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Systematic Observation of Physical Distancing Behaviors of Trail Users During the COVID-19 Pandemic 新冠肺炎疫情期间步道使用者身体距离行为的系统观察
Pub Date : 2021-09-01 DOI: 10.51250/jheal.v1i3.19
T. Bias, S. Daily, C. Abildso, Heather Venrick, Elizabeth Shay, Samantha I Moyers, A. Hege, V. Haas, Angela M. Dyer, Robert S. Broce, Richard W. Christiana
During the early months of the COVID-19 pandemic, opportunities for indoor and sometimes outdoor recreation were restricted across the world. Despite restrictions, many greenways and rail-trails saw increased use. Messaging from the federal and state public health authorities stressed the importance of social distancing and other preventive measures in reducing spread of the coronavirus. Little is known about actual behaviors of individuals and groups using these outdoor recreational opportunities. This study used passive infrared cameras to systematically observe physical distancing behaviors on multi-user trails in Boone, North Carolina, and Morgantown, West Virginia, to assess safety implications of trail use during June 2020. Most interactions (72.2%) occurred with the recommended six feet of distance between users. Maintaining six feet of distance is more likely to occur when a single individual passes another single individual (88.2%), users pass while traveling in opposite directions (75.9%), and trails are wider (76.8% on 12 ft width trail vs. 62.6% on a 10 ft width trail). Messaging on multi-user trails should target how groups pass other groups, such as “keep six feet” and “pass single file.”
在COVID-19大流行的最初几个月,世界各地的室内和有时是室外娱乐机会受到限制。尽管有限制,许多绿道和铁路小径的使用量还是增加了。联邦和州公共卫生当局的消息强调了保持社交距离和其他预防措施对减少冠状病毒传播的重要性。人们对个人和团体利用这些户外娱乐机会的实际行为知之甚少。本研究使用被动红外摄像机系统地观察了北卡罗来纳州布恩和西弗吉尼亚州摩根敦多用户步道上的物理距离行为,以评估2020年6月期间步道使用的安全影响。大多数交互(72.2%)发生在用户之间推荐的6英尺距离。当一个人超过另一个人时(88.2%),用户在相反方向行驶时超过(75.9%),以及路径更宽(76.8%在12英尺宽的路径上vs. 62.6%在10英尺宽的路径上),更有可能保持6英尺的距离。多用户路径上的消息传递应该针对小组如何通过其他小组,例如“保持六英尺”和“通过单个队列”。
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引用次数: 2
Systematic Observation of Physical Distancing Behaviors of Trail Users During the COVID-19 Pandemic. 新冠肺炎大流行期间步道使用者物理距离行为的系统观察。
Pub Date : 2021-09-01 eCollection Date: 2021-01-01
Thomas Bias, Shay M Daily, Christiaan G Abildso, Heather Venrick, Elizabeth Shay, Samantha I Moyers, Adam Hege, Vaike Haas, Angela Dyer, Robert Broce, Richard W Christiana

During the early months of the COVID-19 pandemic, opportunities for indoor and sometimes outdoor recreation were restricted across the world. Despite restrictions, many greenways and rail-trails saw increased use. Messaging from the federal and state public health authorities stressed the importance of social distancing and other preventive measures in reducing spread of the coronavirus. Little is known about actual behaviors of individuals and groups using these outdoor recreational opportunities. This study used passive infrared cameras to systematically observe physical distancing behaviors on multi-user trails in Boone, North Carolina, and Morgantown, West Virginia, to assess safety implications of trail use during June 2020. Most interactions (72.2%) occurred with the recommended six feet of distance between users. Maintaining six feet of distance is more likely to occur when a single individual passes another single individual (88.2%), users pass while traveling in opposite directions (75.9%), and trails are wider (76.8% on 12 ft width trail vs. 62.6% on a 10 ft width trail). Messaging on multi-user trails should target how groups pass other groups, such as "keep six feet" and "pass single file."

