Mediterranean Journal of Nutrition and Metabolism最新文献

{"title":"A Mediterranean-type diet improved systemic inflammation in multiple sclerosis patients, as compared to the traditional Iranian diet: A single-center randomized controlled trial","authors":"Shahrzad Mirashrafi, Mohammad Borzoo-Isfahani, Iman Namjoo, Mohammad Ali Hojjati Kermani, A. R. Moravejolahkami","doi":"10.3233/mnm-210557","DOIUrl":"https://doi.org/10.3233/mnm-210557","url":null,"abstract":"BACKGROUND: There is overwhelming scientific evidence that dietary modifications is beneficial in neurodegenerative diseases like Multiple Sclerosis (MS). OBJECTIVE: The goal of this study was to explore the effects of modified Mediterranean Diet (mMeD) on systemic inflammation, anthropometric indices, and relapse rate in MS patients. METHODS: This single-center, randomized controlled trial compared mMeD and traditional Iranian diet (as control) during six months in 180 Relapsing-Remitting MS (RRMS) patients. Serum high sensitivity C Reactive Protein (hs-CRP), body weight, Body Mass Index (BMI), percent body fat, and relapse rate were evaluated at baseline, and 3 and 6 months later. Multivariate analysis of covariance test (MANCOVA; conducted by SPSS 24) was adjusted for age, gender, family history, duration of MS and education level. RESULTS: Of 261 screened patients (July 2018-February 2019), 180 patients were eligible; 68/90 as mMeD and 79/90 as control group completed the study. Self-reported adherence was excellent (95%). The mean change on the relapse rate was –0.54±0.9 compared to –0.03±0.4 for control group (P = 0.004). In addition, hs-CRP levels decreased in the mMeD group (–2.9±3.3 mg/L; P <  0.001) and mean changes were significant between two groups (P <  0.001). Anthropometric indices were modified in mMeD group, whereas between-group comparisons were not statistically different. CONCLUSIONS: Overall, mMeD improved inflammatory status and relapse rate in RRMS patients. Future trials with larger scale and longer duration should be conducted to confirm the role of diet as a disease-modifier in MS.","PeriodicalId":18424,"journal":{"name":"Mediterranean Journal of Nutrition and Metabolism","volume":"1 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/mnm-210557","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70143144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypercholesterolemia as a dominant factor of central obesity among adult patients at Bojong Gede Public Health Center, Bogor Regency, Indonesia","authors":"Benedicta Natalia Latif, R. Sartika, Fani Widiartha","doi":"10.3233/MNM-200499","DOIUrl":"https://doi.org/10.3233/MNM-200499","url":null,"abstract":"The prevalence of central obesity has been increasing rapidly in recent decades Central obesity, measured by waist circumference, is the most dangerous type of obesity since it is closely related to chronic diseases, metabolic complications, and high COVID-19 infection rates The objective of this study was to identify the dominant factor of central obesity among the adult population The study used secondary data from a 2017 cross-sectional study conducted at Bojong Gede Public Health Center, Bogor Regency, Indonesia A total of 85 men and women aged 25-64 years old were selected through purposive sampling and included in the analysis The association between risk factors and central obesity were measured through chi-square bivariate analysis and multiple logistic regression multivariate analysis using IBM SPSS application version 22 The prevalence of central obesity was 70 6% The results showed that sex (women), total blood cholesterol level (hypercholesterolemia), energy, protein, fat, and carbohydrate intake (>110%personal nutritional needs) were significantly associated with central obesity (p-value <  0 05) Hypercholesterolemia was the most dominant risk factor for central obesity (p-value = 0 032;OR = 4 21;95%CI = 1 131-15 667) adjusted for confounders © 2021 - IOS Press All rights reserved","PeriodicalId":18424,"journal":{"name":"Mediterranean Journal of Nutrition and Metabolism","volume":"14 1","pages":"69-77"},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/MNM-200499","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70142468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The degree of nutritional knowledge, attitude and performance of patients with acute coronary syndrome on arrival, discharge day and 3 month after discharge: A longitudinal study","authors":"F. Moaddab, A. Salari, E. K. Leili, F. Zaersabet, L. R. Balasi, M. Mahdavi-Roshan, M. Soodmand","doi":"10.3233/MNM-200491","DOIUrl":"https://doi.org/10.3233/MNM-200491","url":null,"abstract":"BACKGROUND: Acute coronary syndrome is one of the most common chronic, progressive, and life-threatening diseases in most countries in the world. One of the effective factors in re-hospitalization of these patients is the lack of knowledge about the correct diet therapy. OBJECTIVE: This study aimed to compare the degree of nutritional knowledge, attitude, and performance of patients with acute coronary syndrome on arrival, discharge day, and 3 month after discharge in 2017-2018. METHODS: This