AppetitePub Date : 2025-02-13DOI: 10.1016/j.appet.2025.107896
Chujun Wang , Xiaoang Wan
{"title":"Eating contexts encourage sustainable food choices: The mediating role of the symbolic meanings of foods","authors":"Chujun Wang , Xiaoang Wan","doi":"10.1016/j.appet.2025.107896","DOIUrl":"10.1016/j.appet.2025.107896","url":null,"abstract":"<div><div>Many studies have examined how to reduce meat consumption and promote sustainable consumption, but very few studies have addressed this issue within the framework of the social contexts of eating. We conducted two experiments to examine how the context of commensal eating might influence people's food choices. In Experiment 1, we asked participants to imagine eating alone or with others, and then to choose three dishes from a choice set consisting of two meat and two vegetable dishes, so they had to choose between a meat-heavy meal and a vegetable-forward meal. Consequently, the participants showed a stronger choice preference for the meat-heavy meals in commensal eating compared to solitary eating, and the symbolic meaning of foods mediated this effect. In Experiment 2, participants were divided into different groups and primed with beliefs regarding the symbolic meanings of certain foods before making food choices. Consequently, the participants chose fewer meat-heavy meals in commensal eating after they were primed with the belief that vegetables could symbolize status and wealth, compared to those without such priming. Collectively, these findings reveal the mechanisms underlying the effect of commensality on the choices of meat-heavy meals, which has implications for nudging people toward making sustainable food choices in social settings.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"207 ","pages":"Article 107896"},"PeriodicalIF":4.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-02-13DOI: 10.1016/j.appet.2025.107911
Zhenyong Lyu, Xiaofan Wang, Panpan Zheng
{"title":"Celebrity worship and disordered eating among Chinese adolescents: The sequential mediating roles of upward physical appearance comparison and body dissatisfaction","authors":"Zhenyong Lyu, Xiaofan Wang, Panpan Zheng","doi":"10.1016/j.appet.2025.107911","DOIUrl":"10.1016/j.appet.2025.107911","url":null,"abstract":"<div><div>It is well-established that celebrity worship is linked to disordered eating behaviors. However, the relationship between celebrity worship and specific eating disorders (i.e., emotional eating, restrained eating, and uncontrolled eating), as well as the underlying mechanisms, remains poorly understood. Based on the tripartite influence model, this study examines the potential mediating roles of upward physical appearance comparison and body dissatisfaction in the association between celebrity worship and disordered eating behaviors. A total of 752 Chinese middle school students (55.2% boys; average age = 13.23 years, SD = 1.01, range: 11–17 years) completed self-report measures assessing celebrity worship, upward physical appearance comparison, body dissatisfaction, and disordered eating behaviors. Path analysis revealed that upward physical appearance comparison mediated the relationship between celebrity worship and uncontrolled eating, but not restrained eating or emotional eating. Additionally, body dissatisfaction was found to significantly mediate the relationship between celebrity worship and all three types of disordered eating behaviors. Sequential mediation effects were also identified, with upward physical appearance comparison leading to body dissatisfaction, which subsequently influenced disordered eating behaviors. The findings suggest that celebrity worship may indirectly influence emotional eating, restrained eating, and uncontrolled eating through upward physical appearance comparison and body dissatisfaction among adolescents. These results highlight the importance of addressing the negative influence of celebrity worship by focusing on appearance comparison and body dissatisfaction in efforts to prevent disordered eating behaviors among Chinese adolescents.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"208 ","pages":"Article 107911"},"PeriodicalIF":4.6,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acceptability and effect on food choices of incentives promoting more sustainable diets among low-income consumers: A qualitative study","authors":"Basile Verdeau , Anaëlle Denieul-Barbot , Sandrine Monnery-Patris","doi":"10.1016/j.appet.2025.107903","DOIUrl":"10.1016/j.appet.2025.107903","url":null,"abstract":"<div><div>In the context of rising food costs, low-income consumers are likely to lack financial access to a sustainable diet primarily composed of healthy plant-based food. To promote a change towards more sustainable food habits, vouchers for fruit, vegetables and legumes redeemable in supermarkets have been experimented in the urban area of Dijon (France). The objective of the study was to explore the acceptability of the intervention and the effects of the vouchers on food choices through participants’ perceptions. Face-to-face semi-structured interviews were conducted with twenty-seven participants, three months after the end of the intervention. The transcripts were analysed through inductive then deductive content analysis, following a process evaluation framework with two themes related to the implementation and the mechanisms of impact of the intervention. Implementation issues and feelings of discrimination were mentioned, but satisfaction was high and vouchers were considered to improve the financial situation, although the restriction on the targeted products was not always understood. Regarding the mechanisms of impact, during the intervention period, two third of the participants, especially families with young children, attached greater importance to taste and curiosity for unfamiliar food and lesser importance to price. Vouchers thus led to food purchases of higher diversity and higher enjoyment. Other participants did not change their habits, mostly because of an improper use of the vouchers or the absence of motivation for a dietary change. These findings suggest that financial incentives not only increase access to sustainable food, but also influence food choice processes and contribute to greater acceptability of plant-based food in low-income families. The results call for financial incentives to be considered as an opportunity to support changes in dietary behaviour in low-income populations.