{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T13:29:23Z","timestamp":1773926963730,"version":"3.50.1"},"reference-count":46,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002597","name":"Kyung Hee University","doi-asserted-by":"publisher","award":["KHU-20231173"],"award-info":[{"award-number":["KHU-20231173"]}],"id":[{"id":"10.13039\/501100002597","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Integrative Medicine"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.joim.2025.11.002","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T08:25:39Z","timestamp":1762331139000},"page":"105-114","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cutoff value for Pediatric Weakness Scale for diagnosis of pediatric weakness"],"prefix":"10.1016","volume":"24","author":[{"given":"Tae Hwan","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han","family":"Chae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juhui","family":"Han","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miran","family":"Bang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gyu Tae","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin Yong","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sun Haeng","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.joim.2025.11.002_b0005","first-page":"67","article-title":"A literary investigation of weak children","volume":"4","author":"Yu","year":"1990","journal-title":"J Pediatr Korean Med"},{"key":"10.1016\/j.joim.2025.11.002_b0010","unstructured":"Department of Pediatrics, Nationwide Korean Medicine College. Pediatrics of Korean Medicine. 3rd ed. Seoul: Ui Sung Dang Publishing Co; 2020. p. 148\u201353 [Korean]."},{"issue":"1","key":"10.1016\/j.joim.2025.11.002_b0015","doi-asserted-by":"crossref","first-page":"65","DOI":"10.14367\/kjhep.2013.30.1.065","article-title":"Development and evaluation of comprehensive health care program for infectious disease management in child care centers by doctor of Korean medicine","volume":"30","author":"Park","year":"2013","journal-title":"Korean J Health Educ Promot"},{"issue":"2","key":"10.1016\/j.joim.2025.11.002_b0020","first-page":"47","article-title":"Review on preventive treatment disease program promoted in China","volume":"18","author":"Lee","year":"2014","journal-title":"J Soc Prev Korean Med"},{"issue":"3","key":"10.1016\/j.joim.2025.11.002_b0025","first-page":"121","article-title":"A study of the chief complaint of pediatric outpatients in the Kyung Hee Oriental Medicine Hospital","volume":"24","author":"Choi","year":"2010","journal-title":"J Pediatr Korean Med"},{"issue":"2","key":"10.1016\/j.joim.2025.11.002_b0030","doi-asserted-by":"crossref","first-page":"10","DOI":"10.7778\/jpkm.2016.30.2.010","article-title":"Research for health examinations for infants and children by Korean medicine","volume":"30","author":"Yu","year":"2016","journal-title":"J Pediatr Korean Med"},{"issue":"3","key":"10.1016\/j.joim.2025.11.002_b0035","first-page":"100","article-title":"Survey on parent\u2019s recognition for necessity of health examinations for infants and children by Korean medicine","volume":"35","author":"Choi","year":"2021","journal-title":"J Pediatr Korean Med"},{"issue":"1","key":"10.1016\/j.joim.2025.11.002_b0040","first-page":"79","article-title":"The clinical study of weak children","volume":"3","author":"Kim","year":"1989","journal-title":"J Pediatr Korean Med"},{"key":"10.1016\/j.joim.2025.11.002_b0045","first-page":"127","article-title":"Clinical study on weak children","volume":"141","author":"Lee","year":"2000","journal-title":"J Pediatr Korean Med"},{"issue":"3","key":"10.1016\/j.joim.2025.11.002_b0050","first-page":"46","article-title":"Study on weak children information collection using Personal Health Record (PHR)","volume":"31","author":"Lee","year":"2017","journal-title":"J Pediatr Korean Med"},{"issue":"3","key":"10.1016\/j.joim.2025.11.002_b0055","first-page":"30","article-title":"Development and validation of Pediatric Weakness Scale (PWS)","volume":"33","author":"Chae","year":"2019","journal-title":"J Pediatr Korean Med"},{"issue":"3","key":"10.1016\/j.joim.2025.11.002_b0060","first-page":"55","article-title":"Oriental medical research about school life maladjustment by study of the weak children symptoms","volume":"23","author":"Son","year":"2009","journal-title":"J Pediatr Korean Med"},{"issue":"2","key":"10.1016\/j.joim.2025.11.002_b0065","first-page":"137","article-title":"The statistical study of weakness and the delayed growth on primary school children","volume":"19","author":"Wang","year":"2005","journal-title":"J Pediatr Korean Med"},{"issue":"2","key":"10.1016\/j.joim.2025.11.002_b0070","doi-asserted-by":"crossref","first-page":"1","DOI":"10.7778\/jpkm.2014.28.2.001","article-title":"A study on comparison between growth indices of weak children groups via analyzing bone age and body composition","volume":"28","author":"Lee","year":"2014","journal-title":"J Pediatr Korean Med"},{"issue":"4","key":"10.1016\/j.joim.2025.11.002_b0075","first-page":"1","article-title":"Cut-off values for diagnosing kidney weak children using height, body weight, bone age","volume":"37","author":"Kim","year":"2023","journal-title":"J