scholarly journals 3 Changes in growth performance, feeding behaviors, and posture behaviors of growing pigs subjected to low-intensity heat stress

2020 ◽  
Vol 98 (Supplement_4) ◽  
pp. 3-4
Author(s):  
Lauren E Anderson ◽  
Jonathan P Holt ◽  
Eric van Heugten ◽  
Daniel H Poole
Keyword(s):  
Heat Stress ◽  
Growing Pigs ◽  
Feeding Behaviors ◽  
Ambient Temperatures ◽  
Low Intensity ◽  
Feeding Duration ◽  
Time Interaction ◽  
Useful Heat ◽  
Time Of Feeding ◽  
The Impact

Abstract This study was to determine the impact of low-intensity heat stress on frequency and duration of feeding, drinking, ventral lying, and lying lateral lying behaviors. Pigs (n = 64; 24.6 ± 3.7 kg BW) were housed four per pen in thermoneutral conditions (CON; 23.9 °C ± 2.5 °C) or constant high ambient temperatures (HS; 28.7 °C ± 1.3 °C) for 16 d, followed by thermoneutral conditions (24.4 °C ± 1.8 °C) for both groups through d 21, and subsequent heat stress (28.0 °C ± 3.0 °C) for both groups through d 30. Eight focal pigs (2 pens/treatment) were video-recorded on d 3, 6, 10, 13, 20, and 29 at three time periods (morning: 0600-0800, afternoon: 1200–1400, evening: 1800–2000). Heat stress reduced ADG (HS: 1.00 kg/d, CON: 1.13 kg/d; P = 0.020) from d 14 through d 21, tended to reduce ADFI (HS: 2.14 kg/d, CON: 2.24 kg/d; P = 0.085), and increased GF (HS: 0.62, CON: 0.52; P = 0.006) from d 1 through d 7. Surface body temperature from d 2 through d 15 was greater in HS than CON pigs (mean: 39.4 °C, 37.6 °C, respectively), and was lower on d 18 for HS than CON pigs (36.4 °C vs. 37.8 °C, respectively) and d 22 (38.6 °C vs 39.3 °C, respectively). A treatment x day x time interaction for feeding duration (P = 0.003) showed CON pigs spent longer at the feeder in the morning of d 6 than HS (22.70 min, 8.97 min, respectively), but CON spent less time than HS during d 6 evening (8.78 min, 19.57 min, respectively). HS pigs visited the feeder more frequently in the evening (14.4 bouts) than CON pigs (7.8 bouts; P = 0.029). Low-intensity heat stress negatively impacted performance and altered time of feeding duration and frequency, indicating feeding behavior may be a useful heat stress predictor.

scholarly journals PSI-4 Changes in serum cortisol concentrations and cytokine profiles of growing pigs subjected to low-intensity heat stress

2020 ◽  
Vol 98 (Supplement_4) ◽  
pp. 266-267
Author(s):  
Lauren E Anderson ◽  
Jonathan P Holt ◽  
Eric van Heugten ◽  
Daniel H Poole
Keyword(s):  
Heat Stress ◽  
Serum Cortisol ◽  
Lung Lavage ◽  
Growing Pigs ◽  
Jejunal Mucosa ◽  
Ileal Mucosa ◽  
Ambient Temperatures ◽  
Low Intensity ◽  
Macrophage Colony ◽  
The Impact