在新冠肺炎大流行的最初几个月,世界各地的室内和有时室外娱乐机会受到限制。尽管有限制,但许多绿道和铁路步道的使用量有所增加。来自联邦和州公共卫生当局的信息强调了保持社交距离和其他预防措施在减少冠状病毒传播方面的重要性。人们对个人和团体利用这些户外娱乐机会的实际行为知之甚少。这项研究使用被动红外相机系统地观察了北卡罗来纳州布恩和西弗吉尼亚州摩根敦多用户步道上的物理距离行为,以评估2020年6月步道使用的安全影响。大多数交互(72.2%)发生在用户之间推荐的6英尺距离内。当一个人经过另一个人时(88.2%),使用者在相反方向行驶时经过(75.9%),并且轨迹更宽时(12英尺宽的轨迹为76.8%,10英尺宽的步道为62.6%),保持6英尺距离的可能性更大。多用户跟踪上的消息应该针对群组如何通过其他群组,例如“保持六英尺”和“通过单个文件”
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引用次数: 0
A Scoping Review of the Health Benefits of Nature-Based Physical Activity. 基于自然的体育活动对健康益处的范围综述。
Pub Date : 2021-09-01 eCollection Date: 2021-01-01
Richard W Christiana, Gina M Besenyi, Jeanette Gustat, Teresa H Horton, Teresa L Penbrooke, Courtney L Schultz

The health benefits of physical activity and spending time in nature are well established. However, youths and adults in the United States are not participating in sufficient levels of physical activity and are not spending much time outdoors. Recently, the need for equitable access to nature for all populations has been receiving more public health attention, though a specific focus on nature-based physical activity has been limited. The purpose of this scoping review is to operationalize the health benefits of nature-based physical activity in order to provide guidance for collaborations to program administrators, advocates, and researchers. Peer-reviewed literature is found in PubMed, Medline, Web of Science, and Google Scholar as well as in published reviews of the literature. The literature is divided into three categories of: 1) amount and location of nature-based components and physical activity; 2) added health benefits of exposure to nature-based components and physical activity; and 3) nature-based components and physical activity effect on non-white, marginalized, and vulnerable populations. This review supports and encourages multiple strategies to increase nature-based physical activity as this provides even greater benefit to health and wellness than exposure to nature or physical activity alone. Although many of the physical and mental health benefits of nature and physical activity are well established, additional research is needed to better understand the relationship between exposure to nature and nature-based physical activity, which will require greater investment and support from funding agencies.

体育活动和在大自然中度过的时间对健康的好处是众所周知的。然而,美国的年轻人和成年人没有参加足够的体育活动,也没有花太多时间在户外。最近,尽管对基于自然的体育活动的具体关注有限,但所有人口公平接触自然的必要性得到了更多的公共卫生关注。本范围审查的目的是将基于自然的体育活动的健康益处付诸实践,以便为项目管理员、倡导者和研究人员的合作提供指导。同行评审文献可在PubMed、Medline、Web of Science和Google Scholar以及已发表的文献综述中找到。文献分为三类:1)基于自然成分和身体活动的数量和位置;2) 接触基于自然的成分和体育活动增加了健康益处;以及3)基于自然的成分和体育活动对非白人、边缘化和弱势群体的影响。这篇综述支持并鼓励多种策略来增加基于自然的体育活动,因为这比单独接触自然或体育活动对健康和身心健康的益处更大。尽管自然和体育活动对身心健康的许多益处已经得到了很好的证实,但还需要更多的研究来更好地了解接触自然和基于自然的体育活动之间的关系,这将需要资助机构的更多投资和支持。
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引用次数: 0
A Scoping Review of the Health Benefits of Nature-Based Physical Activity 基于自然的体育活动对健康益处的范围综述
Pub Date : 2021-09-01 DOI: 10.51250/jheal.v1i3.25
Richard W. Christiana, G. Besenyi, J. Gustat, T. Horton, Teresa Penbrooke, Courtney L. Schultz
The health benefits of physical activity and spending time in nature are well established. However, youths and adults in the United States are not participating in sufficient levels of physical activity and are not spending much time outdoors. Recently, the need for equitable access to nature for all populations has been receiving more public health attention, though a specific focus on nature-based physical activity has been limited. The purpose of this scoping review is to operationalize the health benefits of nature-based physical activity in order to provide guidance for collaborations to program administrators, advocates, and researchers. Peer-reviewed literature is found in PubMed, Medline, Web of Science, and Google Scholar as well as in published reviews of the literature. The literature is divided into three categories of: 1) amount and location of nature-based components and physical activity; 2) added health benefits of exposure to nature-based components and physical activity; and 3) nature-based components and physical activity effect on non-white, marginalized, and vulnerable populations. This review supports and encourages multiple strategies to increase nature-based physical activity as this provides even greater benefit to health and wellness than exposure to nature or physical activity alone. Although many of the physical and mental health benefits of nature and physical activity are well established, additional research is needed to better understand the relationship between exposure to nature and nature-based physical activity, which will require greater investment and support from funding agencies.
