Public Health Nutrition最新文献

{"title":"Have we been overlooking a critical confounder? Time to address adverse childhood experiences in nutrition and chronic disease epidemiology.","authors":"Marion Tharrey","doi":"10.1017/S1368980025101031","DOIUrl":"10.1017/S1368980025101031","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e156"},"PeriodicalIF":3.0,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001426","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":"Evaluating the Nourish Network: a multi-sector collective initiative to progress healthy food retail in Australia.","authors":"Carmen Vargas, Adyya Gupta, Victoria Hobbs, Anna Peeters, Chris Dubelaar, Christina Zorbas","doi":"10.1017/S1368980025100992","DOIUrl":"10.1017/S1368980025100992","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the current state of the Nourish Network (NN) - a healthy food retail network, to inform future planning and improvement opportunities.</p><p><strong>Design: </strong>A qualitative study was conducted using semi-structured interviews conducted between January and April 2024, open-ended survey questions from six online surveys applied between 2019 and 2022 and a focus group with the NN Advisory Committee (NNAC) in June 2024. Thematic analysis was applied to interview and survey data. Results from the thematic analysis were presented to the NNAC, which classified them according to the Strengths, Weaknesses, Opportunities and Threats model, resulting in recommendations for future actions.</p><p><strong>Setting: </strong>Australia.</p><p><strong>Participants: </strong>NN members (interviews <i>n</i> 9 and survey average response <i>n</i> 30) and NNAC (<i>n</i> 9).</p><p><strong>Results: </strong>Nine interviews yielded eight codes clustered into three themes: (i) NN performance, covering overall performance and management since 2018; (ii) members' engagement with NN activities, addressing current and future involvement and (iii) NN future directions for improvement. The NNAC highlighted strengths in membership diversity and credibility while noting weaknesses in mission clarity and participation. Opportunities for growth include becoming a resource hub through partnerships and national expansion, whereas threats involve limited resources. Recommendations emphasise clear operational tasks, policy alignment and measurement systems to boost accountability and engagement.</p><p><strong>Conclusions: </strong>To effectively promote healthy food retail changes, the Network for Nutrition and similar organisations must establish a clear vision and enhance stakeholder engagement. This involves consolidating knowledge dissemination, fostering partnerships and securing funding. Ongoing efforts from collectives like the Nourish Network can facilitate research in resource-scarce areas.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e155"},"PeriodicalIF":3.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993369","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":"Mapping Advertising Assets Project: a cross-sectional analysis of food-related outdoor advertising and the relationship with deprivation in Leeds, UK.","authors":"Victoria L Jenneson, Imani Wilson, Francesca L Pontin, Charlotte E L Evans, Michelle A Morris","doi":"10.1017/S1368980025100670","DOIUrl":"10.1017/S1368980025100670","url":null,"abstract":"<p><strong>Objective: </strong>Food environments can influence dietary behaviours. Promotion of foods high in fats, salt and sugars is a barrier to healthy eating. We explore advertising by deprivation in an English city.</p><p><strong>Design: </strong>Using a cross-sectional design, we describe the prevalence of outdoor advertising, the types of products advertised and the UK Nutrient Profile Modelling scores for advertised foods and non-alcoholic beverages. Differences in outdoor advertising prevalence by area deprivation were assessed using <i>χ</i>² tests.</p><p><strong>Setting: </strong>Six areas in each of five deprivation strata were randomly selected from all 482 Leeds neighbourhoods (England) (<i>n</i> 30 neighbourhoods).</p><p><strong>Participants: </strong>Eligible outdoor advertisement assets (intentionally placed permanent/semi-permanent advertisements visible from the street) were photographed in May-June 2023.</p><p><strong>Results: </strong>A total of 295 outdoor advertising assets were recorded. The most deprived quintile had the highest number of advertising assets (<i>n</i> 74). Bus shelters were the most prevalent asset (<i>n</i> 68). The number of food adverts differed significantly by deprivation level. The two most deprived areas had higher than expected exposure, while the two least deprived areas had lower than expected exposure (<i>P</i> < 0·01). Data were insufficient to compare compliance against a hypothetical Healthier Food Advertising Policy; however, bus shelters were most likely to display high in fats, salt and sugars food adverts.</p><p><strong>Conclusions: </strong>Food advertising in Leeds is unequally distributed, with more food adverts in more deprived areas. Similar inequalities may exist in other cities, but data are scarce. Unhealthy adverts are most prevalent on bus shelters, highlighting an important asset for policy focus.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e161"},"PeriodicalIF":3.