{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T08:06:12Z","timestamp":1776672372205,"version":"3.51.2"},"reference-count":50,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aap.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Periodontology"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n No longitudinal evidence exists linking the trabecular bone score (TBS), a novel index of bone quality, to periodontitis. This 5\u2010year retrospective cohort study explored the relationship between TBS and periodontitis progression in the Electrical Generating Authority of Thailand (EGAT) population, with a focus on postmenopausal women.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Baseline mean TBS values of 617 participants aged 30\u201380 years were assessed from dual\u2010energy x\u2010ray absorptiometry (DXA) images of L1\u2013L4 lumbar spines and classified as normal, partially degraded, or degraded TBS groups. At baseline and at 5\u2010year follow\u2010up surveys, the participants received full\u2010mouth periodontal examinations. Periodontitis progression was defined as an additional \u22653\u00a0mm loss of proximal clinical attachment level (CAL) or the loss of a tooth with a baseline proximal CAL of \u22655\u00a0mm. Changes in periodontal parameters among the TBS groups were analyzed using the Kruskal\u2010Wallis and Mann\u2010Whitney U tests. The effects of TBS status on periodontitis progression were analyzed using multivariate Poisson regression.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Compared with the normal TBS group, participants with degraded TBS had a higher median number of teeth with periodontitis progression\u2014approximately one additional tooth in the entire study population and two additional teeth in postmenopausal women. In the postmenopausal subgroup, degraded TBS was associated with a higher number of teeth with periodontitis progression, with an adjusted risk ratio of 1.85 (95% CI: 1.22\u20132.81).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Degraded TBS is associated with an increased number of teeth with periodontitis progression in postmenopausal women. Early diagnosis and interdisciplinary collaboration between dental and medical professionals may help to mitigate progression in this population.<\/jats:p>\n <\/jats:sec>\n \n Plain Language Summary<\/jats:title>\n Gum disease (also called periodontitis) is a long\u2010term condition that damages the tissues and bone supporting the teeth. Poor bone quality may be associated with an increased risk of gum disease progression. Bone quality can be measured using the trabecular bone score (TBS), which reflects the structural characteristics of bone rather than bone density. This study followed 617 Thai adults over 5 years to assess the link between bone quality and worsening gum disease. Disease progression was defined as a major loss of tooth support or the loss of a tooth that was already severely affected. Individuals with poor bone quality (degraded TBS) had, on average, one additional tooth with disease progression compared with those with normal bone quality. Among women after menopause, about two additional teeth were affected, and these women were nearly twice as likely to have more teeth with worsening gum disease. These findings suggest an association between decreased skeletal bone quality and a higher risk of gum disease. Early detection of weak bone quality, combined with proper oral care, may help to slow disease progression and to improve quality of life.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/jper.70126","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T07:04:48Z","timestamp":1776668688000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Degraded trabecular bone score and periodontitis progression: 5\u2010year cohort with increased risk in postmenopausal women"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3956-5298","authenticated-orcid":false,"given":"Chaivasan","family":"Malakam","sequence":"first","affiliation":[{"name":"Department of Periodontology Faculty of Dentistry Chulalongkorn University Bangkok Thailand"},{"name":"Center of Excellence in Periodontal Disease and Dental Implant Chulalongkorn University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2501-1534","authenticated-orcid":false,"given":"Attawood","family":"Lertpimonchai","sequence":"additional","affiliation":[{"name":"Department