{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T13:09:40Z","timestamp":1779368980299,"version":"3.53.0"},"reference-count":67,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Background\/Objectives: Duchenne muscular dystrophy (DMD) is a rare progressive neuromuscular disorder associated with increasing care demands. Despite the critical role of caregivers, their physical activity (PA) levels and health-related quality of life (HRQoL) have not been sufficiently investigated. This study aimed to compare PA levels and HRQoL between caregivers of children with DMD and caregivers of typically developing children. Methods: This cross-sectional observational study included 44 individuals: caregivers of children with DMD (n = 22) and caregivers of typically developing children (n = 22). The 36-Item Short-Form Health Survey (SF-36) was used for assessing HRQoL and the International Physical Activity Questionnaire\u2014Short Form (IPAQ-SF) for determining PA levels. Results: IPAQ-SF-derived metabolic equivalent of task (MET) values and PA levels were similar between the groups (DMD caregivers: 1744.63 \u00b1 1163.22, controls: 1945.09 \u00b1 1042.12; p &gt; 0.05). Caregivers of children with DMD demonstrated significantly poorer scores in several SF-36 domains, including vitality, social functioning, role limitations due to physical problems, bodily pain, and mental health (p &lt; 0.05), with the largest difference observed in role limitations due to emotional problems (DMD caregivers: 45.27 \u00b1 28.33, controls: 84.83 \u00b1 24.63; p &lt; 0.05). Physical functioning and general health perception scores were comparable (p &gt; 0.05). Conclusions: Caregivers of children with DMD experience substantial impairments in multiple HRQoL domains, particularly those related to psychosocial well-being and pain, despite comparable PA levels and physical functioning. These findings suggest that reduced HRQoL is not directly explained by PA alone and highlight the need for multidisciplinary interventions targeting psychological health, pain management, and social well-being.<\/jats:p>","DOI":"10.3390\/healthcare14101425","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T12:06:07Z","timestamp":1779365167000},"page":"1425","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Physical Activity and Quality of Life Among Caregivers of Children with Duchenne Muscular Dystrophy"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7134-8379","authenticated-orcid":false,"given":"Sedat","family":"Yi\u011fit","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gaziantep University, 27310 Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u0130rem","family":"Akg\u00fcn","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gaziantep University, 27310 Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00fcbra","family":"Co\u015fkun","sequence":"additional","affiliation":[{"name":"Institute of Graduate Programs, Department of Physiotherapy and Rehabilitation, Hasan Kalyoncu University, 27500 Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murat Ali","family":"\u00c7\u0131nar","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hasan Kalyoncu University, 27500 Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4820-9490","authenticated-orcid":false,"given":"Serkan","family":"Usgu","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hasan Kalyoncu University, 27500 Gaziantep, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peren","family":"Perk","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurology, Ba\u015faksehir \u00c7am and Sakura City Hospital, 34480 Istanbul, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1016\/S1474-4422(18)30024-3","article-title":"Diagnosis and management of Duchenne muscular dystrophy, part 1: Diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management","volume":"17","author":"Birnkrant","year":"2018","journal-title":"Lancet Neurol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"l7012","DOI":"10.1136\/bmj.l7012","article-title":"Duchenne muscular dystrophy","volume":"368","author":"Fox","year":"2020","journal-title":"BMJ"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"2116","DOI":"10.1016\/S0140-6736(98)10028-4","article-title":"Signs and symptoms of Duchenne muscular dystrophy and Becker muscular dystrophy among carriers in The Netherlands: A cohort study","volume":"353","author":"Hoogerwaard","year":"1999","journal-title":"Lancet"},{"key":"ref_4","unstructured":"Thada, P.K., Bhandari, J., Forshaw, K.C., and Umapathi, K.K. (2024). Becker muscular dystrophy. StatPearls, StatPearls Publishing."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1056\/NEJM198805263182104","article-title":"Characterization of dystrophin in muscle-biopsy specimens from patients with Duchenne\u2019s or Becker\u2019s muscular dystrophy","volume":"318","author":"Hoffman","year":"1988","journal-title":"N. Engl. J. Med."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Montagna, C., Maiani, E., Pieroni, L., and Consalvi, S. (2025). Duchenne muscular dystrophy: Integrating current clinical practice with future therapeutic and diagnostic horizons. Int. J. Mol. Sci., 26.","DOI":"10.20944\/preprints202506.2161.v1"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"123","DOI":"10.12956\/tchd.1557901","article-title":"Clinical and demographic characteristics of Becker muscular dystrophy cases","volume":"19","author":"Uzan","year":"2025","journal-title":"T\u00fcrkiye \u00c7ocuk Hast. Derg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1186\/s13023-020-01430-8","article-title":"Global epidemiology of Duchenne muscular dystrophy: An updated systematic review and meta-analysis","volume":"15","author":"Crisafulli","year":"2020","journal-title":"Orphanet J. Rare Dis."