longitudinal study was conducted on 125 patients with acute coronary syndrome who were referred to Dr. Heshmat hospital in Rasht as the exclusive heart center in Guilan province (Northern Iran). Convenience sampling was done using a valid two-part questionnaire including demographic information and nutritional KAP. Data were analyzed by descriptive statistics and analytical statistics in SPSS. RESULTS: The nutritional knowledge and attitude score of the majority of the samples decreased over the time interval (from time of arrival until the referral to the clinic), but the nutritional performance of patients increased in the period; the mean score on arrival was less than the score at the discharge time. ∗Corresponding author: Arsalan Salari, Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran. Tel.: +98 013 33618177; Fax: +98 013 33618177; E-mail: gums.icrc@gmail.com. ORCID ID: Fatemeh Moaddab: http://orcid.org/0000-0003-08118671; Arsalan Salari: http://orcid.org/0000-0002-5821-6176; Ehsan Kazemnezhad Leili: http://orcid.org/0000-0003-1736-6546; Fatemeh Zaersabet: http://orcid.org/0000-0003-0569-7848; Leila Rouhi balasi: http://orcid.org/0000-0002-5088-9157; Marjan Mahdavi-Roshan: http://orcid.org/0000-0002-2645-6714; Mostafa Soodmand: https://orcid.org/0000-0002-3405-9858. ISSN 1973-798X/$35.00 © 2021 – IOS Press. All rights reserved. A U TH O R C O P Y 138 F. Moaddab et al. / Nutritional KAP in ACS CONCLUSION: The results of this study emphasize the importance of nutrition education in people with the acute coronary syndrome.","PeriodicalId":18424,"journal":{"name":"Mediterranean Journal of Nutrition and Metabolism","volume":"1 1","pages":"1-10"},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70142866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to the pyramid of the Mediterranean diet (2010), non-communicable diseases and lifestyle in online postgraduate Spanish students in the food area","authors":"I. Elío, Sandra Jarrín, María Eléxpuru, J. Crespo, I. Domínguez, Killian Tutusaus, Roberto Ruíz, Rubén Calderón, S. Sumalla","doi":"10.3233/MNM-200521","DOIUrl":"https://doi.org/10.3233/MNM-200521","url":null,"abstract":"BACKGROUND: In Spain, there are several studies published on the relationship between eating habits and lifestyle among university students; but only a few of them are focused on online postgraduate students. OBJECTIVE: Herein we aimed to evaluate the degree of adherence to the Mediterranean diet pyramid (2010 edition), non-communicable diseases (NCDs), and lifestyle in online postgraduate students aged 20–65 years belonging to the food area of the Fundación Universitaria Iberoamericana (FUNIBER). METHODS: We performed a descriptive cross-sectional study including 100 online post-graduate students aged 20–65 years who were recruited by an accidental non-probabilistic sampling method consisting of a questionnaire on their sociodemographic characteristics, NCDs, lifestyle, and a 3-day food intake record (3-d). RESULTS: The profile of the students was 74% women, with a mean age of 36.6 (±10.5) years and body mass index (BMI) of 22.6 kg / m2 (±3.3). 71% of the volunteers presented normal weight, while 20% were overweight. Indeed, only a low percentage of the volunteers presented hypertension (1%), cardiovascular disease (0%), diabetes mellitus 1 (2%), diabetes mellitus 2 (3%), hypercholesterolemia (9%), and hyperuricemia (2%). Concerning lifestyle, (77%) of students were non-smokers, (78%) consumed beverages with caffeine, (51%) did not consume alcoholic beverages, and nearly all of them (84%) frequently (3 times /week) practiced physical activity. 68% of the recruited students exhibited adherence to “Medium diet quality diet (4–7)” followed by (26%) with a “Poor diet quality (<3)” and “Optimal diet quality” (6%). CONCLUSIONS: Spanish postgraduate students of the nutritional area, have good health and a healthy lifestyle but are moving away from the MD model, should be established campaigns for the improvement of eating habits of the postgraduate university population.","PeriodicalId":18424,"journal":{"name":"Mediterranean Journal of Nutrition and Metabolism","volume":"14 1","pages":"191-205"},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/MNM-200521","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70143389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between whole and low-fat dairy products consumption, physical performance and mental health","authors":"R. Ghodsi, H. Rostami, K. Parastouei, M. Taghdir","doi":"10.3233/MNM-200474","DOIUrl":"https://doi.org/10.3233/MNM-200474","url":null,"abstract":"BACKGROUND: Military staff are required to be in a proper condition of mental health and weight standards and have a specific level of physical performances (PP). Dairy products are rich sources of essential nutrients. It was demonstrated that Iranians consume much less milk and its products and there is no exception in the military staff. OBJECTIVES: To examine the association between consumption of low or whole-fat dairy and psychological disorders and PP in military personnel. METHODS: This cross-sectional study was conducted in four military zones of Iran. Dairy