Sleep Health最新文献

{"title":"Sleep health epidemiology and associations with menstrual health, mental health, and educational performance among in-school female adolescents in Uganda: A longitudinal study","authors":"Beatrice Nanyonga BA ,&nbsp;Katherine A. Thomas MSc ,&nbsp;Titus Ssesanga MSc ,&nbsp;Apophia Kaihangwe BA ,&nbsp;Kate A. Nelson MSc ,&nbsp;Denis Ssenyondwa PGCDH ,&nbsp;Noeline Nassimbwa BA ,&nbsp;Jonathan Reuben Enomut BA ,&nbsp;Aggrey Tumuhimbise MMS ,&nbsp;Prossy Namirembe BA ,&nbsp;Ratifah Batuusa BStat ,&nbsp;Nambusi Kyegombe PhD ,&nbsp;Fiona C. Baker PhD ,&nbsp;Helen A. Weiss DPhil","doi":"10.1016/j.sleh.2024.12.007","DOIUrl":"10.1016/j.sleh.2024.12.007","url":null,"abstract":"<div><h3>Objectives</h3><div>Few studies have assessed sleep among African adolescents. We aim to understand factors associated with subjective sleep quality among female Ugandan adolescents and the association of poor sleep quality with subsequent menstrual- and mental health, and educational performance.</div></div><div><h3>Methods</h3><div>We analyzed data from a cluster-randomized controlled trial that evaluated a menstrual health intervention in 60 Ugandan secondary schools. Data were collected through cross-sectional surveys at baseline (March-June 2022) and endline (July-August 2023), and prospective daily diaries (April-August 2023). We used logistic regression to analyze associations with poor sleep at baseline, and linear regression to analyze associations of poor sleep with subsequent menstrual and mental health, and education performance, adjusting for clustering.</div></div><div><h3>Results</h3><div>Of 3841 female participants (mean age<!--> <!-->=<!--> <!-->15.6<!--> <!-->years), 580 (15.1%) reported poor sleep quality and 829 (21.6%) reported feeling tired at baseline. Poor sleep was associated with socio-economic factors including smaller household size, lower socioeconomic status, and fewer meals consumed the previous day. There was strong evidence that poor sleep at baseline was associated with multiple dimensions of poor menstrual health including menstrual pain (adjusted odds ratio<!--> <!-->=<!--> <!-->1.74, 95%CI 1.29-2.33), more unmet menstrual practice needs (adjusted odds ratio<!--> <!-->=<!--> <!-->2.68, 95%CI 1.99-3.60), and with mental health problems (adjusted odds ratio<!--> <!-->=<!--> <!-->2.40, 95%CI 1.80-3.19). Results were similar for baseline tiredness. Prospectively reported poor sleep quality was associated with subsequent poor menstrual and mental health, and subsequent poor educational performance.</div></div><div><h3>Conclusions</h3><div>Poor sleep is prevalent among in-school female Ugandan adolescents and is associated with subsequent poorer menstrual health, mental health, and educational performance. Improving sleep in this population could benefit menstrual health, mental health and education outcomes.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 2","pages":"Pages 174-183"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075989","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":"Gender differences in the association between long work hours, weekend work, and insomnia symptoms in a nationally representative sample of workers in Korea","authors":"Seong-Uk Baek MD ,&nbsp;Jong-Uk Won PhD ,&nbsp;Jin-Ha Yoon PhD","doi":"10.1016/j.sleh.2024.11.002","DOIUrl":"10.1016/j.sleh.2024.11.002","url":null,"abstract":"<div><h3>Objectives</h3><div>Long work hours and weekend work can negatively impact worker sleep; however, gender differences in these relationships have not been sufficiently studied. We explored the association between long work hours, weekend work, and insomnia symptoms, as well as the moderating effect of gender on this association.</div></div><div><h3>Methods</h3><div>A nationwide sample of 42,476 Korean workers (52.8% women) was analyzed. The main exposure variables were weekly work hours and monthly weekend days worked. Insomnia symptoms were measured using the Minimal Insomnia Symptom Scale. Logistic regression was used to estimate odds ratios (ORs) and confidence intervals (CIs).</div></div><div><h3>Results</h3><div>Among the study sample, 10.5% worked ≥55<!--> <!-->hours weekly and 9.6% worked ≥5 weekend days monthly. The OR (95% CI) of an association between long work hours and insomnia symptoms was 1.72 (1.48-2.00) for 49-54<!--> <!-->hours, and 2.01 (1.71-2.37) for ≥55<!--> <!-->hours among men and 1.26 (1.03-1.55) for 49-54<!--> <!-->hours, and 1.03 (0.83-1.27) for ≥55<!--> <!-->hours among women. The OR (95% CI) of an association between monthly weekend days worked and insomnia symptoms was 1.68 (1.50-1.90) for 1-4<!--> <!-->days and 1.92 (1.62-2.29) for ≥5<!--> <!-->days among men and 1.20 (1.05-1.36) for 1-4<!--> <!-->days and 1.54 (1.28-1.86) for ≥5<!--> <!-->days among women.