British Journal of Sports Medicine最新文献

{"title":"Associations of objectively measured physical activity and sedentary time with all-cause mortality in Japanese older adults: a 10-year prospective study","authors":"Tao Chen, Sanmei Chen, Takanori Honda, Hiro Kishimoto, Yu Nofuji, Kenji Narazaki","doi":"10.1136/bjsports-2024-108258","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108258","url":null,"abstract":"Objective To examine the associations of accelerometer-measured physical activity and sedentary time with all-cause mortality in older Japanese adults. Methods A total of 1723 independent Japanese adults aged ≥65 years were followed from 2011 to 2021. Moderate-to-vigorous physical activity (MVPA), light physical activity (LPA) and sedentary time were measured using a triaxial accelerometer secured to participants’ waists. Results Over a median follow-up of 9.9 years, 336 deaths were recorded. When examined as tertiles, higher MVPA (both ≥10 and <10 min bouts) and LPA were associated with a lower mortality risk. Additional adjustment for MVPA attenuated the associations of LPA, but the HRs in the highest tertile remained significant. Longer sedentary time was significantly associated with an increased mortality risk, but not after adjusting for MVPA. In spline analyses, a linear dose–response association with all-cause mortality was observed for LPA, while the HRs declined progressively with higher levels of MVPA until approximately 80 min/day, beyond which they levelled out. Replacing 10 min/day of sedentary time with MVPA but not LPA was associated with a 12% lower risk of morality (HR 0.88; 95% CI 0.83 to 0.93); the HR for replacing 10 min/day LPA with MVPA was 0.89 (95% CI 0.84 to 0.95). These results were materially unchanged when excluding deaths within the first 5 years of follow-up. Conclusion Physical activity, regardless of intensity, was associated with a lower all-cause mortality risk among older Japanese adults. Replacing sedentary time or LPA with MVPA was associated with a lower mortality risk. The mortality benefit started from a low MVPA dose and additional benefits were associated with higher doses. Data are available on reasonable request. The datasets used and/or analysed during this study are available from the corresponding author on reasonable request.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"14 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143020755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing inclusive policy and guidelines in sport: a call to action for sport governing bodies and individuals to support neurodivergent athletes","authors":"Caragh McMurtry, Charles Freeman, Joanna Perkins, Gráinne M Donnelly, Isabel S Moore","doi":"10.1136/bjsports-2024-108989","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108989","url":null,"abstract":"Neurodiversity refers to the natural variation in cognition (brain function and processing), social learning and behavioural traits; whereas, neurodivergence refers to neurological conditions and is an umbrella term that includes autism spectrum disorder, attention deficit hyperactivity disorder (ADHD), and learning and coordination disorders, such as dyslexia and dyspraxia.1 Individuals are more likely to have multiple related neurodivergent conditions (co-occurrences) than they are to only present with one condition (see graphical overview of literature on co-occurrences).2 Neurodivergent conditions are often undiagnosed3 and or misdiagnosed4 due to their co-occurrence with other conditions, a general lack of awareness (eg, in clinicians), socioeconomic status (eg, mother education level), health access constraints (eg, medical waiting lists) and adaptive behaviours (eg, masking) that neurodivergent individuals use to blend in and be more accepted in society .5 In many countries, equality laws mean disability is a protected characteristic, like sex and religion. Neurodivergent conditions fall under the disability umbrella, even though individuals may not consider themselves to have a disability. Therefore, employers, such as sport governing bodies and clubs, have a responsibility to make reasonable adjustments to ensure their employees (eg, athletes, coaches) have an inclusive and accessible workplace (eg, designated quiet rooms with dimmable lighting). To help sport governing bodies and clubs build inclusive environments for neurodivergent individuals, policies and guidelines can be created and implemented with equity in mind. Equity is about providing specific resources and or opportunities to different people to reach an equal outcome. Dependent on the …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"136 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143020756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of muscle strength and cardiorespiratory fitness with all-cause and cancer-specific mortality in patients diagnosed with cancer: a systematic review with meta-analysis","authors":"Francesco Bettariga, Daniel Galvao, Dennis Taaffe, Chris Bishop, Pedro Lopez, Luca Maestroni, Giulia Quinto, Umberto Crainich, Enrico Verdini, Enrico Bandini, Valentina Natalucci, Robert U Newton","doi":"10.1136/bjsports-2024-108671","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108671","url":null,"abstract":"Objectives To examine the association between muscle strength and cardiorespiratory fitness (CRF) with all-cause and cancer-specific mortality in patients diagnosed with cancer, and whether these associations are affected by type and/or stage of cancer. Method A systematic review with meta-analysis was carried out. Five bibliographic databases were searched to August 2023. Results Forty-two studies were included (n=46 694). Overall, cancer patients with high muscle strength or CRF levels (when dichotomised as high vs low) had a significant