Appetite最新文献

{"title":"\"I feel full with shame\": A qualitative perspective on gastric interoceptive sensibility","authors":"L. Stafford,&nbsp;A.C. Pike,&nbsp;C.E.J. Preston","doi":"10.1016/j.appet.2025.108299","DOIUrl":"10.1016/j.appet.2025.108299","url":null,"abstract":"<div><h3>Background</h3><div>“Am I hungry? Did I overeat at lunch?” Gastric interoception - the sensing, interpretation, and regulation of signals from the gastrointestinal system - is central to daily behavior and homeostasis. Dysfunctional gastric interoception has been proposed as a maintenance factor in both eating disorders and gastrointestinal symptoms. However, no qualitative research has explored how individuals across these groups, and the general population, subjectively experience gastrointestinal signals, known as gastric interoceptive sensibility. This study aimed to investigate how gastric sensations are sensed, interpreted, and regulated among individuals with eating disorders, gastric disorders, and those without such diagnoses, focusing on identifying shared experiences. <em>Methods:</em> Fifteen semi-structured focus groups (n = 96) were conducted. Transcripts underwent hybrid deductive and inductive thematic analysis. <em>Findings:</em> Four key themes were identified. In “Sensations in the Interoceptive Body”, participants described hunger and fullness as physically aversive or reported an absence of cues related to satiation. “Perceiving the Interoceptive Body” captured the noticing, interpreting, attending to, and reacting to sensations of hunger, satiation, and fullness. In “Affective Experiences of the Interoceptive Body”, participants discussed how these sensations influenced emotional states positively, negatively, or not at all. “Responding to the Interoceptive Body” described participants strategies relating to relief-seeking, compensation, acceptance, distraction, and body checking in response to gastric sensations. <em>Discussion:</em> These findings shed light on the nuanced components of gastric interoceptive sensibility and suggest that individuals vary in how they experience and manage gastric signals. This work may inform interoceptive exposure therapies targeting maladaptive interpretations and regulation strategies in eating and gastrointestinal symptoms.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"216 ","pages":"Article 108299"},"PeriodicalIF":3.8,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038770","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":"Towards ritual intervention in meat consumption practices: The case of meat in Dutch Christmas meals","authors":"Nemo Koning ,&nbsp;Hilje van der Horst ,&nbsp;Mijs Besseling ,&nbsp;Mirella Klomp ,&nbsp;Peter-Ben Smit ,&nbsp;Hester Dibbits","doi":"10.1016/j.appet.2025.108300","DOIUrl":"10.1016/j.appet.2025.108300","url":null,"abstract":"<div><div>Meat consumption is widely recognized as socially and culturally embedded, yet sociocultural intervention strategies to reduce meat-eating practices remain underdeveloped. This article aims to help fill this research gap by combining insights from social practice theory, ritual studies, and cultural sociology in order to explore ‘ritual intervention’ strategies. While interventions are usually thought of as initiated from the outside, this article capitalizes on the fact that people both reproduce practices and are able to initiate change through their performance. Using a co-creative approach, we invited young adults to intervene in their Christmas meal in ways that reduce meat consumption and to keep a logbook of their experiences. The logbooks were also used for follow-up interviews. The data were analyzed thematically, to identify distinct intervention strategies. The results show that research participants were able to reduce meat consumption by creatively and often unobtrusively renegotiating the centrality of meat, the ownership of the meal, and the ways in which commensality was achieved. On the other hand, participants found they could not interfere with important values, meanings and objectives associated with meat. Based on this case study, we conclude by articulating lessons for ritual intervention strategies in consumption practices. Such a strategy takes a bottom-up approach, capitalizes on the potential for change through performance, maintains the integrity of practices and identifies entry points for change in the ritual nature of consumption practices.