Abstract This study was to determine the impact of low-intensity heat stress on inflammatory biomarkers in serum, ileum, jejunum and lung lavage samples. Pigs (n = 64; 24.6 ± 3.7 kg BW) were housed four per pen in thermoneutral conditions (CON; 23.9°C ± 2.5°C) or constant high ambient temperatures (HS; 28.7°C ± 1.3°C) for 16 d, followed by thermoneutral conditions (24.4°C ± 1.8°C) for both groups through d 21, and subsequent heat stress (28.0°C ± 3.0°C) for both groups through d 30. Respiration rate (P < 0.01) was greater in HS than CON pigs from d 2 through d 15 (mean: 82.54 breaths/min vs. 59.26 breaths/min). HS pigs had greater cortisol concentration (40.1 ng/mL vs. 27.3 ng/mL) than CON on d 2, but lower concentrations on d 22 (32.9 ng/mL vs. 48.9 ng/mL) and d 25 (25.4 ng/mL vs. 42.0 ng/mL; treatment x day: P < 0.001). HS pigs tended to have greater serum IL1β (190.1 vs. 143.4 pg/mL; P = 0.06) and greater serum IL12 concentrations (914.9 vs. 785.4 pg/mL; P < 0.01) than CON pigs. HS pigs tended to have greater ileal mucosa IL6 concentrations than CON pigs (50.4 vs. 30.9 pg/mL; P = 0.08). Jejunal mucosa IL1α concentrations tended (P = 0.10) to be greater for CON than HS pigs (13.5 vs. 9.0 pg/mL) and CON pigs had greater jejunal IL12 concentrations (18.1 vs. 11.8 pg/mL) than HS pigs (P = 0.02). Bronchioalveolar lavage from HS pigs tended (P = 0.10) to have a greater granulocyte-macrophage colony-stimulating factor concentration (6.9 vs. 5.3 pg/mL) than CON pigs and had greater IL4 (7.7 vs. 4.2 pg/mL) and IL12 concentrations (34.8 vs. 24.5 pg/mL) than CON pigs (P = 0.01). Increased inflammatory activity and endocrine stress response occurred during low-intensity heat stress, indicating it may be more detrimental than previously accepted.

scholarly journals Review: Impacts of shade on cattle well-being in the beef supply chain

2020 ◽  
Author(s):  
Lily N Edwards-Callaway ◽  
M Caitlin Cramer ◽  
Caitlin N Cadaret ◽  
Elizabeth J Bigler ◽  
Terry E Engle ◽  
...  
Keyword(s):  
Supply Chain ◽  
Heat Stress ◽  
Beef Cattle ◽  
Production Systems ◽  
Construction Materials ◽  
Well Being ◽  
Third Party ◽  
Ambient Temperatures ◽  
Stress Susceptibility ◽  
The Impact

ABSTRACT Shade is a mechanism to reduce heat load providing cattle with an environment supportive of their welfare needs. Although heat stress has been extensively reviewed, researched, and addressed in dairy production systems, it has not been investigated in the same manner in the beef cattle supply chain. Like all animals, beef cattle are susceptible to heat stress if they are unable to dissipate heat during times of elevated ambient temperatures. There are many factors that impact heat stress susceptibility in beef cattle throughout the different supply chain sectors, many of which relate to the production system, i.e. availability of shade, microclimate of environment, and nutrition management. The results from studies evaluating the effects of shade on production and welfare are difficult to compare due to variation in structural design, construction materials used, height, shape, and area of shade provided. Additionally, depending on operation location, shade may or may not be beneficial during all times of the year, which can influence the decision to make shade a permanent part of management systems. Shade has been shown to lessen the physiologic response of cattle to heat stress. Shaded cattle exhibit lower respiration rates, body temperatures, and panting scores compared to un-shaded cattle in weather that increases the risk of heat stress. Results from studies investigating the provision of shade indicate that cattle seek shade in hot weather. The impact of shade on behavioral patterns is inconsistent in the current body of research, some studies indicating shade provision impacts behavior and other studies reporting no difference between shaded and un-shaded groups. Analysis of performance and carcass characteristics across feedlot studies demonstrated that shaded cattle had increased ADG, improved feed efficiency, HCW, and dressing percentage when compared to cattle without shade. Despite the documented benefits of shade, current industry statistics, although severely limited in scope, indicate low shade implementation rates in feedlots and data in other supply chain sectors do not exist. Industry guidelines and third party on-farm certification programs articulate the critical need for protection from extreme weather but are not consistent in providing specific recommendations and requirements. Future efforts should include: updated economic analyses of cost versus benefit of shade implementation, exploration of producer perspectives and needs relative to shade, consideration of shade impacts in the cow-calf and slaughter plant segments of the supply chain, and integration of indicators of affective (mental) state and preference in research studies to enhance the holistic assessment of cattle welfare.