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"207 ","pages":"Article 107903"},"PeriodicalIF":4.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143419601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-02-12DOI: 10.1016/j.appet.2025.107907
Urvashi Dixit , Anna A. Love , Rachel R. Henderson , Erica Ahlich , Jinbo He , Andrea Rigby , Hana F. Zickgraf
{"title":"A latent class analysis of negative emotional eating in bariatric surgery candidates","authors":"Urvashi Dixit , Anna A. Love , Rachel R. Henderson , Erica Ahlich , Jinbo He , Andrea Rigby , Hana F. Zickgraf","doi":"10.1016/j.appet.2025.107907","DOIUrl":"10.1016/j.appet.2025.107907","url":null,"abstract":"<div><div>The Behavioral Susceptibility Theory posits that food approach/avoidance traits are key genetic contributors to obesity and disordered eating. The genetic tendency to approach/avoid food may manifest with emotional eating (i.e., over or under eating in response to emotional cues). Research indicates that emotional eating (EE) affects long-term success after bariatric surgery, but findings focus mainly on the tendency to overeat in response to negative emotions. The current study examined the role of both emotional over- and under-eating within a pre-bariatric sample, and their association with psychosocial outcomes. Using Latent Class Analysis, responses from 446 participants (74.3% female; 71.5% White, 12.1% African American, 10.3% Hispanic, 4.1% multiracial, 1.1% Other/Unreported; <em>M</em><sub>Age</sub> = 42.38, <em>M</em><sub>BMI</sub> = 49.15 kg/m<sup>2</sup>) on the emotional eating subscales of the Adult Eating Behavior Questionnaire were analyzed to identify EE patterns. Participants also responded to measures of emotional distress, quality of life, and disordered eating (e.g., night eating, binge eating, and avoidant/restrictive food intake disorder). A four-class solution emerged: (a) emotional over- and undereating (EOE-EUE; 14.4%), (b) emotional overeating (EOE; 25.3%), (c) emotional undereating (EUE; 26.0%), and (d) non-emotional eating (non-EE; 34.3%). Consistent with previous research, the EOE-EUE class exhibited high levels of psychosocial impairment, and emotional eating classes exhibited higher levels of disordered eating compared to the non-emotional eating class. These findings provide a more nuanced understanding of EE within a pre-bariatric population by identifying patterns of both over- and under-eating within individuals and differentially identifying risk factors associated with such patterns. Limitations include the lack of a non-surgery seeking comparison group, potential for response biases, and the reliance on cross-sectional data.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"208 ","pages":"Article 107907"},"PeriodicalIF":4.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-02-12DOI: 10.1016/j.appet.2025.107906
Karoline Pahsini , Sabine Marinschek , Elisabeth Beckenbach , Eva Z. Reininghaus , Nina Dalkner , Marion Russell , Asa N. Russell , Sophie Stoesslein , Peter J. Scheer , Marguerite Dunitz-Scheer
{"title":"Tube weaning in children with Down's syndrome—“Waiting is no option”","authors":"Karoline Pahsini , Sabine Marinschek , Elisabeth Beckenbach , Eva Z. Reininghaus , Nina Dalkner , Marion Russell , Asa N. Russell , Sophie Stoesslein , Peter J. Scheer , Marguerite Dunitz-Scheer","doi":"10.1016/j.appet.2025.107906","DOIUrl":"10.1016/j.appet.2025.107906","url":null,"abstract":"<div><div>Down syndrome (DS) is one of the most common genetic disorders and often associated with feeding problems and tube feeding. Although feeding tubes have a life sustaining function, tube dependency can occur including adverse effects such as frequent vomiting, poor appetite and oral aversion. Although various tube weaning programs exist, their effectiveness in children with DS has been studied only to a limited extent. This study investigated outcomes and growth parameters in tube-dependent children (TDC) with DS who participated in a program based on the “Graz Model of tube weaning”. The current international prospective cohort study included 33 TDC with DS treated between April 2013 and July 2023 (median age: 1.67 years; IQR: 1.00–4.35). Growth data (weight-for-age z scores [WAZ], height-for-age z scores [HAZ], and BMI z scores [zBMI]) were evaluated before and after weaning. The study assessed treatment duration and predictors of weaning success. Overall success rate was 91.67% with an average treatment duration of 79 days. Duration of weaning for younger children (<3 years) tended to be shorter. Post treatment, significant reductions in WAZ (p = .001) and zBMI (p < .001) occurred. HAZ remained constant. The only significant predictor of treatment duration was the degree of change in zBMI and HAZ (p = .001). This study demonstrated that the “Graz model of tube weaning” is effective in the great majority of TDC with DS. Results showed moderate weight loss but that this did not affect overall growth. Future studies should evaluate long-term nutritional and developmental outcomes post-weaning.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"208 ","pages":"Article 107906"},"PeriodicalIF":4.6,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-02-11DOI: 10.1016/j.appet.2025.107902