Pediatr Korean Med"},{"issue":"3","key":"10.1016\/j.joim.2025.11.002_b0080","doi-asserted-by":"crossref","first-page":"1","DOI":"10.7778\/jpkm.2013.27.3.001","article-title":"The characters of autonomic nervous system in heart weak children through analysis of heart rate variability","volume":"27","author":"Lee","year":"2013","journal-title":"J Pediatr Korean Med"},{"issue":"2","key":"10.1016\/j.joim.2025.11.002_b0085","first-page":"51","article-title":"Oriental medical research about internet addiction by study of the weak children symptoms","volume":"22","author":"Kim","year":"2008","journal-title":"J Pediatr Korean Med"},{"issue":"3","key":"10.1016\/j.joim.2025.11.002_b0090","first-page":"71","article-title":"The correlation study between interference test with the weak children symptoms","volume":"23","author":"Gok","year":"2009","journal-title":"J Pediatr Korean Med"},{"issue":"4","key":"10.1016\/j.joim.2025.11.002_b0095","doi-asserted-by":"crossref","first-page":"1","DOI":"10.7778\/jpkm.2015.29.4.001","article-title":"A study on sleep habits of weak children groups","volume":"29","author":"Kim","year":"2015","journal-title":"J Pediatr Korean Med"},{"issue":"5","key":"10.1016\/j.joim.2025.11.002_b0100","doi-asserted-by":"crossref","first-page":"356","DOI":"10.33546\/bnj.1927","article-title":"Establishing appropriate sample size for developing and validating a questionnaire in nursing research","volume":"7","author":"Gunawan","year":"2021","journal-title":"Belitung Nurs J"},{"issue":"3","key":"10.1016\/j.joim.2025.11.002_b0105","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1037\/1040-3590.7.3.309","article-title":"Constructing validity: basic issues in objective scale development","volume":"7","author":"Clark","year":"1995","journal-title":"Psychol Assess"},{"issue":"5","key":"10.1016\/j.joim.2025.11.002_b0110","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1037\/0022-006X.56.5.754","article-title":"Factor-analytic methods of scale development in personality and clinical psychology","volume":"56","author":"Comrey","year":"1988","journal-title":"J Consult Clin Psychol"},{"key":"10.1016\/j.joim.2025.11.002_b0115","unstructured":"Korea Disease Control and Prevention Agency, The Korean Pediatric Society. 2017 child and adolescent growth chart. (2017) [2024-06-04]. https:\/\/knhanes.kdca.go.kr\/knhanes\/grtcht\/clclt\/measClclt.do [Korean]."},{"issue":"7","key":"10.1016\/j.joim.2025.11.002_b0120","doi-asserted-by":"crossref","first-page":"2090","DOI":"10.1002\/cncr.10428","article-title":"The PedsQL in pediatric cancer: reliability and validity of the pediatric quality of life inventory generic core scales, multidimensional fatigue scale, and cancer module","volume":"94","author":"Varni","year":"2002","journal-title":"Cancer"},{"issue":"3","key":"10.1016\/j.joim.2025.11.002_b0125","first-page":"1","article-title":"A study on the influence of irritable bowel syndrome on dietary habits and fatigue in children and adolescents","volume":"31","author":"Han","year":"2017","journal-title":"J Pediatr Korean Med"},{"key":"10.1016\/j.joim.2025.11.002_b0130","series-title":"K-CBCL, child behavior checklist","author":"Oh","year":"2007"},{"issue":"7","key":"10.1016\/j.joim.2025.11.002_b0135","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1111\/1469-7610.00792","article-title":"Development of the children\u2019s eating behaviour questionnaire","volume":"42","author":"Wardle","year":"2001","journal-title":"J Child Psychol Psychiatry"},{"issue":"4","key":"10.1016\/j.joim.2025.11.002_b0140","first-page":"943","article-title":"A psychometric evaluation of the Korean version children\u2019s eating behaviour questionnaire. Korean","volume":"17","author":"Chung","year":"2012","journal-title":"J Health Psychol"},{"issue":"7","key":"10.1016\/j.joim.2025.11.002_b0145","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1007\/s11136-010-9834-y","article-title":"Reliability and validity of the PedsQL multidimensional fatigue scale in Japan","volume":"20","author":"Kobayashi","year":"2011","journal-title":"Qual Life Res"},{"issue":"2","key":"10.1016\/j.joim.2025.11.002_b0150","first-page":"146","article-title":"Reliability and validity of the Chinese version of the PedsQL multidimensional fatigue scale in children with acute leukemia","volume":"3","author":"Ye","year":"2016","journal-title":"Int J Nurs Sci"},{"issue":"7","key":"10.1016\/j.joim.2025.11.002_b0155","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1007\/s11136-010-9836-9","article-title":"Fatigue in children: reliability and validity of the Dutch PedsQL multidimensional fatigue scale","volume":"20","author":"Gordijn","year":"2011","journal-title":"Qual Life Res"},{"issue":"3","key":"10.1016\/j.joim.2025.11.002_b0160","first-page":"58","article-title":"Set the cut off values for diagnosing heart weak children by using K-CBCL total behavior problems score","volume":"24","author":"Jeong","year":"2010","journal-title":"J Pediatr Korean Med"},{"key":"10.1016\/j.joim.2025.11.002_b0165","doi-asserted-by":"crossref","DOI":"10.3389\/fnut.2023.1247630","article-title":"Reliability and validity of a Korean version of the children's eating