{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:28:01Z","timestamp":1790310481844,"version":"4.1.0"},"reference-count":56,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"JSPS KAKENHI","award":["19H03979"],"award-info":[{"award-number":["19H03979"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>The purpose of this study was to assess the prevalence and prognosis of cachexia in patients with non-sarcopenic dysphagia. A retrospective cohort study was conducted using the Japanese sarcopenic dysphagia database. Cachexia was diagnosed using the Asian Working Group for Cachexia criteria, sarcopenia using the Asian Working Group for Sarcopenia 2019 criteria, and malnutrition using the Global Leadership Initiative on Malnutrition criteria. Outcomes were death, swallowing function (Food Intake LEVEL Scale (FILS)), and activities of daily living (Barthel Index (BI)). The mean age of the 175 non-sarcopenic dysphagia patients was 77 (\u00b111) years; 103 (59%) were male, 30 (17%) had cachexia, 133 (76%) had whole-body sarcopenia, and 92 (53%) were malnourished. Of the 30 patients with cachexia, 4 and 11 did not have sarcopenia and malnutrition, respectively. No significant associations were found between cachexia, sarcopenia, and malnutrition. Death was notably higher in the cachexia group (5\/30; 17% vs. 2\/145; 1%, p = 0.002). Median FILS (7 vs. 8, p = 0.585) and median BI (35 vs. 50, p = 0.469) scores did not show significant differences based on cachexia status. The prevalence of cachexia was 17%, and mortality may be higher with cachexia in non-sarcopenic dysphagia patients.<\/jats:p>","DOI":"10.3390\/nu16172917","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T07:59:40Z","timestamp":1725263980000},"page":"2917","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Prevalence and Prognosis of Cachexia in Patients with Non-Sarcopenic Dysphagia: A Retrospective Cohort Study"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6119-1993","authenticated-orcid":false,"given":"Shingo","family":"Kakehi","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine, Tokyo Women\u2019s Medical University Hospital, Tokyo 162-8666, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0364-0818","authenticated-orcid":false,"given":"Hidetaka","family":"Wakabayashi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Tokyo Women\u2019s Medical University Hospital, Tokyo 162-8666, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6048-7058","authenticated-orcid":false,"given":"Takako","family":"Nagai","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Tokyo Women\u2019s Medical University Hospital, Tokyo 162-8666, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinta","family":"Nishioka","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition and Food Service, Nagasaki Rehabilitation Hospital, Nagasaki 850-0854, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eri","family":"Isono","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Tokyo Women\u2019s Medical University Hospital, Tokyo 162-8666, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukiko","family":"Otsuka","sequence":"additional","affiliation":[{"name":"Department of Nursing, Tokyo Women\u2019s Medical University Hospital, Tokyo 162-8666, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junki","family":"Ninomiya","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Tokyo Women\u2019s Medical University Hospital, Tokyo 162-8666, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3274-3952","authenticated-orcid":false,"given":"Ryo","family":"Momosaki","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Tsu City 514-8507, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2945","DOI":"10.1007\/s40520-022-02258-x","article-title":"Frequency and associated factors for swallowing impairment in community-dwelling older persons: A systematic review and meta-analysis","volume":"34","author":"Rech","year":"2022","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1186\/s12967-022-03380-0","article-title":"The global prevalence of oropharyngeal dysphagia in different populations: A systematic review and meta-analysis","volume":"20","author":"Rajati","year":"2022","journal-title":"J. Transl. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/s00455-023-10608-8","article-title":"The Prevalence of Oropharyngeal Dysphagia in Adults: A Systematic Review and Meta-analysis","volume":"39","author":"Ribeiro","year":"2024","journal-title":"Dysphagia"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"3566","DOI":"10.1111\/jan.14188","article-title":"Dysphagia and factors associated with malnutrition risk: A 5-year multicentre study","volume":"75","author":"Lohrmann","year":"2019","journal-title":"J. Adv. Nurs."