Sharifa Simon-Roberts
{"title":"“I feel like I come home when I come here”: Trinbagonian food and identity through the lens of Crown Bakery","authors":"Sharifa Simon-Roberts","doi":"10.1016/j.appet.2025.107902","DOIUrl":"10.1016/j.appet.2025.107902","url":null,"abstract":"<div><div>Food is interwoven with other elements of a group's culture and identity. In immigrant communities, the importance of food and food establishments can take on new meaning. Yet, limited research exists on food culture for Caribbean immigrants in the United States. Through a case study analysis, this research explored the significance of Crown Bakery – a popular Trinbagonian restaurant and one of the longest operating in Washington, DC – and its use of food and food traditions to communicate parts of Trinbagonian (Trinidadian and Tobagonian) cultural identity. This study relied on online reviews of Crown Bakery and formal and informal interviews with one of the owners of the restaurant. Based on the reviews, customers perceive Crown Bakery to be an inviting locale that celebrates Trinidad and Tobago and is a go-to culinary institution. Meanwhile, the data from the interviews point to Crown Bakery as a signature spot that reflects aspects of Trinbagonian culture – and Caribbean culture, more broadly – and is geared toward being home away from home for Trinbagonians. The findings suggest that the role of food establishments such as Crown Bakery is multilayered. Not only does Crown Bakery promote Trinbagonian and Caribbean culture to those unfamiliar with the region, but it is also a cultural anchor for those with strong ties and fosters community.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"208 ","pages":"Article 107902"},"PeriodicalIF":4.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-02-10DOI: 10.1016/j.appet.2025.107905
Celeste I. Chapple, Alissa J. Burnett, Julie L. Woods, Catherine G. Russell
{"title":"“It's not like they're selling drugs over the counter” A qualitative exploration of risks, regulations and packaging attribute perceptions of sports foods in non-athletes","authors":"Celeste I. Chapple, Alissa J. Burnett, Julie L. Woods, Catherine G. Russell","doi":"10.1016/j.appet.2025.107905","DOIUrl":"10.1016/j.appet.2025.107905","url":null,"abstract":"<div><div>Sports foods are increasingly being consumed by non-athletes in Australia, despite their intended purpose to supplement additional nutrient intake for athletes. Evidence suggests that these are perceived as regular foods and are being used by non-athletes for purposes contrary to which they were designed, posing health risks. Consumers are also relying on digital media sources for the recommendation of products and using misleading packaging information to select products, although their reasons are unclear. This study aimed to explore non-athlete consumers’ perceptions of the risks, regulations and suggestions for improvement and, how warnings and packaging attributes guide non-athlete sports food choices in Australia. Qualitative semi-structured interviews with 15 non-athlete Australian adult sports food consumers were conducted. Reflexive thematic analysis was used to code responses using NVivo software. Participants had conflicting views on the risks associated with sports food consumption perceiving them to be high risk to others but of limited risk to themselves. Consumers trusted the Nutrition Information Panel and claims more than other attributes, and these were seen as more credible. Digital media was the key source of recommendation for sports food selection. Participants mentioned that warnings were generic, believed they were not applicable to them and that government regulations lacked credibility. Participants also suggested improvements for warning labels and regulatory measures. Consumption of sports foods by non-athletes is influenced by attitudes towards personal risks, the persuasive influence of digital media, and perceptions of the warnings and regulations as inadequate. Findings highlight the need for stricter packaging and regulations that ensure marketing controls and provide safer sports food products to mitigate some of the risks that non-athletes face when selecting these products.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"207 ","pages":"Article 107905"},"PeriodicalIF":4.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143404939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-02-10DOI: 10.1016/j.appet.2025.107895
Chien Duong , Billy Sung , Xujia Wang , Athena Wei Chee Chong
