Childhood Obesity最新文献

{"title":"<i>Retracted:</i> Body Mass Index and Gut Microbiome: A Cluster-Randomized, Controlled, Pilot Feasibility Study.","authors":"Marilyn Frenn, Nita Salzman, Vy Lam, Mary Holtz, Andrea Moosreiner, Mauricio Garnier-Villarreal","doi":"10.1089/chi.2022.0171","DOIUrl":"10.1089/chi.2022.0171","url":null,"abstract":"<p><p>The Editor-in-Chief of <i>Childhood Obesity</i> officially retracts the article entitled, \"Body Mass Index and Gut Microbiome: A Cluster-Randomized, Controlled, Pilot Feasibility Study,\" by Frenn M, Salzman N, Lam V, Holtz M, Moosreiner A, and Garnier M. (Child Obes. 2023 Feb 2 ahead of print. doi: 10.1089/chi.2022.0171).After the Online Now (epub) publication of the paper, the Editor of the journal received an email from a reader with concerns regarding fundamental flaws in the study. The journal's Editor-in-Chief provided this letter to the authors of the article and provided an opportunity to respond. The authors addressed several of the comments but defended their main analysis.The Editor made the decision to retract the paper based on the following: (a) the distinction between a weakness or limitation in research vs invalid or incorrect methods is important; (b) weaknesses and limitations can be addressed by acknowledging them, whereas errors merit correction of the scientific record; and (c) the author response did not indicate that their original paper used correct and valid methods and it was therefore judged to be unreliable and meriting retraction.The Editor-in-Chief of <i>Childhood Obesity</i> asked highly experienced statisticians to re-review the paper in conjunction with the complainant's statements. The statisticians all are considered experts in their field and familiar with the issue being debated and have no affiliation or relationship with the complainants or the authors. After carefully examining the article, the statisticians agreed that flaws exist, most importantly that clustering and nesting should be accounted for in the statistical analysis given the cluster randomized design, thereby rendering the results biased and invalid.Based on the statisticians' assessments of the published article and the authors' reanalysis, the Editor of <i>Childhood Obesity</i> is no longer confident in the results and, though the authors are not in agreement, officially retracts the article from the literature.See the official Retraction Notice (10.1089/chi.2022.0171.retract) to view the original letter from the complainant, and the authors' responses, which are included as supplemental material for clarity.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"chi20220171"},"PeriodicalIF":1.4,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10696645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Generational Status, Family Structure, and Phenotypic Severity of Obesity in Children Attending a Pediatric Obesity Clinic: A Retrospective Longitudinal Study.","authors":"Marie Cyrenne-Dussault, Vicky Drapeau, Julie St-Pierre, Jean-Philippe Drouin-Chartier","doi":"10.1177/21532176261446338","DOIUrl":"https://doi.org/10.1177/21532176261446338","url":null,"abstract":"<p><strong>Background: </strong>Whether children's generational status (<i>i.e.</i>, immigrant generation based on country of birth) or family structure (<i>i.e.</i>, household composition) influences phenotypic obesity severity, or outcomes of its management, remains unclear. We investigated associations of generational status and family structure with phenotypic obesity severity, its change over time, and persistence in a lifestyle-modification program among children with obesity attending a pediatric obesity clinic in Montreal (Canada).</p><p><strong>Methods: </strong>This retrospective longitudinal analysis used medical records from children (2-17 years) who were followed between 2017 and 2023. We compared BMI <i>z</i>-score (BMIz) and clinical obesity prevalence at baseline and program persistence and changes in BMIz and blood pressure (BP) over follow-up, according to generational status and family structure.</p><p><strong>Results: </strong>Among the 568 included children, 362 (63.7%) had a first- or second-generation immigrant background, and 201 (35.4%) lived in non-two-parent families. At baseline, compared with children of third generation or more, those of first or second generation had lower BMIz (3.33 [95% CI: 3.22, 3.45] vs. 3.62 [95% CI: 3.47, 3.77]; <i>p</i> = 0.02) but a similar prevalence of clinical obesity (47.6% [95% CI: 42.6, 53.2] vs. 53.4% [95% CI: 47.0, 60.7]; <i>p</i> = 0.15). No differences were observed by family structure at baseline. Over follow-up (mean ± SD: 12.7 ± 12.8 months), program persistence and reductions in BMIz and BP were similar across groups.</p><p><strong>Conclusions: </strong>Although generational status and family structure remain relevant for tailoring counseling, we found no evidence that they are meaningfully associated with phenotypic obesity severity, its change over time, or persistence in this program.