Journal of the Academy of Nutrition and Dietetics最新文献

{"title":"2025 Academy of Nutrition and Dietetics Honorary Memberships","authors":"","doi":"10.1016/j.jand.2025.10.007","DOIUrl":"10.1016/j.jand.2025.10.007","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Page 1914"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145536886","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}

{"title":"2025 Outstanding Nutrition and Dietetics Technician, Registered Award","authors":"","doi":"10.1016/j.jand.2025.10.001","DOIUrl":"10.1016/j.jand.2025.10.001","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Page 1919"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537103","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}

{"title":"Nutrition-Related Experiences and Perceptions of Pacific Islanders With Diabetes in the United States: A Qualitative Analysis","authors":"Dailyn K. Tufuga MS ,&nbsp;Autumn Vaitohi ,&nbsp;Emily Patten PhD, RDN ,&nbsp;Pitovao Gerratt ,&nbsp;Sarah Bellini PhD, RD","doi":"10.1016/j.jand.2025.07.006","DOIUrl":"10.1016/j.jand.2025.07.006","url":null,"abstract":"<div><h3>Background</h3><div>Pacific Islanders (PI) have a greater risk of developing type 2 diabetes compared with the non-Hispanic White population. Little is known about PIs’ culture, experiences, and perceptions related to diabetes, especially regarding nutritional health care.</div></div><div><h3>Objective</h3><div>The primary purpose of this study was to explore the experience and perceptions of PIs living in the mainland United States regarding diabetes, diabetes management, and nutrition interventions.</div></div><div><h3>Design</h3><div>Researchers conducted a qualitative study using semistructured interviews to gain cultural knowledge about the mainland PI population based on Campinha-Bacote’s framework of cultural competence. Researchers analyzed data using reflexive thematic analysis.</div></div><div><h3>Participants/setting</h3><div>PIs with prediabetes or type 2 diabetes living in the mainland United States were recruited through email and social media in Utah, California, and the Pacific Northwest.</div></div><div><h3>Results</h3><div>Most of the participants (24 out of 26) lived in the United States for more than 10 years. Although 9 participants were not born in the United States, all lived in the United States for 6 years or more. Most of the participants were Tongan (11 out of 24) or Samoan (10 out of 24). Slightly more participants were aged 18 to 49 years (n = 14) and were men (n = 14), compared with participants older than 50 years (n = 12) and women (n = 12). Researchers identified 4 main themes: eating approaches, responses to diabetes diagnosis, perspectives on diabetes education, and navigating health care services. Price, convenience, family food practices, and taste influenced day-to-day food choices. Participants reported a tug-of-war trying to adopt a new culture, manage their diabetes, and retain their PI culture. Education for participants lacked cultural awareness and could be improved by focusing on PI communities and families rather than PI individuals. The health care system was difficult to navigate, and there were cultural and language barriers.</div></div><div><h3>Conclusions</h3><div>These study results provide an opportunity for registered dietitian nutritionists and other health care practitioners to gain knowledge about PI experiences and be better equipped to provide culturally sensitive care to individuals with prediabetes or type 2 diabetes.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 11","pages":"Pages 1643-1651.e4"},"PeriodicalIF":4.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144717209","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}

{"title":"Provision and Access to Nutrition Care for the Prevention and Treatment of Malnutrition in Older Adults Within Long-Term Care and Community Settings: A Consensus Statement of the Academy of Nutrition and Dietetics","authors":"Judy R. Simon MS, RD, LDN ,&nbsp;Nancy Munoz MHA, DCN, RDN, FAND ,&nbsp;Shirley Y. Chao PhD, RDN, LDN, FAND ,&nbsp;Mary Litchford PhD, RDN, LDN ,&nbsp;Lisa Moloney PhD, RDN","doi":"10.1016/j.jand.2025.05.023","DOIUrl":"10.1016/j.jand.2025.05.023","url":null,"abstract":"<div><div>It is the consensus of the Academy of Nutrition and Dietetics that equitable access to nutrition care, including medical nutrition therapy provided or facilitated by registered dietitian nutritionists (RDNs), can improve nutrition and health outcomes for older adults in long-term care and community settings. The target audience includes RDNs, policymakers, insurance providers, and other interested parties. The consensus statement is based on the Evidence Analysis Center’s malnutrition in older adults systematic reviews that evaluated nutrition assessment and nutrition interventions, and the expertise of content experts. Strategies to improve access to nutrition care within a regulatory and systemic context are presented. The consensus statement identifies key barriers to nutrition care, including fragmented health care systems, insufficient research, and limited reimbursement for nutrition services. Several strategies are proposed, including policies to ensure comprehensive screening and referral, evidence-based individualized nutrition care, expanded reimbursement for nutrition services, adequate RDN staffing, increased research, and coordination with available community nutrition programs. Improved access to nutrition care is essential to reducing malnutrition and improving the overall health of older adults.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 11","pages":"Pages 1755-1768"},"PeriodicalIF":4.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537624","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}