{"title":"Taking action through stories: Promoting carbon-neutral meat consumption with narrative and message framing","authors":"Chien Duong , Billy Sung , Xujia Wang , Athena Wei Chee Chong","doi":"10.1016/j.appet.2025.107895","DOIUrl":"10.1016/j.appet.2025.107895","url":null,"abstract":"<div><div>Carbon-neutral meat products offer a unique opportunity to reduce anthropogenic emissions. Supporting the growth of carbon-neutral meat is carbon labelling, an initiative to encourage environmentally friendly behaviour via information transparency. However, the efficacy of carbon labels remains questionable because consumers mainly cannot comprehend and connect with the labels. This raises a question of how communication could be leveraged to bridge that information asymmetry. Through five online controlled experiments, the study demonstrates the usefulness of narrative storytelling and message framing in heightening the effectiveness of carbon labels. Using realistic meat packaging designs with high ecological validity, the results show that even a simple and short-form narrative could be effective in enhancing the efficacy of carbon labels. Follow-up studies repeatedly demonstrate that the positive effect of narrative is accentuated by pairing with a gain-framed message. The effect of such a pairing was underpinned by a heightened feeling of certainty regarding the carbon-neutral meat's environmental impact message comprehension. The findings present a simple but often-forgotten notion that consumers seek optimal decisions with minimal cognitive effort. Hence, when given an alternative that is less cognitively demanding (to decode a message), consumers often prefer such a choice as it was reflected by a favourable attitude and heightened intent to purchase.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"207 ","pages":"Article 107895"},"PeriodicalIF":4.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143404940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-02-10DOI: 10.1016/j.appet.2025.107897
Matthias Burkard Aulbach , Christoph Bamberg , Julia Reichenberger , Ann-Kathrin Arend , Jens Blechert
{"title":"Taming “hanger” and falling prey to boredom-emotional and stress-eating in 801 healthy individuals using ecological momentary assessment","authors":"Matthias Burkard Aulbach , Christoph Bamberg , Julia Reichenberger , Ann-Kathrin Arend , Jens Blechert","doi":"10.1016/j.appet.2025.107897","DOIUrl":"10.1016/j.appet.2025.107897","url":null,"abstract":"<div><div>Emotional eating and Stress Eating concepts hold that affective experiences can instill the desire for palatable foods. The empirical evidence for such couplings between affective and appetitive systems, however, is mixed and it remains unclear which one precedes the other or whether interindividual differences in such relationships exist. To study the temporal relations between a range of negative and positive emotions and stress on the one hand and snacking behavior on the other, we analyzed over 40.000 questionnaire entries obtained through ecological momentary assessment from 801 participants across nine different studies. Several trait-level eating style questionnaire scores were modelled as moderators for the emotion/stress - snacking relationships. Results showed that stronger boredom was followed by more snacking. Only irritation showed the pattern of reduction following snacking that would be predicted by emotion regulation accounts of emotional eating. Restrained eaters showed larger increases in boredom after snacking (compared to not snacking) than unrestrained eaters. Eating style questionnaires did not significantly moderate any other emotion – snacking – emotion relationships. Together with other recent findings from this dataset (Aulbach et al., n.d.) the present results suggest that eating style questionnaires capture tendencies to experience food cravings, but not snacking, as the latter might be ‘gated’ by several internal and external conditions that our EMA data and the trait questionnaire do not capture well. Accordingly, we suggest a novel terminology for affect-eating relationships that increases precision on the temporal (affects before or after eating/craving) and the phenomenological (snacking, craving) level.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"207 ","pages":"Article 107897"},"PeriodicalIF":4.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143404941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AppetitePub Date : 2025-02-09DOI: 10.1016/j.appet.2025.107901
Laura E. Martin , Juyun Lim
{"title":"Selective increases in taste sensitivity to glucose as a function of hunger status","authors":"Laura E. Martin , Juyun Lim","doi":"10.1016/j.appet.2025.107901","DOIUrl":"10.1016/j.appet.2025.107901","url":null,"abstract":"<div><div>Glucose is critical for normal metabolic function in humans. Accordingly, the ability to sense glucose and glucose-containing saccharides is crucial for maintenance of energy homeostasis. Here, we report the evidence that glucose is perceived relatively stronger compared to fructose or sucralose when subjects are hungry. In the initial experiment, we measured the relative sensitivities between glucose and fructose when subjects were fasted vs. fed. Overnight fasted subjects (n = 22) completed a series of 3-AFC tests comparing one target (glucose from a range of concentrations) and two constants (200 mM fructose) before and after consuming mild-tasting breakfast sandwiches until satiated (738 ± 60 kcal). We found that the relative sensitivity to glucose as compared to fructose was significantly higher when individuals were hungry vs. satiated (<em>p</em> < 0.001). We replicated this finding by comparing the same range of glucose concentrations to a constant sucralose concentration (0.04 mM) (N = 19, <em>p</em> < 0.001). Importantly, when we compared a fixed concentration of sucralose (0.4 mM) to a range of fructose concentrations, we saw no difference in iso-intense concentration before and after eating (N = 19, <em>p</em> > 0.05). These findings support the hypothesis that hunger selectively increases taste sensitivity of glucose compared to other sweeteners.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"207 ","pages":"Article 107901"},"PeriodicalIF":4.6,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}