of Periodontology Faculty of Dentistry Chulalongkorn University Bangkok Thailand"},{"name":"Center of Excellence in Periodontal Disease and Dental Implant Chulalongkorn University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7607-1786","authenticated-orcid":false,"given":"Chanika","family":"Sritara","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Therapeutic Radiology Division of Nuclear Medicine Faculty of Medicine, Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0509-8943","authenticated-orcid":false,"given":"Piyamitr","family":"Sritara","sequence":"additional","affiliation":[{"name":"Department of Medicine Faculty of Medicine, Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6794-2815","authenticated-orcid":false,"given":"Orawan","family":"Charatkulangkun","sequence":"additional","affiliation":[{"name":"Department of Periodontology Faculty of Dentistry Chulalongkorn University Bangkok Thailand"},{"name":"Center of Excellence in Periodontal Disease and Dental Implant Chulalongkorn University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3189-0387","authenticated-orcid":false,"given":"Nisakron","family":"Thongmung","sequence":"additional","affiliation":[{"name":"Offices of Health Science Research, Faculty of Medicine, Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6751-3033","authenticated-orcid":false,"given":"Sanutm","family":"Mongkornkarn","sequence":"additional","affiliation":[{"name":"Department of Periodontology Faculty of Dentistry Chulalongkorn University Bangkok Thailand"},{"name":"Center of Excellence in Periodontal Disease and Dental Implant Chulalongkorn University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1111\/jcpe.13769","article-title":"Prevalence of periodontitis in dentate people between 2011 and 2020: a systematic review and meta\u2010analysis of epidemiological studies","volume":"50","author":"Trindade D","year":"2023","journal-title":"J Clin Periodontol"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"1560","DOI":"10.1902\/jop.2008.080213","article-title":"Mapping the pathogenesis of periodontitis: a new look","volume":"79","author":"Kornman KS","year":"2008","journal-title":"J Periodontol."},{"issue":"1","key":"e_1_2_9_4_1","first-page":"S183","article-title":"Manifestations of systemic diseases and conditions that affect the periodontal attachment apparatus: case definitions and diagnostic considerations","volume":"89","author":"Albandar JM","year":"2018","journal-title":"J Periodontol."},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1097\/00003086-200003000-00016","article-title":"Osteoporosis","volume":"372","author":"Lane JM","year":"2000","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s11926-020-00892-w","article-title":"Update on imaging\u2010based measurement of bone mineral density and quality","volume":"22","author":"Link TM","year":"2020","journal-title":"Curr Rheumatol Rep."},{"key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/j.jocd.2017.06.019","article-title":"Use of trabecular bone score (TBS) as a complementary approach to dual\u2010energy X\u2010ray absorptiometry (DXA) for fracture risk assessment in clinical practice","volume":"20","author":"Shevroja E","year":"2017","journal-title":"J Clin Densitom."},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1590\/0004-2730000003456","article-title":"Trabecular bone score: perspectives of an imaging technology coming of age","volume":"58","author":"Silva BC","year":"2014","journal-title":"Arq Bras Endocrinol Metabol."},{"key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1002\/jbmr.5650090802","article-title":"The diagnosis of osteoporosis","volume":"9","author":"Kanis JA","year":"1994","journal-title":"J Bone Miner Res."},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"1613","DOI":"10.1902\/jop.2010.100190","article-title":"Association between periodontal disease and osteoporosis in postmenopausal women in Jordan","volume":"81","author":"Al Habashneh R","year":"2010","journal-title":"J Periodontol."},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"1708","DOI":"10.1902\/jop.2013.120613","article-title":"Association between low bone mineral density and clinical attachment loss in Japanese postmenopausal females","volume":"84","author":"Iwasaki M","year":"2013","journal-title":"J Periodontol."