Sleep Health最新文献

{"title":"The temporal relationship between long sleep duration and poor hand grip strength in older adults: The Yilan study.","authors":"Nai-Wei Hsu, Po-Jung Pan, Hsuan-Ming Tsao, Hsueh-Ping Chiang, Pesus Chou, Hsi-Chung Chen","doi":"10.1016/j.sleh.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.04.010","url":null,"abstract":"<p><strong>Objectives: </strong>Muscle strength is an important subdomain of intrinsic capacity in older adults. Although poor muscle strength is closely correlated with long sleep duration, a causal relationship has not yet been established. This study aimed to examine whether long sleep duration predicted a decrease in hand grip strength or vice versa.</p><p><strong>Methods: </strong>In this follow-up study involving a community-based fixed cohort, participants included community-dwelling older adults aged ≥65years residing in Yilan City, Taiwan. Self-reported sleep duration at night was categorized as short (<6 hours), mid-range (6 to <8 hours), and long (≥8hours). Hand grip strength was measured using a dynamometer, and poor hand grip strength was defined by age- and sex-specific cutoffs based on one standard deviation below the age- and sex-specific means of the data. Two temporal directions of analyses were performed between sleep duration and hand grip strength. First, baseline participants with good hand grip strength were followed-up to examine whether baseline long sleep predicted poor hand grip strength. In contrast, baseline mid-range sleepers were followed-up to examine whether baseline poor hand grip strength predicted long sleep.</p><p><strong>Results: </strong>A total of 539 individuals, with an average age of 74.5±5.5years, participated in the study. The average follow-up period was 5.8±1.8years. Regarding factors predicting a decrease in hand grip strength, after controlling for various confounders, long sleep duration at baseline predicted incident poor hand grip strength at follow-up visits (odds ratio, 2.63; 95% confidence interval, 1.27-5.43). Conversely, poor hand grip strength failed to predict lengthening of sleep duration.</p><p><strong>Conclusion: </strong>In older adults, long sleep duration preceded a decrease in hand grip strength.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318431","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":"Racial and ethnic variations in sleep outcomes following a Brief Sleep Intervention in United States Air Force Technical Training students.","authors":"Faith S Luyster, Xin-Qun Wang, Chase A Aycock, Rosemary Estevez Burns, Trevin Glasgow, Jennifer P Halbert, Kara P Wiseman, Gerald Wayne Talcott, Jordan Ellis","doi":"10.1016/j.sleh.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.04.007","url":null,"abstract":"<p><strong>Objective: </strong>Racial and ethnic minorities in civilian and military populations report worse sleep health than non-Hispanic Whites. A group-based, single-session Brief Sleep Intervention for United States Air Force trainees improved sleep outcomes, yet the effects across racial and ethnic groups remain unclear. This secondary analysis examined racial and ethnic differences in sleep outcomes and behavior change engagement following the Brief Sleep Intervention.</p><p><strong>Methods: </strong>The sample included 321 United States Air Force Technical Training students (mean age 20.9 ± 3.6; 81.9% men; 51.7% non-Hispanic Whites; 24.3% Hispanic; 23.4% non-Hispanic People of Color). Weekday sleep duration and quality along with weekend catch-up sleep duration were assessed at baseline and 2-week follow-up. At follow-up, Brief Sleep Intervention participants reported engagement in a self-selected behavior change action. Propensity score--adjusted logistic and linear regression models were used.</p><p><strong>Results: </strong>Among Hispanic students, those in the Brief Sleep Intervention group were more likely to achieve a weekday sleep duration of ≥6 hours and report good/very good weekend sleep compared with those in the active control group. Within the Brief Sleep Intervention group, as compared with non-Hispanic Whites and non-Hispanic People of Color students, Hispanic students showed higher rates of weekday sleep duration ≥6 hours, good/very good weekday sleep quality, and engagement in a behavior change action than non-Hispanic Whites.</p><p><strong>Conclusions: </strong>Hispanic students who received the Brief Sleep Intervention demonstrated superior sleep outcomes and higher behavior change engagement compared with students from other racial and ethnic groups. Further research should investigate factors driving these differences and identify aspects of the Brief Sleep Intervention that contribute to its effectiveness for Hispanic United States Air Force trainees.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276253","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":"Sleepless in cyberspace: A thematic analysis of online sleep recommendations for insomnia symptoms.","authors":"Siri Jakobsson Støre, Ena Milutinovic, Frida Sjökvist Landén, Annika Norell","doi":"10.1016/j.sleh.2025.04.008","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.04.008","url":null,"abstract":"<p><strong>Objectives: </strong>Insomnia is the most common sleep disorder in adults. About 10% of adults meet the diagnostic criteria, and about 30% suffer from subclinical symptoms. Seeking advice online is common when having health issues. There are no previous studies on Swedish Internet forums regarding types of advice and the logic behind the recommendations given for how to handle troubled sleep. The purpose of the study was to examine which treatment methods for insomnia symptoms were recommended by forum users on the Swedish Internet forum Flashback.