Translational journal of the American College of Sports Medicine最新文献

{"title":"Protocol for a Longitudinal Study of the Determinants of Metabolic Syndrome Risk in Young Adults.","authors":"Alexander Pomeroy,&nbsp;Lauren C Bates,&nbsp;Lee Stoner,&nbsp;Mark A Weaver,&nbsp;Justin B Moore,&nbsp;Svetlana Nepocatych,&nbsp;Simon Higgins","doi":"10.1249/tjx.0000000000000197","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000197","url":null,"abstract":"<p><strong>Context: </strong>As many as 76.7% of U.S. young adults have at least one metabolic syndrome risk factor. Often undetected, metabolic syndrome risk factors cluster with other risk factors increasing risk of future cardiometabolic disease. The prevention of metabolic syndrome risk accrual through early behavioral interventions is crucial for at-risk populations.</p><p><strong>Objectives: </strong>This paper outlines the protocol for the Health E Start study, including the objectives, methodology, ethics, and dissemination. Additionally, we discuss the goals of the National Institutes of Health Research Enhancement Award (R15) that funded this project and how this funding will facilitate the comprehensive training of undergraduate researchers. The long-term goal of the study is to develop a theoretically driven intervention for the prevention of metabolic syndrome risk development in college students. To facilitate this goal, the aims are to identify 1) behavioral targets for the prevention of metabolic syndrome risk development and 2) the motivations behind such behaviors to develop a theoretical framework for use in intervention design.</p><p><strong>Design: </strong>Longitudinal observational design.</p><p><strong>Setting: </strong>Transition from living at home to independent living at colleges across the U.S.</p><p><strong>Participants: </strong>High school seniors (n = 150) who will be transitioning to college within 3 months of graduating.</p><p><strong>Main outcome measure: </strong>For aim 1, metabolic syndrome risk will be quantified into a risk score using a principal components analysis of traditional risk factors. Associations between changes in lifestyle behaviors and changes in the risk score will identify population-specific behavioral targets. For aim 2, changes in psychological, social, and environmental antecedents of observed behaviors will be identified.</p><p><strong>Conclusions: </strong>Identifying the relationship between behavior change and metabolic syndrome risk, and the psychosocial and environmental predictors of observed behavior changes will facilitate the design of targeted interventions for the prevention of metabolic syndrome risk progression in the early college years.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"7 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9022630/pdf/nihms-1781292.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9613145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acute Effect of Height-Adjustable Workstations on Blood Glucose Levels in Women With Impaired Fasting Glucose Levels While Working: A Pilot Study.","authors":"A. Bonikowske, K. Carpenter, S. Stovitz, D. Bandyopadhyay, Mark A Pereira, B. Lewis","doi":"10.1249/tjx.0000000000000171","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000171","url":null,"abstract":"ABSTRACT Objective This study aimed to examine the effect on continuously monitored blood glucose (BG) among participants with impaired fasting glucose (IFG) who used a height-adjustable desk while working. Methods The study was a repeated-measures pilot study in overweight or obese women who had IFG (BG >100 mg·dL−1) and a sedentary job. BG was monitored with continuous glucose monitoring devices during two 1-wk periods at work: 1 wk in the seated position and 1 wk using alternate bouts of sitting and standing (by adjusting their desks) throughout the workday. Results Ten women completed the study. Sedentary time significantly predicted BG independently of diet and overall physical activity (P = 0.02). Dietary carbohydrates, protein, and fat were significant predictors of BG (P < 0.001). Conclusions Sedentary time is a strong predictor of increased BG in women with IFG and a sedentary job.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"6 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66085394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical Activity Interventions for Racial and Ethnic Minority Children: A Systematic Review","authors":"Benjamin C Zacks, K. Calhoun, Kimberly G Montez, Callie L. Brown, J. Skelton","doi":"10.1249/tjx.0000000000000170","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000170","url":null,"abstract":"ABSTRACT Pediatric obesity is a growing epidemic, and children of ethnic or racial minority background are at greatest risk. The purpose of this review is to identify disparities in PA levels among racial and ethnic minority children and identify successful interventions. We searched MEDLINE (PubMed) for the following mesh terms: population groups, obesity, child, infant, adolescent, exercise, or sports. Studies were included if written in English and reported on racial and ethnic families, physical activity (PA) parameters, and children <18 yr. Studies were excluded for lack of comparison with national recommendations or another racial group. Three main categories