The impact of heat stress on intestinal function and productivity in grow-finish pigs

2015 ◽  
Vol 55 (12) ◽  
pp. 1403 ◽  
Author(s):  
N. K. Gabler ◽  
S. C. Pearce
Keyword(s):  
Heat Stress ◽  
Gastrointestinal Tract ◽  
Well Being ◽  
Growing Pigs ◽  
Intestinal Function ◽  
Transport Pathways ◽  
Altered Expression ◽  
Intestinal Integrity ◽  
Increased Risk ◽  
The Impact

Heat stress is a physiological condition when animals can no longer regulate their internal euthermic temperature. When livestock such as pigs are subjected to this environmental stress, it can be detrimental to performance, health and well-being, and if severe enough even death. Growing pigs are particularly susceptible to heat stress and one of the major organs first affected by heat stress is the gastrointestinal tract. As a result, reductions in appetite, intestinal function and integrity and increased risk of endotoxemia can modify post-absorptive metabolism and tissue accretion. These changes in intestinal integrity may be a result of altered expression of tight junction proteins, increased circulating endotoxin concentrations and markers of cellular stress (heat shock and hypoxia response), which is evident as early on as 2 h after heat-stress onset. Due to restricted blood flow, the ileum is more severely affected compared with the colon. Interestingly, many of the negative effects of heat stress on intestinal integrity appear to be similar to those observed with pigs reared under reduced nutrient and caloric intakes. Altogether, these depress pig performance and health, and extend days to market. Despite this impact on the gastrointestinal tract, under heat-stress conditions, intestinal glucose transport pathways are upregulated. This review discussed how heat stress (directly and indirectly via reduced feed intake) affects intestinal integrity and how heat stress contributes to decreased growth performance in growing pigs.

scholarly journals Effect of chronic and acute heat challenges on fecal microbiota composition, production, and thermoregulation traits in growing pigs1,2

2019 ◽  
Vol 97 (9) ◽  
pp. 3845-3858 ◽  
Author(s):  
Mathilde Le Sciellour ◽  
Olivier Zemb ◽  
Isabelle Hochu ◽  
Juliette Riquet ◽  
Hélène Gilbert ◽  
...  
Keyword(s):  
Heat Stress ◽  
Error Rate ◽  
Fecal Microbiota ◽  
Sensu Stricto ◽  
Growing Pigs ◽  
Partial Least Square ◽  
Least Square ◽  
Classification Error ◽  
Microbiota Composition ◽  
The Impact

Abstract The present study aimed at investigating the impact of heat challenges on gut microbiota composition in growing pigs and its relationship with pigs’ performance and thermoregulation responses. From a total of 10 F1 sire families, 558 and 564 backcross Large White × Créole pigs were raised and phenotyped from 11 to 23 wk of age in temperate (TEMP) and in tropical (TROP) climates, respectively. In TEMP, all pigs were subjected to an acute heat challenge (3 wk at 29 °C) from 23 to 26 wk of age. Feces samples were collected at 23 wk of age both in TEMP and TROP climate (TEMP23 and TROP23 samples, respectively) and at 26 wk of age in TEMP climate (TEMP26 samples) for 16S rRNA analyses of fecal microbiota composition. The fecal microbiota composition significantly differed between the 3 environments. Using a generalized linear model on microbiota composition, 182 operational taxonomic units (OTU) and 2 pathways were differentially abundant between TEMP23 and TEMP26, and 1,296 OTU and 20 pathways between TEMP23 and TROP23. Using fecal samples collected at 23 wk of age, pigs raised under the 2 climates were discriminated with 36 OTU using a sparse partial least square discriminant analysis that had a mean classification error-rate of 1.7%. In contrast, pigs in TEMP before the acute heat challenge could be discriminated from the pigs in TEMP after the heat challenge with 32 OTU and 9.3% error rate. The microbiota can be used as biomarker of heat stress exposition. Microbiota composition revealed that pigs were separated into 2 enterotypes. The enterotypes were represented in both climates. Whatever the climate, animals belonging to the Turicibacter–Sarcina–Clostridium sensu stricto dominated enterotype were 3.3 kg heavier (P < 0.05) at 11 wk of age than those belonging to the Lactobacillus-dominated enterotype. This latter enterotype was related to a 0.3 °C lower skin temperature (P < 0.05) at 23 wk of age. Following the acute heat challenge in TEMP, this enterotype had a less-stable rectal temperature (0.34 vs. 0.25 °C variation between weeks 23 and 24, P < 0.05) without affecting growth performance (P > 0.05). Instability of the enterotypes was observed in 34% of the pigs, switching from an enterotype to another between 23 and 26 wk of age after heat stress. Despite a lower microbial diversity, the Turicibacter–Sarcina–Clostridium sensu stricto dominated enterotype was better adapted to heat stress conditions with lower thermoregulation variations.

