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

{"title":"Effects of Hatha Yoga and Resistance Exercise on Affect and State Anxiety in Women","authors":"Katherine Fishman, B. McFadden, J. Pellegrino, Devon L Golem, P. Davitt, A. Walker, S. Arent","doi":"10.1249/TJX.0000000000000091","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000091","url":null,"abstract":"Purpose: This studyaimed tocompare theeffectsof singleboutsofmoderate-intensity resistance exercise (RE) and Hatha Yoga (HY) on postexercise affect and anxiety. Methods:Active, college-agedwomen (N = 25) completedRE, HY, and no-exercise control sessions. Affect (energy, tiredness, tension, calmness) and state anxiety were assessed before exercise and 0, 15, 30, 45, and 60min after exercise.Results: RE promoted significant postexercise increases in energy and tension and decreases in tiredness (P < 0.05) and calmness (P < 0.01). HY significantly improved calmness throughout recovery (P < 0.001). Both HY and RE showed significant reductions in state anxiety (P < 0.05), with the largest effect for HY seen 0min after exercise (effect size, −0.77) and the largest effect for RT observed 60min after exercise (effect size,−0.79).Conclusion:Acute bouts of bothREandHY reduce state anxiety and positively impact various aspects of affect, despite opposing effects seen in affective scores. Furthermore, the divergent time course may reveal potentially different mechanisms that drive these responses. INTRODUCTION Stress and anxiety are often normal aspects of daily living; however, college students in particular are vulnerable to these effects. Furthermore, it has been shown that women experience greater stress compared with men (1). Exercise is one form of active coping or treatment that has the potential to improve bothmental and physical health. The psychological benefits of exercise are vast and include improvements in affect (2, 3) and reductions in anxiety (4) in otherwise healthy adults (5). Overall, the benefits of exercise on anxiety and affect have been well established, but research comparing differing modes of exercise specifically targeting affective change is limited (6). Exercise has the potential to improve anxiety acutely (4), which may be an important aspect in the decision to choose IFNH Center for Health and Human Performance, Rutgers University, New Brunswick, NJ; Institute of Continuing Education for Nutrition Professionals, Charlottesville, VA; Department of Kinesiology, University of the Sciences, Philadelphia, PA; and Department of Kinesiology and Health, Rutgers University,","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1249/TJX.0000000000000091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44662063","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":"Translational Formative Evaluation before Scale-up of a Physical Activity Intervention for Older Men","authors":"Heather A. McKay, D. Mackey, Samantha M. Gray, C. Hoy, Rei Ahn, A. Perkins, A. Bauman, J. Sims-Gould","doi":"10.1249/TJX.0000000000000090","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000090","url":null,"abstract":"\u0000 \u0000 \u0000 Despite irrefutable health benefits of physical activity, older adults remain among the least active Canadians. To achieve population health, physical activity interventions that proved effective in controlled research settings must be delivered at scale to reach broader populations of older adults across multiple settings. Formative evaluations are essential, as they identify barriers and enablers to implementation across levels of stakeholder groups and settings. Thus, we conducted a formative evaluation of a choice- and evidence-based physical activity intervention (Men on the Move) designed for scalability.\u0000 \u0000 \u0000 \u0000 We adopted key elements of two implementation frameworks that place characteristics of the innovation, prevention delivery system, prevention support system, and prevention synthesis and translation system at the core of implementation success. Guided by the Interactive Systems Framework for Dissemination and Implementation, data were collected from delivery partners, including 1 leader from a key provincial recreation organization, 6 recreation directors/coordinators and 3 activity coaches, and 14 participants (older men). This research team participated in prevention support and prevention synthesis and translation systems. Two trained interviewers conducted telephone interviews with delivery partners, and five trained interviewers and a notetaker conducted in-person interviews with participants.\u0000 \u0000 \u0000 \u0000 Five themes emerged from analyses of delivery partner interviews: support, activity coaches, intervention delivery, Men on the Move continuation, and the absence of men. Two themes emerged from our analyses of participant data: monitoring and connectedness.\u0000 \u0000 \u0000 \u0000 Lessons learned from this formative evaluation will guide the adaptation of the intervention to context and population for scale-up across British Columbia, Canada. In so doing, we aim to bridge the know–do–scale-up gap, which is imperative as we seek to improve older adult health at the population level.