Loading…
Effect of pasture versus indoor feeding systems on quality characteristics, nutritional composition, and sensory and volatile properties of full-fat Cheddar cheese
The purpose of this study was to investigate the effects of pasture-based versus indoor total mixed ration (TMR) feeding systems on the chemical composition, quality characteristics, and sensory properties of full-fat Cheddar cheeses. Fifty-four multiparous and primiparous Friesian cows were divided...
Saved in:
Published in: | Journal of dairy science 2017-08, Vol.100 (8), p.6053-6073 |
---|---|
Main Authors: | , , , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c384t-ff5c6653960b30e8654075f2d8d09040c4591f0c6fd977aa601d1f53b630b82c3 |
---|---|
cites | cdi_FETCH-LOGICAL-c384t-ff5c6653960b30e8654075f2d8d09040c4591f0c6fd977aa601d1f53b630b82c3 |
container_end_page | 6073 |
container_issue | 8 |
container_start_page | 6053 |
container_title | Journal of dairy science |
container_volume | 100 |
creator | O'Callaghan, Tom F. Mannion, David T. Hennessy, Deirdre McAuliffe, Stephen O'Sullivan, Maurice G. Leeuwendaal, Natasha Beresford, Tom P. Dillon, Pat Kilcawley, Kieran N. Sheehan, Jeremiah J. Ross, R. Paul Stanton, Catherine |
description | The purpose of this study was to investigate the effects of pasture-based versus indoor total mixed ration (TMR) feeding systems on the chemical composition, quality characteristics, and sensory properties of full-fat Cheddar cheeses. Fifty-four multiparous and primiparous Friesian cows were divided into 3 groups (n = 18) for an entire lactation. Group 1 was housed indoors and fed a TMR diet of grass silage, maize silage, and concentrates; group 2 was maintained outdoors on perennial ryegrass only pasture (GRS); and group 3 was maintained outdoors on perennial ryegrass/white clover pasture (CLV). Full-fat Cheddar cheeses were manufactured in triplicate at pilot scale from each feeding system in September 2015 and were examined over a 270-d ripening period at 8°C. Pasture-derived feeding systems were shown to produce Cheddar cheeses yellower in color than that of TMR, which was positively correlated with increased cheese β-carotene content. Feeding system had a significant effect on the fatty acid composition of the cheeses. The nutritional composition of Cheddar cheese was improved through pasture-based feeding systems, with significantly lower thrombogenicity index scores and a greater than 2-fold increase in the concentration of vaccenic acid and the bioactive conjugated linoleic acid C18:2 cis-9,trans-11, whereas TMR-derived cheeses had significantly higher palmitic acid content. Fatty acid profiling of cheeses coupled with multivariate analysis showed clear separation of Cheddar cheeses derived from pasture-based diets (GRS or CLV) from that of a TMR system. Such alterations in the fatty acid profile resulted in pasture-derived cheeses having reduced hardness scores at room temperature. Feeding system and ripening time had a significant effect on the volatile profile of the Cheddar cheeses. Pasture-derived Cheddar cheeses had significantly higher concentrations of the hydrocarbon toluene, whereas TMR-derived cheese had significantly higher concentration of 2,3-butanediol. Ripening period resulted in significant alterations to cheese volatile profiles, with increases in acid-, alcohol-, aldehyde-, ester-, and terpene-based volatile compounds. This study has demonstrated the benefits of pasture-derived feeding systems for production of Cheddar cheeses with enhanced nutritional and rheological quality compared with a TMR feeding system. |