scholarly journals PSII-26 Changes in growth performance, cytokine profile and eating and drinking behaviors of growing pigs subjected to an induced heat stress

2019 ◽  
Vol 97 (Supplement_3) ◽  
pp. 215-215
Author(s):  
Lauren E Anderson ◽  
Jonathan P Holt
Keyword(s):  
Heat Stress ◽  
Growth Performance ◽  
Recovery Period ◽  
Growing Pigs ◽  
Cytokine Profile ◽  
Ambient Temperatures ◽  
Treatment Interaction ◽  
Drinking Behaviors ◽  
Drinking Frequency ◽  
Neutral Conditions

Abstract This study was conducted to determine effects of induced heat stress on growth performance, cytokine profile and eating and drinking behaviors of growing pigs. Pigs (n = 32; average BW =42.25±0.78 kg) were housed individually in thermo-neutral conditions (CON) or subjected to constant high ambient temperatures (mean 81.7°F) for 15 d (HS), followed by a 7 d recovery period (mean 68.6°F). Pig weights and feed disappearance were recorded on d 0, 8, 15 and 22 for calculations of ADG, ADFI and GF. Blood samples were taken via venipuncture on d 2, 8, 15 and 22, and serum was analyzed for cytokine profile by multiplex-ELISA. Four pigs per treatment were video-recorded on d 2, 6, 9, 16 and 21 for 2 h at 800, 1300 and 1600. Frequency and duration of eating and drinking were recorded. HS pigs had lower ADFI (1.97 kg/d) and ADG (0.91 kg/d) compared to CON pigs (2.39 and 1.11 kg/d, respectively) during wk 1. HS pigs had lower ADFI (2.24 kg/d) during the recovery period compared to CON (2.74 kg/d) pigs. During the overall trial period, HS pigs had lower ADFI (2.30 kg/d) and ADG (0.99 kg/d) compared to CON pigs (2.69 and 1.14 kg/d, respectively), however, GF for HS pigs (0.43) was not different from CON (0.42). HS pigs had increased IL1β (617 pg/mL) and IL12 (1380 pg/mL) compared to CON pigs (248 and 1127 pg/mL, respectively). IL8 was increased for CON (1340 pg/mL) compared to HS (522 pg/mL; P &lt; 0.001). HS pigs ate less frequently in the morning (2 times/h) compared to CON pigs (4.1 times/h; time x treatment interaction, P = 0.003). Regardless of treatment, drinking frequency increased from 1600–1800 (5.7 times/h) compared to 800–1000 (2 times/h; P &lt; 0.001). Heat stress reduces performance, increases circulating inflammatory cytokines and alters daily time of eating.

Emergence of heat stress hazards in the CMIP6 models

2020 ◽  
Author(s):  
Natalie S. Lord ◽  
Dann M. Mitchell
Keyword(s):  
Heat Stress ◽  
Mortality Rates ◽  
Ambient Temperatures ◽  
Metabolic Heat ◽  
Number Of Factors ◽  
Event Attribution ◽  
Wide Range ◽  
Effects Of Temperature ◽  
The Impact ◽  
Extreme Heat Stress

&lt;p&gt;Hazards associated with the combined effects of temperature and humidity can have a wide range of impacts, particularly on human health and agriculture. The human body removes metabolic heat through sweating and heat conduction, and the efficiency of these processes is reduced when ambient temperatures and humidity are high, resulting in heat stress. The effects of this range from general discomfort to increased morbidity and mortality rates, trends that have been observed during recent severe heatwaves such as those that occurred during the summer of 2019 in Europe. A number of factors may exacerbate heat stress, including intense physical activity and being located in an urban area as opposed to a rural area.&lt;/p&gt;&lt;p&gt;As global temperatures increase, the risk associated with heat stress hazards is expected to increase, and this signal is expected to emerge from natural variability over the coming decades, if not sooner. Here, simulations from the new CMIP6 models are analysed to investigate the timing of emergence of heat stress hazards, in order to identify regions of the globe that are particularly vulnerable to extreme heat stress and/or imminent emergence of these hazards. Event attribution techniques are also applied to estimate the impact of anthropogenic warming on the hazard risk.&lt;/p&gt;

scholarly journals 124 Impact of heat stress and antioxidant supplements in feed or drinking water on growth, intestinal morphology, and oxidative and immune status in growing pigs

