Public Health Nutrition最新文献

{"title":"Digital platform-based conceptual framework for food environment research in China.","authors":"Na Cong, Keumseok Koh, Mei-Po Kwan, Hongsheng Zhang","doi":"10.1017/S1368980024002209","DOIUrl":"10.1017/S1368980024002209","url":null,"abstract":"<p><p>China has dedicated significant efforts to preventing obesity, but the rising prevalence of overweight and obesity remains a pressing public health issue. Therefore, unique solutions are required to address this challenge in China. As a research priority, the food environment plays a pivotal role in addressing overweight and obesity. However, research on this topic in China lags behind that in other developed countries, and the conflicting global evidence on the association between the food environment and obesity cannot be directly applied to policymaking and intervention in China. In addition, the rapid advancement of digital technology has introduced complexities and uncertainties in the food environment. To address these challenges, we propose an alternative research framework through (a) dissecting the challenges associated with defining and measuring the food environment, (b) reorganising the relationship chains between the food environment and human diet/health and (c) taking into consideration digital platforms as crucial monitoring tools for studying the food environment. Our framework aims to unlock the potential of food environment research in the digital age, ultimately striving to tackle the overweight and obesity issues in China.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e57"},"PeriodicalIF":3.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617000","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":"Breakfast skipping and academic achievement at 8-16 years: a population study in South Australia.","authors":"Alanna Sincovich, Neida Sechague Monroy, Lisa G Smithers, Mary Brushe, Zara Boulton, Tia Rozario, Tess Gregory","doi":"10.1017/S1368980024002258","DOIUrl":"10.1017/S1368980024002258","url":null,"abstract":"<p><strong>Objective: </strong>While studies have highlighted a link between breakfast consumption and cognitive performance, evidence for how breakfast influences academic outcomes is mixed. This study explored the association between student breakfast skipping and academic achievement.</p><p><strong>Design: </strong>This cross-sectional investigation employed population data. Self-reported breakfast consumption was used to categorise students as never, sometimes and always breakfast skippers. Scores on five standardised literacy and numeracy tests were used to classify students to have low or high achievement according to national minimum standards. Poisson regression analyses estimated the relative risk (RR) of low academic achievement among students across breakfast skipping categories, adjusting for student, family and community-level confounding.</p><p><strong>Setting: </strong>Government schools in South Australia.</p><p><strong>Participants: </strong>Participants included 28 651 students in grades 5, 7 and 9 (aged 8-16 years).</p><p><strong>Results: </strong>Overall, 32·3 % of students reported never skipping breakfast, 57·6 % reported sometimes skipping and 10·1 % reported they always skip breakfast. Students who sometimes and always skipped breakfast had an increased risk of low achievement on all five tests, after adjustment for confounding. Greatest risk for low achievement was on numeracy (RR = 1·78, 95 % CI 1·64, 1·94) and reading (RR = 1·63, 95 % CI 1·49, 1·77) among students who always skipped breakfast. Students who sometimes skipped breakfast were also at increased risk for low achievement, though not as higher risk as that among students who reported skipping breakfast every day.</p><p><strong>Conclusions: </strong>Results suggest breakfast consumption plays an important role in academic success. Supports to promote regular student breakfast consumption may be one mechanism through which education stakeholders and policymakers can strengthen academic achievement.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e28"},"PeriodicalIF":3.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557357","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}

{"title":"Equitable Approaches for Public Health Data Collection Among Diverse Populations: Findings from a National Evaluation of Fruit and Vegetable Incentives.","authors":"Carmen Byker Shanks, Betty Izumi, Jenna Eastman, Teala W Alvord, Amy L Yaroch","doi":"10.1017/S1368980025000084","DOIUrl":"https://doi.org/10.1017/S1368980025000084","url":null,"abstract":"<p><strong>Objective: </strong>Public health approaches for addressing diet-related health in the United States (US) include nutrition incentive (NI) and produce prescription (PPR) projects. These projects, funded through the US Department of Agriculture Gus Schumacher Nutrition Incentive Program (GusNIP), aim to support intake of fruits and vegetables through healthy food incentives. Measuring GusNIP impact is vital to assessing the ability of incentives to improve public health nutrition outcomes across populations. Shared measures used across GusNIP projects assess fruit and vegetable intake, food security, demographics, among other variables, through a participant survey. This study explored challenges and opportunities to support evaluation across GusNIP.