</div></div><div><h3>Conclusion</h3><div>Long work hours and weekend work are associated with insomnia symptoms, and this association is more pronounced among men than women. Policy interventions are warranted to reduce the burden of long work hours and weekend work.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 2","pages":"Pages 191-197"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933050","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 effects of experimental sleep disruption on daytime performance among children with asthma living in urban environments","authors":"Katlyn Garr PhD ,&nbsp;Mary A. Carskadon PhD ,&nbsp;Sheryl J. Kopel MSc ,&nbsp;Shira I. Dunsiger PhD ,&nbsp;Anna Cohenuram BA ,&nbsp;Caroline Gredvig-Ardito BA ,&nbsp;Daphne Koinis-Mitchell PhD","doi":"10.1016/j.sleh.2024.12.003","DOIUrl":"10.1016/j.sleh.2024.12.003","url":null,"abstract":"<div><h3>Objectives</h3><div>Children with asthma living in urban environments are at risk for disrupted sleep due to the presence of nocturnal asthma symptoms and urban stressors. Suboptimal sleep can affect children’s daily functioning. The current study examined the effects of experimental sleep disruption on daytime performance in children with persistent asthma from urban backgrounds.</div></div><div><h3>Method</h3><div>Twenty-four children (8-10 years old) with asthma living in urban environments participated in an experimental, laboratory-based sleep disruption protocol. Children completed a baseline night consisting of uninterrupted sleep, followed by a disruption night, with 2-minute arousals every 20 minutes of sleep. Sleep and sleep disruptions were monitored via polysomnography. Daytime performance measurements (Psychomotor Vigilance Task; Daytime Sleepiness, child- and caregiver-report) were evaluated at baseline and after sleep disruption using <em>t</em>-tests and percent change calculations.</div></div><div><h3>Results</h3><div>No significant differences in attention or daytime sleepiness were observed between the uninterrupted night of sleep and the disrupted night of sleep (<em>p</em>-values &gt;.05). Percent change calculations showed that children demonstrated poorer attention (decreased response speed; increased reaction time, lapses, total errors, false starts) and more daytime sleepiness (caregiver- and child-report) following a night of sleep disruption compared to an uninterrupted night of sleep. Gender and racial/ethnic group differences in outcomes were also examined.</div></div><div><h3>Conclusions</h3><div>Children with asthma living in urban environments may be at risk for sleep disruption and impaired daytime functioning. More experimental sleep research with larger samples is necessary to further explore these associations.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 2","pages":"Pages 184-190"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014393","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":"Perceived financial hardship and sleep in an adult population-based cohort: The mediating role of psychosocial and lifestyle-related factors","authors":"Ambra Chessa MD ,&nbsp;Stephanie Schrempft PhD ,&nbsp;Viviane Richard ,&nbsp;Hélène Baysson PhD ,&nbsp;Nick Pullen PhD ,&nbsp;María-Eugenia Zaballa PhD ,&nbsp;Elsa Lorthe RM, PhD ,&nbsp;Mayssam Nehme MD ,&nbsp;Idris Guessous MD, PhD ,&nbsp;Silvia Stringhini PhD ,&nbsp;the Specchio study group","doi":"10.1016/j.sleh.2024.12.006","DOIUrl":"10.1016/j.sleh.2024.12.006","url":null,"abstract":"<div><h3>Background</h3><div>Social inequalities in sleep have been reported, but there is less research on the mechanisms underlying this association. This study investigates the relationship between financial hardship and sleep within the general adult population, focusing on the mediating effects of psychosocial and lifestyle-related factors.</div></div><div><h3>Methods</h3><div>We used data from the Specchio cohort, a population-based study in Geneva, Switzerland, initiated in December 2020. Perceived financial hardship and sleep outcomes (insomnia, sleep quality, and sleep duration) were assessed by questionnaire in 2020 to 2021. Counterfactual mediation analysis was conducted to examine the extent to which perceived financial hardship impacts sleep through psychosocial (psychological distress and loneliness) and lifestyle-related (weight, smoking, and physical inactivity) pathways. Models were adjusted for age, sex, education, living alone, and chronic disease.</div></div><div><h3>Results</h3><div>Among 4388 participants, those experiencing financial hardship had a greater risk of insomnia (odds ratio: 2.11; 95% confidence interval: 1.70-2.61), poor sleep quality (odds ratio: 1.69; 95%confidence interval: 1.41-2.02), and not meeting sleep duration guidelines (odds ratio: 1.40; 95% confidence interval: 1.18-1.66) compared to those without financial difficulties. Psychosocial factors explained 40% of the relationship of financial hardship with insomnia, 35% of the relationship with poor sleep quality, and 10% of the association with suboptimal sleep duration. The contribution of lifestyle-related factors was 8%, 12%, and 17%, respectively.