"52 ","pages":"Article 101844"},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471015324000035/pdfft?md5=e036785b487dbd481b23751e0612c940&pid=1-s2.0-S1471015324000035-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-01-01DOI: 10.1016/j.eatbeh.2024.101847
McKenzie L. Miller , C. Alix Timko , Julia M. Hormes
{"title":"Factor structure of the Eating Disorder Flexibility Index in U.S. nonclinical collegiate and clinical adolescent samples","authors":"McKenzie L. Miller , C. Alix Timko , Julia M. Hormes","doi":"10.1016/j.eatbeh.2024.101847","DOIUrl":"10.1016/j.eatbeh.2024.101847","url":null,"abstract":"<div><p><span>Cognitive and behavioral inflexibility are transdiagnostic maintaining mechanisms of varied psychopathologies, including eating disorders (ED). The Eating Disorder Flexibility Index (EDFLIX) is the only psychometrically validated self-report measure of general and ED-specific flexibility in the published literature. The EDFLIX was originally developed in Scandinavian adult clinical and healthy control samples but is increasingly used in its English version in other populations, including adolescent and nonclinical samples, raising questions about its validity and reliability in diverse groups. This study examined the factor structure of the previously published English EDFLIX in undergraduates (</span><em>n</em><span> = 578, 57.6 % female, 50.2 % White). Parallel and exploratory factor analysis suggested the EDFLIX may comprise two or three underlying factors. However, follow-up confirmatory factor analyses from nonclinical student and clinical ED-diagnosed (</span><em>n</em><span> = 69, 87.0 % female, 91.3 % White) samples did not support either model. Further, EDFLIX scores did not correlate with established neuropsychological measures of cognitive flexibility typically used in prior research on flexibility in EDs. Findings suggest the EDFLIX has poor psychometric properties in certain groups and may not capture underlying aspects of flexibility as previously proposed. Future research should explore alternative versions of the EDFLIX along with its psychometric properties across various samples.</span></p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"52 ","pages":"Article 101847"},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139590568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-01-01DOI: 10.1016/j.eatbeh.2024.101850
Kimaya R. Gracias, Isabella G. Pilot, Lauren A. Stutts
{"title":"It appears on my feed! Differences in intentionality of fitspiration exposure by weight/shape concerns, disordered eating, and self-compassion in women","authors":"Kimaya R. Gracias, Isabella G. Pilot, Lauren A. Stutts","doi":"10.1016/j.eatbeh.2024.101850","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101850","url":null,"abstract":"<div><p>Viewing fitspiration (fitness inspiration) has been found to increase body dissatisfaction and negative affect; however, minimal research has examined how body dissatisfaction and related variables differ based on intentionality of fitspiration exposure. This study's aim was to examine differences in levels of weight/shape concerns, disordered eating, and self-compassion according to type of fitspiration exposure. Participants included 234 female undergraduate students who completed online questionnaires. We created three groups of fitspiration exposure based on their self-report of Instagram exposure: unexposed (neither view nor post fitspiration; <em>n</em> = 43), incidentally exposed (report seeing fitspiration content unintentionally; <em>n</em> = 119), and intentionally exposed (intentionally view and/or post fitspiration; <em>n</em> = 72). Weight/shape concerns, disordered eating, and self-compassion were significantly worse in the intentionally exposed group and incidentally exposed group compared to the unexposed group. These results suggest that exposure to fitspiration, regardless of intention, may be problematic and should be limited.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"52 ","pages":"Article 101850"},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139709087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-01-01DOI: 10.1016/j.eatbeh.2024.101846
Shira Maguen , Adam Batten , Sarah E. Siegel , Joy Huggins , Jennifer L. Snow , Lindsay M. Fenn , Alexandra M. Dick , Christiane Zenteno , Anna C. West , Robin M. Masheb
{"title":"Validation of the EDDS-5 self-report survey against the SCID-5 diagnostic interview in US veterans","authors":"Shira Maguen , Adam Batten , Sarah E. Siegel , Joy Huggins , Jennifer L. Snow , Lindsay M. Fenn , Alexandra M. Dick , Christiane Zenteno , Anna C. West , Robin M. Masheb","doi":"10.1016/j.eatbeh.2024.101846","DOIUrl":"10.1016/j.eatbeh.2024.101846","url":null,"abstract":"<div><p>The aim of our study was to validate the Eating Disorder Diagnostic Scale (EDDS-5) updated for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) with a diverse veteran population against a clinician-administered interview based on the Structured Clinical Interview for DSM-5 (SCID-5). Our sample included 343 veterans, 18–75 years, recruited April 2019 to December 2022 who completed the EDDS-5 as well as other eating disorder and mental health measures. A subsample of these veterans received clinical interviews (<em>n</em> = 166), which were used to validate the EDDS-5. We found that despite multiple proposed modifications, the EDDS-5 performed poorly at correctly identifying diverse veterans who were diagnosed as having eating disorders through clinician-administered interviews. The sensitivity was very low, indicating that using the EDDS-5 did not identify many true positives and may also over diagnose those without true eating disorders. The EDDS-5 may not be the best for screening or diagnostic purposes among diverse samples like veterans.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"52 ","pages":"Article 101846"},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139635411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eating behaviorsPub Date : 2024-01-01DOI: 10.1016/j.eatbeh.2024.101848
Dayna Winograd , Andrea B. Goldschmidt , Janet Lydecker
{"title":"Associations among parents' internalized weight bias, negative child-focused body talk, and feeding behaviors","authors":"Dayna Winograd , Andrea B. Goldschmidt , Janet Lydecker","doi":"10.1016/j.eatbeh.2024.101848","DOIUrl":"10.1016/j.eatbeh.2024.101848","url":null,"abstract":"<div><h3>Objective</h3><p>Parents' negative body talk about children (negative weight/shape comments) and internalized weight bias (application of negative weight-based stereotypes to oneself) are associated with children's maladaptive eating behaviors<span>, but mechanisms are poorly understood. Conceptually, parental behaviors and attitudes may translate to implicit and explicit concerns about their child's weight and influence parents' feeding practices. These associations are underexplored in the literature.</span></p></div><div><h3>Method</h3><p>242 parents (59.4% mothers) completed a one-time assessment that included measures of internalized weight bias, negative body talk, and feeding practices. Parents also completed assessments about one of their children, of any weight status (age range 5–15 years; 40% daughters).</p></div><div><h3>Results</h3><p>Parents' internalized weight bias was positively associated with concern about their child's weight and restriction of their child's diet. Parents' negative body talk towards their child was positively associated with concern about their child's weight and shape, restriction of their child's diet, and monitoring of their child's diet. Relative to internalized weight-bias, negative body talk had a stronger correlation with parents' concern about child weight and monitoring of child's diet. Correlations did not vary by child gender or weight category.</p></div><div><h3>Discussion</h3><p>Parents' internalized weight bias and negative body talk about their child were associated with their feeding practices across child gender and weight categories, with correlations in the small to medium range. Thus, children of all genders and weights may be vulnerable to enacted weight bias. Future studies should examine whether addressing parents' internalized weight bias and communication in family-focused interventions improves feeding practices and child well-being.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"52 ","pages":"Article 101848"},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139587476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}