{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T22:01:37Z","timestamp":1790114497787,"version":"4.0.1"},"reference-count":57,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007656","name":"Loyola University Chicago","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007656","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jandonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Academy of Nutrition and Dietetics"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.jand.2026.156394","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T06:56:10Z","timestamp":1781852170000},"page":"156394","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Elevated Allostatic Load, Adverse Body Composition, and Reduced Overall Survival in a Retrospective Cohort of Men With Newly Diagnosed Metastatic Prostate Cancer"],"prefix":"10.1016","volume":"126","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0032-514X","authenticated-orcid":false,"given":"Patricia M.","family":"Sheean","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"O\u2019Connor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Bolouri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Wozniak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasilios","family":"Vasilopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8506-2221","authenticated-orcid":false,"given":"Ami","family":"Badami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0468-8271","authenticated-orcid":false,"given":"Cara","family":"Joyce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.jand.2026.156394_bib1","doi-asserted-by":"crossref","first-page":"461","DOI":"10.3390\/cancers15020461","article-title":"Metastatic prostate cancer\u2014a review of current treatment options and promising new approaches","volume":"15","author":"Posdzich","year":"2023","journal-title":"Cancers (Basel)"},{"issue":"5","key":"10.1016\/j.jand.2026.156394_bib2","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1158\/1055-9965.EPI-22-1038","article-title":"Estimating the number of men living with metastatic prostate cancer in the United States","volume":"32","author":"Devasia","year":"2023","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"issue":"11","key":"10.1016\/j.jand.2026.156394_bib3","doi-asserted-by":"crossref","first-page":"1274","DOI":"10.1200\/JCO.20.03256","article-title":"Initial management of noncastrate advanced, recurrent, or metastatic prostate cancer: ASCO guideline update","volume":"39","author":"Virgo","year":"2021","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.jand.2026.156394_bib4","article-title":"Influence of abiraterone and enzalutamide on body composition in patients with metastatic castration resistant prostate cancer","volume":"25","author":"Fischer","year":"2020","journal-title":"Cancer Treat Res Commun"},{"key":"10.1016\/j.jand.2026.156394_bib5","author":"Dawson"},{"key":"10.1016\/j.jand.2026.156394_bib6","doi-asserted-by":"crossref","DOI":"10.1155\/2012\/789653","article-title":"Androgens and Adipose tissue in males: a complex and reciprocal interplay","volume":"2012","author":"Mammi","year":"2012","journal-title":"Int J Endocrinol"},{"key":"10.1016\/j.jand.2026.156394_bib7","doi-asserted-by":"crossref","DOI":"10.3389\/fendo.2022.1090763","article-title":"Metabolic syndrome and metastatic prostate cancer correlation study, a real-world study in a prostate cancer clinical research center, Xinjiang, China","volume":"13","author":"An","year":"2022","journal-title":"Front Endocrinol (Lausanne)"},{"issue":"5","key":"10.1016\/j.jand.2026.156394_bib8","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1038\/s41574-020-0335-y","article-title":"The role of cellular senescence in ageing and endocrine disease","volume":"16","author":"Khosla","year":"2020","journal-title":"Nat Rev Endocrinol"},{"issue":"1","key":"10.1016\/j.jand.2026.156394_bib9","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1111\/j.1749-6632.1998.tb09546.x","article-title":"Stress, adaptation, and disease: allostasis and allostatic load","volume":"840","author":"McEwen","year":"2006","journal-title":"Ann N Y Acad Sci"},{"key":"10.1016\/j.jand.2026.156394_bib10","series-title":"Physiology, Stress Reaction","author":"Chu","year":"2025"},{"issue":"18","key":"10.1016\/j.jand.2026.156394_bib11","doi-asserted-by":"crossref","first-page":"2093","DOI":"10.1001\/archinte.1993.00410180039004","article-title":"Stress and the individual. Mechanisms leading to disease","volume":"153","author":"McEwen","year":"1993","journal-title":"Arch Intern Med"},{"key":"10.1016\/j.jand.2026.156394_bib12","doi-asserted-by":"crossref","DOI":"10.1016\/j.psyneuen.2023.106117","article-title":"Towards a consensus definition of allostatic load: a multi-cohort, multi-system, multi-biomarker individual participant data (IPD) meta-analysis","volume":"153","author":"McCrory","year":"2023","journal-title":"Psychoneuroendocrinol"},{"issue":"4","key":"10.1016\/j.jand.2026.156394_bib13","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1177\/1099800412455688","article-title":"A systematic review of allostatic load, health, and health