\u0000","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43496420","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":"Exercise Professionals in the Cancer Center: Experiences, Recommendations, and Future Research","authors":"B. Cheema, C. Fairman, Michael Marthick","doi":"10.1249/TJX.0000000000000088","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000088","url":null,"abstract":"\u0000 In 2018, the Clinical Oncology Society of Australia published a landmark position statement calling for exercise to be integrated as standard practice in cancer care. Efforts to implement this directive in the years ahead will come with many practical challenges. We suggest that for the successful integration of exercise therapy to occur, exercise professionals and their services will have to become a respected, visible, and promoted part of the cancer treatment center itself (i.e., “part of the woodwork”). However, we are aware of no report in the literature documenting the role or experiences of an exercise professional working within a cancer center, or practical recommendations for the implementation and evaluation of exercise services in this setting. Therefore, we detail the experiences of an accredited exercise physiologist, to our knowledge, one of the first to be employed on a full-time basis within a cancer center in Australia (M.M.). On the basis of this case study, we provide practical recommendations for exercise professionals seeking to integrate exercise services within the cancer treatment setting. In addition, we present a model of care involving a key role for the exercise professional, which could be implemented to improve patient care and health outcomes throughout cancer treatment and beyond. Although our article is written from an Australian perspective, our recommendations may be relevant to and/or adapted for health care systems in other countries.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42028817","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":"The Influence of Classroom Physical Activity Participation and Time on Task on Academic Achievement.","authors":"A. Szabo-Reed, E. Willis, Jaehoon Lee, C. Hillman, R. Washburn, J. Donnelly","doi":"10.1249/TJX.0000000000000087","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000087","url":null,"abstract":"Objectives\u0000Determine the impact of classroom-based physically active lessons on time-on-task. Secondarily, determine the relationship of time-on-task with academic achievement controlling for key demographic variables.\u0000\u0000\u0000Methods\u0000Seventeen elementary schools were cluster randomized to receive classroom physical activity (A+PAAC, N=9) or control (i.e., no physical activity, N=8) for a 3-year trial. Teachers were trained to deliver physically active lessons with moderate-to-vigorous intensity targeting 100 minutes per week. Outcome measures included academic achievement (Weschler Individual Achievement Test-III), administered at baseline and repeated each spring for 3 years, time spent in moderate-to-vigorous physical activity (MVPA), and time spent on task (TOT) pre- and post-physical activity. Multilevel modeling was utilized to estimate the impacts of percent time spent in MVPA and percent TOT post-lesson on academic achievement and the change in these impacts over 3 years, accounting for dependency among observations and covariates including age, gender, race, free or reduced lunch, BMI, and fitness.\u0000\u0000\u0000Results\u0000A greater percentage of time performing MVPA were each significantly associated with higher math scores (p=.034) and spelling scores (p<.001), but not reading scores. Academic achievement was not associated with TOT.\u0000\u0000\u0000Conclusion\u0000Findings suggest that a greater percentage of time spent participating in MVPA results in higher math scores and spelling scores, but not reading scores, independent of TOT. Future studies should continue to evaluate the influence of physically active classroom lessons on time spent on task and its impact on academic achievement. Furthermore, strategies are needed to maximize impact and to determine the sustainability of physical activity's effect on classroom behavior and academic achievement.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1249/TJX.0000000000000087","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44345446","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":"A 2-yr, School-Based Resistance Exercise Pilot Program Increases Bone Accrual in Adolescent Girls.","authors":"J. Dowthwaite, D. Weiss, J. Thein-Nissenbaum, T. Scerpella","doi":"10.1249/TJX.0000000000000086","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000086","url":null,"abstract":"Purpose\u0000The current analysis evaluates cumulative benefits after year two (Y2) of a school-based resistance training intervention.\u0000\u0000\u0000Methods\u0000Adolescent girls were enrolled and measured at the beginning of 6th grade (baseline, BL) and again at 1st follow-up (FU1: Y1 end) and 2nd follow-up (FU2: Y2 end). School gym classes met alternate school days. Site 1 had standard gym classes (CON). Site 2 gym classes included 8-12 minutes of resistance training (INT); INT girls were categorized based on observed participation effort and time (LO, HI). Measurements included: 1) height and weight; 2) questionnaires to assess extracurricular exercise and diet (calcium, vitamin D); 3) dual-energy X-ray absorptiometry (DXA, Lunar Prodigy). Whole body less head (SUB) scans yielded bone mineral content (BMC) and body composition. Lumbar spine (L1-L4) and femoral neck (FN) scans yielded BMC and areal bone mineral density (BMD); radius scans yielded ultradistal and 1/3 BMD. ANCOVA compared group means for percent gains from BL to FU2, accounting for biological maturity, BL height, height change, inter-scan interval, organized activity, calcium and vitamin D.