doi_str_mv | 10.3168/jds.2016-12508 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1911198839</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0022030217305945</els_id><sourcerecordid>1911198839</sourcerecordid><originalsourceid>FETCH-LOGICAL-c384t-ff5c6653960b30e8654075f2d8d09040c4591f0c6fd977aa601d1f53b630b82c3</originalsourceid><addsrcrecordid>eNp1kU1vEzEQhi0EoqFw5Yh85NAN_lg73iOKyodUiQucLcceU1e769TjjZTfwx-tkxRunOyRHr-emYeQ95ytJdfm00PAtWBcd1woZl6QFVdCdZIP5iVZMSZExyQTV-QN4kMruWDqNbkSRoteGLkif25jBF9pjnTvsC4F6AEKLkjTHHIuNAKENP-meMQKE9I808fFjakeqb93xfkKJWFNHm_ovNSSasqzG6nP0z7jubqhbg4UYcZcjuf7IY-uphHovuQ9lJoATx3EZRy76Crd3kMIrrQfABDeklfRjQjvns9r8uvL7c_tt-7ux9fv2893nZemr12Mymut5KDZTjIwWvVso6IIJrCB9cz3auCReR3DsNk4pxkPPCq505LtjPDymny85LauHhfAaqeEHsbRzZAXtHzgvC3WyKGh6wvqS0YsEO2-pMmVo-XMnsTYJsaexNizmPbgw3P2spsg_MP_mmiAuQDQJjwkKBZ9gtm37ZcmyIac_pf9BHXVn98</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1911198839</pqid></control><display><type>article</type><title>Effect of pasture versus indoor feeding systems on quality characteristics, nutritional composition, and sensory and volatile properties of full-fat Cheddar cheese</title><source>ScienceDirect®</source><source>EZB Free E-Journals</source><creator>O'Callaghan, Tom F. ; Mannion, David T. ; Hennessy, Deirdre ; McAuliffe, Stephen ; O'Sullivan, Maurice G. ; Leeuwendaal, Natasha ; Beresford, Tom P. ; Dillon, Pat ; Kilcawley, Kieran N. ; Sheehan, Jeremiah J. ; Ross, R. Paul ; Stanton, Catherine</creator><creatorcontrib>O'Callaghan, Tom F. ; Mannion, David T. ; Hennessy, Deirdre ; McAuliffe, Stephen ; O'Sullivan, Maurice G. ; Leeuwendaal, Natasha ; Beresford, Tom P. ; Dillon, Pat ; Kilcawley, Kieran N. ; Sheehan, Jeremiah J. ; Ross, R. Paul ; Stanton, Catherine</creatorcontrib><description>The purpose of this study was to investigate the effects of pasture-based versus indoor total mixed ration (TMR) feeding systems on the chemical composition, quality characteristics, and sensory properties of full-fat Cheddar cheeses. Fifty-four multiparous and primiparous Friesian cows were divided into 3 groups (n = 18) for an entire lactation. Group 1 was housed indoors and fed a TMR diet of grass silage, maize silage, and concentrates; group 2 was maintained outdoors on perennial ryegrass only pasture (GRS); and group 3 was maintained outdoors on perennial ryegrass/white clover pasture (CLV). Full-fat Cheddar cheeses were manufactured in triplicate at pilot scale from each feeding system in September 2015 and were examined over a 270-d ripening period at 8°C. Pasture-derived feeding systems were shown to produce Cheddar cheeses yellower in color than that of TMR, which was positively correlated with increased cheese β-carotene content. Feeding system had a significant effect on the fatty acid composition of the cheeses. The nutritional composition of Cheddar cheese was improved through pasture-based feeding systems, with significantly lower thrombogenicity index scores and a greater than 2-fold increase in the concentration of vaccenic acid and the bioactive conjugated linoleic acid C18:2 cis-9,trans-11, whereas TMR-derived cheeses had significantly higher palmitic acid content. Fatty acid profiling of cheeses coupled with multivariate analysis showed clear separation of Cheddar cheeses derived from pasture-based diets (GRS or CLV) from that of a TMR system. Such alterations in the fatty acid profile resulted in pasture-derived cheeses having reduced hardness scores at room temperature. Feeding system and ripening time had a significant effect on the volatile profile of the Cheddar cheeses. Pasture-derived Cheddar cheeses had significantly higher concentrations of the hydrocarbon toluene, whereas TMR-derived cheese had significantly higher concentration of 2,3-butanediol. Ripening period resulted in significant alterations to cheese volatile profiles, with increases in acid-, alcohol-, aldehyde-, ester-, and terpene-based volatile compounds. This study has demonstrated the benefits of pasture-derived feeding systems for production of Cheddar cheeses with enhanced nutritional and rheological quality compared with a TMR feeding system.