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966520","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":"Pathways from integrated agriculture and health-based interventions to nutrition: a case from Southern Bangladesh.","authors":"Indu Kumari Sharma, Malay Kanti Mridha, Dirk Essink, Lalita Bhattacharjee, Victoria Fumado, Sarju Singh Rai, Mokbul Hossain, Jacqueline Ew Broerse","doi":"10.1017/S1368980025000394","DOIUrl":"10.1017/S1368980025000394","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to analyse the effects of nutrition-sensitive agriculture (NSA) interventions on nutrition, examine the pathways within a project cycle and explore the pathways 3 years after the end of the funding period.</p><p><strong>Design: </strong>We employed a sequential mixed-methods design using (1) secondary quantitative data and (2) primary qualitative data. The quantitative data were analysed using the Mann-Whitney test, independent sample <i>t</i> test and binary logistic regression. The qualitative data were analysed thematically.</p><p><strong>Setting: </strong>This research used the case of the Integrated Agriculture and Health Based Interventions project.</p><p><strong>Participants: </strong>The quantitative data comprised 4825 households. The qualitative data included forty-six participants (twenty-eight beneficiaries and eighteen implementers) from two focus group discussions (<i>n</i> 15) and thirty-one semi-structured interviews.</p><p><strong>Results: </strong>NSA interventions reduced child underweight and improved household and women's dietary diversity scores, breastfeeding practices, handwashing and access to Fe-folic acid during pregnancy. Pregnant and lactating women's minimum dietary diversity increased, while children's minimum dietary diversity reduced. Key pathways to nutrition during project implementation were food production, nutrition-related knowledge and strengthening local institutions. Sustainability of knowledge was mostly evident, followed by food production, while the strengthening of local institutions was less evident.</p><p><strong>Conclusions: </strong>Key pathways to outcomes during the project implementation were food production, nutrition-related knowledge and strengthening local institutions, as these were the main focus of the project. Income and women's empowerment pathways could be more effective if intentionally integrated. We reiterate the need to enhance children's dietary diversity, strengthen income-expenditure and women empowerment pathways, sustain livestock production and strengthen local institutions.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e133"},"PeriodicalIF":3.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966603","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":"Population health impacts from the taxation of salt and sugar in the United Kingdom.","authors":"Patricia Eustachio Colombo, James Milner, Silvia Pastorino, Rosemary Green","doi":"10.1017/S1368980025100967","DOIUrl":"10.1017/S1368980025100967","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the potential health benefits from the reduction in consumption of salt and sugar following the introduction of a proposed tax on salt and sugar in the United Kingdom (UK).</p><p><strong>Design: </strong>Epidemiological modelling study. Life table modelling was used to estimate the expected population health benefits from the reduction in consumption of salt and sugar for four scenarios, each reflecting different manufacturer and consumer responses the proposed tax. Relative risks for twenty-four disease-risk pairs were applied, exploring different pathways between salt and sugar consumption, and mortality and morbidity.</p><p><strong>Setting: </strong>UK.</p><p><strong>Participants: </strong>Population of the UK.</p><p><strong>Results: </strong>The results show that life expectancy in the UK could be increased by 1·7 (0·3-3·6) to 4·9 (1·0-9·4) months, depending on the degree of industry and consumer response to the tax. The tax could also lead to up to nearly 2 (0·4-3·6) million fewer cases of preventable chronic diseases and an increase of as much as 3·5 (0·8-6·4) million years of life gained. The largest health benefits would accrue from reduced mortality and morbidity from CVD.</p><p><strong>Conclusions: </strong>Significant benefits to population health could be expected from extending the current tax on sugar-sweetened beverages to other sugary foods and from adding a tax on foods high in salt. The proposed dietary changes are likely to be insufficient to reach national public health targets; hence, additional measures to reduce the burden of chronic disease in the UK will be equally critical to consider.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e153"},"PeriodicalIF":3.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966617","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":"Expert insights into public health nutrition challenges: a rapid group model building demonstration workshop.","authors":"Cindy Needham, Penny Fraser, Carmen Vargas, Laura Alston, Steven Allender","doi":"10.1017/S1368980025100852","DOIUrl":"10.1017/S1368980025100852","url":null,"abstract":"<p><strong>Objective: </strong>This paper explored international experts' views on what influences the development and implementation of local government (LG) planning policy to support healthy food retail environments; and 2) whether a rapid group model building (RGMB) approach can successfully be applied to capture valuable insights.</p><p><strong>Design: </strong>Adaptation of methods from community-based system dynamics in the form of RGMB.</p><p><strong>Setting: </strong>In person, facilitated workshop at the World Public Health Nutrition Congress (WPHNC) June 2024, London, England.