reduction in risk of all-cause mortality by 31–46% compared with those with low physical fitness levels. Similarly, a significant 11% reduction was found for change per unit increments in muscle strength. In addition, muscle strength and CRF were associated with an 8–46% reduced risk of all-cause mortality in patients with advanced cancer stages, and a 19–41% reduced risk of all-cause mortality was observed in lung and digestive cancers. Lastly, unit increments in CRF were associated with a significant 18% reduced risk of cancer-specific mortality. Conclusion High muscle strength and CRF were significantly associated with a lower risk of all-cause mortality. In addition, increases in CRF were associated with a reduced risk of cancer-specific mortality. These fitness components were especially predictive in patients with advanced cancer stages as well as in lung and digestive cancers. This highlights the importance of assessing fitness measures for predicting mortality in cancer patients. Given these findings, tailored exercise prescriptions to improve muscle strength and CRF in patients with cancer may contribute to reducing cancer-related mortality. Data are available upon reasonable request. The data that support the findings of this study are available from the corresponding author upon reasonable request.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"32 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142991932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concussion and depressive symptoms in high school students: impact of physical activity and substance use","authors":"Mathew J Wingerson, Patrick Carry, Rebekah Mannix, Timothy Meier, Katherine L Smulligan, Julie C Wilson, David R Howell","doi":"10.1136/bjsports-2024-109029","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109029","url":null,"abstract":"Objective To investigate the association between concussion history and depressive symptoms after adjusting for physical activity, substance use, and illicit drug use. Methods We analysed data from the Adolescent Behaviour and Experiences Survey, a nationally representative survey of adolescents in the USA. Our independent variables were history of concussion in the 12 months preceding survey completion; self-reported weekly physical activity (days per week with >60 min of physical activity, 0–7 scale); substance use over the past 30 days (yes vs no) and illicit drug use throughout lifetime (yes vs no). Our dependent variable was participant-reported sadness/hopelessness over the past 12 months (yes vs no). Results Among 7499 adolescents (9th–12th grade, 50.4% female), reporting one or more concussions over the past year was not associated with the odds of depressive symptoms (OR: 1.13, 95% CI: 0.93 to 1.37, p=0.21). Each additional day of physical activity per week was associated with a lower odds of depressive symptoms (OR: 0.91; 95% CI: 0.89 to 0.94; p<0.0001). Illicit drug use (OR ever vs never: 2.48; 95% CI: 1.96 to 3.13; p<0.0001) and substance use (OR yes vs no: 2.77; 95% CI: 2.34 to 3.29; p<0.001) were associated with a higher odds of depressive symptoms. Conclusions Adjusting for physical activity, substance use and illicit drug use, concussion was not significantly associated with depressive symptoms. This novel discovery informs clinicians as they counsel adolescents with concussion; future research should examine physical activity and avoidance of substance/illicit drug use as postinjury recommendations in an effort to lower the risk of depressive symptoms. Data are available in a public, open access repository. We analysed data from the Adolescent Behaviour and Experiences Survey (ABES), a nationally representative survey of health and behavioural-related outcomes among adolescents. The ABES is a stratified, three-stage cluster probability-based survey which enrolled adolescent-aged high school students in public and private schools across the USA.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"74 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142991274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PowerONyou: enhancing well-being through exercise for individuals with severe mental disorders in ambulatory mental health clinics in Southern Spain","authors":"Alvaro Lopez-Moral, Diego Munguia-Izquierdo, Jesus Borrueco-Sanchez, Camilo Lopez-Sanchez, Javier Bueno-Antequera","doi":"10.1136/bjsports-2024-109533","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109533","url":null,"abstract":"Severe mental disorders (SMDs), such as psychotic disorders, bipolar disorder and major depression, are among the leading causes of global mortality and disability.1 Individuals with SMD have a life expectancy of 10–20 years shorter than the general population, primarily due to preventable cardiometabolic conditions, such as diabetes and cardiovascular diseases.2 This risk is heightened by unhealthy lifestyles including low physical activity and prolonged sedentary behaviour, which significantly contribute to these outcomes.3 Interventions supervised by exercise professionals have proven to be effective strategies for enhancing overall well-being and quality of life. These interventions offer a range of benefits, including increased physical activity, improved fitness and strengthened social connections, addressing the physical, psychological and social challenges faced by individuals with SMD.4 However, access to such interventions remains limited by psychosocial and structural barriers such as insufficient resources, support and motivation, hindering their implementation and integration into patient care. To address this need, PowerONyou was started in 2013 at the University Pablo de Olavide, as a research project by the CTS-948 group, ‘Physical Activity, Health and Sports’. Over time, it has evolved into