Public Health Nutrition最新文献

{"title":"The impact of food aid interventions on food insecurity, diet quality and mental health in households with children in high-income countries: a systematic review.","authors":"Charlotte Stahacz, Nisreen A Alwan, Elizabeth Taylor, Dianna Smith, Nida Ziauddeen","doi":"10.1017/S1368980024001769","DOIUrl":"10.1017/S1368980024001769","url":null,"abstract":"<p><strong>Objective: </strong>Households with children accessing food aid in high-income countries are often food insecure. We aimed to review the evidence on food aid interventions in households with children and impact on food insecurity, diet quality and mental health.</p><p><strong>Design: </strong>A systematic search was conducted using Web of Science, MEDLINE, CINAHL and PsycINFO. Articles published from January 2008 to July 2022 including cross-sectional, cohort and interventional studies in high-income countries were eligible.</p><p><strong>Setting: </strong>Food aid is defined as the use of interventions providing free food items by community and/or charitable organisations.</p><p><strong>Participants: </strong>Two-parent, lone parent or households with a primary caregiver with at least one child ≤ 18 years.</p><p><strong>Results: </strong>From a total of 10 394 articles, nine were included. Food banks, mobile pantry combined with a free meal for children, backpack provision during school term and food parcel home delivery interventions were evaluated. Food bank models offering additional support such as community programmes, health and social services, cooking classes and free meals for children, client-choice-based models and programmes providing convenient access were associated with improved food security and diet quality (increased intake of wholegrains, fruit and vegetables). One study reported an improvement in mental health and food bank access at the end of 18 months but not at earlier timepoints and one study reported no change in parents' mental health.</p><p><strong>Conclusions: </strong>Accessing food aid was linked to improved diet quality and reduced food insecurity in some studies. Allowing clients to choose food items and providing support services were most effective.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372714","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":"Consumer food environments change over a 5-year period.","authors":"Patrícia Pinheiro de Freitas, Mariana Souza Lopes, Mariana Carvalho de Menezes, Patrícia Constante Jaime, Aline Cristine Souza Lopes","doi":"10.1017/S1368980024001721","DOIUrl":"10.1017/S1368980024001721","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the 5-year changes in the consumers' food environment in the area of a health promotion service in Brazilian primary health care. Our hypothesis is that the consumers' food environment in the areas with primary healthcare services has changes that may favour healthy eating habits over time.</p><p><strong>Design: </strong>Longitudinal study.</p><p><strong>Setting: </strong>The territory around the primary healthcare services in Belo Horizonte, Minas Gerais, Brazil.</p><p><strong>Participants: </strong>All food stores and open-air food markets that sell fruits and vegetables around the primary healthcare services in 2013 (<i>n</i> 272) and in 2018 (<i>n</i> 265).</p><p><strong>Results: </strong>Fruit diversity increased by 13·4 % (<i>P</i> < 0·001) and vegetables variety and quality by 16·1 % (<i>P</i> = 0·003) and 12·5 % (<i>P</i> < 0·001), respectively. Corn snacks showed an increase in availability (13·5 %; <i>P</i> = 0·002). The increase in advertising was observed for fruits and vegetables (34·6 %; <i>P</i> < 0·001) and ultra-processed foods (47·6 %; <i>P</i> < 0·001). Supermarkets showed an increase in the Healthy Food Store Index (three points; <i>P</i> < 0·001), while fruits and vegetables stores showed a decrease of one point in the index (<i>P</i> < 0·001).</p><p><strong>Conclusions: </strong>The unequal changes in the consumers' food environment according to the food stores types demonstrate the importance of food supply policies that promote a healthy environment and favour the maintenance of traditional healthy food retailers.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11505132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366366","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":"What does it take for healthy food retail programmes to be successful? Lessons learned in New York City.","authors":"Felicia J Setiono, Samantha P Heller, Tashara M Leak","doi":"10.1017/S1368980024001368","DOIUrl":"10.1017/S1368980024001368","url":null,"abstract":"<p><strong>Objective: </strong>Healthy food retail programmes (HFRP) in the USA generally aim to increase healthy foods access to improve diet quality and health, yet the impact is mixed. These programmes primarily target adults, even though adolescents frequently and independently visit stores to purchase snacks. This study's aims are to explore successes and challenges of implementing HFRP (Aim 1) and examine how HFRP can be tailored to adolescents (Aim 2).</p><p><strong>Design: </strong>One-time, virtual, semi-structured interviews with individuals who were involved in a HFRP, followed by a socio-demographic characteristics survey. Interviews were designed based on the RE-AIM framework and the Hexagon Tool and analysed using Braun and Clark's (2006) thematic analysis approach. Descriptive statistics were used to summarise participants' socio-demographic characteristics.