</p><p><strong>Methods: </strong>A thematic analysis was conducted on 1174 posts.</p><p><strong>Results: </strong>The analysis resulted in four themes: (1) Advice on healthcare, (2) Bedtime and sleep environment strategies, (3) Implement long-term lifestyle changes, and (4) Advice on nonprescribed, legal, or illegal drugs. Notably, a large portion of the recommendations provided emphasized the utilization of pharmacological interventions, including prescription drugs, over-the-counter medications, supplements, illegal substances, or combinations of these. This despite the fact that many advice givers attributed insomnia to psychological causes such as stress.</p><p><strong>Conclusions: </strong>Insight into recommendations given on Internet forums is important for healthcare personnel; advice might shape patients' sleep habits as well as expectations on insomnia treatments.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250375","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":"Work ability and health-related productivity loss by chronotype: Results from population-based panel study.","authors":"Heejoo Ko, Seong-Sik Cho, Mo-Yeol Kang","doi":"10.1016/j.sleh.2025.04.005","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.04.005","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to explore the relationship between chronotype and two key occupational health outcomes-work ability and health-related productivity loss-in the general working population of Korea. The research further sought to identify subgroup variations by demographic and occupational factors.</p><p><strong>Methods: </strong>Data were derived from the Korean Work, Sleep, and Health Study (KWSHS), a nationwide panel study conducted between 2022 and 2024. Chronotype was assessed using the reduced Morningness-Eveningness Questionnaire (rMEQ), categorizing participants as morning, intermediate, or evening types. Work ability and health-related productivity loss were measured using the Work Ability Index (WAI) and the Work Productivity and Activity Impairment Questionnaire (WPAI), respectively. Generalized estimating equation models were employed to estimate odds ratios for poor work ability and mean differences in health-related productivity loss, adjusting for demographic and occupational factors.</p><p><strong>Results: </strong>Evening chronotypes exhibited significantly higher odds of poor work ability (adjusted odds ratio: 2.291, 95% CI: 1.717-3.058) and greater health-related productivity loss (mean difference: 5.362%, 95% CI: 3.902-6.822) compared to morning types. Intermediate types demonstrated moderately elevated risks. Subgroup analyses revealed that evening-type men, younger workers, and white-collar employees experienced the greatest disparities. Conversely, the impact of chronotype on shift workers was less pronounced.</p><p><strong>Conclusions: </strong>Chronotype significantly influences work ability and health-related productivity loss, with evening types experiencing the poorest outcomes due to circadian misalignment. These findings suggest the importance of considering chronotype in workplace health interventions. Strategies such as flexible schedules and sleep health programs may mitigate productivity losses and enhance employees' well-being.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217275","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":"Measurement properties of the SUNRISE Study Parent Questionnaire for assessing sleep and sleep-related family practices.","authors":"Zhiguang Zhang, Chalchisa Abdeta, Mohamed Souhaiel Chelly, Jesús Del Pozo Cruz, Leyna Germana, Fazlollah Ghofranipour, Amy Sau-Ching Ha, Asmaa El Hamdouchi, Hong Kim Tang, Mohammed Sorowar Hossain, Bayasgalan Jambaldorj, Denise C L Koh, Anna Kontsevaya, Marie Löf, Himangi Lubree, Alejandra Jáuregui, Tawonga Mwase-Vuma, Amonje Moses Oluchiri, Aoko Oluwayomi, John J Reilly, Eva Roos, Amanda E Staiano, Adang Suherman, Chiaki Tanaka, Wei-Peng Teo, Ali Turab, Edin Užičanin, Sanne L C Veldman, E Kipling Webster, Pujitha Wickramasinghe, Aubdul Aunampai, Anthony Okely","doi":"10.1016/j.sleh.2025.04.006","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.04.006","url":null,"abstract":"<p><strong>Background: </strong>Few questionnaires with established measurement properties can globally measure sleep in preschoolers and sleep-related family practices.</p><p><strong>Objective: </strong>To examine (1) concurrent validity of the SUNRISE parent questionnaire against an accelerometer for measuring sleep in preschoolers and (2) test-retest reliability of the questionnaire for sleep and related family practices.