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Xue, W., He, X., Su, J., Li, S., and Zhang, H. (2024). Association between dysphagia and activities of daily living in older adults: A systematic review and meta-analysis. Eur. Geriatr. Med., 1\u201317.","DOI":"10.1007\/s41999-024-00999-8"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Roberts, H., Lambert, K., and Walton, K. (2024). The Prevalence of Dysphagia in Individuals Living in Residential Aged Care Facilities: A Systematic Review and Meta-Analysis. Healthcare, 12.","DOI":"10.3390\/healthcare12060649"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1183\/09031936.00019012","article-title":"Oropharyngeal dysphagia is a risk factor for community-acquired pneumonia in the elderly","volume":"41","author":"Almirall","year":"2013","journal-title":"Eur. Respir. J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"dox131","DOI":"10.1093\/dote\/dox131","article-title":"Economic and survival burden of dysphagia among inpatients in the United States","volume":"31","author":"Patel","year":"2018","journal-title":"Dis. Esophagus"},{"key":"ref_9","first-page":"e55310","article-title":"Prevalence of Oropharyngeal Dysphagia and Its Value as a Prognostic Factor in Community-Acquired Pneumonia: A Prospective Case-Control Study","volume":"16","year":"2024","journal-title":"Cureus"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"337","DOI":"10.5535\/arm.23101","article-title":"Sarcopenic Dysphagia and Simplified Rehabilitation Nutrition Care Process: An Update","volume":"47","author":"Kakehi","year":"2023","journal-title":"Ann. Rehabil. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1949","DOI":"10.1002\/jcsm.13323","article-title":"Diagnosis and outcomes of cachexia in Asia: Working Consensus Report from the Asian Working Group for Cachexia","volume":"14","author":"Arai","year":"2023","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Pandey, S., Bradley, L., and Del Fabbro, E. (2024). Updates in Cancer Cachexia: Clinical Management and Pharmacologic Interventions. Cancers, 16.","DOI":"10.3390\/cancers16091696"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"100438","DOI":"10.1016\/j.apjon.2024.100438","article-title":"Cancer cachexia: A scoping review on non-pharmacological interventions","volume":"11","author":"Bertocchi","year":"2024","journal-title":"Asia Pac. J. Oncol. Nurs."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1002\/jcsm.13408","article-title":"Validity of the diagnostic criteria from the Asian Working Group for Cachexia in advanced cancer","volume":"15","author":"Sakaguchi","year":"2024","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.1016\/j.clnu.2024.05.018","article-title":"Characteristics and prognostic impact of cancer cachexia defined by the Asian Working Group for Cachexia consensus in patients with curable gastric cancer","volume":"43","author":"Zhang","year":"2024","journal-title":"Clin. Nutr."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Ida, S., Imataka, K., Morii, S., Katsuki, K., and Murata, K. (2024). Frequency and Overlap of Cachexia, Malnutrition, and Sarcopenia in Elderly Patients with Diabetes Mellitus: A Study Using AWGC, GLIM, and AWGS2019. Nutrients, 16.","DOI":"10.3390\/nu16020236"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"105447","DOI":"10.1016\/j.archger.2024.105447","article-title":"Prevalence and relevance of cachexia as diagnosed by two different definitions in patients undergoing hemodialysis: A retrospective and exploratory study","volume":"124","author":"Yoshikoshi","year":"2024","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"100092","DOI":"10.1016\/j.esmoop.2021.100092","article-title":"Cancer cachexia in adult patients: ESMO Clinical Practice Guidelines","volume":"6","author":"Arends","year":"2021","journal-title":"ESMO Open"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Buccheri, E., Dell\u2019Aquila, D., Russo, M., Chiaramonte, R., and Vecchio, M. (2024). Appendicular Skeletal Muscle Mass in Older Adults Can Be Estimated with a Simple Equation Using a Few Zero-Cost Variables. J. Geriatr. Phys. Ther.","DOI":"10.1519\/JPT.0000000000000420"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"afad152","DOI":"10.1093\/ageing\/afad152","article-title":"The accuracy of screening instruments for sarcopenia: A diagnostic systematic review and meta-analysis","volume":"52","author":"Huang","year":"2023","journal-title":"Age Ageing"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"112385","DOI":"10.1016\/j.nut.2024.112385","article-title":"Prevalence and prognosis of cachexia according to the Asian Working Group for Cachexia criteria in sarcopenic dysphagia: A retrospective cohort study","volume":"122","author":"Wakabayashi","year":"2024","journal-title":"Nutrition"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1007\/s41999-024-00984-1","article-title":"Malnutrition and cachexia may affect death but not functional improvement in patients with sarcopenic dysphagia","volume":"15","author":"Yamanaka","year":"2024","journal-title":"Eur. Geriatr. