Loading…
Pre- and within-meal effects of fluid dairy products on appetite, food intake, glycemia, and regulatory hormones in children
The effect of beverages commonly consumed by children in-between or with meals on short-term food intake (FI) and glycemic control has received little attention. Therefore, 2 experiments were conducted in 9- to 14-year-old children following a randomized repeated-measures design. Experiment 1 (n = 3...
Saved in:
Published in: | Applied physiology, nutrition, and metabolism nutrition, and metabolism, 2017-03, Vol.42 (3), p.302-310 |
---|---|
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-c602t-5a99917bd558cfb31bf4e46111639ea057262ac9ae9698ecde4e50be0f06c3ad3 |
---|---|
cites | cdi_FETCH-LOGICAL-c602t-5a99917bd558cfb31bf4e46111639ea057262ac9ae9698ecde4e50be0f06c3ad3 |
container_end_page | 310 |
container_issue | 3 |
container_start_page | 302 |
container_title | Applied physiology, nutrition, and metabolism |
container_volume | 42 |
creator | Vien, Shirley Luhovyy, Bohdan L Patel, Barkha P Panahi, Shirin El Khoury, Dalia Mollard, Rebecca C Hamilton, Jill K Anderson, G. Harvey |
description | The effect of beverages commonly consumed by children in-between or with meals on short-term food intake (FI) and glycemic control has received little attention. Therefore, 2 experiments were conducted in 9- to 14-year-old children following a randomized repeated-measures design. Experiment 1 (n = 32) compared the effects of water (control) and isocaloric (130 kcal) amounts of 2% milk, chocolate milk, yogurt drink, and fruit punch on subjective appetite and FI. Experiment 2 (n = 20) compared the effects of isocaloric (130 kcal) amounts of 2% milk and fruit punch on subjective appetite, FI, and glycemic and appetite hormone responses. One serving of the beverages was given as a pre-meal drink at baseline (0 min) and a second serving 60 min later with an ad libitum pizza meal. Meal FI in experiment 1 was lower by 14% and 10%, respectively, after chocolate milk and yogurt drink (p < 0.001), but not milk, compared with water. Cumulative energy intake (beverages plus meal) was higher after caloric beverages than water. In experiment 2, no differences occurred in pre-meal but post-meal glucose was 83% higher in overweight/obese than normal-weight children (p = 0.02). Milk led to higher pre-meal glucagon-like peptide-1 and post-meal peptide tyrosine tyrosine (PYY) than fruit punch (p < 0.01) but insulin did not differ between treatments. In conclusion, dairy products consumed before and with a meal have more favourable effects on FI, appetite, and satiety hormones than a sugar-sweetened beverage, but all caloric beverages result in more cumulative calories than if water is the beverage. |
doi_str_mv | 10.1139/apnm-2016-0251 |
format | article |
fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_gale_infotracmisc_A488388217</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A488388217</galeid><sourcerecordid>A488388217</sourcerecordid><originalsourceid>FETCH-LOGICAL-c602t-5a99917bd558cfb31bf4e46111639ea057262ac9ae9698ecde4e50be0f06c3ad3</originalsourceid><addsrcrecordid>eNqNkt1r1jAUxosobszdeikBQbxYZz7aJL0cw4_BQC_0uqTJydtom9QkZbzgH2-6zTlloOQiOYff88A5earqOcGnhLDujVr8XFNMeI1pSx5Vh0SQtm4ZxY_v3oQeVMcpuQFjLKmUgj6tDqgkQoimPax-fIpQI-UNunJ5dL6eQU0IrAWdEwoW2Wl1Bhnl4h4tMZj1uu-RWhbILsMJsiEY5HxW30qxm_YaZqdOrj0j7NZJ5VC0Y4hz8JAKifToJhPBP6ueWDUlOL69j6ov795-Pv9QX358f3F-dllrjmmuW9V1HRGDaVup7cDIYBtoOCGEsw4UbgXlVOlOQcc7CdpAAy0eAFvMNVOGHVWvb3zLAN9XSLmfXdIwTcpDWFNPpBCyIZyT_0A55x0TUhT05V_o17BGXwbZDBlnrKPsN7VTE_TO25Cj0ptpf9ZIyaSkZPM6fYAqx5Rl6rI360r_D8Gre4KxfFoeU5jW7IJPDzrrGFKKYPslulnFfU9wv6Wo31LUbynqtxQVwYvbsdZhBnOH_8pMAcgN4KOOkEBFPf7L9CeM49D3</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1873633923</pqid></control><display><type>article</type><title>Pre- and within-meal effects of fluid dairy products on appetite, food intake, glycemia, and regulatory hormones in children</title><source>EBSCOhost SPORTDiscus with Full Text</source><source>NRC