behavior questionnaire in anorexia context","volume":"10","author":"Ko","year":"2023","journal-title":"Front Nutr"},{"issue":"9","key":"10.1016\/j.joim.2025.11.002_b0170","first-page":"95","article-title":"General situation in research of children's recurrent respiratory tract infection","volume":"40","author":"Yang","year":"2008","journal-title":"Jiangsu Zhong Yi Yao"},{"issue":"1","key":"10.1016\/j.joim.2025.11.002_b0175","first-page":"1","article-title":"A study on effect and satisfaction of acupoint sticking in hottest period of summer","volume":"32","author":"Song","year":"2018","journal-title":"J Pediatr Korean Med"},{"issue":"11","key":"10.1016\/j.joim.2025.11.002_b0180","first-page":"1179","article-title":"Birth weight distribution by gestational age in Korean population: using finite mixture model","volume":"48","author":"Lee","year":"2005","journal-title":"Korean J Pediatr"},{"issue":"1","key":"10.1016\/j.joim.2025.11.002_b0185","doi-asserted-by":"crossref","first-page":"52","DOI":"10.5395\/rde.2013.38.1.52","article-title":"Statistical notes for clinical researchers: assessing normal distribution (2) using skewness and kurtosis","volume":"38","author":"Kim","year":"2013","journal-title":"Restor Dent Endod"},{"issue":"6","key":"10.1016\/j.joim.2025.11.002_b0190","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1002\/ijc.34630","article-title":"Longitudinal associations of bioelectrical phase angle and fatigue in breast cancer patients","volume":"153","author":"Schmidt","year":"2023","journal-title":"Int J Cancer"},{"issue":"1","key":"10.1016\/j.joim.2025.11.002_b0195","doi-asserted-by":"crossref","first-page":"60","DOI":"10.7778\/jpkm.2012.26.1.060","article-title":"Assessment of herbal treatment in appetite improvement of anorexia children using Korean Children's Eating Behaviour Questionnaire (K-CEBQ)","volume":"26","author":"Lee","year":"2012","journal-title":"J Pediatr Korean Med"},{"issue":"3","key":"10.1016\/j.joim.2025.11.002_b0200","first-page":"1","article-title":"A study on the development and application of Korean medical critical pathway of childhood anorexia","volume":"37","author":"Choi","year":"2023","journal-title":"J Pediatr Korean Med"},{"issue":"6","key":"10.1016\/j.joim.2025.11.002_b0205","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1034\/j.1399-3038.2002.02088.x","article-title":"Evaluation of the relevance of humoral immunodeficiencies in a pediatric population affected by recurrent infections","volume":"13","author":"Finocchi","year":"2002","journal-title":"Pediatr Allergy Immunol"},{"issue":"1","key":"10.1016\/j.joim.2025.11.002_b0210","first-page":"63","article-title":"Peripheral blood lymphocyte subsets in children with frequent upper respiratory tract infections","volume":"50","author":"Kendirli","year":"2008","journal-title":"Turk J Pediatr"},{"issue":"7","key":"10.1016\/j.joim.2025.11.002_b0215","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1002\/ptr.5628","article-title":"Adjuvant treatment with Yupingfeng formula for recurrent respiratory tract infections in children: a meta-analysis of randomized controlled trials","volume":"30","author":"Song","year":"2016","journal-title":"Phytother Res"},{"issue":"6","key":"10.1016\/j.joim.2025.11.002_b0220","doi-asserted-by":"crossref","first-page":"e1562","DOI":"10.1542\/peds.2013-1737","article-title":"Gestational age, birth weight, and risk of respiratory hospital admission in childhood","volume":"132","author":"Paranjothy","year":"2013","journal-title":"Pediatrics"},{"issue":"2","key":"10.1016\/j.joim.2025.11.002_b0225","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1164\/rccm.200901-0046OC","article-title":"Low birth weight and respiratory disease in adulthood: a population-based case-control study","volume":"180","author":"Walter","year":"2009","journal-title":"Am J Respir Crit Care Med"},{"issue":"1","key":"10.1016\/j.joim.2025.11.002_b0230","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/s12903-020-01372-4","article-title":"Evaluation of the risk factors of dental caries in children with very low birth weight and normal birth weight","volume":"21","author":"Koberova","year":"2021","journal-title":"BMC Oral Health"}],"container-title":["Journal of Integrative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2095496425001712?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2095496425001712?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T10:03:16Z","timestamp":1773914596000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2095496425001712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":46,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["S2095496425001712"],"URL":"https:\/\/doi.org\/10.1016\/j.joim.2025.11.002","relation":{},"ISSN":["2095-4964"],"issn-type":[{"value":"2095-4964","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Cutoff value for Pediatric Weakness Scale for diagnosis of pediatric weakness","name":"articletitle","label":"Article Title"},{"value":"Journal of Integrative Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.joim.2025.11.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Shanghai Yueyang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}]}}