of studies (N = 24) were found: (a) assessment of PA levels by race/ethnicity, (b) analysis of PA interventions, and (c) parental influences on child PA. A variety of methods were used to measure the amount of PA. Studies using measured objective data for PA levels generally found no difference among races and ethnicities, whereas studies using self-reported PA levels suggested differences among them. The common strategies used in most successful interventions were tailoring activities to the specific target population, including family members, and making the activities enjoyable. Studies also indicated that parental behaviors were strongly associated with the behaviors of their children. The studies included in this systematic review suggest that children of racial and ethnic minority backgrounds may perform less PA than other populations and national recommendations. However, there are several different types of interventions and strategies that can increase PA in these children.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66085377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Many Papers but Limited Policy Impact? A Bibliometric Review of Physical Activity Research","authors":"Karen Lee, D. Ding, A. Grunseit, L. Wolfenden, A. Milat, A. Bauman","doi":"10.1249/tjx.0000000000000167","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000167","url":null,"abstract":"ABSTRACT Scientific publications on physical activity (PA) have proliferated in recent years. Previous work has shown that descriptive studies dominate the literature with disappointingly fewer studies reporting on interventions or dissemination. This study updates trends in PA research to determine changes, if any, in publications that are more likely to contribute to facilitating research translation to scale-up interventions that might influence population levels of PA. A bibliometric review of a random sample of published PA studies (n = 4069) across three periods (2008–2009, 2013–2014, and 2017–2018) was conducted using the SCOPUS database. A four-stage coding strategy was used, including 1) identifying PA as exposure or primary outcome, 2) classifying PA studies into data-based and non–data-based studies, 3) classifying data-based PA studies into intervention and nonintervention studies, and 4) classifying intervention studies into six research translation categories. Descriptive PA studies dominated in all three time periods (52.1%–61.9%). Intervention studies increased only slightly from 14.8% to 19.2%. Within intervention studies, most focused on testing efficacy or effectiveness, and these increased over time across the time periods from 38% to 50.5%. Research relevant for scale-up such as replication and dissemination studies declined from the first to the most recent period (28.1% to 16.7%). The prevailing trend of descriptive studies and efficacy and/or effectiveness studies on a small scale continues in published PA literature, contrary to the increasing recognition of the need for scale-up and dissemination research. More dissemination research is required to translate known efficacious interventions to population-level implementation. There is a need for cultural shifts in research where real-world impact on population health should be valued more than the volume of publications.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66085365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Free-Living Validation and Harmonization of 10 Wearable Step Count Monitors","authors":"Susan Park, Robert T Marcotte, Lindsay P Toth, Paige Paulus, Lindsey P. Lauricella, A. Kim, S. Crouter, Cary M. Springer, J. Staudenmayer, D. Bassett","doi":"10.1249/tjx.0000000000000172","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000172","url":null,"abstract":"ABSTRACT This study aimed 1) to determine the step count accuracy of numerous wrist-, hip-, and thigh-worn consumer and research monitors (and their corresponding algorithms) compared with the StepWatch (SW) across all waking hours under free-living conditions and 2) to develop correction methods to calibrate all monitors to the SW. Forty-eight participants 28 ± 12 yr old (mean ± SD) wore monitors across two waking days. Different wrist (Apple Watch Series 2, Fitbit Alta, Garmin vivofit 3, and ActiGraph GT9X), hip (Yamax Digiwalker SW-200, Omron HJ-325, GT9X, and Fitbit Zip), and thigh (activPAL) monitors were worn across 2 d, with the exception of the SW, which was worn on both days. Monitor estimates were compared with SW to compute percent of SW steps, absolute percent error, mean difference, root-mean-square error, and Pearson correlations. Monitor-specific correction factor linear regression models were fit to estimate SW steps and evaluated using leave-one-subject-out cross validation. All monitors were significantly different from the SW (P < 0.05). Consumer wrist and hip monitors underestimated SW steps (72%–91% of SW steps per day), whereas step estimates from research monitors ranged widely (67%–189%). Mean absolute percent error across all devices were greater than 10%. After a correction method was applied, all monitor estimates were not significantly different from SW steps. Overall, some consumer monitors produced step estimates that are closer to the validated SW than research-grade monitors (and their corresponding algorithms) and could be used to measure steps for healthy adults under free-living conditions. The specific correction methods may facilitate comparisons across studies and support research efforts using consumer and research monitors for large-scale population surveillance and epidemiological studies.