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"216 ","pages":"Article 108300"},"PeriodicalIF":3.8,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038808","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":"Comparing the impact of feedback on excess calories and physical activity calorie equivalent (PACE) information on consumer behaviour in an online hypothetical restaurant setting","authors":"Andrew Jones ,&nbsp;Thomas Gough ,&nbsp;Rebecca Evans ,&nbsp;Amy Finlay ,&nbsp;Jay J. Duckworth ,&nbsp;Sam Burton ,&nbsp;Abigail K. Rose ,&nbsp;Eric Robinson","doi":"10.1016/j.appet.2025.108303","DOIUrl":"10.1016/j.appet.2025.108303","url":null,"abstract":"<div><div>Information provision interventions to improve nutrition in the out-of-home food sector include providing calorie information at point of choice. Supplementary approaches also include providing feedback on physical activity calorie equivalent information (PACE) and/or the extent to which food orders exceed calorie guidelines. However, minimal research has compared the impact these different supplementary approaches have on consumer behaviour. Our aims were to compare the effects of feedback on excess calories ordered, different types of PACE related feedback on decisions to change orders, calories purchased, and calories ordered in a hypothetical online restaurant setting. In an online randomised controlled trial participants (<em>N</em> = 1546) were allocated to receive a restaurant menu with (i) no calorie information on individual menu items, but overall feedback on excess calories ordered (&gt;600 kcals); (ii) calorie information on individual items and feedback on excess calories; (iii) calorie information on individual items and non-specific PACE feedback; (iv) calorie information and personalised PACE feedback based on individual body weight. Outcomes were number of calories ordered after any feedback, and any decision to change items selected after receiving feedback. Receiving feedback on excess calories or exercise required to burn excess calories did not significantly impact the total number of calories purchased. There was some evidence to suggest that presence of feedback on total excess calories without previously seeing the calorie content of individual menu items increased likelihood of participants changing their order. Overall, these findings suggest limited evidence that information provision of feedback on excess calories in different forms has an impact on consumer behaviour in a hypothetical setting.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"216 ","pages":"Article 108303"},"PeriodicalIF":3.8,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145038737","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":"Effect of a delay discounting intervention on soft drink and alcohol demand","authors":"Max Kulbida,&nbsp;Eva Kemps,&nbsp;Marika Tiggemann","doi":"10.1016/j.appet.2025.108296","DOIUrl":"10.1016/j.appet.2025.108296","url":null,"abstract":"<div><div>Excessive soft drink and alcohol consumption have been associated with negative health outcomes. This study tested whether an intervention to reduce preferences for smaller, immediate rewards over larger, delayed rewards (i.e., delay discounting) would reduce demand, a behavioural economic measure of consumption sensitivity to price. A sample of 253 men and women aged 18–54 years completed baseline measures of self-reported impulsivity, reward sensitivity, and habitual beverage intake. They were then randomly assigned to either a nature exposure condition (hypothesised to reduce delay discounting by reorienting a focus towards the future) or a control condition. Following the intervention, participants completed a monetary delay discounting task and hypothetical purchase tasks, which assessed demand for soft drink and alcohol across a range of prices. Participants in the experimental condition chose larger, later rewards over smaller, immediate rewards more frequently than those in the control condition, indicating lower delay discounting. However, the intervention did not result in statistically significant changes in soft drink or alcohol demand. These findings suggest that brief nature-based interventions may reduce delay discounting; however, longer or more intensive interventions may be necessary to meaningfully shift consumption patterns. Future research should investigate the effects of more sustained approaches targeting delay discounting, such as repeated nature exposure, episodic future thinking, or cognitive training, to reduce alcohol and soft drink demand.