Lauren B Raine, Rachel J Hopman-Droste, Abigail N Padilla, Arthur F Kramer, Charles H Hillman
{"title":"The Benefits of Acute Aerobic Exercise on Preadolescent Children's Learning in a Virtual Classroom.","authors":"Lauren B Raine, Rachel J Hopman-Droste, Abigail N Padilla, Arthur F Kramer, Charles H Hillman","doi":"10.1123/pes.2024-0049","DOIUrl":"https://doi.org/10.1123/pes.2024-0049","url":null,"abstract":"<p><strong>Purpose: </strong>Today's children are increasingly inactive, with >50% not meeting the recommended 60 minutes of daily physical activity (PA). Recent reports suggest scores in reading and mathematics have also declined. Virtual reality (VR) is a technology that can be used to simulate real-world scenarios, like classroom learning. This study investigated whether a single dose of walking benefits learning in a VR classroom (measured via quiz performance).</p><p><strong>Method: </strong>Forty-seven children (15 females, 9.64 [0.12] y) completed 2, randomized and counterbalanced 20-minute interventions on separate days: acute PA (walking) and seated rest (control), followed by a stationary educational lesson in a distracting VR classroom. Children then completed a quiz on the lesson.</p><p><strong>Results: </strong>Children had higher quiz performance following PA (z-score = 0.16 [0.13]) compared with following rest (z-score = -0.18 (0.14); F1,45 = 6.17, P = .017), indicating that PA enhanced learning. Children with average intelligence quotient had quiz performance that was higher after PA (z-score = 0.04 [0.20]) compared with after rest (z-score = -0.60 [0.19]), t(22) = 3.34, P = .003. Higher intelligence quotient children did not demonstrate differences in quiz performance after PA compared with after rest.</p><p><strong>Conclusions: </strong>Learning in a VR classroom may be improved following acute PA, particularly for children with average intelligence quotient. These findings support public health guidelines promoting PA across the day.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394733","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}
Elliott Brown, Karla Foster, Iesha Gover, Adam Powell, William D Hardie
{"title":"Comparison of Exercise Protocols for Diagnosing Pediatric Unexplained Dyspnea on Exertion.","authors":"Elliott Brown, Karla Foster, Iesha Gover, Adam Powell, William D Hardie","doi":"10.1123/pes.2024-0047","DOIUrl":"https://doi.org/10.1123/pes.2024-0047","url":null,"abstract":"<p><strong>Purpose: </strong>Clinicians evaluating pediatric patients with unexplained dyspnea on exertion (DOE) often obtain exercise testing with a treadmill-based exercise-induced bronchospasm (EIB) protocol measuring only changes in spirometry. We modified the EIB protocol to collect metabolic and lung volume endpoints as obtained in a cardiopulmonary exercise test (CPET). We tested the hypothesis that measuring metabolic data with the EIB protocol (EIB-CPET) would yield greater diagnostic information than the EIB protocol.</p><p><strong>Methods: </strong>Exercise test diagnosis for healthy children with DOE referred to the pulmonary exercise lab from January 2011 through July 2023 were retrospectively compared between those performing either the EIB or EIB-CPET protocols.</p><p><strong>Results: </strong>One hundred and twenty-seven patients with unexplained DOE were analyzed. Of the 72 patients tested on the EIB protocol, 49% had stridor and 5% with EIB. Of the 55 patients tested on the EIB-CPET protocol, 42% had stridor, 42% with normal physiologic limitation, 22% with dysfunctional breathing, 5% with deconditioning, 2% with EIB, and 2% with exercise-induced hypoxemia. Patients performing the EIB-CPET protocol had a significantly higher rate of any diagnosis compared with EIB (P = .0002).</p><p><strong>Conclusions: </strong>There is a greater diagnostic yield in children with unexplained DOE performing the EIB-CPET protocol compared with patients performing the EIB protocol.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394730","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}
Kara K Palmer, Alec McKheen, Stephanie A Palmer, Aaron P Wood, David F Stodden, Leah E Robinson
{"title":"Using 2 Versions of the Test of Gross Motor Development to Classify and Screen Young Children's Motor Skills: A Comparison Study.","authors":"Kara K Palmer, Alec McKheen, Stephanie A Palmer, Aaron P Wood, David F Stodden, Leah E Robinson","doi":"10.1123/pes.2023-0189","DOIUrl":"https://doi.org/10.1123/pes.2023-0189","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine comparability between 2 editions of the Test of Gross Motor Development (TGMD-second and TGMD-third edition) on (1) how children's motor skills were categorized as average or below average, and (2) how children are screened for being at-risk for motor delay or with delayed motor skills.