{"title":"Machine Learning With Ingredient-Level Food Trees Reveals Contributors to Systemic Inflammation Among Adults in the National Health and Nutrition Examination Survey, 2001-2010 and 2015-2018","authors":"Jules A. Larke PhD ,&nbsp;Danielle G. Lemay PhD","doi":"10.1016/j.jand.2025.05.012","DOIUrl":"10.1016/j.jand.2025.05.012","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Methods for modeling the relationship between self-reported 24-hour dietary recalls and health outcomes are traditionally based on nutrients and/or dietary patterns. Machine learning (ML), combined with hierarchical representations of diet, may help improve estimates of health and identify specific foods associated with diet-induced inflammation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;The aim of this study was to assess the accuracy of estimating systemic inflammation from hierarchically arranged ingredient-level diets in a large US cohort.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;This was a cross-sectional analysis using data on US adults from the National Health and Nutrition Examination Survey 2001-2010 and 2015-2018 cycles.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants and setting&lt;/h3&gt;&lt;div&gt;The continuous National Health and Nutrition Examination Survey data representing adult men and women who completed 1 or more 24-hour dietary recalls with an energy intake between 500 and 4500 kcal/day had no active infection or acute phase response, and measurement of serum C-reactive protein (CRP) level (N = 19 460).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main outcome measures&lt;/h3&gt;&lt;div&gt;The main outcome measure was classification accuracy for predicting high and low inflammation based on the top and bottom tertiles of CRP level.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Statistical analyses performed&lt;/h3&gt;&lt;div&gt;Mixed meal disaggregation was performed to generate an ingredient-level representation of diet that was further annotated to produce a hierarchical data structure, or food tree. Hierarchical feature engineering selected the most informative food tree features for predicting systemic inflammation (ie, CRP level). ML models were used to assess the accuracy of predicting CRP level from the food tree features compared with the Dietary Inflammatory Index (DII) score. Logistic regression was used to calculate the marginal effects of ingredients identified from ML models.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Representation of diet as an ingredient-level food tree reduced dietary features from 6412 unique foods to 566 unique ingredients. ML classifiers trained on food tree data predicted high vs low systemic inflammation (CRP level tertile) with similar accuracy (0.761) on never-seen data compared with models trained using DII scores (0.757) (McNemar test &lt;em&gt;P&lt;/em&gt; = .5). Individual dietary components revealed contributions toward increased inflammation, including fruit punch, soda, and high-fat milk (marginal effects: 0.001 to 0.005; &lt;em&gt;P&lt;/em&gt; &lt; .05), and foods associated with decreased inflammation such as herbal tea, brewed espresso, decaf coffee, brown rice, and dry pasta (marginal effects: –0.08 to –0.001; &lt;em&gt;P&lt;/em&gt; &lt; .05).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Specific ingredients, selected from a food tree, performed as well as the DII in predicting systemic inflammation. Choice of common foods and beverages associated with inflammation varied in magnitude and direction","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 11","pages":"Pages 1664-1677.e7"},"PeriodicalIF":4.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186157","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}