products intake were evaluated by using a semi-quantitative food-frequency questionnaire (FFQ). The Persian version of Depression, Anxiety, Stress Scale-21 (DASS-21) were used to assess participants’ depression, anxiety and stress and PP were assessed by a 2-mile run, sit-up, push-up and pull-up. RESULTS: There was a significant negative relationship between the tertiles of total and low-fat dairy consumption and depression (OR 0.28, 95% CI 0.10 to 0.79, P <  0.05), and low-fat dairy consumption and stress (OR 0.34, 95% CI 0.13 to 0.93, P <  0.05). Also, there was a positive association between the last tertiles of low-fat dairy consumption and suitable PP (OR 5.28, 95% CI 1.08 to 25.71, P <  0.05). CONCLUSIONS: We concluded that consumption of dairy products and particularly low-fat products are related to less psychological problems and a better PP level.","PeriodicalId":18424,"journal":{"name":"Mediterranean Journal of Nutrition and Metabolism","volume":"14 1","pages":"127-136"},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/MNM-200474","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70142644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can a different pasta making process preserve the starch’s ultrastructure, increasing its digestibility?","authors":"A. Gaddi, M. Savo, F. Capello, Gaetano Castiglione","doi":"10.3233/MNM-200518","DOIUrl":"https://doi.org/10.3233/MNM-200518","url":null,"abstract":"BACKGROUND: Pasta plays an important role in human nutrition, nevertheless its organoleptic, structural and bromatologic properties have not been completely studied. OBJECTIVE: The study aims to compare the ultrastructure pasta cross-sections produced with reduced mechanic stress and low heat exposure technique (Pietro Massi Technology ™) to common samples obtained with traditional technology in order to assess if a different process can alter the ultrastructure of starch and then, its digestibility. METHODS: A comparative study was performed on the ultrastructure of pasta using scanning electron microscopy (S.E.M). 55 were pasta cross-sections made with Pietro Massi technology, 33 were samples from different pasta factory produced using traditional process, for a total of 88 samples analysed. RESULTS: According to an Index based on what it was observed at one slide at S.E.M we classified samples and compared the number of grains, caves and canals visible, their dimensions in μm and average size of grains. The number of grains in group 1 (9.06±5.01) in group 2 (5.71±5.77), in group 3 (5.93±7.65) resulted significative more elevated compared to group 4 (0.73±2.58); in group 1 and group 2 the number of caves observed was higher than group 4. The size in μm of canals resulted significantly more elevated in group 1 than group 3 (p = 0.008), group 2(p = 0.013), and group 4 (p = 0.02). CONCLUSION: The analysis of average size of caves and canals in μm, the number of caves and grains demonstrated in samples obtained with Massi technology elevated values compared to samples obtained with traditional technique. The number of caves, grains and canals visible in the starch surface demonstrate the high quality of this pasta because they likely ensure penetration of water during cooking, facilitating at the same time the penetration of pancreatic amylases during digestion, suggesting a better digestibility in pasta produced according to this methodology.","PeriodicalId":18424,"journal":{"name":"Mediterranean Journal of Nutrition and Metabolism","volume":"14 1","pages":"37-47"},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/MNM-200518","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70142689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metabolic Syndrome, Homocysteine and uric acid in patients with obesity; experience from obesity and work centre","authors":"Gori Francesca, TirelliAmedea Silvia, Piontini Alessandra, Depinto Vito, Bamonti Fabrizia, C. Vassalle, Vigna Luisella","doi":"10.3233/mnm-210554","DOIUrl":"https://doi.org/10.3233/mnm-210554","url":null,"abstract":"BACKGROUND: Uric acid (UA) and homocysteine (HCys) are involved in cardiovascular diseases. Patients with obesity (PwO) are characterized by elevated cardiovascular risk. OBJECTIVE: To evaluate the relationship between HCys and UA concentrations in 1141 overweight patients and PwO with and without metabolic syndrome (MS). METHODS: MS was defined according to IDF criteria (2005). Anthropometric data were recorded and blood biochemical parameters were assessed with routine methods on fasting blood samples. Statistics: Spearman correlation and multiple regression analysis. RESULTS: Gender, obesity and MS influenced both UA and HCys levels, which were increased in males, MS patients, PwO with MS and positively correlated (p <  0.001). Patients without MS had normal or slightly high levels. Hypertension, hyperuricemia and hyperhomocysteinemia were found in PwO with MS. UA concentration correlated with systolic blood pressure, triglycerides and HDL (all p <  0.05). Multivariate analysis showed that HCys concentration was an independent determinant factor affecting UA levels (T value 3.5, p <  0.001). CONCLUSIONS: HCys and UA levels positively and significantly correlated in PwO, especially in those with MS. The significant correlation between UA and hypertension, triglycerides, HDL suggests the clinical usefulness of monitoring UA together with HCys concentrations as cardiovascular risk marker in these patients.","PeriodicalId":18424,"journal":{"name":"Mediterranean Journal of Nutrition and Metabolism","volume":"26 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/mnm-210554","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70143082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review and meta-analysis of serum resistin level and its relation to HOMA-IR score using meta-regression in nonalcoholic fatty liver disease patients","authors":"Asad Mirzaei, Asma Asal, Ali Seidkhani-Nahal, A. Noori-Zadeh","doi":"10.3233/MNM-210538","DOIUrl":"https://doi.org/10.3233/MNM-210538","url":null,"abstract":"BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) comorbidity with adipose tissue dysfunction is not new and studies have focused on how adipose tissue influences NAFLD pathophysiology. OBJECTIVE: Quantification of nature and magnitude of the association between serum resistin and also insulin resistance, by calculating pooled Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) score, with NAFLD pathophysiology was the objective of the current study. METHODS: Using systematic review and meta-analysis and standardized mean difference (SMD) as the effect size, the levels of resistin and HOMA-IR scores have been investigated in NAFLD subjects in comparison with controls in the case-control studies using random-effects models. RESULTS: This meta-analysis retrieved a total number of 665 and 522 cases and 671 and 555 control subjects until May 2020 for serum levels of resistin and HOMA-IR score until May 2020. The final analyses demonstrated that pooled SMD of resistin and HOMA-IR score was 0.687 (95% confidence interval, 0.070–1.304) and 1.368 (95% confidence interval, 1.080–1.655); respectively. Moreover, the p-value for the test of significance for each pooled SMD was examined by the z-test and calculated as 0.029 and 0.000 for resistin and HOMA-IR score (clearly considered as statistically significant). CONCLUSION: Based on the findings, the HOMA-IR score and the serum levels of resistin in NAFLD subjects are associated with disease pathogenesis.","PeriodicalId":18424,"journal":{"name":"Mediterranean Journal of Nutrition and Metabolism","volume":"1 1","pages":""},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/MNM-210538","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70143018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of malnutrition and stunting among under-five children: A cross-sectional study family of quality of life in agricultural areas of Indonesia","authors":"Tantut Susanto, Hanny Rasni, Latifa Aini Susumaningrum","doi":"10.3233/MNM-200492","DOIUrl":"https://doi.org/10.3233/MNM-200492","url":null,"abstract":"","PeriodicalId":18424,"journal":{"name":"Mediterranean Journal of Nutrition and Metabolism","volume":"14 1","pages":"147-161"},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/MNM-200492","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70142911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of food quality index with subclinical inflammation in middle-aged obese men","authors":"M. Bellotto, Alex Castro, I. L. Bonfante, D. Brunelli, M. P. Chacon-Mikahil, C. Cavaglieri","doi":"10.3233/MNM-200502","DOIUrl":"https://doi.org/10.3233/MNM-200502","url":null,"abstract":"BACKGROUND: High visceral fat storage unbalance secretion inflammatory peptides, however diet plays an important role-protecting metabolism against chronic diseases inherent to this condition. OBJECTIVE: To assess obese diet quality and find association with inflammatory biomarkers. METHODS: aMED, a Food Quality Index, classified the inflammatory power of 26 obese men’s diet (aged: 48.1±5.1; BMI: 31.1±2.45). Pearson correlation coefficient associated diet quality in tertiles (1st as low, 2nd as average and 3 rd as high quality diet) with inflammatory variables (cytokines and waist circumference). RESULTS: The intake of anti-inflammatory food groups was significantly higher among tertiles (3rd > 2nd > 1st; P < 0.001). Adiponectin was lower in the 2nd tertile than in the 1st (P < 0.05). Whole cereal presented a positive correlation with TNF-alpha (p = 0.049), and a negative correlation with IL–15 (p = 0.002). Fish presented a positive correlation with IL–10 (p = 0.024), Resistin (p = 0.039) and PGE–2 (p = 0.001). These findings pointed to pro and anti-inflammatory responses. CONCLUSIONS: The method may need adjustments when used to assess obese food intake, since they don’t usually meet the daily-recommended intake. Other lifestyles variables should be considered, which may affect the inflammatory status.","PeriodicalId":18424,"journal":{"name":"Mediterranean Journal of Nutrition and Metabolism","volume":"1 1","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3233/MNM-200502","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70142653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}