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2025 Lifetime Achievement Award 2025年终身成就奖
IF 4 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-11-19 DOI: 10.1016/j.jand.2025.10.005
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引用次数: 0
2025 Members Honored with Excellence in Practice Awards 2025名会员荣获卓越实践奖
IF 4 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-11-19 DOI: 10.1016/j.jand.2025.10.008
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引用次数: 0
2025 Distinguished Lecture Award 2025年杰出演讲奖
IF 4 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-11-19 DOI: 10.1016/j.jand.2025.10.009
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引用次数: 0
In Memoriam: Karen Ann Lechowich, MBA, RDN, FAND (1948–2025) 纪念:凯伦·安·莱科维奇,工商管理硕士,注册会计师,FAND (1948-2025)
IF 4 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-10-02 DOI: 10.1016/j.jand.2025.09.001
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引用次数: 0
Parental Weight Stigma Associated With Self-Directed Weight Talk and Use of Health-Related Restrictive Feeding Practices 父母体重耻辱感与自我指导体重谈话和使用与健康相关的限制性喂养方法有关。
IF 4 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-01-21 DOI: 10.1016/j.jand.2025.01.012
Kendrin R. Sonneville ScD, RD , Natasha A. Schvey PhD , Heidi M. Weeks PhD , Michelle E. Clayson MS , Katherine W. Bauer PhD, MS

Background

Parents are important conduits of weight- and health-related messaging. Weight-related communication and approaches to child feeding used by parents may reflect their past experiences with weight stigma and are understudied pathways through which intergenerational weight stigma may be transmitted.

Objective

The aim of this study was to examine how experienced and internalized weight stigma among parents of children with higher weights are associated with weight-related communication and the feeding practices they use.

Design

The Listening to Parents study is a cross-sectional study of 103 parent-child dyads who completed in-person study visits at the University of Michigan in Ann Arbor between November 2022 through June 2023.

Participants/setting

Participants were parents of children (ages 6 through 14 years, identified by parents as “heavier or overweight”) who completed the Stigmatizing Situations Inventory Brief and Weight Bias Internalization Scale-Modified, as well as questions about weight-related communication and the Comprehensive Feeding Practices Questionnaire.

Main outcome measures

Outcomes included 5 items corresponding to parental weight-related communication (ie, self-directed, other-directed, and child-directed weight talk, child-directed weight teasing, and child-directed encouragement to lose weight) and 3 Comprehensive Feeding Practices Questionnaire subscales (ie, Monitoring, Restriction for Health, and Restriction for Weight Control).

Statistical analyses performed

Linear regression models were used to examine associations between mean scored parent-experienced and parent-internalized weight stigma and weight-related communication and feeding practices. Models were adjusted for child gender, parent-perceived child weight status, parental race and ethnicity, parental body mass index, and household income-to-needs ratio.

Results

In covariate-adjusted models, parent-internalized weight stigma was positively associated with self-directed weight talk (β = .20, SE = .078; P = .01) and greater use of health-related restrictive child feeding practices (β = .16, SE = .070; P = .02). No other significant associations in covariate-adjusted models were observed.