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"216 ","pages":"Article 108296"},"PeriodicalIF":3.8,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996438","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":"Mothers’ perceptions of marketing elements on infant formula packages: A mixed-methods exploration in Uruguay","authors":"Leticia Vidal ,&nbsp;Gastón Ares ,&nbsp;Raquel Rodríguez ,&nbsp;Agustina Vitola ,&nbsp;Franco Correa ,&nbsp;Leandro Machín ,&nbsp;Carolina de León ,&nbsp;Gerónimo Brunet ,&nbsp;Alejandra Girona","doi":"10.1016/j.appet.2025.108282","DOIUrl":"10.1016/j.appet.2025.108282","url":null,"abstract":"<div><div>The marketing and commercialization of infant formula have been identified as major barriers to breastfeeding, influencing parental feeding choices through a wide range of strategies that include persuasive packaging elements. This work explores how mothers in Uruguay perceive infant formula packaging and examines the influence of marketing elements on their perceptions and behavioral intentions. An exploratory sequential mixed-methods design was employed, combining semi-structured interviews with a randomized controlled trial. The qualitative component (Study 1) involved interviews with 34 mothers in Uruguay, analyzing their perceptions of packages of three commercial infant formula. The quantitative component (Study 2) assessed the impact of marketing elements with 544 participants randomly assigned to five experimental conditions corresponding to packages designed following a stepwise reduction approach in the number of different marketing elements, progressively removing elements from a fully branded package to a plain version. Participants were asked to rate their degree of agreement with a series of statements. The qualitative findings revealed that a wide range of packaging elements, including material, graphic design, branding, and textual claims, captured mothers' attention and influenced their perceptions of infant formula. Despite the strong influence of packaging elements on perceptions, participants’ actual product choices were primarily determined by medical recommendations. Most participants responded more favorably to a commercial infant formula package with minimal marketing elements, whereas packages with prominent marketing claims were perceived as overly commercial and industrialized. The randomized controlled trial showed similar findings. The package featuring only a graphic design and brand logo was perceived more favorably than packages with extensive marketing claims, particularly among mothers who had previously used infant formula. Taken together, these results suggest that mandating plain packaging could further support informed decision-making.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"216 ","pages":"Article 108282"},"PeriodicalIF":3.8,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931798","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":"Evaluating nudge and boost strategies for greener meals in food-delivery: An experimental study","authors":"Anne Marlen Hess ,&nbsp;Milan Tatic ,&nbsp;Jeanette Klink-Lehmann,&nbsp;Paul Zenker,&nbsp;Monika Hartmann","doi":"10.1016/j.appet.2025.108278","DOIUrl":"10.1016/j.appet.2025.108278","url":null,"abstract":"<div><div>Global food systems are responsible for approximately 30% of global greenhouse gas emissions, making a shift toward lower-carbon diets essential for mitigating climate change. While nudges have shown efficacy in steering food choices, concerns persist regarding individuals' autonomy, transparency and the durability of behavioural change. As an alternative, boosts seek to enhance consumers' competencies and support informed decision-making. However, there is a dearth of comparative research on nudges versus boosts, particularly regarding their ability to foster a sense of consumer responsibility for sustainable consumption (CRSC) – an important driver of long-term behavioural change. To address this gap, this study evaluates a “default+” nudge and an “information+” boost within a simulated food-delivery environment, while examining CRSC as a potential mediator. Employing a mixed design experiment (2 survey waves: intervention, follow-up; 3 conditions: nudge, boost, control), we collected data from 664 German consumers. Our primary outcome was the estimated CO₂ footprint of participants' hypothetical meal choices, calculated using established secondary emission data. Results show that the nudge intervention significantly reduced participants’ meal-related CO₂ emissions, whereas the boost intervention yielded considerably smaller and less consistent effects. However, neither intervention produced lasting effects in the follow-up survey, where choice architecture reverted to the control condition. Moreover, while higher CRSC induced lower emissions, neither the nudge nor the boost elevated CRSC, and thus the hypothesized mediating role of consumer responsibility was not supported. We discuss the theoretical and practical implications of these results for the design of effective sustainable food choice interventions.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"216 ","pages":"Article 108278"},"PeriodicalIF":3.