Annals of Geriatric Medicine and Research最新文献

{"title":"Non-participation in Exercise among Older Adults with Disabilities: Barriers, Participation Intention, and Preferred Modes in a National Survey of Korea.","authors":"Byumsuk Han","doi":"10.4235/agmr.26.0056","DOIUrl":"10.4235/agmr.26.0056","url":null,"abstract":"<p><strong>Background: </strong>Physical activity is essential for healthy ageing, yet older adults with disabilities show lower participation than those without disabilities. This study examined barriers, participation intention, and preferred participation modes among non-participating older adults with disabilities, focusing on heterogeneity across disability types.</p><p><strong>Methods: </strong>This cross-sectional study used nationally representative data from the 2024 National Survey on Sports Participation for Persons with Disabilities in South Korea. The sample included 1,865 adults aged ≥60 years who reported no exercise participation during the previous year under the survey-based definition. Weighted descriptive analyses, Rao-Scott tests, and survey-weighted logistic regression were performed.</p><p><strong>Results: </strong>The most common primary barriers were lack of motivation (27.1%), poor health condition (23.9%), and lack of time to exercise (11.5%), with significant variation in several barriers across disability types. Severe disability was associated with lower odds of participation intention (odds ratio [OR]=0.62, 95% confidence interval [CI] 0.46-0.85), whereas employment was associated with higher odds (OR=1.44, 95% CI 1.09-1.91). Compared with physical disabilities, hearing and speech disabilities were associated with higher odds of participation intention (OR=1.43, 95% CI 1.08-1.89). Among respondents with participation intention, outdoor walking was the most preferred mode (57.5%); preferred modes did not differ significantly across disability types.</p><p><strong>Conclusion: </strong>Non-participation in exercise was heterogeneous across disability types, particularly in primary reported barriers, while participation intention differed by disability severity, employment status, and disability type. Outdoor walking was the predominant preference among those reporting intention, highlighting the importance of considering both disability- specific heterogeneity and overall preferences when planning exercise-support strategies.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"410-421"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Smoking and Alcohol Consumption with the Presence of Sarcopenia at Follow-up in Community-Dwelling People Aged 40-74 Years.","authors":"Takumi Kaneko, Keiko Kabasawa, Kaori Kitamura, Yumi Watanabe, Tomoyo Komata, Yumi Ito, Akemi Takahashi, Toshiko Saito, Ryosaku Kobayashi, Rieko Oshiki, Ribeka Takachi, Shoichiro Tsugane, Kei Watanabe, Junta Tanaka, Suguru Yamamoto, Kazutoshi Nakamura","doi":"10.4235/agmr.26.0074","DOIUrl":"10.4235/agmr.26.0074","url":null,"abstract":"<p><strong>Background: </strong>Evidence on the association of smoking and drinking with sarcopenia is scarce. This study aimed to examine the association between smoking levels/alcohol consumption and sarcopenia in community-dwelling middle-aged and older adults.</p><p><strong>Methods: </strong>This study consisted of 6,654 community-dwelling residents aged 40-74 years (mean age: 62.4 years, 54.8% women). At the baseline survey (2011-2014), demographic information, lifestyle habits (including smoking levels and alcohol consumption), physical characteristics, and medical history were obtained. Follow- up physical examinations were conducted in 2021 and 2022. Sarcopenia was diagnosed using modified the Asian Working Group for Sarcopenia 2019 criteria, with low muscle mass defined as the sex-specific 20th percentile of appendicular lean mass (ALM)/height².</p><p><strong>Results: </strong>Sarcopenia was present in 272/6,654 cases (4.1%). Smoking levels were associated with higher odds of the presence of sarcopenia at follow-up (adjusted p for trend=0.0367), with the ≥20-cigarettes/ day group having a higher OR than non-smokers (adjusted odds ratio [OR]=1.95, 95% confidence interval [CI] 1.17-3.24). Drinking levels were associated with lower odds of the presence of sarcopenia in women (adjusted p for trend=0.0013), but not in men (adjusted p for trend=0.9872). A subgroup analysis showed that smoking ≥20 cigarettes/day was associated with higher odds of the presence of sarcopenia than non-smoking (adjusted OR=2.14, 95% CI 1.13-4.04) in drinkers, but not in non-drinkers (p for interaction between levels of smoking and alcohol consumption=0.0483).