{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:20:15Z","timestamp":1760149215130,"version":"build-2065373602"},"reference-count":54,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T00:00:00Z","timestamp":1688688000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>(1) Background: This study aimed to assess body composition (BC) using bioelectrical impedance and food intake in juvenile dermatomyositis (JDM) patients. Associations between BC and physical activity, disease activity\/cumulative damage and health-related quality of life parameters were also evaluated; (2) Methods: This was a cross-sectional study with 30 consecutive JDM patients (18 female and 12 male) and 24 healthy volunteers (14 female and 10 male) of both sexes followed at our pediatric rheumatology unit. The gathering of anthropometric and dietary data, and the performance of physical activity and bioelectrical impedance were undertaken in face-to-face meetings and through questionnaires. Clinical and therapeutic data were collected from medical records according to information from routine medical appointments; (3) Results: The frequency of high\/very high body fat was significantly higher in controls compared with JDM patients (66.7% vs. 91.7%; p = 0.046). The median phase angle was significantly lower in patients compared with controls (5.2 \u00b1 1.3 vs. 6.1 \u00b1 1.0; p = 0.016). Body fat and lean mass were positively correlated with disease duration (rs = +0.629, p &lt; 0.001 and rs = +0.716, p &lt; 0.001, respectively) and phase angle (PhA) (rs = +0.400, p = 0.029 and rs = +0.619, p &lt; 0.001, respectively). JDM patients with PhA \u2265 5.5 presented higher lean mass when compared with patients with PhA &lt; 5.5 (p = 0.001); (4) Conclusions: Bioelectrical impedance can be a useful auxiliary exam in the medical and nutritional follow-up of JDM patients, because it seems to impact functional ability. These findings may assist professionals when advising JDM patients about the importance of physical activity and healthy eating in the preservation of lean mass.<\/jats:p>","DOI":"10.3390\/nu15133057","type":"journal-article","created":{"date-parts":[[2023,7,7]],"date-time":"2023-07-07T02:28:46Z","timestamp":1688696926000},"page":"3057","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Body Composition and Phase Angle: How to Improve Nutritional Evaluation in Juvenile Dermatomyositis Patients"],"prefix":"10.3390","volume":"15","author":[{"given":"Camila","family":"Pugliese","sequence":"first","affiliation":[{"name":"Nutrition Unit, Children and Adolescent\u2019s Institute, Hospital das Cl\u00ednicas HCFMUSP, Faculdade de Medicina, Universidade de S\u00e3o Paulo, Av. Dr. En\u00e9as Carvalho de Aguiar, 647-Cerqueira C\u00e9sar, S\u00e3o Paulo 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artur Figueiredo","family":"Delgado","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Children and Adolescent\u2019s Institute, Hospital das Cl\u00ednicas HCFMUSP, Faculdade de Medicina, Universidade de S\u00e3o Paulo, Av. Dr. En\u00e9as Carvalho de Aguiar, 647-Cerqueira C\u00e9sar, S\u00e3o Paulo 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katia Tomie","family":"Kozu","sequence":"additional","affiliation":[{"name":"Rheumatology Unit, Children and Adolescent\u2019s Institute, Hospital das Cl\u00ednicas HCFMUSP, Faculdade de Medicina, Universidade de S\u00e3o Paulo, Av. Dr. En\u00e9as Carvalho de Aguiar, 647-Cerqueira C\u00e9sar, S\u00e3o Paulo 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9653-0468","authenticated-orcid":false,"given":"Lucia Maria de Arruda","family":"Campos","sequence":"additional","affiliation":[{"name":"Rheumatology Unit, Children and Adolescent\u2019s Institute, Hospital das Cl\u00ednicas HCFMUSP, Faculdade de Medicina, Universidade de S\u00e3o Paulo, Av. Dr. En\u00e9as Carvalho de Aguiar, 647-Cerqueira C\u00e9sar, S\u00e3o Paulo 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7585-4348","authenticated-orcid":false,"given":"Nadia Emi","family":"Aikawa","sequence":"additional","affiliation":[{"name":"Rheumatology Unit, Children and Adolescent\u2019s Institute, Hospital das Cl\u00ednicas HCFMUSP, Faculdade de Medicina, Universidade