体育活动和在大自然中度过的时间对健康的好处是众所周知的。然而,美国的年轻人和成年人没有参加足够的体育活动,也没有花太多时间在户外。最近,尽管对基于自然的体育活动的具体关注有限,但所有人口公平接触自然的必要性得到了更多的公共卫生关注。本范围审查的目的是将基于自然的体育活动的健康益处付诸实践,以便为项目管理员、倡导者和研究人员的合作提供指导。同行评审文献可在PubMed、Medline、Web of Science和Google Scholar以及已发表的文献综述中找到。文献分为三类:1)基于自然成分和身体活动的数量和位置;2) 接触基于自然的成分和体育活动增加了健康益处;以及3)基于自然的成分和体育活动对非白人、边缘化和弱势群体的影响。这篇综述支持并鼓励多种策略来增加基于自然的体育活动,因为这比单独接触自然或体育活动对健康和身心健康的益处更大。尽管自然和体育活动对身心健康的许多益处已经得到了很好的证实,但还需要更多的研究来更好地了解接触自然和基于自然的体育活动之间的关系,这将需要资助机构的更多投资和支持。
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引用次数: 10
A brief staff training to increase children’s physical activity during an after-school program: Preliminary effectiveness and potential for dissemination 在课后项目中增加儿童体育活动的简短工作人员培训:初步效果和推广潜力
Pub Date : 2021-04-05 DOI: 10.51250/JHEAL.V1I2.15
E. Mailey, Jerica Garcia, R. Rosenkranz
This two-part study aimed to first evaluate the preliminary effectiveness of a brief staff training intervention to promote physical activity among children attending an after-school program, and then to determine the feasibility of delivering the training to a larger number of sites. Two Boys and Girls Club after-school sites (intervention, control) participated in study 1. Accelerometer-measured physical activity of children and directly observed staff behaviors were assessed at each site in February and May 2019. Following baseline data collection, staff at the intervention site attended a brief physical activity promotion training, which emphasized expanding the quantity and enhancing the quality of physical activity opportunities. For study 2, the training was delivered to all staff, and they completed pre- and post-training measures of self-efficacy and intention to implement strategies to promote physical activity. In study 1, children at the intervention site decreased sedentary time by 14.8 min/day, and increased light and moderate-to-vigorous physical activity by 7.8 and 7.0 min/day, respectively, relative to the control site. Instances of staff encouragement significantly increased at the intervention site. In study 2, staff reported significant improvements in self-efficacy and intention immediately following the training. These studies provide preliminary evidence that a brief staff training intervention may increase physical activity among children attending an after-school program, and that the intervention can be integrated into existing training requirements. Future research is needed to replicate these findings across a wider range of after-school programs, and to explore systematic approaches to offering sustainable physical activity training regularly at scale.