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1007\/s12603-021-1646-y","article-title":"Construction and Quality Evaluation of the Japanese Sarcopenic Dysphagia Database","volume":"25","author":"Mizuno","year":"2021","journal-title":"J. Nutr. Health Aging"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1177\/1545968311402696","article-title":"Results of new policies for inpatient rehabilitation coverage in Japan","volume":"25","author":"Miyai","year":"2011","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1111\/ggi.13591","article-title":"Sarcopenia and dysphagia: Position paper by four professional organizations","volume":"19","author":"Fujishima","year":"2019","journal-title":"Geriatr. Gerontol. Int."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.17987\/jcsm-cr.v2i2.17","article-title":"Development, reliability, and validity of a diagnostic algorithm for sarcopenic dysphagia","volume":"2","author":"Mori","year":"2017","journal-title":"JCSM Clin. Rep."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.jamda.2019.12.012","article-title":"Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment","volume":"21","author":"Chen","year":"2020","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1007\/s00455-014-9577-y","article-title":"Decreased tongue pressure is associated with sarcopenia and sarcopenic dysphagia in the elderly","volume":"30","author":"Maeda","year":"2015","journal-title":"Dysphagia"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.jpainsymman.2012.07.020","article-title":"Reliability and validity of a tool to measure the severity of dysphagia: The Food Intake LEVEL Scale","volume":"46","author":"Kunieda","year":"2013","journal-title":"J. Pain Symptom Manag."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1016\/0895-4356(89)90065-6","article-title":"Improving the sensitivity of the Barthel Index for stroke rehabilitation","volume":"42","author":"Shah","year":"1989","journal-title":"J. Clin. Epidemiol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.clnu.2018.08.002","article-title":"GLIM criteria for the diagnosis of malnutrition\u2014A consensus report from the global clinical nutrition community","volume":"38","author":"Cederholm","year":"2019","journal-title":"Clin. Nutr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"112301","DOI":"10.1016\/j.nut.2023.112301","article-title":"Diagnosis and prevalence of cachexia in Asians: A scoping review","volume":"119","author":"Ueshima","year":"2024","journal-title":"Nutrition"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1007\/s11914-020-00628-w","article-title":"Sex Differences in Cancer Cachexia","volume":"18","author":"Zhong","year":"2020","journal-title":"Curr. Osteoporos. Rep."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Geppert, J., and Rohm, M. (2024). Cancer cachexia: Biomarkers and the influence of age. Mol. Oncol., 1\u201317.","DOI":"10.1002\/1878-0261.13590"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Permuth, J.B., Park, M.A., Chen, D.T., Basinski, T., Powers, B.D., Gwede, C.K., Dezsi, K.B., Gomez, M., Vyas, S.L., and Biachi, T. (2024). Leveraging real-world data to predict cancer cachexia stage, quality of life, and survival in a racially and ethnically diverse multi-institutional cohort of treatment-na\u00efve patients with pancreatic ductal adenocarcinoma. Front. Oncol., 14.","DOI":"10.3389\/fonc.2024.1362244"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.clnesp.2024.04.017","article-title":"Prognostic value of body composition in patients with digestive tract cancers: A prospective cohort study of 8267 adults from China","volume":"62","author":"Han","year":"2024","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Rosa-Caldwell, M.E., and Greene, N.P. (2019). Muscle metabolism and atrophy: Let\u2019s talk about sex. Biol. Sex Differ., 10.","DOI":"10.1186\/s13293-019-0257-3"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"2146","DOI":"10.1002\/jcsm.12998","article-title":"Sex specificity of pancreatic cancer cachexia phenotypes, mechanisms, and treatment in mice and humans: Role of Activin","volume":"13","author":"Zhong","year":"2022","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1226","DOI":"10.1002\/jcsm.13477","article-title":"Mortality burden of pre-treatment weight loss in patients with non-small-cell lung cancer: A systematic literature review and meta-analysis","volume":"15","author":"Bonomi","year":"2024","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.clnesp.2024.02.026","article-title":"Impacts of fluid retention on prognostic abilities of cachexia diagnostic criteria in cancer patients with refractory cachexia","volume":"60","author":"Amano","year":"2024","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1007\/s12603-019-1267-x","article-title":"Differences in the Prevalence of Sarcopenia in Community-Dwelling, Nursing Home and Hospitalized Individuals. A Systematic Review and Meta-Analysis","volume":"24","author":"Papadopoulou","year":"2020","journal-title":"J. Nutr. Health Aging"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1007\/s00198-018-4381-4","article-title":"Systematic review and meta-analysis of prevalence of sarcopenia in post acute inpatient rehabilitation","volume":"29","author":"Churilov","year":"2018","journal-title":"Osteoporos. Int."