</div></div><div><h3>Conclusion</h3><div>Perceived financial hardship is a significant predictor of poor sleep, and this association is mediated by psychosocial and, to a lesser extent, lifestyle-related factors. These findings highlight the need for integrative approaches addressing social inequalities in sleep.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 2","pages":"Pages 222-229"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029869","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":"Content analysis of factors related to sleep health among American Indian peoples","authors":"Roxanna King PhD ,&nbsp;Shelby Koch MA ,&nbsp;Raven Burns MD ,&nbsp;Cameron Cupp MD ,&nbsp;Meghan Lindell BS ,&nbsp;Sara London MEd ,&nbsp;Joseph Bunch BA ,&nbsp;Amanda Fretts MPH, PhD ,&nbsp;Tauqeer Ali MBBS, MPH, PhD ,&nbsp;Jason Umans MD, PhD ,&nbsp;Lonnie Nelson PhD","doi":"10.1016/j.sleh.2025.01.006","DOIUrl":"10.1016/j.sleh.2025.01.006","url":null,"abstract":"<div><h3>Background</h3><div>Chronic sleep problems are commonly reported in American Indian (AI) peoples, however there is a lack of qualitative research examining the behavioral, psychological, sociocultural, and economic factors surrounding sleep health among AI peoples. This study aims to remedy that oversight by providing qualitative data on AI peoples sleep health.</div></div><div><h3>Objectives</h3><div>To explore the perceived barriers to and facilitators of healthy sleep in AI peoples and identify protective cultural factors associated with sleep for AI peoples.</div></div><div><h3>Setting</h3><div>Fifty-nine American Indians aged 30-79 located across 3 geographic sites: Arizona, South Dakota, and Oklahoma.</div></div><div><h3>Methods</h3><div>Focus groups were collected in November 2019 and individual interviews were conducted between May and November 2020. Conventional content analysis was used to examine the recurring and overlapping themes related to perceptions of barriers to and facilitators of healthy sleep.</div></div><div><h3>Results</h3><div>The results yielded 11 barriers to healthy sleep and 12 facilitators of healthy sleep. Facilitators included protective cultural factors such as good dreams, cultural bedtime routine, praying, traditional knowledge, ceremonies and practices, and traditional remedies.</div></div><div><h3>Conclusions</h3><div>The findings suggest future sleep health interventions among AI peoples should focus on promoting the cultural factors that were identified as protective factors and improving the sleep environment. Culturally tailoring sleep health interventions is an important step forward in decolonizing research methodologies.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 2","pages":"Pages 140-148"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524916","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":"ChatGPT vs. sleep disorder specialist responses to common sleep queries: Ratings by experts and laypeople: Comment","authors":"Hinpetch Daunsupawong PhD ,&nbsp;Viroj Wiwanitkit MD","doi":"10.1016/j.sleh.2024.12.005","DOIUrl":"10.1016/j.sleh.2024.12.005","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 2","pages":"Page 126"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014296","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":"Multidimensional sleep health and cognitive function across adulthood","authors":"Kristin R. Calfee BS ,&nbsp;Soomi Lee PhD ,&nbsp;Ross Andel PhD","doi":"10.1016/j.sleh.2024.11.005","DOIUrl":"10.1016/j.sleh.2024.11.005","url":null,"abstract":"<div><h3>Study objectives</h3><div>Sleep is essential for proper function of the mind and body. Studies report the effect of sleep problems on cognition but focus on only a single or limited number of sleep indicators or on clinical populations (e.g., sleep apnea), and/or provide only cross-sectional results. This study examined cross-sectional and longitudinal associations between multidimensional assessment of sleep health and cognitive function.</div></div><div><h3>Methods</h3><div>3398 adults (<em>M</em>_<em>age</em><em> <!-->=<!--> <!-->56</em> <em>years</em>) provided self-reported sleep and objective cognitive data for the Midlife in the United States study. A subsample of 2119 participants also provided sleep and cognitive data at follow-up approximately 9<!--> <!-->years later. A multidimensional, composite measure of sleep health composed of regularity, satisfaction, alertness, efficiency, and duration based on the Ru-SATED model was utilized (higher score<!--> <!-->=<!--> <!-->better sleep health) to evaluate self-reported sleep, and cognitive function was assessed using the <em>Brief Test of Adult Cognition by Telephone</em>.</div></div><div><h3>Results</h3><div>Cross-sectionally, better sleep health was associated with better cognition (<em>B</em> <!-->=<!--> <!