</p><p><strong>Conclusion: </strong>Higher smoking levels were associated with sarcopenia, particularly among individuals who smoked ≥20 cigarettes/day, and an interaction between smoking and alcohol consumption was suggested. However, caution is warranted in interpreting causality, as this study did not assess sarcopenia at baseline.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"379-389"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Knowledge and Gaps in Geriatric Rehabilitation among Physical and Rehabilitation Medicine Specialists.","authors":"Paolo Capodaglio, Eleftheria Antoniadou, Mooyeon Oh-Park, Walter R Frontera, Der-Sheng Han, Carmen M Terzic, Anne Felicia Ambrose, Francesca Gimigliano, Marta Supervia Pola, Yesim Gokce Kutsal, Dale C Strasser, Vu Q Nguyen, Jonathan F Bean, Vanessa Seijas, Jae-Young Lim","doi":"10.4235/agmr.26.0149","DOIUrl":"10.4235/agmr.26.0149","url":null,"abstract":"<p><strong>Background: </strong>The global demographic shift toward an aging population necessitates a critical transformation in healthcare, particularly within physical and rehabilitation medicine (PRM). Older adults frequently present with complex geriatric syndromes, such as frailty, sarcopenia, and cognitive impairment, that demand specialized, multidisciplinary rehabilitation strategies.</p><p><strong>Methods: </strong>The present global survey, conducted by the International Society of Physical and Rehabilitation Medicine (ISPRM) Special Interest Group (SIG) in Geriatric Rehabilitation, identifies systemic and educational gaps in the current PRM landscape.</p><p><strong>Results: </strong>Despite a high clinical caseload of older adults, the majority of PRM practitioners report inadequate residency training in geriatric competencies and cite workforce shortages as primary barriers to care.</p><p><strong>Conclusion: </strong>This article discusses the perspectives and future steps required to elevate geriatric rehabilitation, emphasizing the urgent need for structured academic programs.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"305-312"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Need for Harmonized Diagnostic Criteria for Sarcopenia after the AWGS 2025 Consensus.","authors":"Fei Zhang, Ziwen Wang, Ahiafor Maxwell, Zhong Wang","doi":"10.4235/agmr.26.0064","DOIUrl":"10.4235/agmr.26.0064","url":null,"abstract":"","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"436-438"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased Extracellular-to-Total Body Water Ratio in Community-Dwelling Individuals in their 20s to 90s is Associated with Decreased Grip Strength and Gait Speed.","authors":"Akemi Hioka, Naoki Akazawa, Naomi Okawa, Shinji Nagahiro","doi":"10.4235/agmr.26.0060","DOIUrl":"10.4235/agmr.26.0060","url":null,"abstract":"<p><strong>Background: </strong>In 2019, the European Working Group of Sarcopenia in Older People indicated the importance of assessing muscle mass and quality in diagnosing sarcopenia. The extracellular water- to-total body water ratio (ECW/TBW) has recently attracted attention as an indicator of muscle quality. This study aimed to clarify the associations of ECW/TBW and grip strength and gait speed in community-dwelling individuals in their 20s to 90s.</p><p><strong>Methods: </strong>This study employed a cross-sectional design. We enrolled 661 community-dwelling individuals (aged ≥20). The ECW/ TBW was measured using multifrequency bioelectrical impedance analysis. Associations between grip strength, gait speed, and ECW/TBW were analyzed separately for males and females using Spearman's correlation coefficient. Multiple linear regression analyses were conducted to examine factors associated with grip strength and gait speed.</p><p><strong>Results: </strong>Correlation analyses revealed significant negative correlations between ECW/TBW and grip strength (males: ρ=-0.413, p&lt;0.001; females: ρ=-0.384, p&lt;0.001) and gait speed (males: ρ=-0.122, p=0.037; females: ρ=-0.206, p&lt;0.001). In the multiple linear regression analysis, ECW/TBW was significantly and independently associated with grip strength (males: β=-0.207, p=0.006; females: β=-0.215, p=0.001) and gait speed (males: β=-0.213, p=0.013; females: β=-0.305, p&lt;0.001).</p><p><strong>Conclusion: </strong>The present study identified negative associations between ECW/TBW and both grip strength and gait speed among community-dwelling individuals in their 20s to 90s. Additionally, these associations were confirmed in males and females.