</p><p><strong>Methods: </strong>Sleep was measured using the questionnaire and Actigraph GTX3+ accelerometer using a decision-tree algorithm and the Sadeh algorithm in 1737 preschoolers (4.4±0.6years) from 30 countries. Concurrent validity was examined using correlation analysis (duration, timing, and quality), paired t test or the Wilcoxon signed-rank test, Bland-Altman plot (duration, timing), and analysis of sensitivity, specificity, and accuracy (variability). Test-retest variability was examined for sleep and family practice variables in a subsample of 163 participants (4.3±0.6years) from eight countries.</p><p><strong>Results: </strong>Questionnaire measures of sleep timing and duration were correlated with the accelerometer measures (r=0.43-0.75; p<.001). Although statistically significant mean differences were observed between questionnaire and accelerometer measures of sleep timing and duration variables, the difference in nighttime sleep duration had a small effect size (-14 min/d; Cohen's d=-0.2). The questionnaire was less able to provide adequate measurement for sleep quality and variability. High levels of reliability were observed for sleep (ICC=0.63-0.83; Kappa=0.53-0.62) and family practice (ICC=0.81-0.94; Kappa=0.73-0.86) variables.</p><p><strong>Conclusion: </strong>The SUNRISE questionnaire appears reliable in assessing preschooler sleep characteristics and related family practices, particularly in disadvantaged settings. It could be used in global surveillance of nighttime sleep duration and in studies examining associations of sleep timing and duration with health indicators in preschoolers.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217274","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":"Bedtime and naptime routines for young infants: Associations with family sleep outcomes.","authors":"Jodi A Mindell, Erin S Leichman, Mikayla Carson, M Catherine Mack","doi":"10.1016/j.sleh.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.sleh.2025.04.001","url":null,"abstract":"<p><strong>Objectives: </strong>A bedtime routine is associated with better sleep and well-being in young children. The aim of this study was to explore the prevalence of bedtime and naptime routines in young infants and their association with sleep outcomes in both the babies and parents.</p><p><strong>Methods: </strong>Parents (67% mothers, 33% fathers) of 135 young infants (1-15weeks; M = 8.2weeks) completed an online questionnaire about infant sleep routines and patterns (Brief Infant Sleep Questionnaire-Revised), as well as parent sleep (PROMIS Sleep Disturbance Scale; Sleep-related Impairment Scale).</p><p><strong>Results: </strong>Overall, 62% reported having a bedtime routine and 20% a naptime routine for their young infant. Babies with a bedtime routine were less likely to be held to sleep, slept for longer stretches overnight, and had shorter nighttime awakenings, with those parents having decreased sleep disturbance. Parents with a bedtime routine for their baby believed the routine helped their baby fall and stay asleep more than those without, and were more likely to believe it helped them bond with their baby. Parents with a naptime routine for their baby reported liking it and believed what they did helped their baby sleep more than those without, without any other associations with daytime sleep patterns.</p><p><strong>Conclusions: </strong>Sleep routines were well-liked, easy to implement, and perceived as helpful for sleep and bonding. Bedtime routines were also associated with better baby sleep consolidation, and fewer sleep disturbances in parents. A simple recommendation of instituting sleep routines for young infants by pediatricians may result in improved family sleep outcomes.</p>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217273","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":"Celebrating 10 years of Sleep Health helping to advance National Sleep Foundation’s mission","authors":"Joseph M. Dzierzewski PhD,&nbsp;John G. Lopos","doi":"10.1016/j.sleh.2025.02.006","DOIUrl":"10.1016/j.sleh.2025.02.006","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 3","pages":"Pages 252-253"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568484","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":"An investigation of racial and socioeconomic factors related to sleep in a Brazilian population sample","authors":"Guilherme Luiz Fernandes PhD ,&nbsp;Vinícius Dokkedal-Silva PhD ,&nbsp;Sergio Tufik MD PhD ,&nbsp;Monica L. Andersen PhD","doi":"10.1016/j.sleh.2025.01.008","DOIUrl":"10.1016/j.sleh.2025.01.008","url":null,"abstract":"<div><h3>Objectives</h3><div>The relationship of sleep, race, and socioeconomic status has become the focus of discussion in several studies. Investigation of these connections in sleep studies has identified substantial associations between these factors. However, most research output on this subject comes from higher-income countries with specific social issues, which warrants evaluations in countries with other socioeconomic backgrounds. This study aimed at performing an assessment of sleep, race, and socioeconomic status in the Brazilian population.</div></div><div><h3>Methods</h3><div>This manuscript examined data from a large-scale Brazilian epidemiological study, comprising 1042 participants. Self-declared race/skin color could be reported from five options (Black, White, Indigenous, Asian, <em>Pardo</em>) or as an open-ended question. Socioeconomic status was assessed using the Brazil Economic Classification Criteria, a questionnaire that evaluates possession of domestic appliances, educational level, and house structure.