Research Press</source><creator>Vien, Shirley ; Luhovyy, Bohdan L ; Patel, Barkha P ; Panahi, Shirin ; El Khoury, Dalia ; Mollard, Rebecca C ; Hamilton, Jill K ; Anderson, G. Harvey</creator><creatorcontrib>Vien, Shirley ; Luhovyy, Bohdan L ; Patel, Barkha P ; Panahi, Shirin ; El Khoury, Dalia ; Mollard, Rebecca C ; Hamilton, Jill K ; Anderson, G. Harvey</creatorcontrib><description>The effect of beverages commonly consumed by children in-between or with meals on short-term food intake (FI) and glycemic control has received little attention. Therefore, 2 experiments were conducted in 9- to 14-year-old children following a randomized repeated-measures design. Experiment 1 (n = 32) compared the effects of water (control) and isocaloric (130 kcal) amounts of 2% milk, chocolate milk, yogurt drink, and fruit punch on subjective appetite and FI. Experiment 2 (n = 20) compared the effects of isocaloric (130 kcal) amounts of 2% milk and fruit punch on subjective appetite, FI, and glycemic and appetite hormone responses. One serving of the beverages was given as a pre-meal drink at baseline (0 min) and a second serving 60 min later with an ad libitum pizza meal. Meal FI in experiment 1 was lower by 14% and 10%, respectively, after chocolate milk and yogurt drink (p < 0.001), but not milk, compared with water. Cumulative energy intake (beverages plus meal) was higher after caloric beverages than water. In experiment 2, no differences occurred in pre-meal but post-meal glucose was 83% higher in overweight/obese than normal-weight children (p = 0.02). Milk led to higher pre-meal glucagon-like peptide-1 and post-meal peptide tyrosine tyrosine (PYY) than fruit punch (p < 0.01) but insulin did not differ between treatments. In conclusion, dairy products consumed before and with a meal have more favourable effects on FI, appetite, and satiety hormones than a sugar-sweetened beverage, but all caloric beverages result in more cumulative calories than if water is the beverage.</description><identifier>ISSN: 1715-5312</identifier><identifier>EISSN: 1715-5320</identifier><identifier>DOI: 10.1139/apnm-2016-0251</identifier><identifier>PMID: 28177745</identifier><language>eng</language><publisher>Canada: NRC Research Press</publisher><subject>Adolescent ; Appetite ; Appetite - physiology ; appetite hormones ; apport alimentaire ; Beverages ; Bioenergetics ; Blood Glucose - metabolism ; Body Mass Index ; Body Weight ; boisson sucrée ; Child ; Child health ; children ; Children & youth ; contrôle glycémique ; dairy ; Dairy Products ; Dietary Carbohydrates - administration & dosage ; Dietary Proteins - administration & dosage ; Eating - physiology ; Energy Intake ; enfants ; Experiments ; Female ; Food habits ; food intake ; Forecasts and trends ; Fruit and Vegetable Juices ; Ghrelin - blood ; Glucagon-Like Peptide 1 - blood ; glycemic control ; Health aspects ; Hormones ; hormones de l’appétit ; Humans ; Insulin - blood ; lait ; Male ; Meals ; milk ; Nutritional aspects ; Nutritive Sweeteners - administration & dosage ; Peptide YY - blood ; produit laitier ; Satiation ; sugar-sweetened beverage</subject><ispartof>Applied physiology, nutrition, and metabolism, 2017-03, Vol.42 (3), p.302-310</ispartof><rights>COPYRIGHT 2017 NRC Research Press</rights><rights>Copyright Canadian Science Publishing NRC Research Press Mar 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c602t-5a99917bd558cfb31bf4e46111639ea057262ac9ae9698ecde4e50be0f06c3ad3</citedby><cites>FETCH-LOGICAL-c602t-5a99917bd558cfb31bf4e46111639ea057262ac9ae9698ecde4e50be0f06c3ad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://cdnsciencepub.com/doi/pdf/10.1139/apnm-2016-0251$$EPDF$$P50$$Gnrcresearch$$H</linktopdf><linktohtml>$$Uhttps://cdnsciencepub.com/doi/full/10.1139/apnm-2016-0251$$EHTML$$P50$$Gnrcresearch$$H</linktohtml><link.rule.ids>315,786,790,2950,27957,27958,64785,65591</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28177745$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vien, Shirley</creatorcontrib><creatorcontrib>Luhovyy, Bohdan