Conclusions

Although parents with greater internalized weight stigma may engage in more self-directed weight talk, they may also be more attuned to the harms of weight stigma and seek to minimize child-directed weight talk and weight teasing.
背景:父母是传递体重和健康信息的重要渠道。父母使用的与体重相关的沟通和儿童喂养方法可能反映了他们过去的体重耻辱感经历,并且是代际体重耻辱感可能传播的途径。目的:研究超重儿童父母的体重耻辱感与体重相关的沟通和喂养方式之间的关系。设计:“倾听父母”研究是一项横断面研究,研究对象是103对父母和孩子,他们在2022年11月至2023年6月期间在密歇根州安娜堡的密歇根大学完成了面对面的研究访问。参与者/环境:参与者为儿童的父母(6 - 14岁,被父母确定为“较重或超重”),他们完成了污名化情况调查摘要(SSI-B)和体重偏见内化量表修正(WBIS-M),以及体重相关沟通和综合喂养习惯问卷(CFPQ)。主要结果测量:结果包括5个与父母体重相关的沟通项目(自我导向、他人导向和儿童导向的体重谈话、儿童导向的体重戏弄和儿童导向的减肥鼓励)和3个CFPQ子量表(监测、限制健康和限制体重控制)。所进行的统计分析:使用线性回归模型来检查平均得分的父母经验和父母内化的体重耻辱感与体重相关的沟通和喂养实践之间的关系。根据儿童性别、父母感知的儿童体重状况、父母种族/民族、父母体重指数和家庭收入与需求比对模型进行了调整。结果:在协变量调整模型中,父母内化体重耻耻感与自我导向体重谈话(β=0.20, SE=0.078, p=0.01)和更多使用与健康相关的限制性喂养方式(β=0.16, SE=0.070, p=0.02)呈正相关。在协变量调整模型中未观察到其他显著关联。结论:虽然体重耻辱感内在化程度较高的父母可能会更多地进行自我导向的体重谈话,但他们也可能更了解体重耻辱感的危害,并寻求尽量减少儿童导向的体重谈话和体重取笑。
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引用次数: 0
Explicit, Implicit, and Internalized Weight Bias: Relationships With Self-Perceptions of Weight and Current Dieting 显性、隐性和内化的体重偏见:与体重自我认知和当前节食的关系。
IF 4 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-06-10 DOI: 10.1016/j.jand.2025.06.026
Diane L. Rosenbaum PhD , Meghan M. Gillen PhD , Charlotte H. Markey PhD
<div><h3>Background</h3><div>Negative attitudes regarding body size, including explicit, implicit, and internalized weight bias, are associated with deleterious outcomes, particularly for those in larger bodies.</div></div><div><h3>Objective</h3><div>This study evaluated the relation of weight bias (explicit, implicit, and internalized forms) and body mass index (BMI) to self-perceived weight and current dieting.</div></div><div><h3>Design</h3><div>This was a cross-sectional study. Participants completed the AntiFat Attitudes Questionnaire, which assesses 3 domains of explicit weight bias, a weight-specific version of the Implicit Attitudes Test, and the Weight Bias Internalization-Modified Questionnaires through an online survey.</div></div><div><h3>Participants/setting</h3><div>Participants (N = 392; 62.5% women; 15.8% African American/Black, 24.2% Asian American/Asian/Pacific Islander, 15.1% Latino/Hispanic, 37.0% White, 5.4% Multiracial, 2.3% Other, and 0.2% Did not disclose) were individuals of varying body size (mean BMI = 25.0 ± 5.73 kg/m<sup>2</sup>, range = 14.08 to 50.17 kg/m<sup>2</sup>). This study took place at a university in the Mid-Atlantic region of the United States from 2020 to 2022. Undergraduates who were aged at least 18 years, fluent in English, and enrolled in a psychology course that required subject pool participation were eligible to take part in the study.</div></div><div><h3>Main outcome measures</h3><div>Participants completed the Self-Classified Weight Scale and reported dieting behavior.</div></div><div><h3>Statistical analyses performed</h3><div>Using the PROCESS macro, regression models evaluated main effects and interactions for the different weight bias measures and BMI on self-perceived weight and current dieting, controlling for gender.</div></div><div><h3>Results</h3><div>The 3 forms of weight bias had inconsistent relationships with self-perceived weight and dieting—some were significant while others were not. There were significant interactions between BMI and fear of fat (explicit weight bias) for both self-perceived weight (<em>P</em> = .003) and dieting (<em>P</em> = .02). A significant interaction was also found between BMI and implicit weight bias (<em>P</em> = .01); those with higher bias had more discrepancies between actual and self-perceived weight. Believing that body size is controlled by willpower (explicit weight bias; <em>P</em> = .005) and weight bias internalization (<em>P</em> = .008) were positively related to dieting. Weight bias internalization was also positively associated with self-perceived weight (<em>P</em> < .001).</div></div><div><h3>Conclusions</h3><div>Internalized and some domains of explicit weight bias relate to larger self-perceived weight and greater dieting likelihood. Implicit weight bias in conjunction with BMI may also contribute to perceptions about one’s own body size. Findings highlight the importance of considering weight bias in disordered eating risk.</div></
背景:对体型的消极态度,包括显性、隐性和内化的体重偏见,与有害的结果有关,特别是对于那些体型较大的人。目的:评价体重偏差(外显、内隐和内化形式)和体重指数(BMI)与自我感知体重和当前节食的关系。设计:这是一项横断面研究。参与者通过在线调查完成了反肥胖态度问卷,该问卷评估了显性体重偏差的三个领域,特定体重版本的内隐态度测试,以及体重偏差内化修正问卷。参与者/设置:参与者(N = 392;62.5%的女性;15.8%的非裔美国人/黑人,24.2%的亚裔美国人/亚洲/太平洋岛民,15.1%的拉丁裔/西班牙裔,37.0%的白人,5.4%的多种族,2.3%的其他,0.2%未透露)是不同体型的个体(平均BMI = 25.0, SD = 5.73,范围14.08-50.17 kg/m2)。这项研究于2020年至2022年在美国大西洋中部地区的一所大学进行。年龄在18岁以上,英语流利,并且参加了一门需要受试者参与的心理学课程的本科生符合条件。主要结果测量:参与者完成自分类体重量表并报告节食行为。进行统计分析:使用PROCESS宏观,回归模型评估了不同体重偏差测量和BMI对自我感知体重和当前节食的主要影响和相互作用,控制了性别。结果:三种形式的体重偏差与自我感知的体重和节食之间存在不一致的关系——有些明显,而另一些则不明显。在自我感知体重(p = 0.003)和节食(p = 0.02)方面,BMI和对脂肪的恐惧(显性体重偏差)之间存在显著的相互作用。BMI和隐性体重偏差之间也存在显著的相互作用(p = 0.01);那些有较高偏见的人在实际体重和自我感觉体重之间的差异更大。认为体型是由意志力控制的(显性体重偏见;P = 0.005)和体重偏倚内化(P = 0.008)与节食呈正相关。体重偏见内在化也与自我感知体重呈正相关(p结论:内在化和某些外显的体重偏见领域与更大的自我感知体重和更大的节食可能性有关。隐性体重偏差与身体质量指数相结合,也可能导致人们对自己体型的看法。研究结果强调了在饮食失调风险中考虑体重偏差的重要性。
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引用次数: 0
Weight Bias Internalization Statistically Mediates the Association Between Positive Body Image and Intuitive Eating: A Cross-Sectional Study 体重偏见内化在积极身体形象与直觉饮食之间的关联中起统计学中介作用:一项横断面研究。
IF 4 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2024-12-18 DOI: 10.1016/j.jand.2024.12.007
Paula M. Brochu PhD , Janell L. Mensinger PhD , Lauren B. Moss PsyD , Stephanie L. Rothenberg MS