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"21532176261446338"},"PeriodicalIF":1.4,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parents' Insights on a Summer Obesity Prevention Intervention at SUN Meals Program Sites for Elementary School-Aged Children.","authors":"Jiwoo Lee, Winnie Yip, Aishah Damirgi, Nancy E Sherwood, Marlene B Schwartz, Jayne A Fulkerson","doi":"10.1177/21532176261443775","DOIUrl":"https://doi.org/10.1177/21532176261443775","url":null,"abstract":"<p><strong>Background: </strong>One potential strategy to prevent unhealthy summer weight gain in children is to integrate obesity prevention interventions into the SUN Meals program, where free meals are offered to children from low-income households. The current study gathered insights from parents to (1) identify children's weight-related health behaviors that need support during the summer, (2) examine potential intervention activities and their relevant barriers and facilitators, and (3) describe the preferred logistics of a summer obesity prevention intervention.</p><p><strong>Methods: </strong>Two rounds of focus groups were conducted virtually between February and April 2025. Participants (<i>n</i> = 26) were parents of elementary school-aged children from low-income families. Data were analyzed using inductive thematic content analysis.</p><p><strong>Results: </strong>The top five weight-related health behaviors parents identified as priorities for their children were (1) increasing fruit and vegetable intake, (2) getting sufficient sleep, (3) limiting screen time, (4) increasing physical activity, and (5) reducing added sugar intake. Most parents supported a weekly, half-day intervention at the SUN Meals program sites for elementary school-aged children. Activities deemed important included providing engaging nutrition education related to the food served; helping families establish bedtime routines and screen time agreements; and offering physical activities at the program sites. Parents also suggested low- or no-cost half-day programming on-site, complemented by take-home packets and additional follow-ups between sessions to reinforce intervention content at home.</p><p><strong>Conclusions: </strong>Parents supported the proposed structured summer obesity prevention intervention at SUN Meals program sites, noting its benefits for families' weight-related health behaviors and offering practical logistical suggestions.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"21532176261443775"},"PeriodicalIF":1.4,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Implementation of Clinic-Community Partnerships Treating Pediatric Obesity.","authors":"Asheley Cockrell Skinner, Cody Neshteruk, Kiah Gaskin, Jason Jones, Leah Frerichs, Mary Story, Isa Granados, Faith Heeren, Janna Howard, Emily D'Agostino, Karen A Scherr, Emily Alexander, Rachel Fleming, Sarah C Armstrong","doi":"10.1177/21532176261436192","DOIUrl":"https://doi.org/10.1177/21532176261436192","url":null,"abstract":"<p><strong>Background: </strong>Although intensive health behavior and lifestyle treatment (IHBLT) is effective for treating youth obesity, it is not accessible to many. Our objective was to examine the implementation of Fit Together, an evidence-based IHBLT clinic-community model delivered by health care and local parks and recreation.</p><p><strong>Methods: </strong>This study used a hybrid type 3 implementation-effectiveness design to examine uptake and implementation of the Fit Together model in eight North Carolina counties from 2016 to 2021. Each Fit Together partnership was provided with an implementation manual, training, technical assistance, and financial support. Implementation outcomes included partnership characteristics and program delivery (e.g., hours, referrals, attendance). Effectiveness outcomes included engagement (dose received), changes in child lifestyle habits, quality of life, and body mass index (BMI). Descriptive statistics described implementation outcomes, and linear regression models examined changes in participant-level outcomes.</p><p><strong>Results: </strong>All eight locations implemented Fit Together (range: 5-18 months). A total of 1193 youth with obesity (12 years ± 3.0, 52.4% female) were referred to a Fit Together program. Of referred youth, 20% (241/1193) attended ≥ 1 session, of which 85% (205/241) attended ≥2 sessions. Nearly a third of engaged participants (29%, 70/241) received ≥26 treatment hours. For each additional session attended, BMI percent of the 95^th percentile declined (<i>β</i> = -0.12, <i>p</i> = 0.06).</p><p><strong>Conclusions: </strong>The Fit Together model can be delivered in diverse settings, engage priority populations, and deliver IHBLT in a variety of locations. Future work should test scalability and dissemination strategies for clinic-community models of child obesity treatment.