</p><p><strong>Design: </strong>This qualitative study used a sociodemographic survey, semi-structured interviews, and focus groups. Descriptive statistics were used to summarize survey data and applied thematic analysis was used to identify patterns in interview and focus group data.</p><p><strong>Setting: </strong>Data collection occurred in the United States virtually using Qualtrics and Zoom, fall 2021 to fall 2022.</p><p><strong>Participants: </strong>18 GusNIP PPR and NI data collectors, 24 external evaluators, and 11 GusNIP Training, Technical Assistance, Evaluation, and Information Center's (NTAE) staff participated.</p><p><strong>Results: </strong>Opportunities to improve evaluation among GusNIP's participants include tailoring surveys to specific subpopulations, translations, culturally appropriate food examples, avoiding stigmatizing language, using mixed methods, and intentional strategies to enhance representation.</p><p><strong>Conclusion: </strong>To increase applicability, evaluation tools must reflect the experiences across populations. This study provides insights that can guide future NI and PPR evaluations, helping to more effectively measure and understand outcomes of all communities.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-45"},"PeriodicalIF":3.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524180","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":"Preface for SEANUTS II.","authors":"Mary Ff Chong","doi":"10.1017/S1368980024002106","DOIUrl":"10.1017/S1368980024002106","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e39"},"PeriodicalIF":3.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143410315","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}

{"title":"Ultra-processed food intake, genetic polymorphisms and the risk of dyslipidaemia in the adult Korean population.","authors":"Minsu Cho, Heejin Lee, Jung Eun Lee","doi":"10.1017/S1368980024002337","DOIUrl":"10.1017/S1368980024002337","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to examine the association between ultra-processed food intake and dyslipidaemia risk and whether this association varied by the polygenic score for dyslipidaemia in the adult Korean population.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Setting: </strong>Ultra-processed foods were identified under the NOVA classification. Participants were categorised into < 5, 5 to < 10, 10 to < 15, 15 to < 20 and ≥ 20 %E/d of ultra-processed food intake. The polygenic scores for dyslipidaemia were calculated from 53 950 SNPs. ORs and 95 % CIs were estimated using multivariate logistic regression models.</p><p><strong>Participants: </strong>20 044 Korean adults aged ≥ 40 years in the Health Examinees (HEXA) study, the Cardiovascular Disease Association Study (CAVAS) and the Korea Association Resource (KARE) study.</p><p><strong>Results: </strong>During median follow-ups of 4·09, 8·67 and 15·67 years in the HEXA, CAVAS and KARE studies, respectively, there were a total of 7331, 786 and 1732 incident dyslipidaemia events. Ultra-processed food intake was not significantly associated with dyslipidaemia risk. Compared with < 5 %E/d, the pooled OR (95 % CI) of ≥ 20 %E/d of ultra-processed food intake for dyslipidaemia incidence was 1·01 (0·90, 1·13; <i>P</i> for trend = 0·83). There was no interaction by dyslipidaemia-related genetic variations; ORs (95 % CIs) were 1·04 (0·89, 1·22; <i>P</i> for trend = 0·91) and 0·98 (0·84, 1·15; <i>P</i> for trend = 0·72) for individuals with high- and low-polygenic scores, respectively (<i>P</i> for interaction = 0·90).</p><p><strong>Conclusions: </strong>No significant association was observed between ultra-processed food intake and the overall risk of dyslipidaemia, nor in subgroups of polygenic scores for dyslipidaemia among Korean adults with low ultra-processed food intake.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e39"},"PeriodicalIF":3.0,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383216","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":"Characterising \"obesogenic\" versus \"protective\" food consumption, and their value chain among Ghanaian households.","authors":"Reginald Adjetey Annan, Nana Ama Frimpomaa Agyapong, Robert Aidoo, Charles Apprey, Linda Nana Esi Aduku, Elizabeth C Swart","doi":"10.1017/S1368980025000114","DOIUrl":"https://doi.org/10.1017/S1368980025000114","url":null,"abstract":"<p><strong>Objectives: </strong>This paper explores the characteristics of Ghanaian households' consumption of obesogenic versus protective foods, including their retail, distribution, and origin.</p><p><strong>Design: </strong>A household food consumption survey was conducted using an adapted Prospective Urban and Rural Epidemiology study Food Frequency Questionnaire. Product pathways for selected obesogenic (processed meat, Sugar-Sweetened Beverages, and biscuits) and protective (cooked vegetables, legumes, and fish) foods were traced from retailers through distributors/wholesalers to producers.</p><p><strong>Setting: </strong>Rural and urban communities in the Ashanti Region and selected retail/wholesale/producers nationwide.</p><p><strong>Participants: </strong>612 households, 209 retailers and 185 wholesalers/distributors.