</p><p><strong>Methods: </strong>Participants were 226 children (Mage = 53.4 mo, 125 boys). All children completed full TGMD-2 and TGMD-3. Children were classified as average or above (>25th percentile) or below average (≤25th percentile) and, when applicable, as developmental delay (≤5th percentile) or at-risk for developmental delay (6-25th percentile). We compared children's classifications across TGMD editions using percent agreement and chi-squared tests.</p><p><strong>Results: </strong>The TGMD-2 and TGMD-3 had moderate agreement when categorizing children as below average (72.2% for total skills, 76.0% for locomotor skills, and 73% for ball skills). The TGMD-3 was significantly more likely to categorize children's motor skill performance as average or above (all P < .01).</p><p><strong>Conclusion: </strong>TGMD-2 and TGMD-3 similarly screen children who demonstrate below average skills (≤25th percentile), but not for specific skill level classifications, including above average, at-risk for delays, and delayed.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394734","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}
Trine K Møller,Peter Krustrup,Jan C Brønd,Nina R W Geiker,Malte N Larsen
{"title":"Essential Improvements in Fat Percentage and Cardiometabolic Fitness After a Residential Stay for Socially Vulnerable Children-With and Without the \"11 for Health\" Concept.","authors":"Trine K Møller,Peter Krustrup,Jan C Brønd,Nina R W Geiker,Malte N Larsen","doi":"10.1123/pes.2023-0137","DOIUrl":"https://doi.org/10.1123/pes.2023-0137","url":null,"abstract":"The Danish Christmas Seal Homes offer a 10-week residential stay for socially vulnerable children. We aimed to examine the effects on body composition and cardiometabolic fitness variables of the standard program (SG) and whether substituting physical activity sessions with sessions from a football-based health education program is beneficial for the participants (\"11 for Health\"; SG+). Three hundred and nine children participated in SG (12.4 [1.6] y) and 305 in SG+ (12.4 [1.4] y). Fat percentage was lowered by 6% for females (from 37% to 31%) and 8% for males (from 36% to 28%), with no between-group differences. We observed improvements in systolic and diastolic blood pressure (3 and 5 mm Hg, respectively), resting heart rate (10 beats/min), aerobic fitness, jump performance, and relative muscle mass with no between-group differences. Furthermore, there were between-group differences in insulin levels for females (1.7 pmol/L; 95% CI, 0.3 to 3.0) and postural balance for males (1.0 s; 95% CI, 0.0 to 2.0), both in favor of SG+, and covered distance in the Andersen test for females (26 m; 95% CI, 3 to 49) in favor of SG. In conclusion, a 10-week stay at the Danish Christmas Seal Home resulted in clinically relevant improvement in fat percentage and cardiometabolic fitness in socially vulnerable children, regardless of the program type.","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263324","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}
Alcibíades Bustamante, José Maia, Carla Santos, Fernando Garbeloto, Olga Vasconcelos, Go Tani, Donald Hedeker, Peter T Katzmarzyk, Sara Pereira
{"title":"Secular Trends in Gross Motor Coordination: A Study of Peruvian Children Living at High Altitude.","authors":"Alcibíades Bustamante, José Maia, Carla Santos, Fernando Garbeloto, Olga Vasconcelos, Go Tani, Donald Hedeker, Peter T Katzmarzyk, Sara Pereira","doi":"10.1123/pes.2023-0170","DOIUrl":"https://doi.org/10.1123/pes.2023-0170","url":null,"abstract":"<p><strong>Purpose: </strong>To (1) describe secular trends in gross motor coordination (GMC) scores by sex and age; (2) investigate GMC trends adjusted for concomitant secular trends in height, weight, and overall physical fitness; and (3) examine trends in children's frequencies within different GMC categories.</p><p><strong>Method: </strong>The sample comprises 1562 Peruvian children (690 in 2009 and 872 in 2019), aged 6-11 years, from Junín (a high-altitude region). GMC was assessed with the KörperkoordinationsTest für Kinder. Physical fitness was assessed with handgrip strength, standing long jump, and shuttle-run test. Height and weight were measured with standardized protocols. Analysis of variance, covariance, and logistic regression were used.</p><p><strong>Results: </strong>A negative secular trend in GMC (based on raw scores) for boys and girls aged 6-8 years was observed. However, a positive trend was observed at 11 years of age but only in boys. Finally, there were no significant changes in the likelihood of children having below-normal GMC from 2009 to 2019.</p><p><strong>Conclusions: </strong>Secular trends in GMC were negative in Peruvian children, especially at 6-8 years of age. Further, body size and physical fitness trends did not affect the negative secular trend. A high prevalence of children had below-normal GMC in both 2009 and 2019.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299573","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}