</p><p><strong>Participants: </strong>WPHNC delegates.</p><p><strong>Results: </strong>Sixty-six participants contributed to the RGMB. Factors identified that influence the development and implementation of LG planning to support healthy food retail environments centred around community, evidence, policy, political leadership/priorities and capitalism. Feedback loops identified in the causal loop diagram showed the potential influence of policies to support healthy food retail environments on public health outcomes. Research evidence and data were key factors in supporting community demand for healthy food policies and raising the profile of health as a priority, which, in turn, could support funding to support healthy food environments. Political will and corporate influence in the system were shown to be highly influential.</p><p><strong>Conclusions: </strong>International experts identified that data is urgently needed to support demand for healthy food policies and political will to address key nutrition issues. The influence of corporate interests was viewed as highly influential over the current system across the world. RGMB workshop activities and processes described in this paper can be used successfully to capture expert insights into complex problems using interactive technologies.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e150"},"PeriodicalIF":3.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966513","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":"Determinants of food insecurity in homeless people: evidence from the territory-wide homeless census in Hong Kong.","authors":"Gary Ka-Ki Chung, Crystal Ying Chan, Siu Ming Chan, Hung Wong","doi":"10.1017/S1368980025100980","DOIUrl":"10.1017/S1368980025100980","url":null,"abstract":"<p><strong>Objective: </strong>With the re-emerging homelessness issue in Hong Kong, given its least affordable housing, securing food to meet the basic physiological needs is of priority concern for the homeless. This study aims to examine the situation and determinants of food insecurity among the homeless in Hong Kong.</p><p><strong>Design: </strong>Cross-sectional survey on food insecurity level, socio-demographic characteristics, homeless experiences and health status and behaviours.</p><p><strong>Setting: </strong>360 community hot spots of homeless people identified by NGO and experienced social workers in different districts of Hong Kong in 2021.</p><p><strong>Participants: </strong>711 individuals experiencing homelessness.</p><p><strong>Results: </strong>The observed prevalence of low, medium and high food insecurity levels was 37·4 %, 20·4 % and 42·2 %, respectively. Results from multivariable ordinal logistic regression showed that older, female, non-Chinese and non-married respondents were inversely associated with food insecurity, whereas having sufficient savings for more proper housing was the primary determinant among socio-economic indicators. In addition to reasons for homelessness, risk factors of food insecurity included living in guesthouses/hotels and difficulties due to government measures on homeless control. Except for disability, both self-rated physical and mental health statuses showed dose-response relationships with food insecurity level.</p><p><strong>Conclusions: </strong>The substantial individual variations in socio-demographic statuses, homeless experiences and health deficits shaped the differential risks of food insecurity within the homeless community in Hong Kong. Targeted homeless programmes should go beyond the conventionally vulnerable groups but consider the multifaceted nature of homeless experiences in relation to food access and integrate health assessments to holistically support the homeless.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e154"},"PeriodicalIF":3.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966545","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":"Codesigning the South Asian Diet and Activity Intervention (SADAI): process and outcomes.","authors":"Sherly Mathew Parackal, Sivamanoj Yadav Boyina, Rachel Brown","doi":"10.1017/S1368980025100839","DOIUrl":"10.1017/S1368980025100839","url":null,"abstract":"<p><strong>Objective: </strong>This study outlines the development of a codesigned, coproduced intervention to address the high risk of diet-related non-communicable diseases (NCD) among South Asians (SA) in New Zealand. The objectives were to identify: (1) reasons, concerns and perceptions influencing dietary changes post-migration; (2) preferred formats and delivery modes for the intervention; (3) intervention design features; (4) community volunteers for coproduction; and (5) coproduce the intervention components.</p><p><strong>Design: </strong>Participatory Action Research.</p><p><strong>Setting: </strong>SA communities in Auckland and Dunedin, New Zealand.</p><p><strong>Participants: </strong>SA immigrants aged 25-59 years. Ten telephone or face-to-face interviews were conducted between 2018 and 2019. Following this, one codesign workshop (<i>n</i> 12) was conducted with the target population and community stakeholders in 2019.</p><p><strong>Results: </strong>Thematic analysis revealed factors such as children's preference for boxed cereals and limited time for traditional breakfasts contributed to poor dietary habits. Concerns included meal timing and long-term weight gain, while perceptions such as all home-cooked food is healthy, influenced a lack of concern for long-term health. Preferred formats were educational comics and video clips, with digital platforms as the delivery mode. The workshop helped choose comic characters and identify community members to coproduce video content. The final intervention included eleven comics, eight videos, twelve audio clips and eighteen scientific snippets, organised into five dietary and one physical activity module.