</p><p><strong>Results: </strong>About 20% of households consume Sugar-Sweetened Beverages (SSB) and confectionery weekly, and just 2% consumed processed meat. Of the protective foods, fish had the highest proportion of households consuming weekly (74.5%), followed by cooked vegetables (53.1%) and legumes (22.8%). Frequent SSB consumption is higher in younger (p<0.001), male (p=0.010), urban (p<0.001), and more educated (p<0.001) food purchaser households. Below 10% of households followed the healthiest dietary pattern (high-protective-and-low-obesogenic) but higher in older and more educated food purchaser households. In contrast, most households (about 80%) consumption patterns did not discriminate between obesogenic and protective foods. Generally, characteristics of purchasers from retail/wholesale outlets agree with those of households, where obesogenic foods were retailed to younger, less educated buyers than older, more educated ones. While the protective foods had a strong local producer presence, the obesogenic foods were predominantly imported.</p><p><strong>Conclusion: </strong>Household consumption and retail/distribution of obesogenic foods are associated with socio-demographic characteristics, but obesogenic foods are almost entirely produced outside Ghana. Policies that regulate importation on health grounds can promote a healthier food environment.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-36"},"PeriodicalIF":3.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256468","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":"Adherence to the Mediterranean diet and colorectal cancer risk: a large case control study in the Moroccan population.","authors":"Khaoula El Kinany, Zineb Hatime, Achraf El Asri, Abdelilah Benslimane, Meimouna Mint Sidi Deoula, Btissame Zarrouq, Pagona Lagiou, Karima El Rhazi","doi":"10.1017/S1368980025000199","DOIUrl":"10.1017/S1368980025000199","url":null,"abstract":"<p><strong>Objective: </strong>The Mediterranean diet (MD) is a dietary pattern associated with several health benefits, including reduction of risk for various cancers. We conducted a study to investigate associations between adherence to the MD and colorectal cancer (CRC) subtype risk among Moroccan adults.</p><p><strong>Design: </strong>A matched case-control study.</p><p><strong>Setting: </strong>The five major university hospitals in Morocco.</p><p><strong>Participants: </strong>A total of 3032 subjects (1516 CRC patients and 1516 controls) matched on age, sex and centre were recruited between September 2009 and February 2017 at five major hospitals in Morocco. Diet was assessed using a validated FFQ. Adherence to the MD was assessed through a score, ranging from 0 (no adherence) to 10 (maximal adherence) and divided into three categories (low, middle and high). Conditional logistic regression was performed to calculate multivariable OR and 95 % CI with low adherence (score 0-3) as referent, adjusting for potential confounding factors.</p><p><strong>Results: </strong>Close adherence to the MD (score 6-9) was associated with reduced risk of CRC (ORa = 0.74, 95 % CI 0.63, 0.86), rectal cancer (ORa = 0.73, 95 % CI 0.58, 0.90) and colon cancer (ORa = 0.74, 95 % CI 0.60, 0.92).</p><p><strong>Conclusion: </strong>Our study, conducted in a southern Mediterranean population, adds to the evidence suggesting a protective effect of MD against CRC risk.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e48"},"PeriodicalIF":3.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143256457","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":"Impact of mealtime social experiences on student consumption of meals at school: a qualitative analysis of caregiver perspectives.","authors":"Leah Elizabeth Chapman, Wendi Gosliner, Deborah A Olarte, Monica Daniela Zuercher, Lorrene D Ritchie, Dania Orta-Aleman, Marlene B Schwartz, Michele Polacsek, Christina E Hecht, Kenneth Hecht, Anisha I Patel, Punam Ohri-Vachaspati, Margaret Read, Juliana Fw Cohen","doi":"10.1017/S1368980024002349","DOIUrl":"10.1017/S1368980024002349","url":null,"abstract":"<p><strong>Objective: </strong>To understand caregivers' perceptions about their children's mealtime social experiences at school and how they believe these social experiences impact their children's consumption of meals at school (both meals brought from home and school meals).</p><p><strong>Design: </strong>Qualitative data were originally collected as part of a larger mixed methods study using an embedded-QUAN dominant research design.</p><p><strong>Setting: </strong>Semi-structured interviews were conducted with United States (U.S.) caregivers over Zoom^TM in English and Spanish during the 2021-2022 school year. The interview guide contained 14 questions on caregivers' perceptions about their children's experiences with school meals.</p><p><strong>Participants: </strong>Caregivers of students in elementary, middle and high schools in rural, suburban and urban communities in California (<i>n</i> 46) and Maine (<i>n</i> 20) were interviewed. Most (60·6 %) were caregivers of children who were eligible for free or reduced-price meals.</p><p><strong>Results: </strong>Caregivers reported that an important benefit of eating meals at school is their child's opportunity to socialise with their peers. Caregivers also stated that their child's favourite aspect of school lunch is socialising with friends. However, some caregivers reported the cafeteria environment caused their children to feel anxious and not eat. Other caregivers reported that their children sometimes skipped lunch and chose to socialise with friends rather than wait in long lunch lines.