de S\u00e3o Paulo, Av. Dr. En\u00e9as Carvalho de Aguiar, 647-Cerqueira C\u00e9sar, S\u00e3o Paulo 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clovis Artur","family":"Silva","sequence":"additional","affiliation":[{"name":"Rheumatology Unit, Children and Adolescent\u2019s Institute, Hospital das Cl\u00ednicas HCFMUSP, Faculdade de Medicina, Universidade de S\u00e3o Paulo, Av. Dr. En\u00e9as Carvalho de Aguiar, 647-Cerqueira C\u00e9sar, S\u00e3o Paulo 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"Maluf Elias","sequence":"additional","affiliation":[{"name":"Rheumatology Unit, Children and Adolescent\u2019s Institute, Hospital das Cl\u00ednicas HCFMUSP, Faculdade de Medicina, Universidade de S\u00e3o Paulo, Av. Dr. En\u00e9as Carvalho de Aguiar, 647-Cerqueira C\u00e9sar, S\u00e3o Paulo 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,7,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1097\/MD.0b013e31816bc604","article-title":"Predictors of acquired lipodystrophy in juvenile-onset dermatomyositis and a gradient of severity","volume":"87","author":"Bingham","year":"2008","journal-title":"Medicine"},{"unstructured":"Petty, R.E., Laxer, R.M., Lindsley, C.B., and Wedderburn, L.R. (2016). Textbook of Pediatric Rheumatology, Elsevier. [7th ed.].","key":"ref_2"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1159\/000512243","article-title":"Anthropometric evaluation and assessment of food intake of parents of pediatric patients with chronic rheumatic diseases","volume":"76","author":"Pereira","year":"2020","journal-title":"Ann. Nutr. Metab."},{"key":"ref_4","first-page":"638","article-title":"Dyslipidaemia in juvenile dermatomyositis: The role of disease activity","volume":"31","author":"Kozu","year":"2013","journal-title":"Clin. Exp. Rheumatol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/s42358-018-0024-x","article-title":"Juvenile dermatomyositis: Is periodontal disease associated with dyslipidemia?","volume":"58","author":"Kozu","year":"2018","journal-title":"Adv. Rheumatol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s12969-020-0415-5","article-title":"Assessment of traditional and non-traditional risk factors for premature atherosclerosis in children with juvenile dermatomyositis and pediatric controls","volume":"18","author":"Wahezi","year":"2020","journal-title":"Pediatr. Rheumatol. Online J."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1080\/03009740701687226","article-title":"Bone mineral apparent density in juvenile dermatomyositis: The role of lean body mass and glucocorticoid use","volume":"37","author":"Santiago","year":"2008","journal-title":"Scand. J. Rheumatol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.semarthrit.2016.03.010","article-title":"Physical (in)activity and its influence on disease-related features, physical capacity, and health-related quality of life in a cohort of chronic juvenile dermatomyositis patients","volume":"46","author":"Pinto","year":"2016","journal-title":"Semin. Arthritis Rheum."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1590\/S0021-75572009000600007","article-title":"Inadequate dietary intake of children and adolescents with juvenile idiopathic arthritis and systemic lupus erythematosus","volume":"85","author":"Caetano","year":"2009","journal-title":"J. Pediatr. (Rio J.)"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1016\/j.clnu.2012.05.008","article-title":"Bioelectrical phase angle and impedance vector analysis\u2014Clinical relevance and applicability of impedance parameters","volume":"31","author":"Norman","year":"2012","journal-title":"Clin. Nutr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1186\/s12969-018-0297-y","article-title":"Body composition and phase angle as an indicator of nutritional status in children with juvenile idiopathic arthritis","volume":"16","year":"2018","journal-title":"Pediatr. Rheumatol. Online J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1002\/ncp.10201","article-title":"Bioelectrical Impedance Phase Angle and Morbidity and Mortality in Critically Ill Children","volume":"34","author":"Zamberlan","year":"2019","journal-title":"Nutr. Clin. Pract."