},{"key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"1887","DOI":"10.1007\/s00198-015-3437-y","article-title":"Association of osteoporosis and bone medication with the periodontal condition in elderly women","volume":"27","author":"Penoni DC","year":"2016","journal-title":"Osteoporos Int."},{"key":"e_1_2_9_13_1","doi-asserted-by":"crossref","DOI":"10.1111\/jicd.12441","article-title":"Significant association between skeletal bone mineral density and moderate to severe periodontitis in fair oral hygiene individuals","volume":"10","author":"Mongkornkarn S","year":"2019","journal-title":"J Investig Clin Dent."},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1111\/j.1600-051X.2008.01365.x","article-title":"Tooth loss and osteoporosis: the OSTEODENT study","volume":"36","author":"Nicopoulou\u2010Karayianni K","year":"2009","journal-title":"J Clin Periodontol."},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"311","DOI":"10.3109\/13697137.2014.966239","article-title":"Association between periodontal changes and osteoporosis in postmenopausal women","volume":"18","author":"Pereira FM","year":"2015","journal-title":"Climacteric."},{"key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1902\/jop.2012.120137","article-title":"Five\u2010year changes in periodontal disease measures among postmenopausal females: the Buffalo OsteoPerio study","volume":"84","author":"LaMonte MJ","year":"2013","journal-title":"J Periodontol."},{"key":"e_1_2_9_17_1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1007\/s00784-023-05463-8","article-title":"Decreased bone mineral density is associated with an increased number of teeth with periodontitis progression: a 5\u2010year retrospective cohort study","volume":"28","author":"Khunthananithi P","year":"2023","journal-title":"Clin Oral Investig."},{"key":"e_1_2_9_18_1","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1007\/BF00369206","article-title":"Increased risk of tooth loss is related to bone loss at the whole body, hip, and spine","volume":"59","author":"Krall EA","year":"1996","journal-title":"Calcif Tissue Int."},{"key":"e_1_2_9_19_1","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1002\/JPER.19-0580","article-title":"Trabecular bone score, a new bone quality index, is associated with severe periodontitis","volume":"91","author":"Niramitchainon C","year":"2020","journal-title":"J Periodontol."},{"key":"e_1_2_9_20_1","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.oooo.2022.09.041","article-title":"Comparison of trabecular bone structure in individuals with healthy periodontium and stage III\/IV, grade C periodontitis by fractal analysis","volume":"135","author":"Korkmaz MZ","year":"2023","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol."},{"key":"e_1_2_9_21_1","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1002\/JPER.19-0452","article-title":"Evaluation of trabecular bone changes in patients with periodontitis using fractal analysis: a periapical radiography study","volume":"91","author":"Aktuna Belgin C","year":"2020","journal-title":"J Periodontol."},{"key":"e_1_2_9_22_1","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1093\/ije\/dyq218","article-title":"Cohort profile: the electricity generating authority of Thailand study","volume":"41","author":"Vathesatogkit P","year":"2012","journal-title":"Int J Epidemiol."},{"key":"e_1_2_9_23_1","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1902\/jop.2005.76.4.558","article-title":"Risk indicators of periodontal disease in older Thai adults","volume":"76","author":"Torrungruang K","year":"2005","journal-title":"J Periodontol."},{"key":"e_1_2_9_24_1","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.jocd.2015.05.068","article-title":"Age\u2010adjusted dual X\u2010ray absorptiometry\u2010derived trabecular bone score curve for the lumbar spine in Thai females and males","volume":"19","author":"Sritara C","year":"2016","journal-title":"J Clin Densitom."},{"key":"e_1_2_9_25_1","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1902\/jop.1972.43.1.38","article-title":"The plaque control record","volume":"43","author":"O'Leary TJ","year":"1972","journal-title":"J Periodontol."},{"key":"e_1_2_9_26_1","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1007\/s00784-021-04031-2","article-title":"The effect of obesity on periodontitis progression: the 10\u2010year retrospective cohort study","volume":"26","author":"Charupinijkul A","year":"2022","journal-title":"Clin Oral Investig."