这项由两部分组成的研究旨在首先评估一项简短的员工培训干预措施的初步有效性,以促进参加课后项目的儿童的体育活动,然后确定在更多地点进行培训的可行性。两个男孩女孩俱乐部课后活动场所(干预、对照)参与了研究1。2019年2月和5月,在每个地点对加速度计测量的儿童身体活动和直接观察到的工作人员行为进行了评估。在基线数据收集之后,干预现场的工作人员参加了一次简短的体育活动促进培训,强调扩大体育活动机会的数量和提高质量。对于研究2,向所有员工进行了培训,他们完成了培训前和培训后的自我效能感测量,并打算实施促进体育活动的策略。在研究1中,与对照部位相比,干预部位的儿童久坐时间减少了14.8分钟/天,轻度和中度至剧烈的体育活动分别增加了7.8分钟/天和7.0分钟/天。干预现场工作人员受到鼓励的情况显著增加。在研究2中,工作人员报告在培训后立即在自我效能感和意向方面有了显著改善。这些研究提供了初步证据,表明短暂的员工培训干预可能会增加参加课后项目的儿童的体育活动,并且干预可以纳入现有的培训要求。未来的研究需要在更广泛的课后项目中复制这些发现,并探索定期大规模提供可持续体育活动训练的系统方法。
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引用次数: 0
Successful youth advocacy (YA) programs 成功的青年倡导(YA)计划
Pub Date : 2021-04-05 DOI: 10.51250/JHEAL.V1I2.8
Nisha Botchwey, L. K. O’Connell, K. Bryan, Tonya Ricks
Disparities in youth obesity continue despite an increasing number of programs designed to combat this challenge. Policy, systems, and environmental (PSE) changes hold promise for these populations. This study identifies lessons from adult leaders for youth advocacy programs. Youth Engagement & Action for Health! (YEAH!) is a youth advocacy curriculum for PSE change that promotes healthy behaviors. From 2017-2019, 18 youth-serving organizations recruited 11-14 year olds from low-income urban, suburban, and rural areas. 237 participants in 19 youth groups completed YEAH! with 28 adult leaders.  YEAH! adult leaders completed pre- and post-surveys on adult leader characteristics, group structure and dynamics, barriers to success, and technical assistance needs.  Researchers interviewed adult leaders at the completion of each YEAH! project. This community based participatory research (CBPR) project engaged adult leaders to collect data, analyze coded transcripts and interpret results. Clubs evaluated with positive outcomes were facilitated by adult leaders who had previous engagement with the youth, showed enthusiasm for youth advocacy, and had access to resources to motivate group cohesion, participation, and commitment. The adult leader steering committee synthesized the findings into a set of best practices and strategies to help group leaders be as successful as possible when leading future youth advocacy groups.
尽管为应对这一挑战而设计的项目越来越多,但青少年肥胖的差距仍在继续。政策、系统和环境(PSE)的变化为这些人群带来了希望。本研究从青年倡导计划的成人领袖身上找出经验教训。青年参与和行动促进健康!(耶!)是一个青少年倡导课程PSE改变,促进健康的行为。2017-2019年,18个青年服务组织从城市、郊区和农村低收入地区招募了11-14岁的青少年。来自19个青年小组的237名参加者完成了“YEAH!”有28名成年领袖。是啊!成年领导者完成了对成年领导者特征、团队结构和动态、成功障碍和技术援助需求的前后调查。研究人员在每个YEAH!项目。这个基于社区的参与式研究(CBPR)项目让成年领导者收集数据,分析编码转录本并解释结果。被评估为积极结果的俱乐部是由先前与青年接触,对青年倡导表现出热情,并有机会获得资源来激发团体凝聚力,参与和承诺的成年领导人促进的。成人领袖指导委员会将调查结果综合为一套最佳做法和策略,以帮助团体领袖在领导未来的青年倡导团体时尽可能取得成功。
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引用次数: 2
Development and Feasibility of an Obesity Prevention Intervention for Adolescent African American Daughters and Their Mothers 非裔美国青少年女儿及其母亲肥胖预防干预的发展与可行性
Pub Date : 2021-04-05 DOI: 10.51250/JHEAL.V1I2.14
M. Reed, J. Wilbur, C. Tangney, M. Schoeny, A. Miller, Kashica Webber Ritchey
African American (AA) girls and women having disproportionately higher rates of obesity than their racial/ethnic counterparts. There is an urgent need to address overweight and obesity in AA girls through preventive interventions that enhance lifestyle physical activity (PA) and improve dietary behaviors in middle adolescence. Middle adolescence represents a unique and important opportunity to strengthen the daughter/mother bond and improve healthy behaviors such as PA and dietary intake. Because of the developmental and cultural complexities of adolescence, it is essential to include mothers, however, this approach is understudied in the literature. This pre-pilot study--- Black Girls Move was conducted using a 12-week pre-post within-subjects design to assess a) feasibility of conducting the study b) feasibility of delivering the intervention and c) program satisfaction by AA 9th and 10th grade daughters and their mothers.  Twenty-two dyads were recruited, 14 dyads completed baseline assessments, however, only eight daughters and their mothers attended the first session and were retained for the entire study. All dyads had valid objective and self-reported PA data, however, two of eight daughters and one mother provided  self-reported dietary data that were considered invalid. All individual sessions were rated highly.  Excellent attendance, retention, and satisfaction among participants suggest that we succeeded in conveying the importance of healthy PA and dietary behavior change. This lifestyle intervention would be strengthened by modifications to recruitment and retention as well as incorporation of a computerized dietary assessment tool, a tailored dietary app for self-monitoring, and increased photo-based and group homework activities.