</description><identifier>ISSN: 0022-0302</identifier><identifier>EISSN: 1525-3198</identifier><identifier>DOI: 10.3168/jds.2016-12508</identifier><identifier>PMID: 28624283</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Animal Feed ; Animal Nutritional Physiological Phenomena ; Animals ; Butylene Glycols ; Cattle ; Cheddar cheese ; Cheese - analysis ; cow ; Diet - veterinary ; fatty acid ; Female ; Milk - chemistry ; pasture ; Poaceae ; Taste ; total mixed ration</subject><ispartof>Journal of dairy science, 2017-08, Vol.100 (8), p.6053-6073</ispartof><rights>2017 American Dairy Science Association</rights><rights>Copyright © 2017 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-ff5c6653960b30e8654075f2d8d09040c4591f0c6fd977aa601d1f53b630b82c3</citedby><cites>FETCH-LOGICAL-c384t-ff5c6653960b30e8654075f2d8d09040c4591f0c6fd977aa601d1f53b630b82c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022030217305945$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3549,27924,27925,45780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28624283$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O'Callaghan, Tom F.</creatorcontrib><creatorcontrib>Mannion, David T.</creatorcontrib><creatorcontrib>Hennessy, Deirdre</creatorcontrib><creatorcontrib>McAuliffe, Stephen</creatorcontrib><creatorcontrib>O'Sullivan, Maurice G.</creatorcontrib><creatorcontrib>Leeuwendaal, Natasha</creatorcontrib><creatorcontrib>Beresford, Tom P.</creatorcontrib><creatorcontrib>Dillon, Pat</creatorcontrib><creatorcontrib>Kilcawley, Kieran N.</creatorcontrib><creatorcontrib>Sheehan, Jeremiah J.</creatorcontrib><creatorcontrib>Ross, R. Paul</creatorcontrib><creatorcontrib>Stanton, Catherine</creatorcontrib><title>Effect of pasture versus indoor feeding systems on quality characteristics, nutritional composition, and sensory and volatile properties of full-fat Cheddar cheese</title><title>Journal of dairy science</title><addtitle>J Dairy Sci</addtitle><description>The purpose of this study was to investigate the effects of pasture-based versus indoor total mixed ration (TMR) feeding systems on the chemical composition, quality characteristics, and sensory properties of full-fat Cheddar cheeses. Fifty-four multiparous and primiparous Friesian cows were divided into 3 groups (n = 18) for an entire lactation. Group 1 was housed indoors and fed a TMR diet of grass silage, maize silage, and concentrates; group 2 was maintained outdoors on perennial ryegrass only pasture (GRS); and group 3 was maintained outdoors on perennial ryegrass/white clover pasture (CLV). Full-fat Cheddar cheeses were manufactured in triplicate at pilot scale from each feeding system in September 2015 and were examined over a 270-d ripening period at 8°C. Pasture-derived feeding systems were shown to produce Cheddar cheeses yellower in color than that of TMR, which was positively correlated with increased cheese β-carotene content. Feeding system had a significant effect on the fatty acid composition of the cheeses. The nutritional composition of Cheddar cheese was improved through pasture-based feeding systems, with significantly lower thrombogenicity index scores and a greater than 2-fold increase in the concentration of vaccenic acid and the bioactive conjugated linoleic acid C18:2 cis-9,trans-11, whereas TMR-derived cheeses had significantly higher palmitic acid content. Fatty acid profiling of cheeses coupled with multivariate analysis showed clear separation of Cheddar cheeses derived from pasture-based diets (GRS or CLV) from that of a TMR system. Such alterations in the fatty acid profile resulted in pasture-derived cheeses having reduced hardness scores at room temperature. Feeding system and ripening time had a significant effect on the volatile profile of the Cheddar cheeses. Pasture-derived Cheddar cheeses had significantly higher concentrations of the hydrocarbon toluene, whereas TMR-derived cheese had significantly higher concentration of 2,3-butanediol. Ripening period resulted in significant alterations to cheese volatile profiles, with increases in acid-, alcohol-, aldehyde-, ester-, and terpene-based volatile compounds. This study has demonstrated the benefits of pasture-derived feeding systems for production of Cheddar cheeses with enhanced nutritional and rheological quality compared with a TMR feeding system.