{"title":"From Revision to Practice: Key Changes in the Revised 2025 Scope and Standards of Practice for Registered Dietitian Nutritionists in Diabetes Care","authors":"Patricia Davidson DCN, RDN, LDN, CDCES, CHSE, FAND, FADCES ,&nbsp;Janice MacLeod MA, RDN, LDN, CDCES, FADCES ,&nbsp;Ka Hei Karen Lau MS, RDN, LDN, CDCES ,&nbsp;Karen Hui RDN, LDN, FAND ,&nbsp;Carol J. Gilmore MS, RDN, LD, FADA, FAND","doi":"10.1016/j.jand.2025.07.009","DOIUrl":"10.1016/j.jand.2025.07.009","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 11","pages":"Pages 1769-1773"},"PeriodicalIF":4.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144937876","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}

{"title":"What's New Online","authors":"","doi":"10.1016/S2212-2672(25)00777-4","DOIUrl":"10.1016/S2212-2672(25)00777-4","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 11","pages":"Page 1631"},"PeriodicalIF":4.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145335088","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}

{"title":"Prospective Associations of Breastfeeding Parents’ Postpartum Dietary Intake With Infant Gut Microbiome at Age 6 Months in the Pregnancy Eating Attributes Study","authors":"Namrata Sanjeevi PhD ,&nbsp;Caitlin Dreisbach PhD ,&nbsp;Shyamal Peddada PhD ,&nbsp;Anna Maria Siega-Riz PhD ,&nbsp;Farnaz Fouladi PhD ,&nbsp;Tonja Nansel PhD","doi":"10.1016/j.jand.2025.07.005","DOIUrl":"10.1016/j.jand.2025.07.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Oligosaccharides in breast milk facilitate colonization of the infant gut microbiota that reduce the risk of metabolic disorders. Although diet influences human milk composition, no study to date has examined the association of breastfeeding parents’ dietary intake, exclusively during the postpartum period, with infant gastrointestinal microbiome.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To examine the relationship of postpartum diet quality of the breastfeeding parent, as measured by Healthy Eating Index 2015 (HEI-2015), with gut microbiota of infants at age 6 months.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A secondary data analysis of a prospective pregnancy cohort participating in the Pregnancy Eating Attributes Study in North Carolina.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants/Settings&lt;/h3&gt;&lt;div&gt;Of 458 participants enrolled from November 2014 through October 2016, this study included 103 breastfeeding parent-infant dyads. Dietary recalls collected at 4 to 6 weeks and 23 to 31 weeks postpartum estimated diet quality. Infants were classified into 1 of the following groups based on their feeding exposures at age 6 months: breast milk only, breast milk and solids, and breast milk and formula (with/without solids).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main Outcome Measures&lt;/h3&gt;&lt;div&gt;Infant rectal swabs, collected 23 to 31 weeks following delivery, were used for deoxyribonucleic acid extraction and sequencing. The paired-end FASTQ files were input into the Just A Microbiology System pipeline.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Statistical Analyses&lt;/h3&gt;&lt;div&gt;Multivariate linear models examined relationships between HEI-2015 components and abundances of infant microbial taxa in the full sample and by feeding groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;In the overall sample, higher breastfeeding parents’ total HEI-2015 score (β ± SE) was associated with lower abundance of &lt;em&gt;Campylobacter hominis&lt;/em&gt; (–.0012 ± .0003; &lt;em&gt;P&lt;/em&gt; &lt; .001; false discovery rate [FDR] &lt;em&gt;q&lt;/em&gt; = 0.002) and &lt;em&gt;Acidaminococcus&lt;/em&gt; (unclassified) (–.0012 ± .0003; &lt;em&gt;P&lt;/em&gt; &lt; .001; FDR &lt;em&gt;q&lt;/em&gt; = 0.002). Among infants exclusively fed breast milk, a higher HEI-2015 total protein foods score (β ± SE) was associated with lower abundance of &lt;em&gt;Streptococcus&lt;/em&gt; (unclassified) (–.078 ± .012; &lt;em&gt;P&lt;/em&gt; &lt; .001; FDR &lt;em&gt;q&lt;/em&gt; ≤ 0.001) and &lt;em&gt;Anaerococcus tetradius&lt;/em&gt; (–.014 ± .003; &lt;em&gt;P&lt;/em&gt; &lt; .001; FDR &lt;em&gt;q&lt;/em&gt; = 0.043). Among infants fed breast milk and solid foods, a higher HEI-2015 refined grain score (β ± SE) was associated with lower abundance of Clostridiaceae (–.002 ± .0004; &lt;em&gt;P&lt;/em&gt; &lt; .001; FDR &lt;em&gt;q&lt;/em&gt; = 0.013). Among infants fed breast milk and formula, a higher HEI-2015 total protein foods score (β ± SE) was associated with lower abundance of &lt;em&gt;Atopobium&lt;/em&gt; (unclassified) (–.01 ± .004; &lt;em&gt;P&lt;/em&gt; &lt; .001; FDR &lt;em&gt;q&lt;/em&gt; = 0.04).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Higher breastfeeding parents’ HEI-2015 scores were associated with lower abundance","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 11","pages":"Pages 1746-1754.e1"},"PeriodicalIF":4.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705990","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}