disparities","volume":"14","author":"Beckie","year":"2012","journal-title":"Biol Res Nurs"},{"issue":"5","key":"10.1016\/j.jand.2026.156394_bib14","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.13989","article-title":"Association of allostatic load with all-cause mortality in patients with breast cancer","volume":"6","author":"Obeng-Gyasi","year":"2023","journal-title":"JAMA Netw Open"},{"issue":"3","key":"10.1016\/j.jand.2026.156394_bib15","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1177\/1099800420969898","article-title":"Allostatic load in cancer: a systematic review and mini meta-analysis","volume":"23","author":"Mathew","year":"2021","journal-title":"Biol Res Nurs"},{"issue":"2","key":"10.1016\/j.jand.2026.156394_bib16","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1002\/aac2.12064","article-title":"Allostatic load and risk of all-cause, cancer-specific, and cardiovascular mortality in older cancer survivors: an analysis of the National Health and Nutrition Examination Survey 1999-2010","volume":"4","author":"Yang","year":"2023","journal-title":"Aging Cancer"},{"key":"10.1016\/j.jand.2026.156394_bib17","series-title":"AJCC Cancer Staging Manual","year":"2017"},{"issue":"7","key":"10.1016\/j.jand.2026.156394_bib18","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.21626","article-title":"Association of allostatic load with overall mortality among patients with metastatic non-small cell lung cancer","volume":"5","author":"Obeng-Gyasi","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"1","key":"10.1016\/j.jand.2026.156394_bib19","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s42000-018-0023-7","article-title":"Chronic stress and body composition disorders: implications for health and disease","volume":"17","author":"Stefanaki","year":"2018","journal-title":"Hormones (Athens)"},{"issue":"4","key":"10.1016\/j.jand.2026.156394_bib20","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1093\/advances\/nmab153","article-title":"Body composition and prostate cancer risk: a systematic review of observational studies","volume":"13","author":"Purcell","year":"2022","journal-title":"Adv Nutr"},{"issue":"5","key":"10.1016\/j.jand.2026.156394_bib21","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1139\/H08-075","article-title":"A practical and precise approach to quantification of body composition in cancer patients using computed tomography images acquired during routine care","volume":"33","author":"Mourtzakis","year":"2008","journal-title":"Appl Physiol Nutr Metab"},{"issue":"1","key":"10.1016\/j.jand.2026.156394_bib22","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1002\/crt2.44","article-title":"First PACS-integrated artificial intelligence-based software tool for rapid and fully automatic analysis of body composition from CT in clinical routine","volume":"7","author":"Beetz","year":"2022","journal-title":"JCSM Clin Rep"},{"key":"10.1016\/j.jand.2026.156394_bib23","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1016\/j.clnesp.2025.06.006","article-title":"Evaluation of semi-automated versus fully automated technologies for computed tomography scalable body composition analyses in patients with severe acute respiratory syndrome Coronavirus-2","volume":"68","author":"Wozniak","year":"2025","journal-title":"Clin Nutr ESPEN"},{"key":"10.1016\/j.jand.2026.156394_bib24","article-title":"Data Analysis Facilitation Suite (DAFS) Express. Version 2023","year":"2016","journal-title":"Voronoi Health Analytics"},{"issue":"3","key":"10.1016\/j.jand.2026.156394_bib25","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.nutres.2012.12.007","article-title":"Establishing computed tomography-defined visceral fat area thresholds for use in obesity-related cancer research","volume":"33","author":"Doyle","year":"2013","journal-title":"Nutr Res"},{"issue":"12","key":"10.1016\/j.jand.2026.156394_bib26","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1200\/JCO.2012.45.2722","article-title":"Cancer cachexia in the age of obesity: skeletal muscle depletion is a powerful prognostic factor, independent of body mass index","volume":"31","author":"Martin","year":"2013","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.jand.2026.156394_bib27","series-title":"Version 9.4 User's Guide","year":"2013"},{"key":"10.1016\/j.jand.2026.156394_bib28","series-title":"Physiology, Homeostasis","author":"Libretti","year":"2023"},{"issue":"1","key":"10.1016\/j.jand.2026.156394_bib29","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1159\/000510696","article-title":"Allostatic load and its impact on health: a systematic review","volume":"90","author":"Guidi","year":"2021","journal-title":"Psychother Psychosom"},{"issue":"2","key":"10.1016\/j.jand.2026.156394_bib30","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1093\/jncics\/pkad005","article-title":"Allostatic load and cardiovascular outcomes in males with prostate cancer","volume":"7","author":"Stabellini","year":"2023","journal-title":"JNCI Cancer Spectrum"},{"key":"10.1016\/j.jand.2026.156394_bib31","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1038\/s41366-024-01511-9","article-title":"Advances