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66085408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Waiving\" Goodbye to PE: State Law and School Exemption and Substitution Practices in the United States.","authors":"Jamie F Chriqui, Julien Leider, Elizabeth Piekarz-Porter, Wanting Lin, Lindsey Turner, Shannon L Michael, Nancy Brener, Frank Perna","doi":"10.1249/tjx.0000000000000161","DOIUrl":"10.1249/tjx.0000000000000161","url":null,"abstract":"<p><strong>Purpose: </strong>The importance of schools providing physical education (PE) and promoting physical activity (PA) and the benefits of PA for children are well documented. However, a majority of students do not get the nationally recommended 60 min of daily PA. Many states grant waivers, substitutions, or exemptions from PE despite national recommendations. This study examined the association between state laws allowing for the use of PE substitutions and exemptions and school-level substitution and exemption practices.</p><p><strong>Methods: </strong>School-level PE exemption and substitution data from the 2014 School Health Policies and Practices Study were linked to state law data from the National Wellness Policy Study and the National Cancer Institute's 2013 Classification of Laws Associated with School Students. The analytic sample included 320 schools located in 42 states. Separate multivariable logistic regression models linked five types of school PE exemptions/substitutions to corresponding state laws, controlling for school characteristics.</p><p><strong>Results: </strong>Overall, 24 of the 42 states had laws addressing PE waivers, exemptions, or substitutions. Schools had higher odds of allowing PE substitutions for school sports (adjusted odds ratio (AOR), 3.59; 95% confidence interval (CI), 1.33-9.68), other school activities (AOR, 8.52; 95% CI, 2.90-25.03), and community sports (AOR, 4.30; 95% CI, 1.43-12.96) and allowing exemptions for fitness test scores (AOR, 4.67; 95% CI, 1.49-14.62) or vocational training (AOR, 5.92; 95% CI, 1.04-33.68) if state law allowed it, compared with schools in states that did not allow such practices.</p><p><strong>Conclusions: </strong>Given the connection between PA and beneficial outcomes for children, decision makers, school administrators, practitioners, advocates, and researchers should consider and further examine how PE waiver, exemption, and substitution policies and practices may affect students' PA and related outcomes.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"6 2","pages":""},"PeriodicalIF":1.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10282692/pdf/nihms-1891126.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10088478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Physical Activity Through Policy at a Single Safety-Net Clinic: A Pilot Study.","authors":"Pamela G Bowen,&nbsp;William Opoku-Agyeman,&nbsp;Olivio J Clay,&nbsp;McCaskill Gina,&nbsp;Veronica Mixon,&nbsp;Bisakha Pia Sen,&nbsp;Maria Pisu,&nbsp;Michelle Y Martin","doi":"10.1249/tjx.0000000000000160","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000160","url":null,"abstract":"<p><strong>Background: </strong>Physical inactivity is a major issue for African Americans that contributes to increased risk for chronic conditions including obesity, heart disease, diabetes, and cognitive decline. The <b>purpose</b> of this single-clinic pilot study aimed to determine if a physical activity policy would increase primary-care provider discussions of physical activity during clinic visits using the Exercise is Medicine initiative as a guide.</p><p><strong>Methods: </strong>The study design involved data collection at three time points. Participants were recruited from a single clinic providing high quality healthcare without regard to ability to pay. Participants included 109 African American patients between the ages of 24 and 81 (39 pre-intervention, 40 at 6 weeks post-intervention, and 30 at 12-months post-intervention). The primary outcome measure was participants' answers related to whether a physical activity discussion occurred with their primary-care provider.</p><p><strong>Results: </strong>At baseline, 13% of participants reported a physical activity discussion with their provider, this increased to 33% at 6 weeks post-intervention. However, at 12-months post-intervention, the percentage of participants who reported a physical activity discussion decreased to 23%.</p><p><strong>Conclusion: </strong>Exercise is an underused evidence-based strategy that should be prescribed as a medicine to prevent and manage many chronic health conditions. This pilot study demonstrated the feasibility of improving provider-patient communications related to the importance of daily physical activity behaviors. Further research is needed to determine how to employ and sustain a clinic level policy that will encourage physical activity discussions at every visit.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8219237/pdf/nihms-1635295.