2019 ◽  
Vol 97 (Supplement_2) ◽  
pp. 71-71
Author(s):  
Ysenia Victoria Silva-Guillen ◽  
Gabriela E Martinez Padilla ◽  
Jeffrey Wiegert ◽  
Consuelo Arellano ◽  
R Dean Boyd ◽  
...  
Keyword(s):  
Drinking Water ◽  
Heat Stress ◽  
Vitamin E ◽  
Control Diet ◽  
Serum Vitamin ◽  
Growing Pigs ◽  
Intestinal Morphology ◽  
Tocopherol Acetate ◽  
Tnf Α ◽  
The Impact

Abstract The objective of this study was to evaluate the impact of vitamin E (vitE) or polyphenols supplemented in feed or drinking water as a heat abatement strategy in growing pigs. Individually housed pigs (n = 128, 47.3 ± 5.0 kg BW) were assigned within weight blocks and sex to a 2x4 factorial arrangement consisting of 2 environments (thermo-neutral [21.2°C] or heat-stressed [30.9°C]) and 4 supplementation treatments (control diet [25 IU/kg dl-α-tocopherol acetate]; control+100 IU/L vitE [d-α-tocopherol] in water; control+200 IU/kg vitE [dl-α-tocopherol acetate] in feed; or control+400 mg/kg polyphenols in feed). Supplementation was started 7 d prior to temperature treatments applied for 28 d. Heat stress reduced (P ≤ 0.001) final BW, ADG, and ADFI (-7.4 kg, -26.7%, and -25.4%, respectively) and increased (P &lt; 0.001) respiration rate and rectal temperature, but no effects of supplementation were detected. Serum vitamin E concentration increased (P &lt; 0.001) with vitE supplementation (1.64, 3.59, 3.24, and 1.67 mg/kg for control, vitE in water, vitE in feed, and polyphenols, respectively) and was greater when supplemented in water vs. feed (P = 0.002), especially when measured on d 28 (chronic) vs. d 2 (acute) of heat stress. Liver vitamin E increased (P &lt; 0.001) with vitE supplementation, especially in water, but not polyphenols (3.9, 31.8, 18.0, 4.9 ppm for control, vitE in water, vitE in feed, and polyphenols, respectively). Serum malondialdehyde (MDA) was greater (P &lt; 0.05) for supplemented pigs compared to control, and heat stress reduced (P = 0.014) serum MDA on d 2, but not d 28. No differences were detected for intestinal morphology or MDA in mucosa of jejunum or ileum. Heat stress decreased (P &lt; 0.03) TNF-α in mucosa of ileum and jejunum, and supplementation reduced (P &lt; 0.05) TNF-α in mucosa of the ileum, but not jejunum. Heat stress markedly reduced performance of growing pigs, and supplementing antioxidants in feed or water was not effective in alleviating the impact of heat stress.

scholarly journals Building Materials for Cities and Climate Change – a Material Catalogue with Recommendations

2021 ◽  
Vol 2042 (1) ◽  
pp. 012057
Author(s):  
C Hoffmann ◽  
A Geissler ◽  
M Mutti ◽  
A Wicki ◽  
F Schwager
Keyword(s):  
Climate Change ◽  
Heat Stress ◽  
Building Materials ◽  
Data Sets ◽  
Night Time ◽  
Ambient Temperatures ◽  
Metal Sheets ◽  
Dark Color ◽  
Night Ventilation ◽  
The Impact

Abstract High urban density with heat accumulating materials and sealed surfaces can cause heat stress and reduced nocturnal cooling in summer. Appropriate building materials may contribute to the mitigation of this effect. The research project evaluates building materials for façades and outer surfaces (ground) on the resulting urban microclimate and on factors like glare, acoustics and embedded energy. The present publication focuses on the impact on the microclimate. The analysis comprises the simulation of forty-seven data sets in a microclimatic model with ENVI-met. The results show that during daytime the PET for the whole neighborhood ranges between 30.1 and 36.4 °C. Choosing a bright instead of a dark color can lower the PET between 0.2 and 1.0 K. Dark colored metal sheets may cause turbulences which lead to a reduction of the PET between 2.0 and 3.8 K (compared to a bright metal sheet). However, this effect may not be reproducible under varying boundary conditions. During night-time, the resulting span of ambient temperatures between the materials reaches 21.4 to 22.0 °C (level 1.7 m). The temperature difference between the materials at the level of 10.7 m (for night ventilation) is found to be approx. 0.3 K and can be considered irrelevant.