</p><p><strong>Setting: </strong>New York City (NYC).</p><p><strong>Participants: </strong>Adults (18 years or older) who have designed, implemented and/or evaluated an HFRP in NYC and speak/understand English (<i>n</i> 21).</p><p><strong>Results: </strong>Aim 1: For successes, strategies to build relationships with the community were most discussed. Regarding challenges, securing reliable funding was the hardest to overcome. Suggested solutions included designing profitable HFRP, targeting shortcomings in food distribution systems and increasing consumer demand. Aim 2: Most participants had not considered adolescents in previous HFRP but suggested involving youth in developing HFRP to encourage youth-driven solutions and promote youth advocacy.</p><p><strong>Conclusions: </strong>Future HFRP should focus on activities that help store owners purchase affordable healthy foods from distributors, which translates to affordability for customers. Federal and local policies can assist by funding complementary programmes. Additionally, adolescents should be considered in these efforts.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11505404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366367","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":"Development of the Local Food Systems Policy Index (Local Food-EPI+) tool and assessment process to benchmark the implementation of local government policies for creating healthy, equitable and environmentally sustainable food systems.","authors":"Oriana Ruffini, Chanel Relf, Davina Mann, Miranda R Blake, Amy Carrad, Belinda Reeve, Liza Barbour, Lana Vanderlee, Stefanie Vandevijvere, Gary Sacks","doi":"10.1017/S136898002400140X","DOIUrl":"10.1017/S136898002400140X","url":null,"abstract":"<p><strong>Objective: </strong>Local governments have an important role to play in creating healthy, equitable and environmentally sustainable food systems. This study aimed to develop and pilot a tool and process for local governments in Australia to benchmark their policies for creating healthy, equitable and environmentally sustainable food systems.</p><p><strong>Design: </strong>The Healthy Food Environment Policy Index (Food-EPI), developed in 2013 for national governments, was tailored to develop the Local Food Systems Policy Index (Local Food-EPI+) tool for local governments. To incorporate environmental sustainability and the local government context, this process involved a literature review and collaboration with an international and domestic expert advisory committee (<i>n</i> 35) and local government officials.</p><p><strong>Setting: </strong>Local governments.</p><p><strong>Results: </strong>The tool consists of sixty-one indicators across ten food policy domains (weighted based on relative importance): leadership; governance; funding and resources; monitoring and intelligence; food production and supply chain; food promotion; food provision and retail in public facilities and spaces; supermarkets and food sources in the community; food waste reuse, redistribution and reduction; and support for communities. Pilot implementation of the tool in one local government demonstrated that the assessment process was feasible and likely to be helpful in guiding policy implementation.</p><p><strong>Conclusion: </strong>The Local Food-EPI+ tool and assessment process offer a comprehensive mechanism to assist local governments in benchmarking their actions to improve the healthiness, equity and environmental sustainability of food systems and prioritise action areas. Broad use of this tool will identify and promote leading practices, increase accountability for action and build capacity and collaborations.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361957","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":"Monitoring sodium content in processed and ultraprocessed foods in Argentina 2022: compliance with National Legislation and Regional Targets.","authors":"Leila Guarnieri, Luciana Castronuovo, Nadia Flexner, Yahan Yang, Mary R L'Abbe, Victoria Tiscornia","doi":"10.1017/S1368980024001423","DOIUrl":"10.1017/S1368980024001423","url":null,"abstract":"<p><strong>Objective: </strong>To assess the current Na levels in a variety of processed food groups and categories available in the Argentinean market to monitor compliance with the National Law and to compare the current Na content levels with the updated Pan American Health Organisation (PAHO) regional targets.</p><p><strong>Design: </strong>Observational cross-sectional study.</p><p><strong>Setting and participants: </strong>\u0000 <i>Argentina. Data were collected during March 2022 in the city of Buenos Aires in two of the main supermarket chains. We carried out a systematic survey of pre-packaged food products available in the food supply assessing Na content as reported in nutrition information panels.