L</creatorcontrib><creatorcontrib>Patel, Barkha P</creatorcontrib><creatorcontrib>Panahi, Shirin</creatorcontrib><creatorcontrib>El Khoury, Dalia</creatorcontrib><creatorcontrib>Mollard, Rebecca C</creatorcontrib><creatorcontrib>Hamilton, Jill K</creatorcontrib><creatorcontrib>Anderson, G. Harvey</creatorcontrib><title>Pre- and within-meal effects of fluid dairy products on appetite, food intake, glycemia, and regulatory hormones in children</title><title>Applied physiology, nutrition, and metabolism</title><addtitle>Appl Physiol Nutr Metab</addtitle><description>The effect of beverages commonly consumed by children in-between or with meals on short-term food intake (FI) and glycemic control has received little attention. Therefore, 2 experiments were conducted in 9- to 14-year-old children following a randomized repeated-measures design. Experiment 1 (n = 32) compared the effects of water (control) and isocaloric (130 kcal) amounts of 2% milk, chocolate milk, yogurt drink, and fruit punch on subjective appetite and FI. Experiment 2 (n = 20) compared the effects of isocaloric (130 kcal) amounts of 2% milk and fruit punch on subjective appetite, FI, and glycemic and appetite hormone responses. One serving of the beverages was given as a pre-meal drink at baseline (0 min) and a second serving 60 min later with an ad libitum pizza meal. Meal FI in experiment 1 was lower by 14% and 10%, respectively, after chocolate milk and yogurt drink (p < 0.001), but not milk, compared with water. Cumulative energy intake (beverages plus meal) was higher after caloric beverages than water. In experiment 2, no differences occurred in pre-meal but post-meal glucose was 83% higher in overweight/obese than normal-weight children (p = 0.02). Milk led to higher pre-meal glucagon-like peptide-1 and post-meal peptide tyrosine tyrosine (PYY) than fruit punch (p < 0.01) but insulin did not differ between treatments. In conclusion, dairy products consumed before and with a meal have more favourable effects on FI, appetite, and satiety hormones than a sugar-sweetened beverage, but all caloric beverages result in more cumulative calories than if water is the beverage.</description><subject>Adolescent</subject><subject>Appetite</subject><subject>Appetite - physiology</subject><subject>appetite hormones</subject><subject>apport alimentaire</subject><subject>Beverages</subject><subject>Bioenergetics</subject><subject>Blood Glucose - metabolism</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>boisson sucrée</subject><subject>Child</subject><subject>Child health</subject><subject>children</subject><subject>Children & youth</subject><subject>contrôle glycémique</subject><subject>dairy</subject><subject>Dairy Products</subject><subject>Dietary Carbohydrates - administration & dosage</subject><subject>Dietary Proteins - administration & dosage</subject><subject>Eating - physiology</subject><subject>Energy Intake</subject><subject>enfants</subject><subject>Experiments</subject><subject>Female</subject><subject>Food habits</subject><subject>food intake</subject><subject>Forecasts and trends</subject><subject>Fruit and Vegetable Juices</subject><subject>Ghrelin - blood</subject><subject>Glucagon-Like Peptide 1 - blood</subject><subject>glycemic control</subject><subject>Health aspects</subject><subject>Hormones</subject><subject>hormones de l’appétit</subject><subject>Humans</subject><subject>Insulin - blood</subject><subject>lait</subject><subject>Male</subject><subject>Meals</subject><subject>milk</subject><subject>Nutritional aspects</subject><subject>Nutritive Sweeteners - administration & dosage</subject><subject>Peptide YY - blood</subject><subject>produit laitier</subject><subject>Satiation</subject><subject>sugar-sweetened