},{"issue":"1","key":"e_1_2_9_27_1","first-page":"S159","article-title":"Staging and grading of periodontitis: framework and proposal of a new classification and case definition","volume":"89","author":"Tonetti MS","year":"2018","journal-title":"J Periodontol."},{"key":"e_1_2_9_28_1","first-page":"378","article-title":"Effects of bone fragility and antiresorptive drugs on periodontal disease and tooth loss: a longitudinal study","volume":"3","author":"Penoni DC","year":"2018","journal-title":"JDR Clin Trans Res."},{"key":"e_1_2_9_29_1","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1007\/s00774-011-0337-x","article-title":"Change in bone mineral density and tooth loss in Japanese community\u2010dwelling postmenopausal women: a 5\u2010year cohort study","volume":"30","author":"Iwasaki M","year":"2012","journal-title":"J Bone Miner Metab."},{"key":"e_1_2_9_30_1","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1902\/jop.1999.70.8.823","article-title":"Influence of estrogen and osteopenia\/osteoporosis on clinical periodontitis in postmenopausal women","volume":"70","author":"Reinhardt RA","year":"1999","journal-title":"J Periodontol."},{"key":"e_1_2_9_31_1","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1902\/jop.2005.76.1.11","article-title":"Longitudinal study of periodontal disease and edentulism with rates of bone loss in older women","volume":"76","author":"Famili P","year":"2005","journal-title":"J Periodontol."},{"key":"e_1_2_9_32_1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.bone.2003.10.001","article-title":"Fracture incidence and association with bone mineral density in elderly men and women: the Rotterdam study","volume":"34","author":"Schuit SC","year":"2004","journal-title":"Bone."},{"key":"e_1_2_9_33_1","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1007\/s00198-016-3829-7","article-title":"The lumbar spine age\u2010related degenerative disease influences the BMD not the TBS: the Osteolaus cohort","volume":"28","author":"Padlina I","year":"2017","journal-title":"Osteoporos Int."},{"key":"e_1_2_9_34_1","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.jocd.2011.05.005","article-title":"Correlations between trabecular bone score, measured using anteroposterior dual\u2010energy X\u2010ray absorptiometry acquisition, and 3\u2010dimensional parameters of bone microarchitecture: an experimental study on human cadaver vertebrae","volume":"14","author":"Hans D","year":"2011","journal-title":"J Clin Densitom."},{"key":"e_1_2_9_35_1","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.bone.2017.09.017","article-title":"Comparisons of TBS and lumbar spine BMD in the associations with vertebral fractures according to the T\u2010scores: a cross\u2010sectional observation","volume":"105","author":"Lee JE","year":"2017","journal-title":"Bone."},{"key":"e_1_2_9_36_1","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1002\/jbmr.2734","article-title":"A meta\u2010analysis of trabecular bone score in fracture risk prediction and its relationship to FRAX","volume":"31","author":"McCloskey EV","year":"2016","journal-title":"J Bone Miner Res."},{"key":"e_1_2_9_37_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.bone.2019.08.003","article-title":"Bone remodeling and bone matrix quality before and after menopause in healthy women","volume":"128","author":"Farlay D","year":"2019","journal-title":"Bone."},{"key":"e_1_2_9_38_1","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1007\/s40618-014-0125-2","article-title":"Longitudinal changes of trabecular bone score after estrogen deprivation: effect of menopause and aromatase inhibition","volume":"37","author":"Pedrazzoni M","year":"2014","journal-title":"J Endocrinol Invest."},{"issue":"6","key":"e_1_2_9_39_1","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1111\/j.1600-051X.2005.00822.x","article-title":"Advances in the progression of periodontitis and proposal of definitions of a periodontitis case and disease progression for use in risk factor research. Group C consensus report of the 5th European workshop in periodontology","volume":"32","author":"Tonetti MS","year":"2005","journal-title":"J Clin Periodontol."},{"key":"e_1_2_9_40_1","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1111\/j.1600-051X.2011.01849.x","article-title":"Five\u2010year change of periodontal diseases in the study of health in Pomerania (SHIP)","volume":"39","author":"G\u00e4tke D","year":"2012","journal-title":"J Clin Periodontol."