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144990949","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":"Parent reports of eating behaviour and feeding practices: effects of parent and child sex","authors":"Mar Lozano-Casanova ,&nbsp;Katie L. Edwards ,&nbsp;Abigail Pickard ,&nbsp;Emma Haycraft ,&nbsp;Alice R. Kininmonth ,&nbsp;Miguel Richart-Martinez ,&nbsp;Isabel Sospedra ,&nbsp;Claire Farrow ,&nbsp;Jackie Blissett","doi":"10.1016/j.appet.2025.108281","DOIUrl":"10.1016/j.appet.2025.108281","url":null,"abstract":"<div><div>Research on parental feeding practices has focused on mothers, often overlooking fathers' perspectives and the influence of child sex. This study examined (1) differences between fathers' and mothers' own eating behaviours, their use of feeding practices, and perceptions of their children's eating behaviours, and (2) the role of child sex in these perceptions and practices. Parents (<em>N</em> = 784; 145 fathers and 639 mothers) of preschoolers (3–5 years, 51.3 % female) from the UK completed an online survey assessing their eating behaviours and feeding practices, and their child's eating behaviours. There were significant sex differences in parents' eating behaviours, with mothers reporting more emotional overeating, hunger, satiety responsiveness, and slowness in eating. Mothers and fathers did not differ in their reports of children's eating behaviours. Girls were reported to have higher levels of satiety responsiveness than boys. When exploring the interaction of parent and child sex in reports of eating behaviour, fathers reported that girls had more desire to drink. Mothers and fathers differed in their reported use of some feeding practices. Both mothers and fathers reported greater use of food for emotion regulation with girls than boys. Fathers used more encouragement of balance and variety with boys. These findings highlight distinct patterns in feeding practices and eating behaviours, influenced by both parent and child sex, suggesting that girls may be at greater risk of receiving feeding practices that contribute to the development of emotional eating. These results emphasize the need to consider the role of sex in future research and the development of tailored feeding guidance.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"216 ","pages":"Article 108281"},"PeriodicalIF":3.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144990878","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":"Protein valuation is positively associated with habitual intake of protein of animal origin in a sample of French adults","authors":"Marjorie Gourru ,&nbsp;Romane Blanchet ,&nbsp;Tristan Dadillon ,&nbsp;Jeffrey M. Brunstrom ,&nbsp;Annika N. Flynn ,&nbsp;Nicolas Darcel ,&nbsp;Olivier Rampin ,&nbsp;Gaëlle Champeil-Potokar ,&nbsp;Isabelle Denis ,&nbsp;Olga Davidenko","doi":"10.1016/j.appet.2025.108274","DOIUrl":"10.1016/j.appet.2025.108274","url":null,"abstract":"<div><div>Balancing our dietary intakes in favour of plant protein sources would reduce overall protein intake. Low-protein diets have shown to reinforce specific appetite for protein. The role of protein appetite as a determinant of the choice of specific protein sources in free-living humans has not been extensively studied, and the relationship between the strength of protein appetite and the amount of protein from various dietary sources has not yet been quantified. We used an on-line questionnaire to measure the association between habitual intakes of principal protein sources and protein valuation in a cohort of healthy French meat-eating adults, aged between 18 and 65 years. Protein valuation is the propensity to systematically prefer foods that are higher in protein and is measured using a 2-alternative forced-choice task. Participants (final sample: N = 86) who had higher habitual intakes of protein displayed a significantly higher protein valuation. There was a significant positive association between protein valuation and intakes of various food groups of animal origin, especially meat, while this association between protein valuation and intake of plant-based foods was negative and significant. Our study suggests that protein valuation may be a determinant of preferences for protein and specific protein sources. Nutritional determinants of protein preferences should be taken into account in the context of a population-wide shift to more plant-based diets in order to facilitate this shift for all.