INFLUENCE OF GREENHOUSE SHADING AND DIFFERENT NUTRIENT MANAGEMENT PRACTICES ON ALLEVIATING HEAT STRESS, IMPROVING PLANT NUTRIENTS STATUS, FLOWERING GROWTH AND YIELD OF TOMATO

2020 ◽  
Vol 51 (4) ◽  
pp. 1001-1014
Author(s):  
Sulaiman & Sadiq
Keyword(s):  
Heat Stress ◽  
Management Practices ◽  
Nutrient Management ◽  
Block Design ◽  
Nutrient Status ◽  
Growth And Yield ◽  
Reproductive Growth ◽  
Positive Effects ◽  
Nutrition Programs ◽  
The Impact

The experiment was conducted in a greenhouse during 2017 and 2018 growing seasons to evaluate the impact of the shading and various nutrition programs on mitigating heat stress, reducing the use of chemical minerals, improving the reproductive growth and yield of tomato plant. Split-plot within Randomized Complete Block Design (RCBD) with three replications was conducted in this study. Shading factor was allocated in the main plots and the nutrition programs distributed randomly in the subplots. Results indicate that shading resulted in the decrease of daytime temperature by 5.7˚C as an average for both seasons; thus a significant increasing was found in leaf contents of macro nutrients (Nitrogen, Phosphorous, and Potassium), and micro nutrients (Iron, Zinc and Boron), except the Iron content in 2018 growing season. Furthermore, shading improved significantly the reproductive growth and tomato yield. Among the plant nutrition programs, the integrated nutrient management (INM) including the application of organic substances, bio inoculum of AMF and 50% of the recommended dose of chemical fertilizers; lead to the enhancement of nutrients content, reproductive characteristics and plant yield. Generally, combination of both shading and INM showed positive effects on plants nutrient status and persisting balance on tomato flowering growth and fruits yield.

scholarly journals The Impact of Nordic Walking on Bone Properties in Postmenopausal Women with Pre-Diabetes and Non-Alcohol Fatty Liver Disease

2021 ◽  
Vol 18 (14) ◽  
pp. 7570
Author(s):  
Xiaming Du ◽  
Chao Zhang ◽  
Xiangqi Zhang ◽  
Zhen Qi ◽  
Sulin Cheng ◽  
...  
Keyword(s):  
Liver Disease ◽  
Fatty Liver ◽  
Postmenopausal Women ◽  
Fatty Liver Disease ◽  
Whole Body ◽  
Nordic Walking ◽  
Significant Group ◽  
Time Interaction ◽  
Bone Properties ◽  
The Impact

This study investigated the impact of Nordic walking on bone properties in postmenopausal women with pre-diabetes and non-alcohol fatty liver disease (NAFLD). A total of 63 eligible women randomly participated in the Nordic walking training (AEx, n = 33), or maintained their daily lifestyle (Con, n = 30) during intervention. Bone mineral content (BMC) and density (BMD) of whole body (WB), total femur (TF), femoral neck (FN), and lumbar spine (L2-4) were assessed by dual-energy X-ray absorptiometry. Serum osteocalcin, pentosidine, receptor activator of nuclear factor kappa-B ligand (RANKL) levels were analyzed by ELISA assay. After an 8.6-month intervention, the AEx group maintained their BMCTF, BMDTF, BMCL2−4, and BMDL2−4, and increased their BMCFN (p = 0.016), while the Con group decreased their BMCTF (p = 0.008), BMDTF (p = 0.001), and BMDL2−4 (p = 0.002). However, no significant group × time interaction was observed, except for BMDL2−4 (p = 0.013). Decreased pentosidine was correlated with increased BMCWB(r = −0.352, p = 0.019). The intervention has no significant effect on osteocalcin and RANKL. Changing of bone mass was associated with changing of pentosidine, but not with osteocalcin and RANKL. Our results suggest that Nordic walking is effective in preventing bone loss among postmenopausal women with pre-diabetes and NAFLD.

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