非裔美国人(AA)女孩和妇女的肥胖率比种族/族裔女孩和妇女高得不成比例。迫切需要通过加强生活方式体育活动(PA)和改善青春期中期饮食行为的预防性干预措施来解决AA女孩的超重和肥胖问题。青春期中期是一个独特而重要的机会,可以加强女儿/母亲的联系,改善健康行为,如PA和饮食摄入。由于青春期的发展和文化复杂性,纳入母亲是至关重要的,然而,这种方法在文献中研究不足。这项试点前研究“黑人女孩运动”采用了为期12周的受试者岗前设计,以评估a)进行研究的可行性b)提供干预的可行性以及c)AA 9年级和10年级女儿及其母亲对项目的满意度。招募了22对二人组,14对二人完成了基线评估,然而,只有8个女儿和她们的母亲参加了第一次会议,并在整个研究中保留下来。所有二人组都有有效的客观和自我报告的PA数据,然而,八个女儿中的两个和一个母亲提供的自我报告的饮食数据被认为是无效的。所有单独的会议都得到了很高的评价。参与者出色的出勤率、记忆力和满意度表明,我们成功地传达了健康PA和饮食行为改变的重要性。这种生活方式干预将通过修改招聘和保留,以及纳入计算机化的饮食评估工具、用于自我监测的定制饮食应用程序,以及增加基于照片的集体作业活动来加强。
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引用次数: 0
Association Between Social Isolation and Eating Alone on Foods Consumed by Chinese Adolescents. 中国青少年饮食中的社交孤立与独自进食的关系。
Pub Date : 2021-04-01 eCollection Date: 2021-01-01
Justin B Moore, SangHo Jee, Brett J Kemper, Jay E Maddock, Rui Li

Obesity is increasingly affecting Chinese adolescents due to trends in unhealthy eating, including lower fruit and vegetable consumption and increased consumption of processed foods. A cross-sectional study of adolescents was conducted in Wuhan, China, in October 2019 that included measurements of perceived social isolation, eating when anxious or depressed, diet composition, body weight, and height. Social isolation, eating when sad or anxious, and eating alone were significant predictors of processed food and sugar-sweetened beverage consumption, although only eating when sad or anxious was a significant predictor of fruit and vegetable consumption. Eating when anxious or depressed did not mediate these relationships. Social isolation was associated with consumption of processed foods and sugar-sweetened beverages by boys, but not by girls, and only eating home-cooked dinner was associated with fruit and vegetable consumption by female adolescents. Eating when sad or anxious, eating alone, and eating home-cooked meals were all associated with fruit and vegetable consumption among male adolescents. The effects of social isolation, anxiety, and depression could act to increase unhealthy eating through several mechanisms potentially mediated by chronic stress, while eating alone could also act to increase unhealthy eating due to effects of self-efficacy and food availability. The interplay between diet and outside factors, including environment, social factors, and personal psychology specific to Chinese adolescents needs to be better understood to develop comprehensive interventions for this population.