\u0000\u0000\u0000Results\u0000In 62 girls (21 CON, 41 INT), intention to treat analyses detected INT vs. CON advantages for L1-L4 BMC and BMD (4.1%, 5.6%: p<0.05). HI effort participants (n=19) demonstrated advantages for BMC and BMD at L1-L4 and FN (5.7% to 8.2%, p<0.01) vs. CON.\u0000\u0000\u0000Conclusions\u0000Over two school years, this resistance intervention yielded lumbar spine advantages; enthusiastic participation (HI) yielded lumbar spine and femoral neck advantages. Further work is warranted to evaluate benefit persistence after intervention cessation.","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44583029","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":"Recommendations for a Culturally Salient Web-based Physical Activity Program for African Americans.","authors":"Jacob K Kariuki, Bethany B Gibbs, Kelliann K Davis, Laurel P Mecca, Laura L Hayman, Lora E Burke","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Barriers to physical activity (PA) among African Americans (AAs) have been extensively studied, yet there is limited research on innovative PA interventions designed to address them. In recent years, many studies have used the internet to promote PA, but very few have included AAs. In this study, we sought the input of AA focus groups to inform the development of a web-based Physical Activity for The Heart (PATH) program for inactive AAs.</p><p><strong>Methods: </strong>A qualitative design involving 4 focus groups stratified by sex and age was employed to explore AAs' needs and preferences for resources to be included in the PATH program. We employed an inductive approach to content analysis to analyze data using ATLAS.ti 7.5.</p><p><strong>Results: </strong>Sixteen women and ten men (age 30-65 years) participated in the focus groups. Participants were obese (mean BMI 32.2 ± 5.4 kg/m²) with below average confidence rating (mean 46.4 ± 19.1%) on the Barriers Self-Efficacy Scale. Three main themes emerged from the data: 1) need to see similar others engaging in PA (workout videos featuring models with relatable body size, age, ethnicity), 2) flexible PA regimen (doable at any time/setting), and 3) age and sex differences in preferences for PA resources (religion, music, intensity).</p><p><strong>Conclusion: </strong>These data suggest that specific intervention components, i.e., PA models who match participants' profiles, flexibility and tailoring to age/gender groups, could improve uptake of web-based PA programs designed for inactive AAs. Therefore, a precision health approach needs to be employed when designing interventions to promote PA among inactive AAs.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"4 2","pages":"8-15"},"PeriodicalIF":1.1,"publicationDate":"2019-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6377171/pdf/nihms-1501300.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36968051","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":"Exercise is Medicine as a Vital Sign: Challenges and Opportunities.","authors":"Pamela G Bowen, Robert T Mankowski, Sara A Harper, Thomas W Buford","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Exercise is widely recognized as a critical component of a healthy lifestyle by multiple scientific and regulatory bodies. Yet only 35% of adults in the United States even report engaging in regular physical activity. In response to this challenge, the Exercise is Medicine (EIM) initiative encourages clinicians in all settings to regularly assess and counsel patients on physical activity in an attempt to reduce levels of inactivity. The purpose of this article is to highlight key challenges to the implementation of the EIM initiative to promote physical activity and to identify potential opportunities to overcome these challenges. EIM is a global health initiative that endorses \"exercise\" to be a \"vital sign\" in all clinical settings. Specifically to assess and compare the patient's physical activity level to national guidelines for physical activity and then promote discussions or referrals based on results. Since its 2007 launch, advocates of the EIM initiative have increased global awareness to promote the EIM mission of integrating and implementing physical activity into healthcare systems, local communities, and individuals' daily lives. Physical activity is fundamental to the overall health of all people across all geographic locations and throughout the lifespan. Promoting physical activity as a healthy lifestyle change has specific challenges but necessary to decrease health disparities related to inactivity.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"4 1","pages":"1-7"},"PeriodicalIF":1.1,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6392189/pdf/nihms-1500975.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162093","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":"Preparticipation Screening Prior to Physical Activity in Community Lifestyle Interventions.","authors":"Marni Armstrong,&nbsp;Madeline Paternostro-Bayles,&nbsp;Molly B Conroy,&nbsp;Barry A Franklin,&nbsp;Caroline Richardson,&nbsp;Andrea Kriska","doi":"10.1249/TJX.0000000000000073","DOIUrl":"https://doi.org/10.1249/TJX.0000000000000073","url":null,"abstract":"<p><p>Behavioral lifestyle interventions in the community setting are effective in reducing the risk and burden of chronic diseases. The promotion and implementation of physical activity plays a key role in these community-based lifestyle programs. New guidelines on preparticipation screening for cardiovascular disease prior to physical activity have been released which include substantive modifications. These updated recommendations represent a substantial paradigm shift toward a more liberal approach that results in fewer individuals needing to seek medical clearance before starting a physical activity program. This shift has significant implications for those promoting physical activity within the community setting. The objectives of this commentary are to review the updated recommendations within the context of community-based lifestyle intervention programs such as those currently being offered throughout the United States for the primary purpose of diabetes prevention and to discuss the implications for those providers developing and implementing such programs.