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"371-378"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frailty and Recurrent Hospitalization in Older Vietnamese Adults with Heart Failure: A Prospective Cohort Study.","authors":"Hoang Le Huy Nguyen, Tuan Cong Trinh","doi":"10.4235/agmr.26.0049","DOIUrl":"10.4235/agmr.26.0049","url":null,"abstract":"<p><strong>Background: </strong>Frailty predicts mortality in older adults with heart failure, but its association with recurrent hospitalization, and its value relative to left ventricular ejection fraction (LVEF), remain poorly characterized in Asian populations.</p><p><strong>Methods: </strong>We followed 150 consecutive Vietnamese outpatients aged 60 years or older with chronic heart failure for 12 months for recurrent allcause hospitalization. Frailty was defined as a Clinical Frailty Scale score of 5 or higher. The primary analysis used the Andersen-Gill recurrent-event model; a four-level frailty-comorbidity composite was derived from the Charlson Comorbidity Index, and discrimination was compared by Harrell&apos;s C-statistic.</p><p><strong>Results: </strong>Of 150 participants (median age 75 years; 59.3% male), 54 (36.0%) were frail and 79 (52.7%) were hospitalized at least once. Frailty was associated with recurrent hospitalization after adjustment for age and sex (adjusted hazard ratio 1.73, 95% confidence interval [CI] 1.06-2.83; p=0.028). The frailty-comorbidity composite showed a graded increase in hospitalization burden that did not persist after adjustment. Discrimination was modest across all models (C-statistics near 0.60) and did not differ significantly between frailty (0.581) and LVEF (0.568); combining both gave 0.610 (95% CI 0.560-0.661).</p><p><strong>Conclusion: </strong>In older Vietnamese adults with chronic heart failure, frailty was associated with recurrent all-cause hospitalization after adjustment for age and sex, with modest discrimination similar to LVEF-based stratification. Baseline frailty assessment may help identify higher-risk patients and warrants prospective evaluation.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"327-337"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148608517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambient Temperature and 24-Hour Movement Behaviors in Community-Dwelling Older Adults in Japan: The Kyotango Longevity Cohort Study.","authors":"Aya Yamanaka, Koshiro Sawada, Norikazu Hishikawa, Hironari Shinjo, Motonori Kubo, Hiroki Kimura, Suzuyo Ohashi, Satoaki Matoba, Yasuo Mikami","doi":"10.4235/agmr.26.0065","DOIUrl":"10.4235/agmr.26.0065","url":null,"abstract":"<p><strong>Background: </strong>Sedentary behavior (SB), physical activity, and sleep duration are 24-hour movement behaviors and key indicators of healthy aging. This study examined the association between daily mean ambient temperature and 24-hour movement behaviors among community-dwelling older adults.</p><p><strong>Methods: </strong>Data were obtained from 769 participants aged ≥65 years (mean age 73.5±5.5 years; 59.0% female) in the Kyotango Longevity Cohort Study conducted in Kyotango City, Japan. SB and physical activity were objectively assessed in each participant using a triaxial accelerometer over 7 consecutive days (4,344 valid person-days in total). Associations between daily mean ambient temperature and 24-hour movement behaviors were evaluated using linear mixed-effects models with natural cubic splines. The association between ambient temperature and sleep duration, estimated from sleep diaries or standardized sleep windows when diary data were unavailable, was also examined.</p><p><strong>Results: </strong>Significant nonlinear associations were observed between daily mean ambient temperature and all 24-hour movement behaviors (all p&lt;0.05). SB exhibited a U-shaped pattern, with the predicted minimum at approximately 20.8°C. By contrast, light-intensity and moderate-to-vigorous-intensity physical activity showed inverted U-shaped associations, peaking at approximately 20.7°C and 21.1°C, respectively. Sleep duration remained relatively stable at low-to-moderate ambient temperatures but tended to decline above approximately 22°C.</p><p><strong>Conclusion: </strong>Ambient temperature is an important environmental factor associated with 24-hour movement behaviors in older adults. These findings underscore the importance of considering thermal conditions when developing strategies to reduce SB, increase physical activity, and maintain appropriate sleep durations in older adults.