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1177\/0148607106030004309","article-title":"Phase angle from bioelectrical impedance analysis: Population reference values by age, sex, and body mass index","volume":"30","author":"Danielzik","year":"2006","journal-title":"J. Parenter. Enter. Nutr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1590\/S1415-52732011000600009","article-title":"Bioelectric impedance analysis and its use for nutritional assessments","volume":"24","author":"Eickemberg","year":"2011","journal-title":"Rev. Nutr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.clnu.2016.09.004","article-title":"ESPEN guidelines on definitions and terminology of clinical nutrition","volume":"36","author":"Cederholm","year":"2017","journal-title":"Clin. Nutr."},{"doi-asserted-by":"crossref","unstructured":"Al-Jawaldeh, A., Taktouk, M., and Nasreddine, L. (2020). Food Consumption Patterns and Nutrient Intakes of Children and Adolescents in the Eastern Mediterranean Region: A Call for Policy Action. Nutrients, 12.","key":"ref_16","DOI":"10.3390\/nu12113345"},{"key":"ref_17","first-page":"368","article-title":"Physical activity or paediatric rheumatic diseases: Standing up against old paradigms","volume":"13","author":"Gualano","year":"2007","journal-title":"Reviews"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1056\/NEJM197502132920706","article-title":"Polymyositis and dermatomyositis (first of two parts)","volume":"292","author":"Bohan","year":"1975","journal-title":"N. Engl. J. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"660","DOI":"10.2471\/BLT.07.043497","article-title":"Development of a World Health Organization growth reference for school-aged children and adolescents","volume":"85","author":"Onyango","year":"2007","journal-title":"Bull. World Health Organ."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s10067-015-3125-5","article-title":"Juvenile idiopathic arthritis activity and function ability: Deleterious effects in periodontal disease?","volume":"35","author":"Pugliese","year":"2016","journal-title":"Clin. Rheumatol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1016\/S0002-8223(02)90346-9","article-title":"Food and Nutrition Board of the Institute of Medicine, The National Academies. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids","volume":"102","author":"Trumbo","year":"2002","journal-title":"J. Am. Diet Assoc."},{"unstructured":"Food and Agriculture Organization of the United Nation (2009). Fats and fatty acids in human nutrition. Proceedings of the Joint FAO\/WHO Expert Consultation, Geneva, Switzerland, 10\u201314 November 2008. Ann. Nutr. Metab., 55, 5\u2013300.","key":"ref_22"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1542\/peds.96.5.985","article-title":"A new recommendation for dietary fiber in childhood","volume":"96","author":"Willians","year":"1995","journal-title":"Pediatrics"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1093\/ajcn\/27.10.1052","article-title":"Triceps skin fold and upper arm muscle size norms for assessment of nutritional status","volume":"27","author":"Frisancho","year":"1974","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1093\/ajcn\/40.4.808","article-title":"New standards of weight and body composition by frame size and height for assessment of nutritional status of adults and the elderly","volume":"40","author":"Frisancho","year":"1984","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_26","first-page":"709","article-title":"Skinfold equations for estimation of body fatness in children and youth","volume":"6","author":"Slaughter","year":"1988","journal-title":"Hum. Biol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1079\/BJN19910073","article-title":"Body mass index as a measure of body fatness: Age-and sex-specific prediction formulas","volume":"65","author":"Deurenberg","year":"1991","journal-title":"Br. J. Nutr."