beverage</subject><issn>1715-5312</issn><issn>1715-5320</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNqNkt1r1jAUxosobszdeikBQbxYZz7aJL0cw4_BQC_0uqTJydtom9QkZbzgH2-6zTlloOQiOYff88A5earqOcGnhLDujVr8XFNMeI1pSx5Vh0SQtm4ZxY_v3oQeVMcpuQFjLKmUgj6tDqgkQoimPax-fIpQI-UNunJ5dL6eQU0IrAWdEwoW2Wl1Bhnl4h4tMZj1uu-RWhbILsMJsiEY5HxW30qxm_YaZqdOrj0j7NZJ5VC0Y4hz8JAKifToJhPBP6ueWDUlOL69j6ov795-Pv9QX358f3F-dllrjmmuW9V1HRGDaVup7cDIYBtoOCGEsw4UbgXlVOlOQcc7CdpAAy0eAFvMNVOGHVWvb3zLAN9XSLmfXdIwTcpDWFNPpBCyIZyT_0A55x0TUhT05V_o17BGXwbZDBlnrKPsN7VTE_TO25Cj0ptpf9ZIyaSkZPM6fYAqx5Rl6rI360r_D8Gre4KxfFoeU5jW7IJPDzrrGFKKYPslulnFfU9wv6Wo31LUbynqtxQVwYvbsdZhBnOH_8pMAcgN4KOOkEBFPf7L9CeM49D3</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Vien, Shirley</creator><creator>Luhovyy, Bohdan L</creator><creator>Patel, Barkha P</creator><creator>Panahi, Shirin</creator><creator>El Khoury, Dalia</creator><creator>Mollard, Rebecca C</creator><creator>Hamilton, Jill K</creator><creator>Anderson, G. Harvey</creator><general>NRC Research Press</general><general>Canadian Science Publishing NRC Research Press</general><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>7TS</scope><scope>7X8</scope></search><sort><creationdate>20170301</creationdate><title>Pre- and within-meal effects of fluid dairy products on appetite, food intake, glycemia, and regulatory hormones in children</title><author>Vien, Shirley ; Luhovyy, Bohdan L ; Patel, Barkha P ; Panahi, Shirin ; El Khoury, Dalia ; Mollard, Rebecca C ; Hamilton, Jill K ; Anderson, G. Harvey</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c602t-5a99917bd558cfb31bf4e46111639ea057262ac9ae9698ecde4e50be0f06c3ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Appetite</topic><topic>Appetite - physiology</topic><topic>appetite hormones</topic><topic>apport alimentaire</topic><topic>Beverages</topic><topic>Bioenergetics</topic><topic>Blood Glucose - metabolism</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>boisson sucrée</topic><topic>Child</topic><topic>Child health</topic><topic>children</topic><topic>Children & youth</topic><topic>contrôle glycémique</topic><topic>dairy</topic><topic>Dairy Products</topic><topic>Dietary Carbohydrates - administration & dosage</topic><topic>Dietary Proteins - administration & dosage</topic><topic>Eating - physiology</topic><topic>Energy Intake</topic><topic>enfants</topic><topic>Experiments</topic><topic>Female</topic><topic>Food habits</topic><topic>food intake</topic><topic>Forecasts and trends</topic><topic>Fruit and Vegetable Juices</topic><topic>Ghrelin - blood</topic><topic>Glucagon-Like Peptide 1 - blood</topic><topic>glycemic control</topic><topic>Health aspects</topic><topic>Hormones</topic><topic>hormones de l’appétit</topic><topic>Humans</topic><topic>Insulin - blood</topic><topic>lait</topic><topic>Male</topic><topic>Meals</topic><topic>milk</topic><topic>Nutritional aspects</topic><topic>Nutritive Sweeteners - administration & dosage</topic><topic>Peptide YY - blood</topic><topic>produit laitier</topic><topic>Satiation</topic><topic>sugar-sweetened beverage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vien, Shirley</creatorcontrib><creatorcontrib>Luhovyy, Bohdan L</creatorcontrib><creatorcontrib>Patel, Barkha P</creatorcontrib><creatorcontrib>Panahi, Shirin</creatorcontrib><creatorcontrib>El Khoury, Dalia</creatorcontrib><creatorcontrib>Mollard, Rebecca C</creatorcontrib><creatorcontrib>Hamilton, Jill K</creatorcontrib><creatorcontrib>Anderson, G. Harvey</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Applied physiology, nutrition, and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vien, Shirley</au><au>Luhovyy, Bohdan L</au><au>Patel, Barkha P</au><au>Panahi, Shirin</au><au>El Khoury, Dalia</au><au>Mollard, Rebecca C</au><au>Hamilton, Jill K</au><au>Anderson, G. Harvey</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pre- and within-meal effects of fluid dairy products on appetite, food intake, glycemia, and regulatory hormones in children</atitle><jtitle>Applied physiology, nutrition, and metabolism</jtitle><addtitle>Appl Physiol Nutr