</p><p><strong>Conclusions: </strong>Socialising during school meals is important to both caregivers and students. Policies such as increasing lunch period lengths and holding recess before lunch have been found to promote school meal consumption and could reinforce the positive social aspects of mealtime for students.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e55"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123472","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":"A quantitative environmental impact assessment of Australian ultra-processed beverages and impact reduction scenarios.","authors":"Kim Anastasiou, Michalis Hadjikakou, Ozge Geyik, Gilly A Hendrie, Phillip Baker, Richard Pinter, Mark Lawrence","doi":"10.1017/S1368980025000187","DOIUrl":"10.1017/S1368980025000187","url":null,"abstract":"<p><strong>Objective: </strong>Ultra-processed beverages (UPB) have known adverse impacts on health, but their impact on the environment is not well understood across different environmental indicators. This study aimed to quantify the environmental impacts of water-based UPB and bottled waters sold in Australia and assess the impacts of various scenarios which may reduce such impacts in the future.</p><p><strong>Design: </strong>This study presents a quantitative environmental impact assessment of a major sub-category of UPB (water-based UPB, including soft drinks, energy drinks, cordials and fruit drinks) and non-UPB (bottled waters) in Australia. Alternative mitigation scenarios based on existing health and environmental targets were also modelled using sales projections for 2027. Sales data from Euromonitor International were matched with environmental impact data from peer-reviewed lifecycle assessment databases. Environmental impact indicators included greenhouse gas emissions, land use, eutrophication potential, acidification potential, water scarcity and plastic use.</p><p><strong>Setting: </strong>The Australian beverage supply in 2022 and projected sales for 2027.</p><p><strong>Participants: </strong>N/A.</p><p><strong>Results: </strong>Environmental impacts of UPB were higher than bottled waters. UPB accounted for 81-99 % of total environmental impacts, partly driven by the volume of sales. Reformulation, reducing UPB consumption and increasing recycling all led to meaningful reductions in environmental impacts but with diverse effects across different environmental indicators. The largest reductions occurred when policy scenarios were combined to represent a suite of policy actions which aimed to meet health and environmental targets (30-82 % environmental savings).</p><p><strong>Conclusions: </strong>The results indicate that implementing a suite of policies which act to target multiple drivers of environmental harm are likely to lead to the most environmental benefits.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e51"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123466","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":"Dietary intakes, food behaviours and health indicators among Métis youth in Manitoba, Canada.","authors":"Chantal Perchotte, Olena Kloss, Joyce Slater, Alan Katz, Bhanu Pilli, Aynslie Hinds, Marcelo L Urquia, Julianne Sanguins, Chris Green, Jaime Cidro, Dan Chateau, Nathan Nickel, Thomas Falkenberg","doi":"10.1017/S1368980025000151","DOIUrl":"10.1017/S1368980025000151","url":null,"abstract":"<p><strong>Objective: </strong>Poor diets and food insecurity during adolescence can have long-lasting effects, and Métis youth may be at higher risk. This study, as part of the Food and Nutrition Security for Manitoba Youth study, examines dietary intakes, food behaviours and health indicators of Métis compared with non-Métis youth.</p><p><strong>Design: </strong>This observational cross-sectional study involved a cohort of adolescents who completed a self-administered web-based survey on demographics, dietary intake (24-h recall), food behaviours, food security and select health indicators.</p><p><strong>Setting: </strong>Manitoba, Canada.</p><p><strong>Participants: </strong>Participants included 1587 Manitoba grade nine students, with 135 (8·5 %) self-identifying as Métis, a distinct Indigenous nation living in Canada.</p><p><strong>Results: </strong>Median intake of sugar was significantly higher in Métis (89·2 g) compared with non-Métis (76·3 g) participants. Percent energy intake of saturated fat was also significantly higher in Métis (12·4 %) than non-Métis (11·6 %) participants. Median intakes of grain products and meat and alternatives servings were significantly lower among Métis than non-Métis (6·0 <i>v</i>. 7·0 and 1·8 <i>v</i>. 2·0, respectively) participants. Intake of other foods was significantly higher in Métis (4·0) than non-Métis (3·0). Significantly more Métis participants were food insecure (33·1 %) compared with non-Métis participants (19·1 %). Significantly more Métis participants ate family dinners and breakfast less often than non-Métis participants and had lower self-reported health. Significantly more Métis participants had a BMI classified as obese compared with non-Métis participants (12·6 % <i>v</i>. 7·1 %).</p><p><strong>Conclusions: </strong>The dietary intakes observed in this study, both among Métis and non-Métis youth, are concerning. Many have dietary patterns that put them at risk for developing health issues in the future.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e46"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123470","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}