},{"key":"ref_9","unstructured":"Republic of Turkey Ministry of Health, General Directorate of Health Services, and Department of Research, Development and Health Technology Evaluation (2025). Duchenne Muscular Dystrophy (DMD) Clinical Guide."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.ejpn.2025.05.004","article-title":"Is late diagnosis of Duchenne muscular dystrophy still a reality?","volume":"57","author":"Beckerq","year":"2025","journal-title":"Eur. J. Paediatr. Neurol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"325210","DOI":"10.1155\/2009\/325210","article-title":"Duchenne and Becker muscular dystrophy: Contribution of a molecular and immunohistochemical analysis in diagnosis in Morocco","volume":"2009","author":"Bellayou","year":"2009","journal-title":"BioMed Res. Int."},{"key":"ref_12","first-page":"513","article-title":"Caregiver Burden in Chronic Diseases","volume":"3","author":"Balaban","year":"2011","journal-title":"Curr. Approaches Psychiatry"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"161","DOI":"10.2340\/16501977-1898","article-title":"Quality of life of adult men with Duchenne muscular dystrophy in the Netherlands: Implications for care","volume":"47","author":"Pangalila","year":"2015","journal-title":"J. Rehabil. Med."},{"key":"ref_14","first-page":"5","article-title":"Cuidados com a pessoa com Distrofia Muscular de Duchenne: Revisando as recomenda\u00e7\u00f5es","volume":"54","year":"2018","journal-title":"Rev. Bras. Neurol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"14","DOI":"10.46218\/tshd.865150","article-title":"The relationship between caregiving burden amd family resilience levels of family members who care for duchenne muscular dystrophy patients","volume":"17","author":"Arslantatar","year":"2021","journal-title":"T\u0131bbi Sos. Hizmet Dergisi."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"0675","DOI":"10.1590\/S0080-623420160000500019","article-title":"Family caregivers: What do they need? An integrative review","volume":"50","author":"Fernandes","year":"2016","journal-title":"Rev. Esc. Enferm. USP"},{"key":"ref_17","first-page":"99","article-title":"Family caregivers of the frail elderly","volume":"18","author":"Toseland","year":"2001","journal-title":"Handb. Soc. Work Pract. Vulnerable Resilient Popul."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1111\/dmcn.13934","article-title":"Duchenne muscular dystrophy and caregiver burden: A systematic review","volume":"60","author":"Landfeldt","year":"2018","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1590\/0034-7167-2015-0064","article-title":"Acidente vascular encef\u00e1lico: Caracter\u00edsticas do paciente e qualidade de vida de cuidadores","volume":"69","author":"Gomes","year":"2016","journal-title":"Rev. Bras. Enferm."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1212\/WNL.0000000000000669","article-title":"The burden of Duchenne muscular dystrophy: An international, cross-sectional study","volume":"83","author":"Landfeldt","year":"2014","journal-title":"Neurology"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1007\/s00415-016-8080-9","article-title":"Quantifying the burden of caregiving in Duchenne muscular dystrophy","volume":"263","author":"Landfeldt","year":"2016","journal-title":"J. Neurol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","article-title":"World Health Organization 2020 guidelines on physical activity and sedentary behaviour","volume":"54","author":"Bull","year":"2020","journal-title":"Br. J. Sports Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1007\/s12160-016-9819-3","article-title":"A descriptive systematic review of physical activity interventions for caregivers: Effects on caregivers\u2019 and care recipients\u2019 psychosocial outcomes, physical activity levels, and physical health","volume":"50","author":"Lambert","year":"2016","journal-title":"Ann. Behav. Med."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.archger.2010.04.011","article-title":"Association between the caregiver\u2019s burden and physical activity in community-dwelling caregivers of dementia patients","volume":"52","author":"Hirano","year":"2011","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.appdev.2009.06.001","article-title":"The association between membership in the sandwich generation and health behaviors: A longitudinal study","volume":"31","author":"Chassin","year":"2010","journal-title":"J. Appl. Dev. Psychol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1007\/s00038-020-01402-6","article-title":"The association between informal caregiving and behavioral risk factors: A cross-sectional study","volume":"65","author":"Gottschalk","year":"2020","journal-title":"Int. J. Public Health"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2465","DOI":"10.1177\/00315125231201591","article-title":"Comparing Physical Activity and Quality of Life of Caregivers of Children With Physical Disabilities and Typically Developing Children","volume":"130","author":"Nedim","year":"2023","journal-title":"Percept. Mot. Ski."