Background

Two facets of positive body image, body appreciation and functionality appreciation, are positively associated with an adaptive eating style known as intuitive eating. Little is known about the mechanisms underlying the association between positive body image and intuitive eating, although it is well established that weight bias internalization is associated with unfavorable views of the self and body and interferes with health behavior engagement.

Objective

The present cross-sectional study examined weight bias internalization as a statistical mediator of the association between positive body image (ie, body appreciation and functionality appreciation) and intuitive eating.

Design

An online cross-sectional survey was conducted with a convenience sample of adults who were recruited through social media from February to April 2019.

Participants and setting

The final sample included 178 participants (120 women, 55 men, 2 gender nonbinary; mean age = 26.34 years, SD = 9.53 years) who completed the study online.

Main outcome measures

Participants completed the Intuitive Eating Scale-2 as the main outcome measure.

Statistical analyses

The PROCESS macro was used to conduct 2 mediation analyses with body appreciation and functionality appreciation as the antecedents, intuitive eating as the outcome, and weight bias internalization as the mediator.

Results

As expected, body appreciation (b = .34, SE = .06; P < .001) and functionality appreciation (b = .13, SE = .06; P = .043) had significant positive associations with intuitive eating. Weight bias internalization statistically mediated the association between body appreciation and intuitive eating (b = .24, SE = .07, 95% CI .114 to .376), and functionality appreciation and intuitive eating (b = .04, SE = .03, 95% CI .004 to .104).