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"21532176261436192"},"PeriodicalIF":1.4,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Call to Address Disparities in Pediatric Weight Management among Children in Single-Parent Families.","authors":"Bethany Forseth, Keeley Pratt","doi":"10.1177/21532176261436191","DOIUrl":"https://doi.org/10.1177/21532176261436191","url":null,"abstract":"","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"21532176261436191"},"PeriodicalIF":1.4,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying and Managing Eating Disorders in Pediatric Obesity Treatment: Current Practices in Weight Management Programs throughout the United States.","authors":"Eileen Chaves, Cristina Fernandez, Sanita Ley, Helena Laroche, Adolfo J Ariza, Marsha B Novick, Kimberly Genuario, Christine San Giovanni, Amy Egbert, Crystal S Lim, Jared M Tucker","doi":"10.1177/21532176261420972","DOIUrl":"10.1177/21532176261420972","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) are common in adolescents with obesity. Detection of EDs, such as binge eating disorder (BED), within pediatric weight management programs (PWMPs) is vital to ensure that children and adolescents receive appropriate treatment, yet identification of EDs in PWMPs is not well-established. This study sought to understand current practices in the assessment and management of EDs in PWMPs in the United States.</p><p><strong>Methods: </strong>A survey was developed by topic experts within Childhood Obesity Multi-Program Analysis and Study System to evaluate program practices related to the screening, diagnosis, referral, and treatment of EDs in PWMPs. Surveys were emailed to medical and behavioral health providers within these practices throughout the United States. Responses were tabulated and compared across program and provider characteristics.</p><p><strong>Results: </strong>Of the 38 respondents, three-fourths regularly screened for one or more EDs (<i>n</i> = 29; 74%) with most screening informally using either no screener or a clinic-developed questionnaire (<i>n</i> = 20; 69%). Reasons for not screening included not being sure how to provide appropriate ED treatment (<i>n</i> = 6); lack of training (<i>n</i> = 5); and lack of time (<i>n</i> = 4). Most respondents were comfortable screening for EDs generally (69%), but behavioral health providers reported higher comfort levels than medical providers in making BED diagnoses (100% vs. 53%; <i>p</i> = 0.031).</p><p><strong>Conclusions: </strong>To provide the best patient care for adolescents with obesity, training and structured guidelines are needed to improve ED screening, as well as referral and treatment practices.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"155-163"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal Mediterranean Diet during Pregnancy and Adiposity from Early Childhood through Preadolescence.","authors":"Sarah Gonzalez-Nahm, Emily Griffith, Rachel L Maguire, Halah Jadallah, Cathrine Hoyo","doi":"10.1177/21532176261420979","DOIUrl":"10.1177/21532176261420979","url":null,"abstract":"<p><strong>Objective: </strong>To assess the longitudinal associations between maternal diet during pregnancy and child adiposity between ages 2 and 12 years.</p><p><strong>Methods: </strong>Repeated measures linear regression models with autoregressive covariance were used to assess the association between maternal diet and child body mass index (BMI) trajectories between ages 2 and 12 years. Logistic regression models were used to assess the associations between maternal diet and likelihood of child BMI greater than the 85th percentile, as well as the association between age at adiposity rebound and the likelihood of subsequent overweight/obesity. Additionally, multiple linear regression was used to assess the association between maternal diet and child age at adiposity rebound. Interactions with race/ethnicity were explored.</p><p><strong>Results: </strong>There was no association between maternal diet during pregnancy and child adiposity, but race-ethnic specific analyses revealed that compared to a high maternal adherence to a Mediterranean-style diet, a low adherence was associated with a higher BMI trajectory among White children (β = -0.67; <i>p</i> = 0.01).</p><p><strong>Conclusions: </strong>Maternal diet during pregnancy may influence child BMI trajectories in race/ethnic-specific ways that likely stem from cultural and socioeconomic factors that should be considered when designing interventions.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"146-154"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12981518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Biological Phenotypes of Patients Carrying a Heterozygous Variant in Genes of Leptin-Melanocortin Signaling Pathway.","authors":"Elsa Dieterlen, Delphine Collin-Chavagnac, Bérénice Segrestin, Marc Nicolino, Emmanuel Disse, Kevin Perge","doi":"10.1177/21532176261423352","DOIUrl":"10.1177/21532176261423352","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a multifactorial condition and represents a major public health issue. In 5% of cases, obesity is monogenic, secondary to an abnormality in a gene of the leptin-melanocortin signaling pathway.</p><p><strong>Objectives: </strong>The aim of our retro-prospective descriptive study is to reclassify heterozygous variants of unknown significance (VUS) and to describe the clinical and biological phenotypes of the patients carrying these variants.</p><p><strong>Methods: </strong>Our study population included adult and pediatric patients followed in the Hospices Civils de Lyon for severe obesity, with a heterozygous probably pathogenic variant or a variant of unknown significance on a specific gene of interest identified by genetic analysis between January 2018 and December 2022. Reclassification of variants was based on family segregation and the recent literature data. The data concerning medical history, phenotypic characteristics, and biological results were extracted from medical files.