Loading…
Healthy diets and telomere length and attrition during a 10-year follow-up
Background Telomeres are repeats of DNA that contain the sequence TTAGGG at the ends of each chromosome, and their function is to protect DNA from damage. Little evidence exists regarding the relationship between dietary patterns and telomere length, especially derived applying longitudinal design....
Saved in:
Published in: | European journal of clinical nutrition 2019-10, Vol.73 (10), p.1352-1360 |
---|---|
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-c551t-a5dab77e9fc9b6112af5389261d3faef75da425920088dd9e1f6a8a5acddc8a23 |
---|---|
cites | cdi_FETCH-LOGICAL-c551t-a5dab77e9fc9b6112af5389261d3faef75da425920088dd9e1f6a8a5acddc8a23 |
container_end_page | 1360 |
container_issue | 10 |
container_start_page | 1352 |
container_title | European journal of clinical nutrition |
container_volume | 73 |
creator | Meinilä, Jelena Perälä, Mia-Maria Kautiainen, Hannu Männistö, Satu Kanerva, Noora Shivappa, Nitin Hébert, James R. Iozzo, Patricia Guzzardi, Maria Angela Eriksson, Johan G. |
description | Background
Telomeres are repeats of DNA that contain the sequence TTAGGG at the ends of each chromosome, and their function is to protect DNA from damage. Little evidence exists regarding the relationship between dietary patterns and telomere length, especially derived applying longitudinal design. The aim was to study if overall dietary pattern is associated with leukocyte telomere length (LTL) or faster telomere attrition or both.
Methods
The setting was longitudinal and observational. Participants were 456 men and 590 women whose birth settled in between 1934 and 1944 and who participated in the Helsinki Birth Cohort Study. Baltic sea diet score (BSDS), modified Mediterranean diet score (mMED), and dietary inflammatory index (DII
®
) were calculated based on a 128-item food frequency questionnaire (FFQ) collected in 2001–2004. LTL was measured twice, in 2001–2004 and in 2011–2013 by quantitative real-time polymerase chain reaction. Association between the dietary patterns and LTL were analysed by general linear models with appropriate contrasts.
Results
BSDS, mMED, and DII did not associate with LTL in the cross-sectional analysis in men or women. Higher mMED at baseline (2001–2004) was associated with slightly faster LTL shortening during the follow-up (standardized ß −0.08, 95% CI −0.15, −0.01). No association between mMED and LTL change was found in men. Adherence to BSDS and DII did not associate with LTL change in men or women.
Conclusion
Baltic sea diet, Mediterranean diet, and diet’s inflammatory potential seem to have only little impact on telomere length and telomere attrition in elderly Finnish men and women. |
doi_str_mv | 10.1038/s41430-018-0387-4 |
format | article |
fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2179338884</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A601578883</galeid><sourcerecordid>A601578883</sourcerecordid><originalsourceid>FETCH-LOGICAL-c551t-a5dab77e9fc9b6112af5389261d3faef75da425920088dd9e1f6a8a5acddc8a23</originalsourceid><addsrcrecordid>eNp1kk9v1DAQxS0EokvhA3BBkZBQLy7-l8Q5VhW0oEpc4GzNxuPdVE682I6q_fY43UIpWuSD5ZnfPFlvHiFvOTvnTOqPSXElGWVc0_JsqXpGVly1Da0bxZ6TFetqRSVj7Ql5ldItY6XZipfkRLJGSSH4iny9RvB5u6_sgDlVMNkqow8jRqw8Tpu8va9BznHIQ5gqO8dh2lRQcUb3CLFywftwR-fda_LCgU_45uE-JT8-f_p-eU1vvl19uby4oX1d80yhtrBuW-xc360bzgW4WupONNxKB-ja0lei7gRjWlvbIXcNaKiht7bXIOQpOTvo7mL4OWPKZhxSj97DhGFORvC2k1JrrQr6_h_0NsxxKr8zovjC644p_khtwKMZJhdyhH4RNRdNgdqiJQtFj1AbnDCCDxO6oZSf8OdH-HIsjkN_dODDXwPb-72k4OfF9vQU5AewjyGliM7s4jBC3BvOzBIMcwiGKcEwSzDM4sS7Byfm9Yj2z8TvJBRAHIC0WxaM8dGq_6v-AhV1vzg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2300159041</pqid></control><display><type>article</type><title>Healthy diets and telomere length and attrition during a 10-year follow-up</title><source>LexisNexis - News & Business</source><source>Springer Nature</source><source>EZB Electronic Journals Library</source><creator>Meinilä, Jelena ; Perälä, Mia-Maria ; Kautiainen, Hannu ; Männistö, Satu ; Kanerva, Noora ; Shivappa, Nitin ; Hébert, James R. ; Iozzo, Patricia ; Guzzardi, Maria Angela ; Eriksson, Johan G.</creator><creatorcontrib>Meinilä, Jelena ; Perälä, Mia-Maria ; Kautiainen, Hannu ; Männistö, Satu ; Kanerva, Noora ; Shivappa, Nitin ; Hébert, James R. ; Iozzo, Patricia ; Guzzardi, Maria Angela ; Eriksson, Johan G.</creatorcontrib><description>Background
Telomeres are repeats of DNA that contain the sequence TTAGGG at the ends of each chromosome, and their function is to protect DNA from damage. Little evidence exists regarding the relationship between dietary patterns and telomere length, especially derived applying longitudinal design. The aim was to study if overall dietary pattern is associated with leukocyte telomere length (LTL) or faster telomere attrition or both.