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39105028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 messed up my research: Insights from physical activity and nutrition translational research.","authors":"Gabrielle Turner-McGrievy,&nbsp;Tanya Halliday,&nbsp;Justin B Moore","doi":"10.1249/tjx.0000000000000169","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000169","url":null,"abstract":"<p><p>The COVID-19 pandemic led to significant challenges in conducting physical activity and nutrition translational research. This encompassed all phases of translational research, including recruitment (e.g., lack of trust in the scientific community), assessment (university regulations restricting in-person assessments), intervention (conversion of face-to-face interventions to online formats), and retention (loss of employment, phone service, or housing among study participants). The COVID-19 pandemic has had varying impacts on research productivity as well. While some groups found the pandemic led to increases in productivity (as evidenced by increases seen in both manuscript and grant submissions), junior faculty, women (particularly caregivers), African American, Asian, and Latinx faculty, and mid-career and senior scientists all faced unique career and personal challenges during this time. This included competing demands on time that interfered with research productivity and mental and physical health stressors. Therefore, in order to ensure we retain promising scientists in the field of translational physical activity and nutrition science, it will be important to consider these challenges when it comes time to review tenure files and grant applications. Reviewers of these applications should note creativity in moving research forward, continued mentoring of students or other faculty, and plans to get back on track after a pause in their ability to conduct impactful physical activity and nutrition work.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8528043/pdf/nihms-1685157.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39556442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Magnesium and Vitamin D Supplementation on Exercise Performance","authors":"Giavanna Hunt, D. Sukumar, S. Volpe","doi":"10.1249/tjx.0000000000000179","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000179","url":null,"abstract":"","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66085417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Physical Activity in Rural Settings: Effectiveness and Potential Strategies.","authors":"Whitney J Smith,&nbsp;Michelle Y Martin,&nbsp;Maria Pisu,&nbsp;Robert A Oster,&nbsp;Haiyan Qu,&nbsp;Richard M Shewchuk,&nbsp;Mary E Sheffield,&nbsp;Alex Minter,&nbsp;Ana A Baumann,&nbsp;Laura Q Rogers","doi":"10.1249/tjx.0000000000000180","DOIUrl":"https://doi.org/10.1249/tjx.0000000000000180","url":null,"abstract":"<p><strong>Purpose: </strong>Implementing efficacious physical activity interventions in real-world rural settings is needed because rural cancer survivors are more physically inactive and experience poorer health. To address this gap, this study evaluated effectiveness of an evidenced-based physical activity program (Better Exercise Adherence after Treatment for Cancer [BEAT Cancer]) for rural women cancer survivors when implemented by community-based, non-research staff.</p><p><strong>Methods: </strong>16 rural women cancer survivors received BEAT Cancer implemented by a rural, community organization and non-research staff; physical activity, patient-reported outcomes, and social cognitive constructs were measured at baseline and post-program. Cancer survivors and interventionists completed program evaluations post-program.</p><p><strong>Results: </strong>Cancer survivor mean age was 58±12 years; 62% were White. Mean months since diagnosis was 54±72; 69% had breast cancer. Significant improvements from pre- to post-program occurred for self-report weekly minutes of moderate-to-vigorous physical activity (mean change [<i>M</i>] = 146±186, <i>p</i> = 0.009), anxiety (<i>M</i> = -1.3±1.8, <i>p</i> = 0.016), depression (<i>M</i> = -2.1±2.0, <i>p</i> = 0.001), self-efficacy (<i>M</i> = 20.9±30.5, <i>p</i> = 0.019), barriers interference (<i>M</i> = -15.0±14.1, <i>p</i> = 0.001), and social support (<i>M</i> = 5.0±7.4, <i>p</i> = 0.02). Cancer survivors ranked the program highly, identified strategies that were helpful (e.g., group activities, personalized exercise plan, etc.), and suggested additional implementation strategies (e.g., guide for home-based phase, etc.). Interventionists identified strategies (e.g., logistics, staff training and certification, cost, etc.) for enhancing organizational readiness for program delivery.</p><p><strong>Conclusion: </strong>Evidence-based physical activity programs can be effective when implemented by non-research staff in rural settings. Further research testing strategies that improve implementation is needed.</p><p><strong>Practical implications: </strong>Effectiveness and identified strategies supporting delivery when implemented by a rural organization can improve physical activity promotion for rural, at-risk populations.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8580129/pdf/nihms-1729179.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39624288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}