Vanessa de Souza Vieira, Susana da Costa Aguiar, Maria Cristine Campos, Laís Coan Fontanela, Jaquelini Betta Canever, Melina Hauck, Lívia Arcêncio do Amaral, Viviane de Menezes Cáceres, Ione Jayce Ceola Schneider, Danielle Soares Rocha Vieira
{"title":"Light-Intensity Physical Activity and Sedentary Behavior Are Associated With Blood Pressure Levels in Adolescents.","authors":"Vanessa de Souza Vieira, Susana da Costa Aguiar, Maria Cristine Campos, Laís Coan Fontanela, Jaquelini Betta Canever, Melina Hauck, Lívia Arcêncio do Amaral, Viviane de Menezes Cáceres, Ione Jayce Ceola Schneider, Danielle Soares Rocha Vieira","doi":"10.1123/pes.2023-0120","DOIUrl":"10.1123/pes.2023-0120","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the associations between physical activity (PA) intensities, sedentary behavior (SB), and blood pressure (BP) in adolescents, according to sex.</p><p><strong>Method: </strong>This cross-sectional study involved 95 male and female adolescents aged 15-18 years. Accelerometry was used to measure time spent in light-intensity PA (LPA), moderate to vigorous PA (MVPA), and vigorous PA, and SB. The BP was determined using an automated sphygmomanometer. Statistical analyses included multiple linear regression and command margins.</p><p><strong>Results: </strong>Significant associations were found between systolic BP (SBP) and time spent in LPA (B = -0.08; 95% CI, -0.15 to -0.01) and SB (B = 0.071; 95% CI, 0.004-0.138), albeit only in boys. Furthermore, an interaction was observed between time spent in SB and MVPA for SBP in boys (B = -0.002; 95% CI, -0.004 to -0.0008). The main interaction effect of increasing SBP was a combination of <75 minutes per day of MVPA and up to 600 minutes per day of SB.</p><p><strong>Conclusions: </strong>Increased time in LPA and reduced time spent in SB during the day are associated with lower SBP in male adolescents. Additionally, the relation between SB and SBP was attenuated by MVPA. These findings provide crucial insights for PA recommendations to promote cardiovascular health in adolescents.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299572","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}
Majid Mohabbat,Amir Hossein Barati,Azita Azarkeivan,Ehsan Eghbali,Hamid Arazi
{"title":"Acute and Chronic Effects of Interval Aerobic Exercise on Hepcidin, Ferritin, and Liver Enzymes in Adolescents With Beta-Thalassemia Major.","authors":"Majid Mohabbat,Amir Hossein Barati,Azita Azarkeivan,Ehsan Eghbali,Hamid Arazi","doi":"10.1123/pes.2023-0197","DOIUrl":"https://doi.org/10.1123/pes.2023-0197","url":null,"abstract":"PURPOSEThis study aimed to determine the acute and chronic effects of interval aerobic exercise on hepcidin, ferritin, and liver enzymes in adolescents with beta-thalassemia major.METHODSTwenty-six beta-thalassemia major adolescents referred to the Thalassemia Clinic and Research Center were selected as study participants and randomly divided into control (n = 13) and training (n = 13) groups. Participants performed 3 sessions per week for 45 minutes in each session for 8 weeks of aerobic interval exercise with an intensity of 50% to 65% of the heart rate reserve. Blood samples were taken before, immediately after the exercise session, and 48 hours after the last training session, and liver enzymes aspartate aminotransferase, alanine aminotransferase (ALT), alkaline phosphatase (ALP), ferritin, and hepcidin were evaluated.RESULTSThe results showed a decrease in aspartate aminotransferase, ALT, ALP, ferritin, and hepcidin levels due to 8 weeks of aerobic interval training (P = .14, P = .97, P = .03, P < .001, P < .001; respectively). Intergroup changes in all variables except ALT and hepcidin were significant (P < .05). Besides, acute aerobic exercise increased levels of aspartate aminotransferase, ALT, ferritin, and hepcidin (P = .04, P = .52, P < .001, P < .001; respectively), whereas ALP levels decreased (P < .001). In addition, changes in ALP and hepcidin levels were significant between the 2 groups (P = .05, P < .001; respectively).CONCLUSIONBased on the study's results, it can be concluded that 8 weeks of aerobic interval training can decrease ferritin and hepcidin levels, but acute aerobic exercise increases them.","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263083","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}
Quentin Merlin,Philippe Vacher,Guillaume Martinent,Michel Nicolas