</div></div><div><h3>Results</h3><div>Self-declared Black Brazilians with lower socioeconomic status presented significantly lower objective total sleep time; conversely, they also presented lower wake after sleep onset time and higher sleep efficiency. Mid-to-high socioeconomic status <em>Pardo</em> Brazilians had less total sleep time and higher sleep latency.</div></div><div><h3>Conclusions</h3><div>The sleep disparities in our findings, compared with those from studies from other countries, suggest that sociodemographic and racial/ethnic factors may vary in nature from one population to another. Therefore, the social and racial construction of each specific nation or culture must be considered in epidemiological sleep assessments and comparisons with other studies.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 3","pages":"Pages 256-264"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721847","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":"The bidirectional relationship between sleep and daily burnout‐related experiences: Self-report vs. actigraphy-derived measures","authors":"Sophia Frick PhD,&nbsp;Karin Smolders PhD,&nbsp;Leander van der Meij PhD,&nbsp;Evangelia Demerouti PhD,&nbsp;Yvonne de Kort PhD","doi":"10.1016/j.sleh.2025.03.007","DOIUrl":"10.1016/j.sleh.2025.03.007","url":null,"abstract":"<div><h3>Objective</h3><div>Although previous research suggests a link between sleep disturbances and burnout, little is known about the causal direction of day-to-day relationships between sleep and experiences related to burnout in nonclinical employees. This study explores the bidirectional relationship between self-reported and actigraphy-derived metrics of sleep and daily burnout‐related experiences (exhaustion, [a lack of] feeling positively challenged, and boredom) and whether these relationships depend on high vs. low levels of trait burnout.</div></div><div><h3>Methods</h3><div>Seventy-two employees participated in a 7-day experience sampling study.</div></div><div><h3>Results</h3><div>Disturbances in sleep quality predicted subsequent daily exhaustion and boredom, not the other way around. In contrast, a later sleep timing was related to feeling more positively challenged the next day, with a bidirectional relationship between feeling positively challenged and sleep offset. Moreover, trait burnout moderated the relationship between several sleep parameters and burnout-related experiences.</div></div><div><h3>Conclusion</h3><div>Experiencing disturbances in sleep while already experiencing trait burnout potentially drives the depletion of energy as found in burnout development and may thus be an important intervention factor to prevent the development of chronic burnout.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 3","pages":"Pages 382-389"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988611","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":"Fathers’ sleep in the first 24 months postpartum: A systematic review and meta-analysis of global data","authors":"Julie S. Nielsen MSc ,&nbsp;Emil F. Brunbjerg ,&nbsp;Maria Hamann Lorentzen MD ,&nbsp;Annika Andersen MSc ,&nbsp;Christine E. Parsons PhD","doi":"10.1016/j.sleh.2025.03.006","DOIUrl":"10.1016/j.sleh.2025.03.006","url":null,"abstract":"<div><div>Maternal sleep is significantly disrupted in the postpartum period, but changes in paternal sleep are less established. Here, we systematically review and meta-analyze available data on paternal sleep in the first 24<!--> <!-->months post birth, including self-report and objectively measured sleep outcomes. Scopus, PsycINFO, and PubMed were searched for original research articles published until end August 2024. We included studies reporting on quantitative summaries of sleep outcomes and data were pooled using random-effects models primarily. We included 47 studies from 17 countries (N<!--> <!-->=<!--> <!-->9684) with most data coming from fathers in North America (K<!--> <!-->=<!--> <!-->26), and reporting on a diverse range of sleep outcomes. Most data were available for sleep duration (398.29 minutes; 95% CIs 381.43-415.88), night awakenings (1.14; 95% CIs 1.12-1.16), and wake after sleep onset (36.57 minutes; 95% CIs 20.83-64.20). There was high heterogeneity across these three measures (I² values &gt;95%). While there were a small number of studies using the Pittsburgh Sleep Quality Index, our pooled estimate suggested poor sleep in fathers (5.93, 95% CIs 4.75-7.41, I² <!-->=<!--> <!-->91%). Overall, we found some evidence for sleep in few fathers being below the recommended levels, but the extent of any paternal deficit depended on the sleep measure. The US-centric dataset limits our understanding of fathers’ sleep experiences postnatally, particularly considering the large relative differences between paternity leave access in the United States vs. other countries.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 3","pages":"Pages 279-292"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007225","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}