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1111\/cch.12934","article-title":"The prevalence of health problems and their association with physical activity in caregivers of children with disabilities: 2018 National Health Interview Survey","volume":"48","author":"Ghim","year":"2022","journal-title":"Child Care Health Dev."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.pediatrneurol.2004.01.011","article-title":"Depression in parents of children with Duchenne muscular dystrophy","volume":"31","author":"Dooley","year":"2004","journal-title":"Pediatr. Neurol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1207\/s15324796abm3002_6","article-title":"Physical activity enhances long-term quality of life in older adults: Efficacy, esteem, and affective influences","volume":"30","author":"Elavsky","year":"2005","journal-title":"Ann. Behav. Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1007\/BF02908298","article-title":"Physical exercise and quality of life following cancer diagnosis: A literature review","volume":"21","author":"Courneya","year":"1999","journal-title":"Ann. Behav. Med."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1080\/09638288.2022.2060336","article-title":"A systematic review and qualitative synthesis of the experiences of parents of individuals living with Duchenne muscular dystrophy","volume":"45","author":"Donnelly","year":"2023","journal-title":"Disabil. Rehabil."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/0163-8343(79)90028-8","article-title":"Reactions of families to children with Duchenne muscular dystrophy","volume":"1","author":"Buchanan","year":"1979","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_34","first-page":"11","article-title":"Reliability and validity of the Turkish version of short form 36 (SF-36) in patients with rheumatoid arthritis","volume":"2","author":"Kaya","year":"2018","journal-title":"J. Surg. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"278","DOI":"10.2466\/06.08.PMS.111.4.278-284","article-title":"International physical activity questionnaire: Reliability and validity of the Turkish version","volume":"111","author":"Saglam","year":"2010","journal-title":"Percept. Mot. Ski."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/00005650-199206000-00002","article-title":"The MOS 36-ltem short-form health survey (SF-36): I. Conceptual framework and item selection","volume":"30","author":"Ware","year":"1992","journal-title":"Med. Care"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.ejcts.2010.03.071","article-title":"Subjective and objective assessment of quality of life after chest wall resection","volume":"39","author":"Heuker","year":"2011","journal-title":"Eur. J. Cardio-Thorac. Surg."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.transproceed.2003.11.003","article-title":"Quality of life and mood in renal transplantation recipients, donors, and controls: Preliminary report","volume":"Volume 36","author":"Tanriverdi","year":"2004","journal-title":"Transplantation Proceedings"},{"key":"ref_39","first-page":"102","article-title":"Reliability and Validity of the Turkish Version of Short Form-36","volume":"12","author":"Kocyigit","year":"1999","journal-title":"J. Drugs Ther."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1590\/S0034-8910.2014048004783","article-title":"Convergent validity between SF-36 and WHOQOL-BREF in older adults","volume":"48","author":"Castro","year":"2014","journal-title":"Rev. Sa\u00fade P\u00fablica"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1186\/1479-5868-8-81","article-title":"Performance of the international physical activity questionnaire (short form) in subgroups of the Hong Kong chinese population","volume":"8","author":"Lee","year":"2011","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_42","first-page":"166","article-title":"Physical activity levels of university students","volume":"34","year":"2006","journal-title":"Arch. Turk. Soc. Cardiol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1249\/01.MSS.0000078924.61453.FB","article-title":"International physical activity questionnaire: 12-country reliability and validity","volume":"35","author":"Craig","year":"2003","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1002\/acr.24211","article-title":"Self-report measures of physical activity","volume":"72","author":"Healey","year":"2020","journal-title":"Arthritis Care Res."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Cohen, J. (2013). Statistical Power Analysis for the Behavioral Sciences, Routledge.","DOI":"10.4324\/9780203771587"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"175","DOI":"10.3758\/BF03193146","article-title":"G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"Faul","year":"2007","journal-title":"Behav. Res. Methods"},{"key":"ref_47","first-page":"323","article-title":"Quality of life of parents with disabled children and affecting factors","volume":"49","author":"Kurban","year":"2022","journal-title":"Dicle Med. J."},{"key":"ref_48","first-page":"456","article-title":"Burden on caregivers of adults with multiple chronic conditions: Intersectionality of age, gender, education level, employment status, and impact on social life","volume":"39","author":"Ghosh","year":"2020","journal-title":"Can. J. Aging Rev. Can. Vieil."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1177\/0017896906069378","article-title":"A systematic review of the relationship between socio-economic position and physical activity","volume":"65","author":"Gidlow","year":"2006","journal-title":"Health Educ. J."