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"216 ","pages":"Article 108274"},"PeriodicalIF":3.8,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144937625","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":"Testing the acceptance model of intuitive eating for explaining intuitive eating dimensions and sex differences in Chinese adults","authors":"Tianxiang Cui ,&nbsp;Yinuo Xu ,&nbsp;Wesley R. Barnhart ,&nbsp;Christina M. Gaggiano ,&nbsp;Kwok Kit Tong ,&nbsp;Jinbo He","doi":"10.1016/j.appet.2025.108280","DOIUrl":"10.1016/j.appet.2025.108280","url":null,"abstract":"<div><div>The acceptance model of intuitive eating posits that unconditional acceptance and body acceptance by others foster functionality appreciation and body appreciation, which, in turn, promote intuitive eating. Although the model has been tested and supported in many empirical studies, most have focused on female adults in Western contexts and treated the multidimensional construct of intuitive eating as a global construct. Consequently, it remains unclear whether the model applies to both male and female adults or whether the model explains different variances in the distinct dimensions of intuitive eating, particularly in non-Western contexts (e.g., China). Thus, the present study aimed to address these gaps by testing the model in a sample of Chinese male (<em>N</em> = 377) and female (<em>N</em> = 355) adults and by applying the model to explain the four distinct dimensions of intuitive eating (i.e., Unconditional Permission to Eat [UPE], Eating for Physical Rather Than Emotional Reasons [EPR], Reliance on Hunger and Satiety Cues [RHSC], and Body-Food Choice Congruence [BFCC]). Path analysis was conducted to evaluate the model for male and female adults and test sex differences. Results showed adequate fit for both male and female adults. Specifically, in both male and female adults, unconditional acceptance was positively related to body acceptance from others. Body acceptance by others was positively associated with body appreciation. Emphasis on body function was positively correlated with some intuitive eating dimensions. Significant sex differences were identified in the path from unconditional acceptance to BFCC. The findings suggest that the acceptance model of intuitive eating operates uniquely in Chinese male and female adults and offer insights for future research to enhance the model and interventions related to intuitive eating in the Chinese context.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"216 ","pages":"Article 108280"},"PeriodicalIF":3.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144931799","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":"General disease symptoms and their impact on appetite and food intake in older hospitalized patients","authors":"Maryam Pourhassan ,&nbsp;Diana Daubert ,&nbsp;Lars Sieske ,&nbsp;Chantal Giehl ,&nbsp;Nina Rosa Neuendorff ,&nbsp;Rainer Wirth","doi":"10.1016/j.appet.2025.108279","DOIUrl":"10.1016/j.appet.2025.108279","url":null,"abstract":"<div><div>This prospective longitudinal observational study investigated the associations between individual disease symptoms and appetite among 200 older hospitalized patients (mean age 81.4±6.8 years, 62.5% women) from admission to 7 days later. The Simplified Nutritional Appetite Questionnaire (SNAQ) and Edmonton Symptom Assessment System (ESAS) were employed to assess appetite and disease symptoms, respectively. At baseline, 32.5% of patients reported very poor or poor appetite, a proportion that decreased significantly to 23.5% at follow-up. Notable improvements were observed in pain, fatigue, well-being, and shortness of breath at follow-up. Across both time points, appetite was most strongly negatively correlated with nausea, poor well-being, drowsiness, and anxiety. In particular, patients whose nausea worsened over time experienced a marked reduction in appetite (48%), compared to those with stable (21%) or improved nausea (9%, p&lt;0.001). Declines in well-being were also significantly associated with worsening appetite (p=0.002), with 40% of patients reporting reduced appetite when well-being declined, versus 20% and 12% among those whose well-being remained unchanged or improved, respectively. Changes in other symptoms including pain, fatigue, depression, anxiety, drowsiness, and shortness of breath, did not significantly correlate with appetite changes (p&gt;0.05). In a multiple logistic regression analysis, only nausea and poor well-being were significant predictors of lower appetite scores at baseline and of further appetite reduction over time. This study provides evidence that among older hospitalized patients, sustained nausea and reduced well-being are key determinants of appetite loss. Although depressive symptoms, fatigue, and pain also play roles, their impact appears to fluctuate during hospitalization.</div></div>","PeriodicalId":242,"journal":{"name":"Appetite","volume":"216 ","pages":"Article 108279"},"PeriodicalIF":3.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144937590","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}