</i>\u0000 </p><p><strong>Results: </strong>We surveyed 3997 food products, and the Na content of 760 and 2511 of them was compared with the maximum levels according to the Argentinean law and the regional targets, respectively. All food categories presented high variability of Na content. More than 90 % of the products included in the National Sodium Reduction Law were found to be compliant. Food groups with high median Na, such as meat and fish condiments, leavening flour and appetisers are not included in the National Law. In turn, comparisons with PAHO regional targets indicated that more than 50 % of the products were found to exceed the regional targets for Na.</p><p><strong>Conclusions: </strong>This evidence suggests that it is imperative to update the National Sodium Reduction Law based on regional public health standards, adding new food groups and setting more stringent legal targets.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11505007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361958","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":"Patients with diabetes struggling to afford food and control their HbA1c in food-insecure areas in Bronx, NY.","authors":"Earle C Chambers, Samantha R Levano, Nevin Cohen, Andrew R Maroko, Andrew Telzak, Cara Stephenson-Hunter, Kevin P Fiori","doi":"10.1017/S1368980024001666","DOIUrl":"10.1017/S1368980024001666","url":null,"abstract":"<p><strong>Objective: </strong>To characterise the association between risk of poor glycaemic control and self-reported and area-level food insecurity among adult patients with type 2 diabetes.</p><p><strong>Design: </strong>We performed a retrospective, observational analysis of cross-sectional data routinely collected within a health system. Logistic regressions estimated the association between glycaemic control and the dual effect of <i>self-reported and area-level</i> measures of food insecurity.</p><p><strong>Setting: </strong>The health system included a network of ambulatory primary and speciality care sites and hospitals in Bronx County, NY.</p><p><strong>Participants: </strong>Patients diagnosed with type 2 diabetes who completed a health-related social need (HRSN) assessment between April 2018 and December 2019.</p><p><strong>Results: </strong>5500 patients with type 2 diabetes were assessed for HRSN with 7·1 % reporting an unmet food need. Patients with self-reported food needs demonstrated higher odds of having poor glycaemic control compared with those without food needs (adjusted OR (aOR): 1·59, 95 % CI: 1·26, 2·00). However, there was no conclusive evidence that <i>area-level food insecurity alone was a significant predictor</i> of glycaemic control (aOR: 1·15, 95 % CI: 0·96, 1·39). Patients with self-reported food needs residing in food-secure (aOR: 1·83, 95 % CI: 1·22, 2·74) and food-insecure (aOR: 1·72, 95 % CI: 1·25, 2·37) areas showed higher odds of poor glycaemic control than those without self-reported food needs residing in food-secure areas.</p><p><strong>Conclusions: </strong>These findings highlight the importance of utilising patient- and area-level social needs data to identify individuals for targeted interventions with increased risk of adverse health outcomes.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142361959","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":"Nutritional and Culinary Habits to Empower Families (n-CHEF): a feasibility study to increase consumption and home cooking of plant-based foods.","authors":"Leticia Goni, Luca Simonin, Anacristina Rovayo, Isabella Kury-Guzman, Nerea Martín-Calvo, Miguel Ruiz-Canela","doi":"10.1017/S1368980024001538","DOIUrl":"10.1017/S1368980024001538","url":null,"abstract":"<p><strong>Objective: </strong>To analyse the feasibility and acceptability of a culinary nutritional intervention aimed at increasing plant-based foods consumption in the context of the Mediterranean diet in parent-child dyads.</p><p><strong>Design: </strong>The Nutritional and Culinary Habits to Empower Families (n-CHEF) is a 9-month feasibility study that included four culinary nutritional workshops (two face to face, two online) led by a chef and a dietitian-nutritionist. These workshops combined cooking with plant-based foods, with nutritional advice and experimental activities. The main outcomes were retention, quality of the intervention (monitoring workshops, acceptability and perceived impact) and changes in dietary and cooking habits.</p><p><strong>Setting: </strong>Parent-child dyads, Spain.</p><p><strong>Participants: </strong>Parent-child (aged 10-14 years) dyads.</p><p><strong>Results: </strong>Fifteen parent-child dyads were recruited, of which thirteen were retained during the 6-month follow-up. All but one parent-child dyads attended the four workshops. The overall assessment of the workshops was positive, although the online workshops were rated lower than the face to face. In general, parent-child dyads reported benefits in terms of nutrition and cooking aspects. Parents significantly increased their adherence to the Mediterranean diet, but non-significant changes were observed in children. However, children increased their consumption of vegetables and legumes and reduced snacks and ready meals. Parents also changed some of their culinary habits and increased their confidence in cooking at home.</p><p><strong>Conclusions: </strong>The n-CHEF showed that the culinary nutritional intervention had good levels of recruitment, retention and acceptability among parent-child dyads. In addition, dietary and culinary knowledge and habits can be improved, although further studies are needed to know the long-term effects in larger populations.