a community intervention programme, implemented in mental health centres and sociohealth environments in collaboration with healthcare professionals. The programme aims to enhance the health, quality of life and social integration of individuals with SMD through exercise as a therapeutic strategy. A distinctive feature of PowerONyou is its comprehensive approach. The …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"58 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142991276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurturing nature: the greenhouse concept for health and performance","authors":"Stella Veith, Andrea Britt Mosler, Merete Møller, Katrine Okholm Kryger, Matthew Whalan","doi":"10.1136/bjsports-2024-109268","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109268","url":null,"abstract":"Coaches of multiple Olympic medal-winning athletes have described the ‘greenhouse effect’ as the result of creating a stable and dependable environment to maintain a successful high-performance culture in which athletes can thrive and perform.1 A similarly structured environmental approach is also relevant in the context of holistic support of elite developing athletes, so they not only excel at their sport but also grow into robust and flourishing people. To optimise athlete development and performance outcomes, the maintenance and support of physical and psychological health of an athlete are essential. Therefore, limiting injury and illness (including mental health conditions) requires consideration across an athlete’s development journey.2 Contextual-driven prevention strategies addressing the complex and multifactorial nature of injury and illness occurrence are a part of the socioecological system, which includes individual, sociocultural and environmental levels.3 This editorial proposes an illustration of an integrative and empowering approach to athlete development in any sport aiming to grow an athlete holistically for long-term health and performance. The greenhouse concept (figure 1) highlights the analogy of nurturing elite athletes ( plants ) from the development stage ( inside the greenhouse ) to peak performance ( outside of the greenhouse ), by providing a multidisciplinary supported pathway ( greenhouse with gardeners ) of both stability and challenge.1 Consideration is given to each athlete’s unique contextual and environmental requirements described as greenhouse characteristics for optimal growth and development (just like a plant ) to grow robustness and flourish as an elite athlete. The illustration serves as a facilitator for communication to stakeholders about …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"106 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142991275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric validation of the Copenhagen Hip and Groin Outcome Score (HAGOS) and Oxford Hip Score (OHS) in patients with hip-abductor tendon pathology","authors":"Karl Bang Christensen, Kristian Thorborg, Signe Kierkegaard-Brøchner, Mathias Høgsholt, Jeppe Lange, Marie Bager Bohn","doi":"10.1136/bjsports-2024-108446","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108446","url":null,"abstract":"Objective Validated patient-reported outcome measures for patients with hip-abductor tendon pathology are lacking. Recent studies indicate that the Copenhagen Hip and Groin Outcome Score (HAGOS), in the original or the revised scoring format, and the Oxford Hip Score (OHS) may be relevant for use in patients with hip-abductor tendon pathology. The objective of this study was to assess the validity of the Danish version of the HAGOS, the revised HAGOS, and the OHS psychometrically in patients with hip-abductor tendon pathology. This involved the six subscales in the original and the revised version of HAGOS, the standard one-factor scoring of the OHS and the two-factor scoring of the OHS. Methods We included individual responses to HAGOS and OHS from 210 patients with hip-abductor tendon pathology (17 men; 193 women; median age 56 years, range 18–91, IQR 48–65). Overall fit, model fit, individual item fit and measurement invariance were examined using confirmatory factor analysis (CFA) and item response theory. Results CFA rejected psychometric validity of three original HAGOS subscales (symptoms, pain, physical function in sport and recreation) (p<0.0001) and the OHS (p<0.0001), whereas the revised scoring format for HAGOS subscales fit adequately. Results indicate a notable discrepancy between observed and expected scores on OHS item 10 in the patient group. Conclusion The original HAGOS and OHS are not psychometrically valid, but the revised HAGOS scoring format is an appropriate PROM for patients with hip-abductor tendon pathology. The OHS would need slight adjustment before being used in patients with hip-abductor tendon pathology. Data are available upon reasonable request. Fully anonymised data are available from the corresponding author upon request.