},{"unstructured":"Lohman, T.G. (1992). Advances in Body Composition Assessment. Current Issues in Exercise Science (CIES), Human Kinetics Publishers.","key":"ref_28"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1093\/ajcn\/72.2.490","article-title":"Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fat mass, as measured by dual-energy X-ray absorptiometry, in children aged 3\u201319 y","volume":"72","author":"Taylor","year":"2000","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_30","first-page":"157","article-title":"Waist-to-height ratio as a discriminator of coronary risk in adults","volume":"52","author":"Pitanga","year":"2006","journal-title":"Rev. Assoc. Med. Bras."},{"key":"ref_31","first-page":"66","article-title":"Habilidade da raz\u00e3o cintura-estatura na identifica\u00e7\u00e3o de risco \u00e0 sa\u00fade","volume":"53","author":"Facchini","year":"2019","journal-title":"Rev. Sa\u00fade P\u00fablica"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1542\/peds.33.4.593","article-title":"The syndromes of total lipodystrophy and partial lipodystrophy","volume":"33","author":"Senior","year":"1964","journal-title":"Pediatrics"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1595","DOI":"10.1002\/art.20179","article-title":"Validation and clinical significance of the Childhood Myositis Assessment Scale for assessment of muscle function in the juvenile idiopathic inflammatory myopathies","volume":"50","author":"Huber","year":"2004","journal-title":"Arthritis Rheum."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1136\/annrheumdis-2012-201483","article-title":"The PRINTO criteria for clinically inactive disease in juvenile dermatomyositis","volume":"72","author":"Lazarevic","year":"2013","journal-title":"Ann. Rheum. Dis."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"S118","DOI":"10.1002\/acr.20532","article-title":"Measures of adult and juvenile dermatomyositis, polymyositis, and inclusion body myositis: Physician and Patient\/Parent Global Activity, Manual Muscle Testing (MMT), Health Assessment Questionnaire (HAQ)\/Childhood Health Assessment Questionnaire (CHAQ), Childhood Myositis Assessment Scale (CMAS), Myositis Disease Activity Assessment Tool (MDAAT), Disease Activity Score (DAS), Short Form 36 (SF-36), Child Health Questionnaire (CHQ), physician global damage, Myositis Damage Index (MDI), Quantitative Muscle Testing (QMT), Myositis Functional Index-2 (FI-2), Myositis Activities Profile (MAP), Inclusion Body Myositis Functional Rating Scale (IBMFRS), Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI), Cutaneous Assessment Tool (CAT), Dermatomyositis Skin Severity Index (DSSI), Skindex, and Dermatology Life Quality Index (DLQI)","volume":"63","author":"Rider","year":"2011","journal-title":"Arthritis Care Res."},{"key":"ref_36","first-page":"25","article-title":"Paediatric Rheumatology International Trials Organization. The Brazilian version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ)","volume":"19","author":"Machado","year":"2001","journal-title":"Clin. Exp. Rheumatol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1590\/S0021-75572008000400005","article-title":"Quality of life of children and adolescents from S\u00e3o Paulo: Reliability and validity of the Brazilian version of the Pediatric Quality of Life Inventory version 4.0 Generic Core Scales","volume":"84","author":"Klatchoian","year":"2008","journal-title":"J. Pediatr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1002\/art.24343","article-title":"Health-Related Quality of Life of Patients with Juvenile Dermatomyositis: Results from the Paediatric Rheumatology International Trials Organization Multinational Quality of Life Cohort Study","volume":"61","author":"Apaz","year":"2009","journal-title":"Arthritis Rheum."},{"unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, Lawrence Erlbaum Associates. [2nd ed.].","key":"ref_39"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1590\/S0482-50042005000500004","article-title":"Impacto da Atividade Inflamat\u00f3ria e Uso de Glicocortic\u00f3ide nas Vari\u00e1veis Nutricionais da Artrite Idiop\u00e1tica Juvenil","volume":"45","author":"Bisotto","year":"2005","journal-title":"Rev. Bras. Reumatol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1093\/rheumatology\/41.10.1172","article-title":"Measuring the nutritional status of children with juvenile idiopathic arthritis using the bioelectrical impedance method","volume":"41","author":"Lofthouse","year":"2002","journal-title":"Rheumatology"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"477","DOI":"10.3345\/cep.2020.01081","article-title":"The COVID-19 pandemic: An unprecedented tragedy in the battle against childhood obesity","volume":"63","author":"Storz","year":"2020","journal-title":"Clin. Exp. Pediatr."