in body composition: a 100-year journey","volume":"49","author":"Heymsfield","year":"2025","journal-title":"Int J Obes"},{"issue":"2","key":"10.1016\/j.jand.2026.156394_bib32","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1017\/S0029665115004279","article-title":"Sarcopenia and cachexia in the era of obesity: clinical and nutritional impact","volume":"75","author":"Prado","year":"2016","journal-title":"Proc Nutr Soc"},{"issue":"3","key":"10.1016\/j.jand.2026.156394_bib33","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1007\/s10549-019-05352-3","article-title":"Muscle composition and outcomes in patients with breast cancer: meta-analysis and systematic review","volume":"177","author":"Aleixo","year":"2019","journal-title":"Breast Cancer Res Treat"},{"issue":"5","key":"10.1016\/j.jand.2026.156394_bib34","doi-asserted-by":"crossref","first-page":"1270","DOI":"10.1002\/jcsm.12575","article-title":"Prognostic impact of myosteatosis in patients with colorectal cancer: a systematic review and meta-analysis","volume":"11","author":"Lee","year":"2020","journal-title":"J Cachexia Sarcopenia Muscle"},{"issue":"6","key":"10.1016\/j.jand.2026.156394_bib35","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1007\/s00384-021-03839-4","article-title":"Sarcopenia predicts worse postoperative outcomes and decreased survival rates in patients with colorectal cancer: a systematic review and meta-analysis","volume":"36","author":"Trejo-Avila","year":"2021","journal-title":"Int J Colorectal Dis"},{"issue":"6","key":"10.1016\/j.jand.2026.156394_bib36","doi-asserted-by":"crossref","first-page":"1408","DOI":"10.1002\/jcsm.12831","article-title":"Computed tomography-defined low skeletal muscle index and density in cancer patients: observations from a systematic review","volume":"12","author":"McGovern","year":"2021","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"10.1016\/j.jand.2026.156394_bib37","doi-asserted-by":"crossref","DOI":"10.1155\/2022\/9242243","article-title":"Clinical features and body composition in men with hormone-sensitive metastatic prostate cancer: a pilot study examining differences by race","volume":"2022","author":"Sheean","year":"2022","journal-title":"Prostate Cancer"},{"issue":"4","key":"10.1016\/j.jand.2026.156394_bib38","doi-asserted-by":"crossref","first-page":"482","DOI":"10.4093\/dmj.2020.0277","article-title":"Computed tomography-derived myosteatosis and metabolic disorders","volume":"45","author":"Miljkovic","year":"2021","journal-title":"Diabetes Metab J"},{"issue":"8","key":"10.1016\/j.jand.2026.156394_bib39","doi-asserted-by":"crossref","first-page":"2920","DOI":"10.1158\/1078-0432.CCR-08-2242","article-title":"Sarcopenia as a determinant of chemotherapy toxicity and time to tumor progression in metastatic breast cancer patients receiving capecitabine treatment","volume":"15","author":"Prado","year":"2009","journal-title":"Clin Cancer Res"},{"key":"10.1016\/j.jand.2026.156394_bib40","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.1016\/j.clnesp.2016.04.001","article-title":"Impact of body composition parameters on clinical outcomes in patients with metastatic castrate-resistant prostate cancer treated with docetaxel","volume":"13","author":"Cushen","year":"2016","journal-title":"Clin Nutr ESPEN"},{"issue":"9","key":"10.1016\/j.jand.2026.156394_bib41","doi-asserted-by":"crossref","DOI":"10.1111\/obr.13767","article-title":"Evaluation of visceral adipose tissue thresholds for elevated metabolic syndrome risk across diverse populations: a systematic review","volume":"25","author":"Bennett","year":"2024","journal-title":"Obes Rev"},{"issue":"11","key":"10.1016\/j.jand.2026.156394_bib42","doi-asserted-by":"crossref","first-page":"2402","DOI":"10.2337\/dc12-0336","article-title":"Metabolic syndrome and risk of cancer: a systematic review and meta-analysis","volume":"35","author":"Esposito","year":"2012","journal-title":"Diabetes Care"},{"issue":"3","key":"10.1016\/j.jand.2026.156394_bib43","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.acuro.2014.09.009","article-title":"The association between metabolic syndrome and prostate cancer: effect on its aggressiveness and progression","volume":"39","author":"Sanch\u00eds-Bonet","year":"2015","journal-title":"Actas Urol Esp"},{"key":"10.1016\/j.jand.2026.156394_bib44","first-page":"9","article-title":"How to improve the quality of life of patients with prostate cancer treated with hormone therapy?","volume":"15","author":"Turco","year":"2023","journal-title":"Res Rep Urol"},{"issue":"1","key":"10.1016\/j.jand.2026.156394_bib45","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1007\/s42000-020-00251-5","article-title":"Endocrine consequences of treatment with the new androgen receptor axis-targeted agents for advanced prostate cancer","volume":"20","author":"Pyrgidis","year":"2021","journal-title":"Hormones (Athens)"},{"issue":"12","key":"10.1016\/j.jand.2026.156394_bib46","first-page":"912","article-title":"Update on cardiovascular and metabolic risk profiles of hormonal agents used in managing advanced prostate