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Wan, S.N., Thiam, C.N., Ang, Q.X., Engkasan, J., and Ong, T. (2023). Incident sarcopenia in hospitalized older people: A systematic review. PLoS ONE, 18.","DOI":"10.1371\/journal.pone.0289379"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"e172","DOI":"10.1093\/pubmed\/fdaa226","article-title":"Frailty, sarcopenia, cachexia and malnutrition as comorbid conditions and their associations with mortality: A prospective study from UK Biobank","volume":"44","author":"Pell","year":"2022","journal-title":"J. Public Health"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1002\/jgf2.625","article-title":"Hospital-associated sarcopenia, acute sarcopenia, and iatrogenic sarcopenia: Prevention of sarcopenia during hospitalization","volume":"24","author":"Wakabayashi","year":"2023","journal-title":"J. Gen. Fam. Med."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1097\/SPC.0000000000000630","article-title":"Interventions to improve nutritional status for older patients with cancer\u2014A holistic approach is needed","volume":"17","author":"Liposits","year":"2023","journal-title":"Curr. Opin. Support. Palliat. Care"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Agostini, D., Gervasi, M., Ferrini, F., Bartolacci, A., Stranieri, A., Piccoli, G., Barbieri, E., Sestili, P., Patti, A., and Stocchi, V. (2023). An Integrated Approach to Skeletal Muscle Health in Aging. Nutrients, 15.","DOI":"10.3390\/nu15081802"},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Mititelu, M., Licu, M., Neac\u0219u, S.M., C\u0103lin, M.F., Matei, S.R., Scafa-Udri\u0219te, A., Stanciu, T.I., Busnatu, \u0218., Olteanu, G., and M\u0103ru, N. (2024). An Assessment of Behavioral Risk Factors in Oncology Patients. Nutrients, 16.","DOI":"10.3390\/nu16152527"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Mangano, G.R.A., Avola, M., Blatti, C., Caldaci, A., Sapienza, M., Chiaramonte, R., Vecchio, M., Pavone, V., and Testa, G. (2022). Non-Adherence to Anti-Osteoporosis Medication: Factors Influencing and Strategies to Overcome It. A Narrative Review. J. Clin. Med., 12.","DOI":"10.3390\/jcm12010014"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1007\/s00520-024-08649-2","article-title":"Patient attitudes and experiences towards exercise during oncological treatment. A qualitative systematic review","volume":"32","author":"Finch","year":"2024","journal-title":"Support. Care Cancer"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"100322","DOI":"10.1016\/j.apjon.2023.100322","article-title":"Management of cancer cachexia towards optimizing care delivery and patient outcomes","volume":"10","author":"Gautam","year":"2023","journal-title":"Asia Pac. J. Oncol. Nurs."},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Park, M.A., Whelan, C.J., Ahmed, S., Boeringer, T., Brown, J., Crowder, S.L., Gage, K., Gregg, C., Jeong, D.K., and Jim, H.S.L. (2024). Defining and Addressing Research Priorities in Cancer Cachexia through Transdisciplinary Collaboration. Cancers, 16.","DOI":"10.3390\/cancers16132364"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"100335","DOI":"10.1016\/j.apjon.2023.100335","article-title":"Exercise-based interventions for cancer cachexia: A systematic review of randomised and non-randomised controlled trials","volume":"10","author":"Cheung","year":"2023","journal-title":"Asia Pac. J. Oncol. Nurs."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1097\/MCO.0000000000001022","article-title":"Exercise and nutrition interventions for renal cachexia","volume":"27","author":"Slee","year":"2024","journal-title":"Curr. Opin. Clin. Nutr. Metab. Care"},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Meza-Valderrama, D., Marco, E., D\u00e1valos-Yerovi, V., Muns, M.D., Tejero-S\u00e1nchez, M., Duarte, E., and S\u00e1nchez-Rodr\u00edguez, D. (2021). Sarcopenia, Malnutrition, and Cachexia: Adapting Definitions and Terminology of Nutritional Disorders in Older People with Cancer. Nutrients, 13.","DOI":"10.3390\/nu13030761"},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Aprile, G., Basile, D., Giaretta, R., Schiavo, G., La Verde, N., Corradi, E., Monge, T., Agustoni, F., and Stragliotto, S. (2021). The Clinical Value of Nutritional Care before and during Active Cancer Treatment. Nutrients, 13.","DOI":"10.3390\/nu13041196"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/17\/2917\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:46:35Z","timestamp":1760111195000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/17\/2917"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,1]]},"references-count":56,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["nu16172917"],"URL":"https:\/\/doi.org\/10.3390\/nu16172917","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,1]]}}}