Conclusions

These findings contribute to better understanding the mechanisms connecting positive body image and intuitive eating. Results from this cross-sectional study indicate weight bias internalization statistically mediates the associations between body appreciation and intuitive eating and functionality appreciation and intuitive eating.
背景:积极身体形象的两个方面,身体欣赏和功能欣赏,与一种被称为直觉饮食的适应性饮食方式呈正相关。虽然体重偏见内化与对自我和身体的负面看法有关,并干扰健康行为的参与,但人们对积极的身体形象和直觉性饮食之间的联系机制知之甚少。目的:本横断面研究考察了体重偏见内化作为积极身体形象(即身体欣赏和功能欣赏)与直觉性饮食之间关联的统计中介。设计:对2019年2月至4月通过社交媒体招募的成年人进行了一项在线横断面调查。参与者/环境:最终样本包括178名参与者(120名女性,55名男性,2名性别非二元;(年龄26.34岁,SD = 9.53),在线完成研究。主要结果测量:参与者完成直观饮食量表-2作为主要结果测量。统计分析:采用PROCESS宏进行两项中介分析,以身体欣赏和功能欣赏为前项,直觉进食为结果,体重偏见内化为中介。结果:正如预期的那样,身体欣赏(b = 0.34, SE = 0.06, p < 0.001)和功能欣赏(b = 0.13, SE = 0.06 p = 0.043)与直觉饮食有显著正相关。体重偏见内化在身体欣赏与直觉饮食(b = 0.24, SE = 0.07, 95% CI: 0.114, 0.376)和功能欣赏与直觉饮食(b = 0.04, SE = 0.03, 95% CI: 0.004, 0.104)之间具有统计学中介作用。结论:这些发现有助于更好地理解积极的身体形象和直觉饮食之间的机制。本横断面研究结果表明,体重偏见内化在统计上介导了身体欣赏与直觉饮食、功能欣赏与直觉饮食之间的关联。
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引用次数: 0
People & Events 人物与事件
IF 4 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-11-19 DOI: 10.1016/j.jand.2025.10.002
{"title":"People & Events","authors":"","doi":"10.1016/j.jand.2025.10.002","DOIUrl":"10.1016/j.jand.2025.10.002","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Page 1923"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Empirical Redundancy? What Is the Distinct Role of Self-Objectification, Thin-Ideal Internalization, and Internalized Weight Stigma on Eating Pathology? 实证冗余?内化体重耻辱感、瘦型理想内化和自我物化在饮食病理中的独特作用是什么?
IF 4 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-02-17 DOI: 10.1016/j.jand.2025.02.007
Caitlin A. Martin-Wagar PhD , Sarah E. Attaway MA , Lillian King BA , Oscar R. Kronenberger BA , Katelyn A. Melcher MA

Background

Sociocultural risk factors predict disordered eating and body dissatisfaction. Three internalized variables (self-objectification, thin-ideal internalization, and internalized weight stigma) have each been shown to relate to body dissatisfaction and disordered eating. Although these 3 variables have distinct conceptualizations and definitions, they show similarity in theoretical definitions, evidence of strong relationships between the 3 variables, and similarity in how they each relate to adverse health outcomes.

Objective

This study investigated potential construct proliferation among these 3 internalized sociocultural variables.

Design

Data collection was cross-sectional, with undergraduate students completing online self-report measures from January to December 2023.

Participants

Participants were 599 undergraduate students at a northwestern US university.

Main outcome measures

The Objectified Body Consciousness Scale body surveillance subscale, Sociocultural Attitudes Toward Appearance Questionnaire-4 thin/low body fat subscale, Modified Weight Bias Internalization Scale, and Eating Disorder Examination-Questionnaire-6.0 subscales and behavioral items were used to measure self-objectification, thin-ideal internalization, internalized weight stigma, and eating disorder symptoms.

Statistical analyses performed

Six multiple regression analyses were performed to examine how the 3 internalization variables related to the outcome variables: restraint, eating concern, shape concern, weight concern, binge eating, and compensatory behaviors. Given the multiple analyses performed, a Bonferroni correction adjusted alpha levels to .008.

Results

All 6 regression models were significant (P < .001). Although self-objectification, thin-ideal internalization, and internalized weight stigma (IWS) each contributed uniquely to the body image variables (weight concern and shape concern), only IWS contributed uniquely to binge eating, and only thin-ideal internalization and IWS contributed uniquely to restraint, eating concerns, and compensatory behaviors.

Conclusions

This study provides evidence that contradicts the premise of empirical redundancy and construct proliferation for these 3 internalization variables. Findings also highlight the potential to target each of the 3 internalized variables within prevention and intervention efforts. Particularly, future research should explore IWS within eating disorder prevention and treatment, given the unique relationship of IWS with all outcome variables.
背景:社会文化风险因素预测饮食失调和身体不满。三个内化变量(自我客观化、瘦型理想内化和内化体重耻辱感)都被证明与身体不满和饮食失调有关。虽然这三个变量有不同的概念和定义,但它们在理论定义、三个变量之间密切关系的证据以及它们各自与不良健康结果的关系方面都表现出相似性。目的:探讨这三个内化社会文化变量的潜在构念增殖。设计:数据收集是横断面的,本科生在2023年1月至12月完成在线自我报告测量。参与者:参与者是美国西北部一所大学的599名本科生。主要结果测量:采用物化身体意识量表-身体监测量表、社会文化对外貌的态度问卷-4瘦/低体脂量表、修正体重偏见内化量表、饮食失调检查问卷-6.0量表和行为项目测量自我物化、瘦理想内化、内化体重污名和饮食失调症状。进行了统计分析:进行了六次多元回归分析,以检验三个内化变量与结果变量的关系:自制、饮食担忧、体型担忧、体重担忧、暴食和补偿行为。考虑到执行的多重分析,Bonferroni校正将alpha水平调整为0.008。结果:6个回归模型均显著(p < 0.001)。虽然自我客观化、瘦型理想内化和体重耻辱内化(IWS)都对身体形象变量(体重关注和体型关注)有独特的贡献,但只有IWS对暴饮暴食有独特的贡献,只有瘦型理想内化和IWS对克制、饮食关注和补偿行为有独特的贡献。结论:本研究为这三个内化变量提供了与经验冗余和结构扩散前提相矛盾的证据。研究结果还强调了在预防和干预工作中针对三个内化变量中的每一个的潜力。特别是,考虑到IWS与所有结果变量的独特关系,未来的研究应该探索IWS在ED预防和治疗中的作用。
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引用次数: 0
Parental Overvaluation of Child Weight/Shape Is Associated With Disordered Eating in Children Beyond Associations With Parental Internalized Weight Bias 父母对儿童体重/体型的过高评价与儿童饮食失调有关,而不仅仅是父母内化的体重偏见。
IF 4 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-12-01 Epub Date: 2025-03-05 DOI: 10.1016/j.jand.2025.02.015
Christina M. Sanzari MA , Janet A. Lydecker PhD, FAED