</description><subject>Animal Feed</subject><subject>Animal Nutritional Physiological Phenomena</subject><subject>Animals</subject><subject>Butylene Glycols</subject><subject>Cattle</subject><subject>Cheddar cheese</subject><subject>Cheese - analysis</subject><subject>cow</subject><subject>Diet - veterinary</subject><subject>fatty acid</subject><subject>Female</subject><subject>Milk - chemistry</subject><subject>pasture</subject><subject>Poaceae</subject><subject>Taste</subject><subject>total mixed ration</subject><issn>0022-0302</issn><issn>1525-3198</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp1kU1vEzEQhi0EoqFw5Yh85NAN_lg73iOKyodUiQucLcceU1e769TjjZTfwx-tkxRunOyRHr-emYeQ95ytJdfm00PAtWBcd1woZl6QFVdCdZIP5iVZMSZExyQTV-QN4kMruWDqNbkSRoteGLkif25jBF9pjnTvsC4F6AEKLkjTHHIuNAKENP-meMQKE9I808fFjakeqb93xfkKJWFNHm_ovNSSasqzG6nP0z7jubqhbg4UYcZcjuf7IY-uphHovuQ9lJoATx3EZRy76Crd3kMIrrQfABDeklfRjQjvns9r8uvL7c_tt-7ux9fv2893nZemr12Mymut5KDZTjIwWvVso6IIJrCB9cz3auCReR3DsNk4pxkPPCq505LtjPDymny85LauHhfAaqeEHsbRzZAXtHzgvC3WyKGh6wvqS0YsEO2-pMmVo-XMnsTYJsaexNizmPbgw3P2spsg_MP_mmiAuQDQJjwkKBZ9gtm37ZcmyIac_pf9BHXVn98</recordid><startdate>201708</startdate><enddate>201708</enddate><creator>O'Callaghan, Tom F.</creator><creator>Mannion, David T.</creator><creator>Hennessy, Deirdre</creator><creator>McAuliffe, Stephen</creator><creator>O'Sullivan, Maurice G.</creator><creator>Leeuwendaal, Natasha</creator><creator>Beresford, Tom P.</creator><creator>Dillon, Pat</creator><creator>Kilcawley, Kieran N.</creator><creator>Sheehan, Jeremiah J.</creator><creator>Ross, R. Paul</creator><creator>Stanton, Catherine</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201708</creationdate><title>Effect of pasture versus indoor feeding systems on quality characteristics, nutritional composition, and sensory and volatile properties of full-fat Cheddar cheese</title><author>O'Callaghan, Tom F. ; Mannion, David T. ; Hennessy, Deirdre ; McAuliffe, Stephen ; O'Sullivan, Maurice G. ; Leeuwendaal, Natasha ; Beresford, Tom P. ; Dillon, Pat ; Kilcawley, Kieran N. ; Sheehan, Jeremiah J. ; Ross, R. Paul ; Stanton, Catherine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-ff5c6653960b30e8654075f2d8d09040c4591f0c6fd977aa601d1f53b630b82c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Animal Feed</topic><topic>Animal Nutritional Physiological Phenomena</topic><topic>Animals</topic><topic>Butylene Glycols</topic><topic>Cattle</topic><topic>Cheddar cheese</topic><topic>Cheese - analysis</topic><topic>cow</topic><topic>Diet - veterinary</topic><topic>fatty acid</topic><topic>Female</topic><topic>Milk - chemistry</topic><topic>pasture</topic><topic>Poaceae</topic><topic>Taste</topic><topic>total mixed ration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O'Callaghan, Tom F.</creatorcontrib><creatorcontrib>Mannion, David T.</creatorcontrib><creatorcontrib>Hennessy, Deirdre</creatorcontrib><creatorcontrib>McAuliffe, Stephen</creatorcontrib><creatorcontrib>O'Sullivan, Maurice G.</creatorcontrib><creatorcontrib>Leeuwendaal, Natasha</creatorcontrib><creatorcontrib>Beresford, Tom P.</creatorcontrib><creatorcontrib>Dillon, Pat</creatorcontrib><creatorcontrib>Kilcawley, Kieran N.</creatorcontrib><creatorcontrib>Sheehan, Jeremiah J.</creatorcontrib><creatorcontrib>Ross, R. Paul</creatorcontrib><creatorcontrib>Stanton, Catherine</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of dairy science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O'Callaghan, Tom F.</au><au>Mannion, David T.</au><au>Hennessy, Deirdre</au><au>McAuliffe, Stephen</au><au>O'Sullivan, Maurice G.</au><au>Leeuwendaal, Natasha</au><au>Beresford, Tom P.</au><au>Dillon, Pat</au><au>Kilcawley, Kieran N.</au><au>Sheehan, Jeremiah J.