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"9 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142988884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the under-representation of black researchers in sports science and sports medicine publications: ‘You Can’t be what You Can’t See’","authors":"João Victor Rosa de Freitas, Naiane Silva Morais, Jéssika Teodoro Santos, Rízia Rocha-Silva, Tatiana Silva da Conceição, Rafaela Gomes dos Santos, Braulio Evangelista de Lima, Rodrigo Luiz Luiz Vancini, Marilia Santos Andrade, Ricardo Borges Viana, Claudio Andre Barbosa de Lira","doi":"10.1136/bjsports-2024-108497","DOIUrl":"https://doi.org/10.1136/bjsports-2024-108497","url":null,"abstract":"Objectives This study evaluated the representation of black researchers as authors of articles published in four peer-reviewed journals with the highest impact factors (IFs) in the field of sports science and sports medicine. Methods An analysis was conducted on articles published between 2018 and 2022 in four leading sports science journals with high IFs (2022): The British Journal of Sports Medicine, Journal of Sport and Health Science, Sports Medicine and Exercise Immunology Review. Data extraction from the articles included the researcher’s names, sex/gender, total number of authors, number of black authors, their position in the author list, publication year, article title and type and digital object identifier. Sex/gender and race/skin colour were identified using publicly available photographs and methodologies aligned with previous studies and Brazilian racial heteroidentification practices. Results The analysis included 1737 articles and 11 158 authors. Only 144 (1.30%) authors were identified as black, of which only 38 were women, corresponding to 0.34% and 26.4% of total authors and total black authors, respectively. When considering authorship positions, only 16 (0.92%) were the first author and 19 (1.09%) were the last (senior) author. Merely 13 (0.75%) articles had two or more black authors. Conclusion Our findings reveal a significant under-representation of black authors in sports science and sports medicine publications from high-impact journals, particularly in prominent authorship positions. Active initiatives and policies are urgently required to address and mitigate this inequity. All data relevant to the study are included in the article or uploaded as supplementary information. Not applicable.","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"43 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142986712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Including athlete voices in your sport and exercise medicine organisation – it’s time!","authors":"Jane S Thornton, Dawn P Richards, Erica H Gavel-Pinos, Jeane Lassen, Keith Morgan, Waneek Horn-Miller","doi":"10.1136/bjsports-2024-109589","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109589","url":null,"abstract":"Increasingly, patient and public engagement/involvement in healthcare and research is being emphasised as a critical element to better outcomes.1 2 While progress has been made in the general population, the same is not true in high-performance athletes. Given that athletes have important lived experiences to share, they should be viewed as equal contributors on research and healthcare teams so that research and care align with priorities that matter to them.3 For the same reasons, athletes should engage with and inform the missions and activities of our sport and exercise medicine (SEM) organisations. The mission statement of the Canadian Academy of Sport and Exercise Medicine (CASEM) is: ‘to forge a strong, collective voice for sport and exercise medicine; to be a leader in advancing the art and science of sport and exercise medicine, including health promotion and disease prevention, for the benefit of all Canadians’. As CASEM President and Olympian (JST), my primary objective was to ensure that our ‘strong, collective voice’ included athletes (ie, the people we care for on a daily basis) to facilitate they have a say in setting the priorities for the organisation. Co-led with patient engagement specialist (DPR), we convened an Athlete Advisory Council for CASEM. One of the first athlete reactions was ‘How come this isn’t already done?’ A valid question given the positive evidence that when athletes have a say in their own training, performance and healthcare, things change for the better.4 In sporting cultures where openness about injuries is encouraged, athletes reported better outcomes.5 Moreover, athletes may also have specific needs to consider that differ from the clinical or …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"205 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142986715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Update on women in sport and exercise medicine leadership in the USA","authors":"Marie Schaefer","doi":"10.1136/bjsports-2024-109512","DOIUrl":"https://doi.org/10.1136/bjsports-2024-109512","url":null,"abstract":"A series of publications over the last several years has highlighted the underrepresentation of women in multiple sectors of sport and exercise medicine (SEM). The overall number of women SEM physicians in the USA is about 27.5%, which remains disproportionally low compared with the number of women both in (37.1%) and entering (47.1%) medicine, with continued gaps in the number of women represented in societal and academic leadership as well as in head team physician roles.1 2 This editorial provides an update about women in sports medicine leadership, highlights the large discrepancy in elite team physician roles and suggests innovative steps to improve under-representation. There have been positive advances for women representation in academic leadership. The percentage of women sports medicine fellowship programme directors is about equal to the number of women in SEM, and there is no significant difference in academic rank between men and women.3 In academic societies, women account for 28.1% of all current or past presidents of the American Medical Society for Sports Medicine (AMSSM) and 20.8% of the American College of Sports Medicine (ACSM). Notably, in the last 15 years, there have been 10 women AMSSM presidents and 7 women ACSM presidents. However, women still make up smaller percentages of SEM editorial boards and senior editor or editor-in-chief positions of sports medicine journals.3 …","PeriodicalId":9276,"journal":{"name":"British Journal of Sports Medicine","volume":"77 1","pages":""},"PeriodicalIF":18.4,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142986716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}