{"title":"Youth Athletes' Self-Esteem: The Impact of Integrated Psychological Skills Training.","authors":"Quentin Merlin,Philippe Vacher,Guillaume Martinent,Michel Nicolas","doi":"10.1123/pes.2024-0005","DOIUrl":"https://doi.org/10.1123/pes.2024-0005","url":null,"abstract":"PURPOSEStudy on the effect of psychological skills training on self-esteem (SE) in young athletes.METHOD10 swimmers and 35 volleyball players, split into an intervention group (25) and a control group (18). The intervention entailed a 3-week psychological skills training program covering arousal management, breathing, relaxation, mental imagery, and self-talk. Multilevel growth curve analyses evaluated SE changes.RESULTSThe intervention group showed significant improvements in multiple SE dimensions-physical self-worth, fitness, athletic competence, strength, and body attractiveness but not general SE.CONCLUSIONSThis study provides initial evidence of a multimodal psychological skills training's effectiveness in enhancing young athletes' domain-specific SE. It highlights the role of domain-specific SE in young athletes' well-being. Future research should examine psychological and physiological correlations and assess the long-term SE development in adolescent athletes.","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263325","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}
Aymen Ben Othman,Saman Hadjizadeh Anvar,José Carlos Aragão-Santos,Anis Chaouachi,David G Behm
{"title":"Age, Sex, and Training Specific Effects on Cross-Education Training.","authors":"Aymen Ben Othman,Saman Hadjizadeh Anvar,José Carlos Aragão-Santos,Anis Chaouachi,David G Behm","doi":"10.1123/pes.2024-0027","DOIUrl":"https://doi.org/10.1123/pes.2024-0027","url":null,"abstract":"An extensive number of publications have examined cross-education effects with adults, primarily investigating contralateral homologous (same) muscles. There are far fewer investigations on cross-education effects on contralateral heterologous (different) muscles and age (youth vs adult) and no studies investigating sex differences. Hence, the objective was to compare cross-education in female and male youth and young adults to contralateral homologous (chest press [CP], elbow flexors and extensors, handgrip isometric strength, and shot put) and heterologous (leg press, knee extension isometric strength, and countermovement jump) muscles. Twenty-eight female adults, 28 female youth, 28 male adults, and 28 male youth (total: 112) were examined before and after an 8-week (3 sessions/wk) unilateral, dominant arm, CP training program. Unilateral testing assessed dominant and nondominant leg press and CP 1-repetition maximum, knee extensors, elbow extensors, elbow flexors, and handgrip maximum voluntary isometric contraction (MVIC) strength, as well as shot put distance and countermovement jump height. Unilateral CP training induced training specific (CP 1-repetition maximum) and nonspecific (elbow extensors, elbow flexors, handgrip MVIC force, and shot put distance) improvements (P < .04, η2: .45-.85) but no significant lower body improvements. There was evidence for testing limb specificity as the dominant arm provided significantly (P < .021, η2: .17-.75) greater training gains than the nondominant arm. Youth's training adaptations exceeded with unilateral CP 1-repetition maximum, elbow extensors MVIC force, and shot put distance (P < .049, η2: .14-.49). No sex main effect differences were apparent. In conclusion, cross-education was training specific (greatest gains with upper body and dominant limbs) with greater benefits for youth and generally no sex differences with the exception of elbow extensors MVIC.","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263326","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":"Physical Activity Predicts Better Lung Function in Children and Adolescents.","authors":"Fernanda Balbinot,Margaret W Gerbase","doi":"10.1123/pes.2024-0034","DOIUrl":"https://doi.org/10.1123/pes.2024-0034","url":null,"abstract":"PURPOSETo investigate (1) whether physical activity is associated with lung function in children and adolescents, (2) whether this association is modified by the subjects' weight status, and (3) whether this association is mediated by the body mass index.METHODSThis is a cross-sectional study including 460 participants aged 7-17 years, randomly selected from 13 public schools in southern Brazil. Collected data included anthropometric measures, physical activity, screen time, and spirometric measures expressed as percent predicted values. Data were analyzed using multiple linear regression and 2-way analysis of variance.RESULTSThere were positive associations between physical activity and forced vital capacity (β = 3.897, P = .001) and forced expiratory volume in the first second (β = 2.931, P = .021). The effect modification by weight status was not statistically significant (forced vital capacity: Pinteraction = .296 and forced expiratory volume in the first second: Pinteraction = .057). Body mass index did not mediate the association between physical activity and spirometric outcomes (P > .05).CONCLUSIONRegular physical activity was associated with higher forced vital capacity and forced expiratory volume in the first second in children and adolescents. The observed associations were not modified by weight status nor mediated by body mass index. Our results reinforce the importance of regular physical activity for the development of lung function during childhood and adolescence.","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142263092","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}