Methods
The setting was longitudinal and observational. Participants were 456 men and 590 women whose birth settled in between 1934 and 1944 and who participated in the Helsinki Birth Cohort Study. Baltic sea diet score (BSDS), modified Mediterranean diet score (mMED), and dietary inflammatory index (DII
®
) were calculated based on a 128-item food frequency questionnaire (FFQ) collected in 2001–2004. LTL was measured twice, in 2001–2004 and in 2011–2013 by quantitative real-time polymerase chain reaction. Association between the dietary patterns and LTL were analysed by general linear models with appropriate contrasts.
Results
BSDS, mMED, and DII did not associate with LTL in the cross-sectional analysis in men or women. Higher mMED at baseline (2001–2004) was associated with slightly faster LTL shortening during the follow-up (standardized ß −0.08, 95% CI −0.15, −0.01). No association between mMED and LTL change was found in men. Adherence to BSDS and DII did not associate with LTL change in men or women.
Conclusion
Baltic sea diet, Mediterranean diet, and diet’s inflammatory potential seem to have only little impact on telomere length and telomere attrition in elderly Finnish men and women.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/s41430-018-0387-4</identifier><identifier>PMID: 30643221</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>38 ; 38/77 ; 692/308/174 ; 692/499 ; Chromosomes ; Clinical Nutrition ; Deoxyribonucleic acid ; Diet ; DNA ; DNA damage ; Epidemiology ; Geriatrics ; Inflammation ; Internal Medicine ; Leukocytes ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Nucleotide sequence ; Polymerase chain reaction ; Public Health ; Telomeres ; Women ; Yeast</subject><ispartof>European journal of clinical nutrition, 2019-10, Vol.73 (10), p.1352-1360</ispartof><rights>Springer Nature Limited 2019</rights><rights>COPYRIGHT 2019 Nature Publishing Group</rights><rights>2019© Springer Nature Limited 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c551t-a5dab77e9fc9b6112af5389261d3faef75da425920088dd9e1f6a8a5acddc8a23</citedby><cites>FETCH-LOGICAL-c551t-a5dab77e9fc9b6112af5389261d3faef75da425920088dd9e1f6a8a5acddc8a23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30643221$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meinilä, Jelena</creatorcontrib><creatorcontrib>Perälä, Mia-Maria</creatorcontrib><creatorcontrib>Kautiainen, Hannu</creatorcontrib><creatorcontrib>Männistö, Satu</creatorcontrib><creatorcontrib>Kanerva, Noora</creatorcontrib><creatorcontrib>Shivappa, Nitin</creatorcontrib><creatorcontrib>Hébert, James R.</creatorcontrib><creatorcontrib>Iozzo, Patricia</creatorcontrib><creatorcontrib>Guzzardi, Maria Angela</creatorcontrib><creatorcontrib>Eriksson, Johan G.</creatorcontrib><title>Healthy diets and telomere length and attrition during a 10-year follow-up</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Background
Telomeres are repeats of DNA that contain the sequence TTAGGG at the ends of each chromosome, and their function is to protect DNA from damage. Little evidence exists regarding the relationship between dietary patterns and telomere length, especially derived applying longitudinal design. The aim was to study if overall dietary pattern is associated with leukocyte telomere length (LTL) or faster telomere attrition or both.