</p><p><strong>Results: </strong>Twenty-six patients underwent family segregation analysis: 10 patients were identified as carriers of a heterozygous probably pathogenic variant or VUS with a positive segregation. All patients had early-onset obesity at a mean age of 2.8 years.</p><p><strong>Conclusions: </strong>Our study highlights the clinical relevance of family segregation in reclassifying VUS within the leptin-melanocortin pathway and underscores the diagnostic value of early obesity onset in identifying potential monogenic forms.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"164-172"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146183268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in Psychosocial Outcomes Reported in Behavioral Intervention Trials for Children and Adolescents with Overweight and Obesity: A Scoping Review.","authors":"Cathy Kwok, Sabrina Sacco, Natalie B Lister, Angela S Alberga, Louise A Baur, Linda Booij, Kimberly Carrière, Sarah P Garnett, Hiba Jebeile","doi":"10.1177/21532176261418755","DOIUrl":"10.1177/21532176261418755","url":null,"abstract":"<p><strong>Background: </strong>Pediatric obesity is associated with co-occurring psychosocial conditions, which may be impacted by obesity treatment. Past systematic reviews have shown positive effects for specific psychosocial outcomes following behavioral interventions. This review aimed to extend these findings by mapping patterns of change for the totality of psychosocial outcomes reported.</p><p><strong>Methods: </strong>We conducted a scoping review following published guidelines. We searched 11 databases to identify behavioral intervention trials for children and adolescents living with overweight or obesity that measured at least one psychosocial outcome pre-post. Outcomes were grouped into categories thematically, and data were synthesized based on the timepoint (post-intervention, latest follow-up), intervention arm (active, no-intervention control), and type of change reported (difference between arms, change over time).</p><p><strong>Results: </strong>Of 1172 articles screened, 197 articles (169 trials) met the inclusion criteria, with a combined sample of 18,694 children and adolescents. A total of 372 outcomes were identified and grouped into eight constructs. Across all outcomes and timepoints, many trials reported no difference or a difference favoring the active intervention arm over the no-intervention control arm. Likewise, most active intervention arms showed improvements or no change over time, though five of 169 trials reported worsening in a psychosocial outcome at post-intervention. Most no-intervention control arms showed no change over time.</p><p><strong>Conclusions: </strong>Behavioral interventions are associated with improvements or no change in psychosocial health across a broad range of outcomes assessed. Consensus on core psychosocial outcomes is needed to reduce heterogeneity and ensure outcomes are relevant to children and adolescents living with obesity.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"187-205"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to Health Behavior Recommendations among Youth with Obesity Classes I, II, and III.","authors":"Lauren St Peter, Veronica Vabishchevich, Sarah Hampl, Robert C Gibler, Janelle R Noel-MacDonnell, Robin P Shook, Jordan A Carlson, Bethany Forseth","doi":"10.1177/21532176261423258","DOIUrl":"10.1177/21532176261423258","url":null,"abstract":"<p><strong>Background: </strong>Previous research has not examined whether youth with obesity class I, II, or III differ in adherence to health behavior recommendations.</p><p><strong>Objective: </strong>To examine differences in meeting recommendations for physical activity (PA), screen time (ST), fruit/vegetable (F/V), dairy, and water consumption by obesity class.</p><p><strong>Methods: </strong>Data were from primary care visits from 2013 to 2019 among youth ages 2-17 years with obesity. A brief survey was used to capture adherence to five different health behaviors. Logistic regression compared odds of adherence across obesity classes (I vs. II/III; II vs. III).</p><p><strong>Results: </strong>Among 11,525 youth with obesity, rates of meeting recommendations were 78.6% (PA), 55.0% (ST), 8.1% (F/V), 29.6% (dairy), and 54.7% (water). In adjusted models, compared with youth with obesity class I, youth with obesity class II and class III had lower odds of meeting PA (odds ratio [OR_CII] = 0.63, 95%CI = 0.56, 0.72; OR_CIII = 0.60, 95%CI = 0.49, 0.72), and ST recommendations (OR_CII = 0.83, 95%CI = 0.74, 0.92; OR_CIII = 0.78, 95%CI = 0.65, 0.94). No differences were observed between obesity class II and class III.</p><p><strong>Conclusions: </strong>Youth with different classes of obesity demonstrate different adherence to ST and PA recommendations. Pediatric primary care providers can utilize these findings to determine adherence barriers and tailor their counseling for patients with severe obesity.</p>","PeriodicalId":48842,"journal":{"name":"Childhood Obesity","volume":" ","pages":"137-145"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13035410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}