Background

Parental overvaluation (ie, parental identity based on their child’s weight) and parental weight bias internalization (ie, parents’ internalization of societal bias toward people living in larger bodies) are both associated with their children’s disordered eating. Less is known about the extent to which these constructs overlap and how their combination may relate to pediatric disordered eating.

Objective

This study examined the relationship between parental overvaluation, parental internalized weight bias, and children’s disordered eating to test whether parental overvaluation was associated with disordered eating in children beyond the effects of parental internalized weight bias.

Design

Cross-sectional data were collected from parents in the United States recruited online through Mechanical Turk from March 2021 through January 2022.

Participants/setting

Participants included 196 parents (mean age = 38.2 years). Participants were excluded if they were younger than 21 years, lived with their child less than one-half the time, or failed to meet attention and validity checks embedded throughout assessments.

Main outcome measures

Disordered eating in children behaviors (eg, overeating, binge eating, purging, and secretive eating) were evaluated.

Statistical analyses performed

Correlations compared parental overvaluation and internalized weight bias. Hierarchical logistical regressions tested the association of internalized weight bias with disordered eating in children behaviors and then whether parental overvaluation significantly contributed to the variance in disordered eating in children eating behaviors beyond the effect of internalized weight bias.

Results

Across all disordered eating in children behaviors, parental internalized weight bias was significant in the first step of the logistic regression when it was the sole variable (all, P < .005). When both variables were included in models, parental overvaluation, but not weight bias, was significantly associated with all disordered eating in children behaviors (all, P < .001).

Conclusions

The extent to which a parent evaluates their worth as a parent based on their child’s weight/shape is more strongly associated with disordered eating behaviors in children than with internalized weight bias. More research is needed to determine whether parent-focused treatment for pediatric eating disorders could benefit from strategies aimed at shifting the valued aspects of parental identity away from child weight/shape.
背景:父母的高估(基于孩子体重的父母认同)和父母体重偏见内化(父母对体重较大的人的社会偏见内化)都与孩子的饮食失调有关。对于这些结构重叠的程度以及它们的组合如何与儿童饮食失调有关,人们知之甚少。目的:本研究考察父母高估、父母内化体重偏见和儿童饮食失调之间的关系,以检验父母高估是否与儿童饮食失调相关,而不是父母内化体重偏见的影响。设计:横断面数据收集自2021年3月至2022年1月期间通过Mechanical Turk在线招募的美国父母。参与者/环境:参与者为196名父母(年龄为38.2岁)。如果参与者年龄小于21岁,与孩子住在一起的时间少于一半,或者他们未能满足整个评估过程中的注意力和有效性检查,则他们将被排除在外。主要观察指标:评估儿童饮食失调行为(暴饮暴食、暴食、空腹进食、偷偷进食)。进行了统计分析:父母高估和内化的体重偏差之间存在相关性。层次逻辑回归测试了内化体重偏差与儿童饮食失调行为的关系,然后测试了父母的高估是否在内化体重偏差的影响之外显著地促进了儿童饮食失调行为的差异。结果:在所有儿童饮食失调行为中,当父母内化体重偏差是单一变量时,在逻辑回归的第一步中,父母内化体重偏差是显著的。结论:父母根据孩子的体重/形状评估自己作为父母的程度与儿童饮食失调行为的关系比内化体重偏差更大。需要更多的研究来确定以父母为中心的儿童饮食失调治疗是否可以从旨在将父母身份的重要方面从儿童体重/形状中转移出来的策略中受益。
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引用次数: 0
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Journal of the Academy of Nutrition and Dietetics
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