Methods
The setting was longitudinal and observational. Participants were 456 men and 590 women whose birth settled in between 1934 and 1944 and who participated in the Helsinki Birth Cohort Study. Baltic sea diet score (BSDS), modified Mediterranean diet score (mMED), and dietary inflammatory index (DII
®
) were calculated based on a 128-item food frequency questionnaire (FFQ) collected in 2001–2004. LTL was measured twice, in 2001–2004 and in 2011–2013 by quantitative real-time polymerase chain reaction. Association between the dietary patterns and LTL were analysed by general linear models with appropriate contrasts.
Results
BSDS, mMED, and DII did not associate with LTL in the cross-sectional analysis in men or women. Higher mMED at baseline (2001–2004) was associated with slightly faster LTL shortening during the follow-up (standardized ß −0.08, 95% CI −0.15, −0.01). No association between mMED and LTL change was found in men. Adherence to BSDS and DII did not associate with LTL change in men or women.
Conclusion
Baltic sea diet, Mediterranean diet, and diet’s inflammatory potential seem to have only little impact on telomere length and telomere attrition in elderly Finnish men and women.</description><subject>38</subject><subject>38/77</subject><subject>692/308/174</subject><subject>692/499</subject><subject>Chromosomes</subject><subject>Clinical Nutrition</subject><subject>Deoxyribonucleic acid</subject><subject>Diet</subject><subject>DNA</subject><subject>DNA damage</subject><subject>Epidemiology</subject><subject>Geriatrics</subject><subject>Inflammation</subject><subject>Internal Medicine</subject><subject>Leukocytes</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Nucleotide sequence</subject><subject>Polymerase chain reaction</subject><subject>Public Health</subject><subject>Telomeres</subject><subject>Women</subject><subject>Yeast</subject><issn>0954-3007</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp1kk9v1DAQxS0EokvhA3BBkZBQLy7-l8Q5VhW0oEpc4GzNxuPdVE682I6q_fY43UIpWuSD5ZnfPFlvHiFvOTvnTOqPSXElGWVc0_JsqXpGVly1Da0bxZ6TFetqRSVj7Ql5ldItY6XZipfkRLJGSSH4iny9RvB5u6_sgDlVMNkqow8jRqw8Tpu8va9BznHIQ5gqO8dh2lRQcUb3CLFywftwR-fda_LCgU_45uE-JT8-f_p-eU1vvl19uby4oX1d80yhtrBuW-xc360bzgW4WupONNxKB-ja0lei7gRjWlvbIXcNaKiht7bXIOQpOTvo7mL4OWPKZhxSj97DhGFORvC2k1JrrQr6_h_0NsxxKr8zovjC644p_khtwKMZJhdyhH4RNRdNgdqiJQtFj1AbnDCCDxO6oZSf8OdH-HIsjkN_dODDXwPb-72k4OfF9vQU5AewjyGliM7s4jBC3BvOzBIMcwiGKcEwSzDM4sS7Byfm9Yj2z8TvJBRAHIC0WxaM8dGq_6v-AhV1vzg</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Meinilä, Jelena</creator><creator>Perälä, Mia-Maria</creator><creator>Kautiainen, Hannu</creator><creator>Männistö, Satu</creator><creator>Kanerva, Noora</creator><creator>Shivappa, Nitin</creator><creator>Hébert, James R.</creator><creator>Iozzo, Patricia</creator><creator>Guzzardi, Maria Angela</creator><creator>Eriksson, Johan G.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20191001</creationdate><title>Healthy diets and telomere length and attrition during a 10-year follow-up</title><author>Meinilä, Jelena ; Perälä, Mia-Maria ; Kautiainen, Hannu ; Männistö, Satu ; Kanerva, Noora ; Shivappa, Nitin ; Hébert, James R. ; Iozzo, Patricia ; Guzzardi, Maria Angela ; Eriksson, Johan G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c551t-a5dab77e9fc9b6112af5389261d3faef75da425920088dd9e1f6a8a5acddc8a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>38</topic><topic>38/77</topic><topic>692/308/174</topic><topic>692/499</topic><topic>Chromosomes</topic><topic>Clinical Nutrition</topic><topic>Deoxyribonucleic acid</topic><topic>Diet</topic><topic>DNA</topic><topic>DNA damage</topic><topic>Epidemiology</topic><topic>Geriatrics</topic><topic>Inflammation</topic><topic>Internal Medicine</topic><topic>Leukocytes</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Nucleotide sequence</topic><topic>Polymerase chain reaction</topic><topic>Public Health</topic><topic>Telomeres</topic><topic>Women</topic><topic>Yeast</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meinilä, Jelena</creatorcontrib><creatorcontrib>Perälä, Mia-Maria</creatorcontrib><creatorcontrib>Kautiainen, Hannu</creatorcontrib><creatorcontrib>Männistö, Satu</creatorcontrib><creatorcontrib>Kanerva, Noora</creatorcontrib><creatorcontrib>Shivappa, Nitin</creatorcontrib><creatorcontrib>Hébert, James R.</creatorcontrib><creatorcontrib>Iozzo, Patricia</creatorcontrib><creatorcontrib>Guzzardi, Maria Angela</creatorcontrib><creatorcontrib>Eriksson, Johan G.