由于不健康饮食的趋势,包括水果和蔬菜消费减少以及加工食品消费增加,肥胖对中国青少年的影响越来越大。2019年10月,在中国武汉进行了一项针对青少年的横断面研究,包括对感知的社会孤立、焦虑或抑郁时的饮食、饮食组成、体重和身高的测量。社交孤立、悲伤或焦虑时进食以及单独进食是加工食品和含糖饮料消费的重要预测因素,尽管只有悲伤或焦虑的时候进食才是水果和蔬菜消费的主要预测因素。焦虑或抑郁时进食并不能调节这些关系。社会孤立与男孩食用加工食品和含糖饮料有关,但女孩没有,只有吃家常菜与女性青少年食用水果和蔬菜有关。在男性青少年中,悲伤或焦虑时进食、独自用餐和吃家常菜都与水果和蔬菜的消费有关。社交孤立、焦虑和抑郁的影响可能通过几种可能由慢性压力介导的机制来增加不健康饮食,而单独饮食也可能由于自我效能和食物供应的影响而增加不健康的饮食。需要更好地了解饮食和外部因素之间的相互作用,包括中国青少年特有的环境、社会因素和个人心理,以制定针对这一人群的综合干预措施。
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引用次数: 0
Baseline Assessment of Children’s Meals and Healthy Beverage Options Prior to a State-Level Healthy Default Beverage (HDB) Law 国家级健康默认饮料(HDB)法之前儿童膳食和健康饮料选择的基线评估
Pub Date : 2021-04-01 DOI: 10.51250/JHEAL.V1I2.4
M. McGurk, Stephanie L. Cacal, Uyen Vu, T. Sentell, Toby Beckelman, Jessica Lee, Alyssa Yang, C. Pirkle
In January 2020, Hawai‘i became the second state with a healthy default beverage (HDB) law, requiring restaurants to offer HDBs with their children’s meals. This observational study presents baseline characteristics of restaurants with a children’s menu and meal. The study describes pre-law beverage options to inform future HDB policy language, implementation, and evaluation. Between November and December 2019, data were collected from a statewide sample of unique restaurants (N = 383) with health inspection permits. Restaurants were assessed separately for a children’s menu and meal using website reviews, telephone calls, and in-person visits. Meals were evaluated for pre-law beverage type and compliance. Logistic regression was used to estimate the likelihood of having a children’s menu and meal. Most of the restaurants were full-service (70.2%) and non-chains (67.9%). While 49.3% of restaurants had a children’s menu, only 16.7% had a children’s meal. Significant predictors of having a children’s menu were being full-service, national/international or local chains, neighbor island (non-Honolulu) locations, and hotel locations. Only being a national/international chain significantly predicted having a children’s meal. Although 35.9% of children’s meals offered a non–sugar-sweetened beverage (SSB) option, only 3.1% offered law-compliant beverages. Inclusion of an SSB default option (60.9%) and not specifying the type of default beverage were the predominant factors for pre-law non-compliance. Results support the need for HDB regulations, especially for national/international chains, which were most likely to have children’s meals, and provide data to inform policies in other jurisdictions.
2020年1月,夏威夷州成为第二个制定健康默认饮料法的州,该法要求餐馆在儿童餐中提供健康默认饮料。这项观察性研究呈现了儿童菜单和餐点餐厅的基线特征。该研究描述了法律面前的饮料选择,为HDB未来的政策语言、实施和评估提供信息。2019年11月至12月,数据来自全州范围内拥有健康检查许可证的独特餐厅样本(N=383)。通过网站评论、电话和亲自访问,分别对餐厅的儿童菜单和餐点进行评估。对膳食的饮料类型和合规性进行了评估。Logistic回归被用来估计拥有儿童菜单和膳食的可能性。大多数餐厅提供全方位服务(70.2%)和非连锁餐厅(67.9%)。虽然49.3%的餐厅有儿童菜单,但只有16.7%的餐厅提供儿童餐。儿童菜单的重要预测因素是全方位服务、国家/国际或当地连锁店、邻岛(非檀香山)地点和酒店地点。只有作为一家国家/国际连锁店才能显著预测是否会有儿童餐。尽管35.9%的儿童膳食提供非加糖饮料(SSB)选项,但只有3.1%的儿童提供符合法律的饮料。纳入SSB默认选项(60.9%)和未指定默认饮料的类型是不遵守法律规定的主要因素。结果支持HDB法规的必要性,特别是对于最有可能提供儿童餐的国家/国际连锁店,并提供数据为其他司法管辖区的政策提供信息。
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引用次数: 1
Healthy Eating and Active Living in a Post-Pandemic World. 疫情后世界的健康饮食和积极生活。
Pub Date : 2021-04-01 eCollection Date: 2021-01-01
Jay E Maddock, Rebecca Seguin-Fowler
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引用次数: 0
期刊
Journal of healthy eating and active living
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