-->0.121<em>, SE</em> <!-->=<!--> <!-->0.017<em>, p</em> <!-->&lt;<!--> <!-->.001). This relationship remained significant even after adjusting for sociodemographic and health covariates (<em>B</em> <!-->=<!--> <!-->0.039<em>, SE</em> <!-->=<!--> <!-->0.014<em>, p</em> <!-->=<!--> <em>.</em>006). Longitudinally, improvement in sleep health from baseline to follow-up was associated with better cognitive performance at follow-up (<em>B</em> <!-->=<!--> <!-->0.031<em>, SE</em> <!-->=<!--> <!-->0.011<em>, p</em> <!-->=<!--> <em>.</em>004); however, this relationship did not remain significant after adjusting for covariates (<em>B</em> <!-->=<!--> <!-->0.015, <em>p</em> <!-->=<!--> <!-->.139).</div></div><div><h3>Conclusion</h3><div>Findings suggest better sleep health measured across multiple domains is associated with higher cognitive function. Future studies may want to examine potential mechanisms by which better sleep health relates to better cognitive function over time, such as reduction in stress or inflammation.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 2","pages":"Pages 206-213"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014301","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":"Longitudinal assessment of objective sleep and power output in Division I collegiate baseball athletes","authors":"Jeremy A. Bigalke PhD ,&nbsp;Katherine M. Lee MS ,&nbsp;Jennifer R. Bigalke MS ,&nbsp;Michael K. Scullin PhD ,&nbsp;Andrew R. Gallucci PhD ,&nbsp;Jason R. Carter PhD","doi":"10.1016/j.sleh.2024.12.009","DOIUrl":"10.1016/j.sleh.2024.12.009","url":null,"abstract":"<div><h3>Objectives</h3><div>Many college athletes experience insufficient sleep due to athletic, academic, and social constraints. While prior studies have observed cross-sectional associations between poor sleep and performance in athletes, few studies have longitudinally assessed performance variations in relation to sleep measures. We investigated whether objectively measured sleep assessments were associated with peak power output improvements during a fall season of Division I collegiate baseball players.</div></div><div><h3>Methods</h3><div>Peak power output was assessed weekly for 12<!--> <!-->weeks in 24 male collegiate baseball players (age: 21<!--> <!-->±<!--> <!-->1<!--> <!-->years). Objective sleep (Oura ring) was assessed over the final 6<!--> <!-->weeks to determine total sleep time, sleep efficiency, and other assessments of sleep quality, including the proportion of nights in which athletes maintained total sleep time ≥7 hours or sleep efficiency ≥90%. Bivariate correlations between sleep measures and peak power output were performed.</div></div><div><h3>Results</h3><div>Greater improvements in peak power output throughout the fall season were associated with higher total sleep time (r<!--> <!-->=<!--> <!-->0.429, <em>p</em> <!-->=<!--> <!-->.036), higher sleep efficiency (r<!--> <!-->=<!--> <!-->0.411, <em>p</em> <!-->=<!--> <!-->.046), and fewer nighttime awakenings (r<!--> <!-->=<!--> <!-->−<!--> <!-->0.495, <em>p</em> <!-->=<!--> <!-->.014). Furthermore, the rate of change in peak power output was associated with the proportion of nights in which athletes maintained total sleep time ≥7 hours (r<!--> <!-->=<!--> <!-->0.557, <em>p</em> <!-->=<!--> <!-->.005) or sleep efficiency ≥90% (r<!--> <!-->=<!--> <!-->0.509, <em>p</em> <!-->=<!--> <!-->.011).</div></div><div><h3>Conclusions</h3><div>These findings support an association between adequate sleep duration, quality, and consistency in training season performance trajectories in college athletes.</div></div><div><h3>Data availability</h3><div>Data will be made available upon reasonable request by the corresponding author.</div></div>","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 2","pages":"Pages 241-247"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075972","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":"NSF Sleep Health TImes","authors":"","doi":"10.1016/S2352-7218(25)00050-6","DOIUrl":"10.1016/S2352-7218(25)00050-6","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 2","pages":"Page 248"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855008","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":"Should you let your baby cry at night? The \"no\" rumor persists, despite insufficient scientific evidence with cortisol-stress measures","authors":"Florian Lecuelle MSc,&nbsp;Marie-Josèphe Challamel MD,&nbsp;Michal Kahn PhD,&nbsp;Jodi A. Mindell PhD,&nbsp;Oliviero Bruni Pr,&nbsp;Bruno Claustrat PhD,&nbsp;Royce Anders Pr,&nbsp;Patricia Franco Pr,&nbsp;Benjamin Putois PhD","doi":"10.1016/j.sleh.2025.01.001","DOIUrl":"10.1016/j.sleh.2025.01.001","url":null,"abstract":"","PeriodicalId":48545,"journal":{"name":"Sleep Health","volume":"11 2","pages":"Pages 127-130"},"PeriodicalIF":3.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531974","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}