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"3 22","pages":"176-180"},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411298/pdf/nihms979446.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37058978","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":"Perspectives on High School \"Pay to Play\" Sports Fee Policies: A Qualitative Study.","authors":"Amy A Eyler, Cheryl Valko, Natalicio Serrano","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Participation in high school athletics is associated with many physical and psychosocial benefits. School budget cuts and increased program costs have resulted in policies requiring student athletes to pay fees for sports participation. The purpose of this study was to explore the implementation and perception of these policies among state and district key informants.</p><p><strong>Methods: </strong>We conducted an Internet search to compile a list of state and district athletic directors for study recruitment to participate in qualitative interviews. Twelve key informants were interviewed via telephone, digitally audio-recorded, and the conversations transcribed verbatim. Two team members coded transcripts and themes were identified and summarized.</p><p><strong>Results: </strong>The main reasons for implementing fee policies were increasing program costs, revenue loss or decreased school budget, and unsuccessful levy passage. The policies varied in fee structure, and were reported by sport, by athlete, by year, or by family. Participants discussed fee waivers as a strategy to assist athletes unable to pay the sports participation fees. Waivers were most likely linked with federal poverty qualifications.</p><p><strong>Conclusion: </strong>The results from these interviews provided insight into sports participation policies in US high schools. More information is needed to explore the consequences of these policies on high school sports participation as well as longer-term outcomes.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"3 19","pages":"152-157"},"PeriodicalIF":1.1,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559353/pdf/nihms-1033378.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37058561","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":"If You Build It, Will They Come? A Quasi-experiment of Sidewalk Improvements and Physical Activity.","authors":"Gregory Knell, Casey P Durand, Kerem Shuval, Harold W Kohl, Deborah Salvo, Abiodun Olyuomi, Kelley Pettee Gabriel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Improving sidewalks could lead to more physical activity through improved access, while providing a safe and defined space to walk. Yet, findings on the association between sidewalks and physical activity are inconclusive.</p><p><strong>Purpose: </strong>The purpose of this study was to examine changes in self-reported and accelerometer-derived physical activity associated with living near recently improved sidewalks in a diverse, community-based sample from the Houston Travel Related Activity in Neighborhoods (TRAIN) Study.</p><p><strong>Methods: </strong>Data are from 430 adults and include baseline and first annual follow-up (2014-2017). Fully adjusted, two-step regression models were built to test the hypothesis that living near (within 250-meters) an improved sidewalk was associated with greater levels of physical activity than not living near an improved sidewalk.</p><p><strong>Results: </strong>The majority of participants were female, non-Hispanic black, low income, low education, and nearly half lived near at least one improved sidewalk. After adjustment, among participants reporting some physical activity, living near two sidewalk improvements was associated with 1.6 times more minutes per week of walking and leisure-time physical activity than those not living near a sidewalk improvement (p<0.05). Based on accelerometry, which does not specifically quantify domain-specific physical activity, there were no significant associations.</p><p><strong>Conclusion: </strong>Although these mixed findings warrant further research, results suggest that improving sidewalks may have an effect on participants' physical activity. Nonspecific definitions of sidewalk improvements could be contributing to type 1 error. Future work should also examine behavioral interventions alongside changes to the built environment to determine the effects on physical activity.</p>","PeriodicalId":75243,"journal":{"name":"Translational journal of the American College of Sports Medicine","volume":"3 9","pages":"66-71"},"PeriodicalIF":0.0,"publicationDate":"2018-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105313/pdf/nihms931878.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36432286","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}