</au><au>Ross, R. Paul</au><au>Stanton, Catherine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of pasture versus indoor feeding systems on quality characteristics, nutritional composition, and sensory and volatile properties of full-fat Cheddar cheese</atitle><jtitle>Journal of dairy science</jtitle><addtitle>J Dairy Sci</addtitle><date>2017-08</date><risdate>2017</risdate><volume>100</volume><issue>8</issue><spage>6053</spage><epage>6073</epage><pages>6053-6073</pages><issn>0022-0302</issn><eissn>1525-3198</eissn><abstract>The purpose of this study was to investigate the effects of pasture-based versus indoor total mixed ration (TMR) feeding systems on the chemical composition, quality characteristics, and sensory properties of full-fat Cheddar cheeses. Fifty-four multiparous and primiparous Friesian cows were divided into 3 groups (n = 18) for an entire lactation. Group 1 was housed indoors and fed a TMR diet of grass silage, maize silage, and concentrates; group 2 was maintained outdoors on perennial ryegrass only pasture (GRS); and group 3 was maintained outdoors on perennial ryegrass/white clover pasture (CLV). Full-fat Cheddar cheeses were manufactured in triplicate at pilot scale from each feeding system in September 2015 and were examined over a 270-d ripening period at 8°C. Pasture-derived feeding systems were shown to produce Cheddar cheeses yellower in color than that of TMR, which was positively correlated with increased cheese β-carotene content. Feeding system had a significant effect on the fatty acid composition of the cheeses. The nutritional composition of Cheddar cheese was improved through pasture-based feeding systems, with significantly lower thrombogenicity index scores and a greater than 2-fold increase in the concentration of vaccenic acid and the bioactive conjugated linoleic acid C18:2 cis-9,trans-11, whereas TMR-derived cheeses had significantly higher palmitic acid content. Fatty acid profiling of cheeses coupled with multivariate analysis showed clear separation of Cheddar cheeses derived from pasture-based diets (GRS or CLV) from that of a TMR system. Such alterations in the fatty acid profile resulted in pasture-derived cheeses having reduced hardness scores at room temperature. Feeding system and ripening time had a significant effect on the volatile profile of the Cheddar cheeses. Pasture-derived Cheddar cheeses had significantly higher concentrations of the hydrocarbon toluene, whereas TMR-derived cheese had significantly higher concentration of 2,3-butanediol. Ripening period resulted in significant alterations to cheese volatile profiles, with increases in acid-, alcohol-, aldehyde-, ester-, and terpene-based volatile compounds. This study has demonstrated the benefits of pasture-derived feeding systems for production of Cheddar cheeses with enhanced nutritional and rheological quality compared with a TMR feeding system.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28624283</pmid><doi>10.3168/jds.2016-12508</doi><tpages>21</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0022-0302 |
ispartof | Journal of dairy science, 2017-08, Vol.100 (8), p.6053-6073 |
issn | 0022-0302 1525-3198 |
language | eng |
recordid | cdi_proquest_miscellaneous_1911198839 |
source | ScienceDirect®; EZB Free E-Journals |
subjects | Animal Feed Animal Nutritional Physiological Phenomena Animals Butylene Glycols Cattle Cheddar cheese Cheese - analysis cow Diet - veterinary fatty acid Female Milk - chemistry pasture Poaceae Taste total mixed ration |
title | Effect of pasture versus indoor feeding systems on quality characteristics, nutritional composition, and sensory and volatile properties of full-fat Cheddar cheese |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-19T13%3A14%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20pasture%20versus%20indoor%20feeding%20systems%20on%20quality%20characteristics,%20nutritional%20composition,%20and%20sensory%20and%20volatile%20properties%20of%20full-fat%20Cheddar%20cheese&rft.jtitle=Journal%20of%20dairy%20science&rft.au=O'Callaghan,%20Tom%20F.&rft.date=2017-08&rft.volume=100&rft.issue=8&rft.spage=6053&rft.epage=6073&rft.pages=6053-6073&rft.issn=0022-0302&rft.eissn=1525-3198&rft_id=info:doi/10.3168/jds.2016-12508&rft_dat=%3Cproquest_cross%3E1911198839%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c384t-ff5c6653960b30e8654075f2d8d09040c4591f0c6fd977aa601d1f53b630b82c3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1911198839&rft_id=info:pmid/28624283&rfr_iscdi=true |