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"428-435"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Culturally-Informed Assessment of Depression and Distress in Asian American Men across Life Stages.","authors":"Dae Hyun Kim, Syed Shabab Wahid, Emily C Jaeger, Derek M Griffith","doi":"10.4235/agmr.26.0127","DOIUrl":"10.4235/agmr.26.0127","url":null,"abstract":"","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"439-441"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Annual Transitions in Serum Zinc Status among Long-Term Care Facility Residents in Japan.","authors":"Norifumi Kudeken","doi":"10.4235/agmr.26.0141","DOIUrl":"10.4235/agmr.26.0141","url":null,"abstract":"<p><strong>Background: </strong>Low serum zinc status is common in older adults living in long-term care facilities, but year-to-year transitions during routine annual health examinations remain insufficiently described. This study described adjacent annual pair-level transitions in serum zinc status and explored whether transition patterns differed according to available resident characteristics.</p><p><strong>Methods: </strong>This retrospective descriptive study used annual health examination data collected in 2021- 2025 at one long-term care facility in Okinawa, Japan. Zinc deficiency was defined as serum zinc &lt;60 μg/dL (&lt;9.2 μmol/L). Consecutive annual measurements were paired and classified as persistent deficiency, recovery, transition to deficiency, or persistent non-deficiency. Exploratory stratified summaries were calculated according to age, sex, facility care unit, albumin, anemia, and estimated glomerular filtration rate.</p><p><strong>Results: </strong>After excluding one pair with missing baseline zinc, 361 valid consecutive annual pairs from 166 residents were analyzed. Among baseline deficient pairs, persistent deficiency was observed in 163 of 217 pairs (75.1%; 95% confidence interval [CI], 69.0%-80.4%). Among baseline non-deficient pairs, transition to deficiency occurred in 67 of 144 pairs (46.5%; 95% CI, 38.6%-54.7%). Persistent deficiency was descriptively more frequent among pairs with age ≥85 years, residence in care unit 2, and albumin &lt;3.5 g/dL. Transition to deficiency was more frequent among pairs with albumin &lt;3.5 g/dL and anemia.</p><p><strong>Conclusion: </strong>Low serum zinc frequently persisted, and transition to deficiency was also common. Unfavorable transitions were more apparent among residents with markers of nutritional or clinical vulnerability, but facility care-unit findings were facility-specific and these findings remain descriptive and pair-level.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"422-427"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Implications of the AWGS 2025 Sarcopenia Criteria in a Large Cohort of Community-Dwelling Thai Older Adults.","authors":"Natthaphon Ubonsutvanich, Rapas Samalapa, Thanyaporn Hengpongthorn, Chawalya Angsuwatjarakorn, Aisawan Petchlorlian, Bhorn-Ake Manasvanich, Sivarat Ratthanasathian, Kearkiat Praditpornsilpa","doi":"10.4235/agmr.26.0128","DOIUrl":"10.4235/agmr.26.0128","url":null,"abstract":"<p><strong>Background: </strong>The Asian Working Group for Sarcopenia (AWGS) 2025 criteria introduced revised age-specific cutoffs and appendicular skeletal muscle mass adjusted for body mass index (ASM/ BMI) as an alternative muscle mass index. We evaluated their effects on sarcopenia classification among Thai older adults.</p><p><strong>Methods: </strong>This cross-sectional study included 8,073 community-dwelling adults aged ≥60 years attending a tertiary geriatric outpatient clinic. Low muscle mass and sarcopenia were classified using AWGS 2019 and 2025. Discordant ASM/height²- and ASM/BMIbased phenotypes were characterized, and age- and sex-adjusted associations with handgrip strength and gait speed were examined.</p><p><strong>Results: </strong>Low muscle mass prevalence increased from 43.2% under AWGS 2019 to 44.6% after applying the revised AWGS 2025 ASM/height² cutoffs and to 51.4% after including ASM/BMI. Sarcopenia prevalence increased from 15.1% to 17.5% and 19.7%, respectively. ASM/BMI identified 547 additional participants with low muscle mass. Participants with isolated low ASM/BMI had greater overall and central adiposity than those with isolated low ASM/height². ASM/height² was positively associated with handgrip strength (standardized β=0.262, p&lt;0.001), whereas ASM/BMI was positively associated with gait speed (standardized β=0.122, p&lt;0.001). Neither index was consistently superior across outcomes.</p><p><strong>Conclusion: </strong>AWGS 2025 broadened low muscle mass and sarcopenia classification through revised age-specific cutoffs and ASM/BMI, which identified a complementary adiposity-related phenotype.</p>","PeriodicalId":44729,"journal":{"name":"Annals of Geriatric Medicine and Research","volume":" ","pages":"400-409"},"PeriodicalIF":2.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13639527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148814438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}