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504476/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352812","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":"Knowledge, attitude and practices of health professionals with regard to plant-based diets in pregnancy: a scoping review.","authors":"Stephanie C McLeod, Jessica C McCormack, Indrawati Oey, Tamlin S Conner, Mei Peng","doi":"10.1017/S1368980024001484","DOIUrl":"10.1017/S1368980024001484","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review aimed to systematically map and describe the existing evidence regarding the knowledge, attitudes and practices of health professionals with regard to plant-based diets during pregnancy and to highlight areas for further research.</p><p><strong>Design: </strong>Following a pre-registered protocol, online databases were searched using a comprehensive search string, in addition to selected grey literature sources, and reference lists of included studies. The studies were independently screened for eligibility by two authors, SM and JM. Data from all eligible studies were charted by the first author, and a narrative summary was performed.</p><p><strong>Setting: </strong>Maternal health care services.</p><p><strong>Results: </strong>Ten studies were included for review, from New Zealand (<i>n</i> 2), Australia (<i>n</i> 2), Germany, Netherlands, United Kingdom, France, Italy and Peru. Most of these studies were observational, employed various validated and non-validated survey instruments, interviews and one education intervention. Knowledge was the most frequently assessed outcome in the reviewed studies. Health professionals' knowledge of plant-based nutrition in pregnancy was reported to be limited and frequently attributed to a lack of nutrition training. Participants' personal dietary patterns and work specialisation appear to be closely associated with their knowledge, attitudes and practices regarding plant-based diets.</p><p><strong>Conclusion: </strong>This review identified a significant research gap regarding health professionals' practices in relation to plant-based diets during pregnancy. Additionally, this review has demonstrated the need for further research, awareness and practice protocols to promote high-quality care and education or professional development to address the prevalent lack of knowledge among this group.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352811","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":"Zero value-added tax on fruits and vegetables: beyond health and fiscal standards.","authors":"Niñoval F Pacaol","doi":"10.1017/S1368980024001617","DOIUrl":"10.1017/S1368980024001617","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352819","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":"Socio-demographic differences in the dietary inflammatory index from National Health and Nutrition Examination Survey 2005-2018: a comparison of multiple imputation versus complete case analysis.","authors":"Rachel J Meadows, Electra D Paskett, Julie K Bower, Gail L Kaye, Stanley Lemeshow, Randall E Harris","doi":"10.1017/S1368980024001800","DOIUrl":"10.1017/S1368980024001800","url":null,"abstract":"<p><strong>Objective: </strong>Studies using the dietary inflammatory index often perform complete case analyses (CCA) to handle missing data, which may reduce the sample size and increase the risk of bias. Furthermore, population-level socio-economic differences in the energy-adjusted dietary inflammatory index (E-DII) have not been recently studied. Therefore, we aimed to describe socio-demographic differences in E-DII scores among American adults and compare the results using two statistical approaches for handling missing data, i.e. CCA and multiple imputation (MI).</p><p><strong>Design: </strong>Cross-sectional analysis. E-DII scores were computed using a 24-hour dietary recall. Linear regression was used to compare the E-DII scores by age, sex, race/ethnicity, education and income using both CCA and MI.</p><p><strong>Setting: </strong>USA.</p><p><strong>Participants: </strong>This study included 34 547 non-Hispanic White, non-Hispanic Black and Hispanic adults aged ≥ 20 years from the 2005-2018 National Health and Nutrition Examination Survey.</p><p><strong>Results: </strong>The MI and CCA subpopulations comprised 34 547 and 23 955 participants, respectively. Overall, 57 % of the American adults reported 24-hour dietary intakes associated with inflammation. Both methods showed similar patterns wherein 24-hour dietary intakes associated with high inflammation were commonly reported among males, younger adults, non-Hispanic Black adults and those with lower education or income. Differences in point estimates between CCA and MI were mostly modest at ≤ 20 %.</p><p><strong>Conclusions: </strong>The two approaches for handling missing data produced comparable point estimates and 95 % CI. Differences in the E-DII scores by age, sex, race/ethnicity, education and income suggest that socio-economic disparities in health may be partially explained by the inflammatory potential of diet.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142352814","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}