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Agricultural Science Collection</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central</collection><collection>British Nursing Database</collection><collection>ProQuest Agricultural & Environmental Science</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agriculture Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest research library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meinilä, Jelena</au><au>Perälä, Mia-Maria</au><au>Kautiainen, Hannu</au><au>Männistö, Satu</au><au>Kanerva, Noora</au><au>Shivappa, Nitin</au><au>Hébert, James R.</au><au>Iozzo, Patricia</au><au>Guzzardi, Maria Angela</au><au>Eriksson, Johan G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthy diets and telomere length and attrition during a 10-year follow-up</atitle><jtitle>European journal of clinical nutrition</jtitle><stitle>Eur J Clin Nutr</stitle><addtitle>Eur J Clin Nutr</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>73</volume><issue>10</issue><spage>1352</spage><epage>1360</epage><pages>1352-1360</pages><issn>0954-3007</issn><eissn>1476-5640</eissn><abstract>Background
Telomeres are repeats of DNA that contain the sequence TTAGGG at the ends of each chromosome, and their function is to protect DNA from damage. Little evidence exists regarding the relationship between dietary patterns and telomere length, especially derived applying longitudinal design. The aim was to study if overall dietary pattern is associated with leukocyte telomere length (LTL) or faster telomere attrition or both.
Methods
The setting was longitudinal and observational. Participants were 456 men and 590 women whose birth settled in between 1934 and 1944 and who participated in the Helsinki Birth Cohort Study. Baltic sea diet score (BSDS), modified Mediterranean diet score (mMED), and dietary inflammatory index (DII
®
) were calculated based on a 128-item food frequency questionnaire (FFQ) collected in 2001–2004. LTL was measured twice, in 2001–2004 and in 2011–2013 by quantitative real-time polymerase chain reaction. Association between the dietary patterns and LTL were analysed by general linear models with appropriate contrasts.
Results
BSDS, mMED, and DII did not associate with LTL in the cross-sectional analysis in men or women. Higher mMED at baseline (2001–2004) was associated with slightly faster LTL shortening during the follow-up (standardized ß −0.08, 95% CI −0.15, −0.01). No association between mMED and LTL change was found in men. Adherence to BSDS and DII did not associate with LTL change in men or women.
Conclusion
Baltic sea diet, Mediterranean diet, and diet’s inflammatory potential seem to have only little impact on telomere length and telomere attrition in elderly Finnish men and women.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>30643221</pmid><doi>10.1038/s41430-018-0387-4</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0954-3007 |
ispartof | European journal of clinical nutrition, 2019-10, Vol.73 (10), p.1352-1360 |
issn | 0954-3007 1476-5640 |
language | eng |
recordid | cdi_proquest_miscellaneous_2179338884 |
source | LexisNexis - News & Business; Springer Nature; EZB Electronic Journals Library |
subjects | 38 38/77 692/308/174 692/499 Chromosomes Clinical Nutrition Deoxyribonucleic acid Diet DNA DNA damage Epidemiology Geriatrics Inflammation Internal Medicine Leukocytes Medicine Medicine & Public Health Metabolic Diseases Nucleotide sequence Polymerase chain reaction Public Health Telomeres Women Yeast |
title | Healthy diets and telomere length and attrition during a 10-year follow-up |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T12%3A55%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Healthy%20diets%20and%20telomere%20length%20and%20attrition%20during%20a%2010-year%20follow-up&rft.jtitle=European%20journal%20of%20clinical%20nutrition&rft.au=Meinil%C3%A4,%20Jelena&rft.date=2019-10-01&rft.volume=73&rft.issue=10&rft.spage=1352&rft.epage=1360&rft.pages=1352-1360&rft.issn=0954-3007&rft.eissn=1476-5640&rft_id=info:doi/10.1038/s41430-018-0387-4&rft_dat=%3Cgale_proqu%3EA601578883%3C/gale_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c551t-a5dab77e9fc9b6112af5389261d3faef75da425920088dd9e1f6a8a5acddc8a23%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2300159041&rft_id=info:pmid/30643221&rft_galeid=A601578883&rfr_iscdi=true |