cancer","volume":"38","author":"Higano","year":"2020","journal-title":"Urol Oncol Semin Orig Investig"},{"issue":"2","key":"10.1016\/j.jand.2026.156394_bib47","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1200\/JCO.2009.23.2488","article-title":"Combined resistance and aerobic exercise program reverses muscle loss in men undergoing androgen suppression therapy for prostate cancer without bone metastases: a randomized controlled trial","volume":"28","author":"Galvao","year":"2010","journal-title":"J Clin Oncol"},{"issue":"10","key":"10.1016\/j.jand.2026.156394_bib48","doi-asserted-by":"crossref","first-page":"1805","DOI":"10.3109\/0284186X.2015.1037008","article-title":"Effects of strength training on body composition, physical functioning, and quality of life in prostate cancer patients during androgen deprivation therapy","volume":"54","author":"Nilsen","year":"2015","journal-title":"Acta Oncol"},{"issue":"1","key":"10.1016\/j.jand.2026.156394_bib49","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/j.apmr.2014.08.010","article-title":"Resistance training reduces disability in prostate cancer survivors on androgen deprivation therapy: evidence from a randomized controlled trial","volume":"96","author":"Winters-Stone","year":"2015","journal-title":"Arch Phys Med Rehabil"},{"issue":"Suppl 1","key":"10.1016\/j.jand.2026.156394_bib50","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1111\/sms.12260","article-title":"Football training improves lean body mass in men with prostate cancer undergoing androgen deprivation therapy","volume":"24","author":"Uth","year":"2014","journal-title":"Scand J Med Sci Sports"},{"issue":"3","key":"10.1016\/j.jand.2026.156394_bib51","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1007\/s12160-013-9519-1","article-title":"Randomized controlled trial of a behavior change intervention to increase physical activity and quality of life in prostate cancer survivors","volume":"46","author":"McGowan","year":"2013","journal-title":"Ann Behav Med"},{"issue":"1","key":"10.1016\/j.jand.2026.156394_bib52","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1186\/s12966-018-0686-0","article-title":"RiseTx: testing the feasibility of a web application for reducing sedentary behavior among prostate cancer survivors receiving androgen deprivation therapy","volume":"15","author":"Trinh","year":"2018","journal-title":"Int J Behav Nutr Phys Act"},{"issue":"2","key":"10.1016\/j.jand.2026.156394_bib53","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1038\/pcan.2012.52","article-title":"Exercise maintains sexual activity in men undergoing androgen suppression for prostate cancer: a randomized controlled trial","volume":"16","author":"Cormie","year":"2013","journal-title":"Prostate Cancer Prostatic Dis"},{"issue":"3","key":"10.1016\/j.jand.2026.156394_bib54","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/s11912-021-01017-x","article-title":"Post-diagnostic dietary and lifestyle factors and prostate cancer recurrence, progression, and mortality","volume":"23","author":"Langlais","year":"2021","journal-title":"Curr Oncol Rep"},{"issue":"3","key":"10.1016\/j.jand.2026.156394_bib55","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.euf.2023.02.009","article-title":"Nutrition guidance for patients on androgen deprivation therapy","volume":"9","author":"Kenfield","year":"2023","journal-title":"Eur Urol Focus"},{"issue":"2","key":"10.1016\/j.jand.2026.156394_bib56","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1007\/s10549-024-07266-1","article-title":"A whole-food, plant-based randomized controlled trial in metastatic breast cancer: weight, cardiometabolic, and hormonal outcomes","volume":"205","author":"Campbell","year":"2024","journal-title":"Breast Cancer Res Treat"},{"issue":"3","key":"10.1016\/j.jand.2026.156394_bib57","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1177\/1099800420969898","article-title":"Allostatic load in cancer: a systematic review and mini meta-analysis","volume":"23","author":"Mathew","year":"2021","journal-title":"Biol Res Nurs"}],"container-title":["Journal of the Academy of Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212267226001097?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212267226001097?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T21:05:20Z","timestamp":1790111120000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2212267226001097"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":57,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S2212267226001097"],"URL":"https:\/\/doi.org\/10.1016\/j.jand.2026.156394","relation":{},"ISSN":["2212-2672"],"issn-type":[{"value":"2212-2672","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Elevated Allostatic Load, Adverse Body Composition, and Reduced Overall Survival in a Retrospective Cohort of Men With Newly Diagnosed Metastatic Prostate Cancer","name":"articletitle","label":"Article Title"},{"value":"Journal of the Academy of Nutrition and Dietetics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jand.2026.156394","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"156394"}}