},{"issue":"20","key":"e_1_2_9_41_1","first-page":"S112","article-title":"Mean annual attachment, bone level, and tooth loss: a systematic review","volume":"45","author":"Needleman I","year":"2018","journal-title":"J Clin Periodontol."},{"key":"e_1_2_9_42_1","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1034\/j.1600-051X.2002.290702.x","article-title":"Risk factors for periodontal disease progression among elderly people","volume":"29","author":"Ogawa H","year":"2002","journal-title":"J Clin Periodontol."},{"key":"e_1_2_9_43_1","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1002\/JPER.19-0390","article-title":"Using periodontal staging and grading system as a prognostic factor for future tooth loss: a long\u2010term retrospective study","volume":"91","author":"Ravid\u00e0 A","year":"2020","journal-title":"J Periodontol."},{"key":"e_1_2_9_44_1","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1902\/jop.1978.49.12.607","article-title":"The natural history of periodontal disease in man. The rate of periodontal destruction before 40 years of age","volume":"49","author":"L\u00f6e H","year":"1978","journal-title":"J Periodontol."},{"key":"e_1_2_9_45_1","doi-asserted-by":"crossref","first-page":"60","DOI":"10.5051\/jpis.2019.49.2.60","article-title":"Long\u2010term assessment of periodontal disease progression after surgical or non\u2010surgical treatment: a systematic review","volume":"49","author":"Sanz\u2010Mart\u00edn I","year":"2019","journal-title":"J Periodontal Implant Sci."},{"key":"e_1_2_9_46_1","doi-asserted-by":"crossref","first-page":"1718","DOI":"10.1038\/oby.2011.291","article-title":"Prospective associations between measures of adiposity and periodontal disease","volume":"20","author":"Jimenez M","year":"2012","journal-title":"Obesity (Silver Spring)."},{"key":"e_1_2_9_47_1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1111\/jcpe.12056","article-title":"Tooth loss and periodontitis by socio\u2010economic status and inflammation in a longitudinal population\u2010based study","volume":"40","author":"Buchwald S","year":"2013","journal-title":"J Clin Periodontol."},{"key":"e_1_2_9_48_1","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1902\/jop.2012.120255","article-title":"Progression of periodontitis and tooth loss associated with glycemic control in individuals undergoing periodontal maintenance therapy: a 5\u2010year follow\u2010up study","volume":"84","author":"Costa FO","year":"2013","journal-title":"J Periodontol."},{"key":"e_1_2_9_49_1","doi-asserted-by":"crossref","first-page":"5004","DOI":"10.1210\/jc.2016-2695","article-title":"The benefit of menopausal hormone therapy on bone density and microarchitecture persists after its withdrawal","volume":"101","author":"Papadakis G","year":"2016","journal-title":"J Clin Endocrinol Metab."},{"key":"e_1_2_9_50_1","article-title":"Unraveling the relationship between serum 25\u2011hydroxyvitamin D levels and trabecular bone score in American adults","volume":"132","author":"Yang SW","year":"2022","journal-title":"Pol Arch Intern Med."},{"key":"e_1_2_9_51_1","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1111\/prd.12422","article-title":"Osteoporosis and periodontal diseases\u2014An update on their association and mechanistic links","volume":"89","author":"Yu B","year":"2022","journal-title":"Periodontology 2000."}],"container-title":["Journal of Periodontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jper.70126","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jper.70126","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jper.70126","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T07:04:53Z","timestamp":1776668693000},"score":1,"resource":{"primary":{"URL":"https:\/\/aap.onlinelibrary.wiley.com\/doi\/10.1002\/jper.70126"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,20]]},"references-count":50,"alternative-id":["10.1002\/jper.70126"],"URL":"https:\/\/doi.org\/10.1002\/jper.70126","archive":["Portico"],"relation":{},"ISSN":["0022-3492","1943-3670"],"issn-type":[{"value":"0022-3492","type":"print"},{"value":"1943-3670","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,20]]},"assertion":[{"value":"2025-09-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jper.70126"}}