</p><p><strong>Conclusions: </strong>A participatory approach proved feasible for codesigning a culturally tailored lifestyle intervention to address diet-NCD risks in the SA diaspora in New Zealand.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e145"},"PeriodicalIF":3.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966516","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":"Moderate thinness and its association with muscle strength of children 5-7 years in Ethiopia: a comparative cross-sectional study.","authors":"Melese Sinaga Teshome, Eden Alemayehu, Evi Verbecque, Sarah Mingels, Marita Granitzer, Eugene Rameckers, Teklu Gemechu Abessa, Tefera Belachew","doi":"10.1017/S1368980025100955","DOIUrl":"10.1017/S1368980025100955","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the association between moderate thinness (MT) and muscle strength among children aged 5-7 years old in Ethiopia.</p><p><strong>Design: </strong>A school-based comparative cross-sectional study was conducted between June and July 2022. Their nutritional status (MT <i>v</i>. well-nourished (WN) was identified using BMI-for-age-and-sex; hand grip was measured using a digital grip strength dynamometer, and biceps, quadriceps and gastrocnemius strength were measured with Digital (Handheld) Dynamometry. Independent predictors of muscle strength were identified using a multivariable linear regression model.</p><p><strong>Setting: </strong>The study was conducted in Kindergarten and primary schools of Jimma Town, located in Southwest Ethiopia.</p><p><strong>Participants: </strong>Children 5-7 years old (<i>n</i> 388) with moderate thinness (MT = 194) and well-nourished peers (WN = 194).</p><p><strong>Results: </strong>Children with MT (<i>n</i> 198) had significantly lower grip strength, biceps, quadriceps and gastrocnemius muscle groups than WN children (<i>n</i> 198) (<i>P</i> < 0·001). The mean and sd of grip strength were 4·15 (sd 2·56) kg for MT and 5·6 (sd 2·04) kg for WN children. Biceps strength was 34·3 (sd 7·34) Newton (N) for MT and 48 (11·69) N for WN children. Gastrocnemius strength was 30·1 (6·9) N for MT and 45·1 (sd 9·7) N for WN children. After adjusting for background characteristics, WN children had 1·38 times higher grip strength (<i>β</i> = 1·38, <i>P</i> < 0·001), 11·22 times higher biceps strength (<i>β</i> = 11·22, <i>P</i> < 0·001), 16·70 times higher quadriceps strength (<i>β</i> = 16·70, <i>P</i> < 0·001) and 12·75 times higher gastrocnemius strength (<i>β</i> = 12·75, <i>P</i> < 0·001) than MT children.</p><p><strong>Conclusion: </strong>Children with MT had significantly lower muscle strength than their WN counterparts. This highlights the negative functional effect of wasting.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e152"},"PeriodicalIF":3.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966611","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":"The association between food benefit online ordering and redemptions: evidence from the Special Supplemental Nutrition Program for Women, Infants, and Children.","authors":"Junzhou Zhang, Chuanyi Tang, Kayoung Park, Qi Zhang","doi":"10.1017/S1368980025100931","DOIUrl":"10.1017/S1368980025100931","url":null,"abstract":"<p><strong>Objective: </strong>To examine how the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) online food benefit ordering could influence WIC benefit redemptions.</p><p><strong>Design: </strong>A cross-sectional study. We compare the average redemption rates between online ordering early adopters and non-adopters among WIC customers before and after implementing WIC online ordering. A propensity score-weighted difference-in-difference model was used to estimate the coefficients.</p><p><strong>Setting: </strong>The Oklahoma WIC programme and a grocery store chain in Oklahoma.</p><p><strong>Participants: </strong>12743 Oklahoma WIC households that had redeemed their food benefits at the grocery store chain in 2020.</p><p><strong>Results: </strong>WIC online ordering significantly positively affected redemption rates for eight of the fifteen food categories. For example, the difference-in-difference coefficients (<i>P</i>-values) of these food categories were cheese or tofu (0·077, <0·01), yogurt (0·092, <0·01), whole milk (0·082, 0·022), low-fat milk (0·060, <0·01), eggs (0·049, 0·033), breakfast cereal (0·085, <0·01) and infant formula (0·073, 0·039). Two food categories with significantly negative difference-in-difference coefficients had relatively lower redemption rates overall: canned fish (Coefficient = -0·209, <i>P</i> < 0·01) and infant cereal (Coefficient = -0·138, <i>P</i> = 0·015). There were no significant changes in the redemption of fruits and vegetables (Coefficient = 0·031, <i>P</i> = 0·121).</p><p><strong>Conclusion: </strong>Adopting WIC online ordering was positively associated with benefit redemption rates among most food benefit categories. Our findings provide preliminary but important evidence regarding online food benefit redemption among low-income consumers.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e147"},"PeriodicalIF":3.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966630","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}