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1186\/1479-5868-9-116","article-title":"Socioeconomic inequalities in occupational, leisure-time, and transport related physical activity among European adults: A systematic review","volume":"9","author":"Beenackers","year":"2012","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"143","DOI":"10.2165\/00007256-200232030-00001","article-title":"Factors affecting levels of physical activity in adults","volume":"32","author":"Seefeldt","year":"2002","journal-title":"Sports Med."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1590\/S2179-64912011000400006","article-title":"Quality of life of parents\/caregivers of children and adolescents with Down syndrome","volume":"23","author":"Oliveira","year":"2011","journal-title":"J. Soc. Bras. Fonoaudiol."},{"key":"ref_53","first-page":"221","article-title":"Experiences of caregivers of boys with Duchenne Muscular Dystrophy:\u201cWhen I look at him, my world falls apart\u201d","volume":"38","author":"Mateus","year":"2021","journal-title":"Interdisciplinaria"},{"key":"ref_54","first-page":"767","article-title":"Burden on caregivers of children with cerebral palsy: Predictors and related factors","volume":"12","author":"Nieto","year":"2013","journal-title":"Univ. Psychol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"71","DOI":"10.5958\/2394-2061.2016.00046.X","article-title":"Anxiety, depression, and quality of life in mothers of children with intellectual disability","volume":"8","author":"Gogoi","year":"2017","journal-title":"Open J. Psychiatry Allied Sci."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1007\/s40279-014-0275-6","article-title":"Predictors of physical activity change among adults using observational designs","volume":"45","author":"Rhodes","year":"2015","journal-title":"Sports Med."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1111\/jir.12680","article-title":"Physical inactivity among parents of children with and without Down syndrome: The National Health Interview Survey","volume":"64","author":"Diaz","year":"2020","journal-title":"J. Intellect. Disabil. Res."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"2147","DOI":"10.1007\/s11845-021-02800-2","article-title":"Physical activity and exercise benefits\/barriers in mothers of children with motor disabilities","volume":"191","year":"2022","journal-title":"Ir. J. Med. Sci."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"e70086","DOI":"10.1111\/cch.70086","article-title":"Posture and Physical Activity Levels of Parents of Children With Esophageal Atresia: A Comparative Study","volume":"51","author":"Soyer","year":"2025","journal-title":"Child Care Health Dev."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"e145","DOI":"10.1016\/j.amepre.2021.07.004","article-title":"Examining health behaviors of chronic disease caregivers in the US","volume":"62","author":"Secinti","year":"2022","journal-title":"Am. J. Prev. Med."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.ypmed.2011.02.017","article-title":"Worldwide prevalence of physical inactivity and its association with human development index in 76 countries","volume":"53","author":"Dumith","year":"2011","journal-title":"Prev. Med."},{"key":"ref_62","first-page":"33","article-title":"Prevalence of chronic diseases and risk factors in T\u00fcrkiye","volume":"5","author":"Horasan","year":"2013","journal-title":"Ank. Minist. Health"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1590\/S1413-65382012000100008","article-title":"Qualidade de vida de cuidadores de pessoas com necessidades especiais","volume":"18","author":"Braccialli","year":"2012","journal-title":"Rev. Bras. Educ. Espec."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"S125","DOI":"10.1111\/j.1524-4733.2007.00275.x","article-title":"Patient-reported outcomes to support medical product labeling claims: FDA perspective","volume":"10","author":"Patrick","year":"2007","journal-title":"Value Health"},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Buchanan, D.C., LaBarbera, C.J., Roelofs, R., and Olson, W. (1984). Reactions of families to children with Duchenne muscular dystrophy. Coping with Physical Illness: 2: New Perspectives, Springer.","DOI":"10.1007\/978-1-4684-4772-9_11"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1186\/s13023-024-03481-7","article-title":"Quality of life and caregiving burden associated with parenting a person with Duchenne\/Becker muscular dystrophy in Poland","volume":"19","author":"Domaradzki","year":"2024","journal-title":"Orphanet J. Rare Dis."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"365","DOI":"10.2169\/internalmedicine.9372-22","article-title":"Caregiver burden with Duchenne and Becker muscular dystrophy in Japan: A clinical observation study","volume":"63","author":"Ishizaki","year":"2024","journal-title":"Intern. Med."}],"container-title":["Healthcare"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9032\/14\/10\/1425\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T12:53:48Z","timestamp":1779368028000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9032\/14\/10\/1425"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,21]]},"references-count":67,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026,5]]}},"alternative-id":["healthcare14101425"],"URL":"https:\/\/doi.org\/10.3390\/healthcare14101425","relation":{},"ISSN":["2227-9032"],"issn-type":[{"value":"2227-9032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,21]]}}}