{"title":"Nutrition and Acute Myeloid Leukemia and Myelodysplastic Syndromes in Older Adults (Aged ≥60): A Scoping Review","authors":"Victoria Crowder PhD, RN ,&nbsp;Ayomide Okanlawon Bankole PhD, RN ,&nbsp;Jamie L. Conklin MLIS ,&nbsp;Amanda S. Sawyer MS, RD, LDN ,&nbsp;Amanda M. Holliday MPH, RD, CSO, LDN ,&nbsp;Rebecca Fogle MS, RD, CSO, LDN ,&nbsp;Lorinda A. Coombs PhD, MSN, FNP-BC, AOCNP ,&nbsp;Daniel R. Richardson MD, MS, MA ,&nbsp;Melissa Batchelor PhD, RN, FNP, FGSA, FAAN ,&nbsp;Anna Beeber PhD, RN, FAAN, FGSA ,&nbsp;Todd Schwartz DrPH ,&nbsp;Ashley Leak Bryant PhD, RN, OCN, FAAN, FGSA","doi":"10.1016/j.jand.2025.06.028","DOIUrl":"10.1016/j.jand.2025.06.028","url":null,"abstract":"<div><h3>Background</h3><div>Acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS) commonly affect older adults (aged ≥60). Treatments are often intensive, with side effects influencing patients’ eating abilities and, consequently, nutritional status, which can influence treatment outcomes.</div></div><div><h3>Objective</h3><div>For older adults with AML and/or MDS, what research has been conducted to describe their nutrition experiences? And, what research has been conducted regarding the effects of nutrition experiences on physical health, psychosocial health, and quality of life?</div></div><div><h3>Methods</h3><div>A scoping review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines to search on April 30, 2024, in PubMed, Cumulative Index to Nursing and Allied Health Literature, and Scopus. Criteria included English language, peer-reviewed, empirical studies with unique findings regarding nutrition for older adults (aged ≥60) with AML and/or MDS. Studies focusing on the risk of future cancers and drug trials were excluded.</div></div><div><h3>Results</h3><div>Forty-two studies published from 1992 to 2024 met the inclusion criteria. Twenty-four articles focused on patients with AML, 16 on patients with MDS, and 2 reported both. Most quantitative studies were retrospective (n = 20), and only 5 assessed nutrition over time. Nutrition experiences included malnutrition, weight loss, sarcopenia, impaired renal function, diabetes, vitamin deficiencies, mucositis, dysphagia, decreased appetite or intake, altered taste, and gastrointestinal symptoms (eg, nausea and diarrhea). Studies described the effects on health and quality of life, including significant relationships with functional status, clinical complications, comorbidities, and mortality.</div></div><div><h3>Conclusions</h3><div>Patients with AML or MDS may face varied experiences with nutrition, especially related to malnutrition. Challenges may be associated with declines in physical health and quality of life. Importantly, no studies in this review reported effects on psychosocial outcomes, and few reported race/ethnicity, which are recommended to be measured in future studies to understand potential challenges and outcomes. The findings of this review may inform further research on nutritional health and intervention development, and effects on quality of life.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 11","pages":"Pages 1678-1717.e4"},"PeriodicalIF":4.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144367781","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}

{"title":"November 2025 People & Events","authors":"","doi":"10.1016/j.jand.2025.09.003","DOIUrl":"10.1016/j.jand.2025.09.003","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 11","pages":"Page 1775"},"PeriodicalIF":4.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145332774","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}