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1002\/oby.22813","article-title":"COVID-19-Related School Closings and Risk of Weight Gain Among Children","volume":"28","author":"Rundle","year":"2020","journal-title":"Obesity"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.autrev.2010.04.001","article-title":"Evidence for prescribing exercise as treatment in pediatric rheumatic diseases","volume":"9","author":"Gualano","year":"2010","journal-title":"Autoimmun. Rev."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.berh.2017.12.003","article-title":"Juvenile dermatomyositis: Latest advances","volume":"31","author":"Wu","year":"2017","journal-title":"Best Pract. Res. Clin. Rheumatol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1038\/ejcn.2015.86","article-title":"Body composition during growth in children: Limitations and perspectives of bioelectrical impedance analysis","volume":"69","author":"Kyle","year":"2015","journal-title":"Eur. J. Clin. Nutr."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.physio.2013.11.004","article-title":"Normative data for hand grip strength in healthy children measured with a bulb dynamometer: A cross-sectional study","volume":"100","author":"Pizzato","year":"2014","journal-title":"Physiotherapy"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.jped.2013.03.023","article-title":"Predictive capacity of different bioelectrical impedance analysis devices, with and without protocol, in the evaluation of adolescents","volume":"89","author":"Faria","year":"2013","journal-title":"J. Pediatr."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"112825","DOI":"10.1016\/j.physbeh.2020.112825","article-title":"Association between phase angle and isolated and grouped physical fitness indicators in adolescents","volume":"217","author":"Martins","year":"2020","journal-title":"Physiol. Behav."},{"doi-asserted-by":"crossref","unstructured":"Barrea, L., Muscogiuri, G., Pugliese, G., Laudisio, D., de Alteriis, G., Graziadio, C., Colao, A., and Savastano, S. (2021). Phase Angle as an Easy Diagnostic Tool of Meta-Inflammation for the Nutritionist. Nutrients, 13.","key":"ref_50","DOI":"10.3390\/nu13051446"},{"unstructured":"US Department of Health and Human Services, and National Center for Health Statistics (1996). The Third National Health and Nutrition Examination Survey (NHANES III, 1988\u20131994).","key":"ref_51"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"202","DOI":"10.3109\/03009742.2015.1063686","article-title":"Subclinical left ventricular dysfunction in childhood-onset systemic lupus erythematosus: A two-dimensional speckle-tracking echocardiographic study","volume":"45","author":"Leal","year":"2016","journal-title":"Scand. J. Rheumatol."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1590\/S0004-282X2002000600001","article-title":"Juvenile dermatomyositis: Clinical, laboratorial, histological, therapeutical and evolutive parameters of 35 patients","volume":"60","author":"Sallum","year":"2002","journal-title":"Arq. Neuro-Psiquiatr."},{"key":"ref_54","first-page":"1031","article-title":"Rheumatology Committee of the S\u00e3o Paulo Paediatrics Society. A Brazilian registry of juvenile dermatomyositis: Onset features and classification of 189 cases","volume":"27","author":"Sato","year":"2009","journal-title":"Clin. Exp. Rheumatol."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/15\/13\/3057\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T20:07:44Z","timestamp":1760126864000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/15\/13\/3057"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,7]]},"references-count":54,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2023,7]]}},"alternative-id":["nu15133057"],"URL":"https:\/\/doi.org\/10.3390\/nu15133057","relation":{},"ISSN":["2072-6643"],"issn-type":[{"type":"electronic","value":"2072-6643"}],"subject":[],"published":{"date-parts":[[2023,7,7]]}}}