Metab</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>42</volume><issue>3</issue><spage>302</spage><epage>310</epage><pages>302-310</pages><issn>1715-5312</issn><eissn>1715-5320</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-News-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><notes>ObjectType-Article-1</notes><notes>ObjectType-Feature-2</notes><abstract>The effect of beverages commonly consumed by children in-between or with meals on short-term food intake (FI) and glycemic control has received little attention. Therefore, 2 experiments were conducted in 9- to 14-year-old children following a randomized repeated-measures design. Experiment 1 (n = 32) compared the effects of water (control) and isocaloric (130 kcal) amounts of 2% milk, chocolate milk, yogurt drink, and fruit punch on subjective appetite and FI. Experiment 2 (n = 20) compared the effects of isocaloric (130 kcal) amounts of 2% milk and fruit punch on subjective appetite, FI, and glycemic and appetite hormone responses. One serving of the beverages was given as a pre-meal drink at baseline (0 min) and a second serving 60 min later with an ad libitum pizza meal. Meal FI in experiment 1 was lower by 14% and 10%, respectively, after chocolate milk and yogurt drink (p < 0.001), but not milk, compared with water. Cumulative energy intake (beverages plus meal) was higher after caloric beverages than water. In experiment 2, no differences occurred in pre-meal but post-meal glucose was 83% higher in overweight/obese than normal-weight children (p = 0.02). Milk led to higher pre-meal glucagon-like peptide-1 and post-meal peptide tyrosine tyrosine (PYY) than fruit punch (p < 0.01) but insulin did not differ between treatments. In conclusion, dairy products consumed before and with a meal have more favourable effects on FI, appetite, and satiety hormones than a sugar-sweetened beverage, but all caloric beverages result in more cumulative calories than if water is the beverage.</abstract><cop>Canada</cop><pub>NRC Research Press</pub><pmid>28177745</pmid><doi>10.1139/apnm-2016-0251</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1715-5312 |
ispartof | Applied physiology, nutrition, and metabolism, 2017-03, Vol.42 (3), p.302-310 |
issn | 1715-5312 1715-5320 |
language | eng |
recordid | cdi_gale_infotracmisc_A488388217 |
source | EBSCOhost SPORTDiscus with Full Text; NRC Research Press |
subjects | Adolescent Appetite Appetite - physiology appetite hormones apport alimentaire Beverages Bioenergetics Blood Glucose - metabolism Body Mass Index Body Weight boisson sucrée Child Child health children Children & youth contrôle glycémique dairy Dairy Products Dietary Carbohydrates - administration & dosage Dietary Proteins - administration & dosage Eating - physiology Energy Intake enfants Experiments Female Food habits food intake Forecasts and trends Fruit and Vegetable Juices Ghrelin - blood Glucagon-Like Peptide 1 - blood glycemic control Health aspects Hormones hormones de l’appétit Humans Insulin - blood lait Male Meals milk Nutritional aspects Nutritive Sweeteners - administration & dosage Peptide YY - blood produit laitier Satiation sugar-sweetened beverage |
title | Pre- and within-meal effects of fluid dairy products on appetite, food intake, glycemia, and regulatory hormones in children |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-22T21%3A31%3A26IST&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=Pre-%20and%20within-meal%20effects%20of%20fluid%20dairy%20products%20on%20appetite,%20food%20intake,%20glycemia,%20and%20regulatory%20hormones%20in%20children&rft.jtitle=Applied%20physiology,%20nutrition,%20and%20metabolism&rft.au=Vien,%20Shirley&rft.date=2017-03-01&rft.volume=42&rft.issue=3&rft.spage=302&rft.epage=310&rft.pages=302-310&rft.issn=1715-5312&rft.eissn=1715-5320&rft_id=info:doi/10.1139/apnm-2016-0251&rft_dat=%3Cgale_proqu%3EA488388217%3C/gale_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c602t-5a99917bd558cfb31bf4e46111639ea057262ac9ae9698ecde4e50be0f06c3ad3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1873633923&rft_id=info:pmid/28177745&rft_galeid=A488388217&rfr_iscdi=true |