scholarly journals Caregiver perceptions of child diet status: What influenced their judgement

2020 ◽  
Author(s):  
Lijing Shao ◽  
Qiuping He ◽  
Mei Yang ◽  
Bing Xiang ◽  
Liping Hao ◽  
...  
Keyword(s):  
Primary Schools ◽  
Healthy Diet ◽  
Cluster Sampling ◽  
High Educational Level ◽  
Obese Children ◽  
Logistic Regression Models ◽  
Balanced Diet ◽  
Unhealthy Diet ◽  
24 Hour Recall ◽  
Grade 3

Abstract Background: Caregiver perceptions of child diet status can influence the effect of health intervention, but research focused on the correctness of caregiver's perception is limited. This study aimed to figure out the correctness of caregiver's perception of their child's diet status and find out the factors which may influence their judgement.Methods: 815 children from grade 3rd to 6th and their caregivers were recruited from two primary schools by cluster sampling. 3-day 24-hour recall was used to record children’s diet, caregiver’s perceptions was obtained through questionnaires. Multivariate logistic regression models were used to explore the influencing factors of the correctness of caregiver’s perception.Results: Among the 597 children with “balanced” diet, 62.1% were correctly perceived as having a “healthy” diet by their caregivers; but for the 218 children with “imbalanced” diet, just 16.1% were correctly identified. Those who were correctly identified as having an unhealthy diet consumed less fruits and more snacks than those unidentified (p<0.05). Obese children were more likely to be perceived as having unhealthy diet even when they actually had a balanced diet (OR=0.305, p=0.016). Caregivers with high educational level were more likely to correctly perceive children’s healthy diet status (OR=3.628, p=0.038).Conclusions: Caregivers were generally lack of the ability to identify children's unhealthy diet. Obesity, significantly low consumption of fruits or high consumption of snacks can raise caregivers’ awareness. Extensive health education targeting caregivers is in emergency.

scholarly journals Caregiver Perceptions of Child Diet Quality: What Influenced Their Judgment

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 125
Author(s):  
Lijing Shao ◽  
Yan Ren ◽  
Yanming Li ◽  
Mei Yang ◽  
Bing Xiang ◽  
...  
Keyword(s):  
Diet Quality ◽  
Primary Schools ◽  
Dietary Quality ◽  
Obese Children ◽  
Logistic Regression Models ◽  
Poor Diet ◽  
Balanced Diet ◽  
Dietary Index ◽  
High Level ◽  
Child Caregiver

This study aimed at assessing the correctness of a caregiver’s perception of their child’s diet status and to determine the factors which may influence their judgment. 815 child-caregiver pairs were recruited from two primary schools. 3-day 24-h recall was used to evaluate children’s dietary intake, Chinese Children Dietary Index (CCDI) was used to evaluate the dietary quality. Multivariate logistic regression models were used to explore the factors that could influence the correctness of caregiver’s perception. In the current study, 371 (62.1%) children with “high diet quality” and 35 (16.1%) children with “poor diet quality” were correctly perceived by their caregivers. Children who were correctly perceived as having “poor diet quality” consumed less fruits and more snacks and beverages than those who were not correctly perceived (p < 0.05). Obese children were more likely to be correctly identified as having “poor diet quality” (OR = 3.532, p = 0.040), and less likely to be perceived as having “high diet quality”, even when they had a balanced diet (OR = 0.318, p = 0.020). Caregivers with a high level of education were more likely to correctly perceive children’s diet quality (OR = 3.532, p = 0.042). Caregivers in this study were shown to lack the ability to correctly identify their children’s diet quality, especially amongst children with a “poor diet quality”. Obesity, significantly low consumption of fruits or high consumption of snacks can raise caregivers’ awareness of “poor diet quality”.

scholarly journals Long-term Diet Quality and Gut Microbiome Functionality: A Prospective, Shotgun Metagenomic Study among Urban Chinese Adults

2021 ◽  
Vol 5 (4) ◽  
Author(s):  
Danxia Yu ◽  
Yaohua Yang ◽  
Jirong Long ◽  
Wanghong Xu ◽  
Qiuyin Cai ◽  
...  
Keyword(s):  
Diet Quality ◽  
Gut Microbiome ◽  
Metabolic Pathways ◽  
Gene Families ◽  
Diet Group ◽  
Healthy Diet ◽  
Chinese Adults ◽  
Α Diversity ◽  
Unhealthy Diet

ABSTRACT Background Diet is known to affect human gut microbiome composition; yet, how diet affects gut microbiome functionality remains unclear. Objective We compared the diversity and abundance/presence of fecal microbiome metabolic pathways among individuals according to their long-term diet quality. Methods In 2 longitudinal cohorts, we assessed participants’ usual diets via repeated surveys during 1996–2011 and collected a stool sample in 2015–2018. Participants who maintained a healthy or unhealthy diet (i.e., stayed in the highest or lowest quintile of a healthy diet score throughout follow-up) were selected. Participants were excluded if they reported a history of cancer, cardiovascular disease, diabetes, or hypertension; had diarrhea or constipation in the last 7 d; or used antibiotics in the last 6 mo before stool collection. Functional profiling of shotgun metagenomics was performed using HUMAnN2. Associations of dietary variables and 420 microbial metabolic pathways were evaluated via multivariable-adjusted linear or logistic regression models. Results We included 144 adults (mean age = 64 y; 55% female); 66 had an unhealthy diet and 78 maintained a healthy diet. The healthy diet group had higher Shannon α-diversity indexes of microbial gene families and metabolic pathways (both P &lt; 0.02), whereas β-diversity, as evaluated by Bray-Curtis distance, did not differ between groups (both P &gt; 0.50). At P &lt; 0.01 [false discovery rate (FDR) &lt;0.15], the healthy diet group showed enriched pathways for vitamin and carrier biosynthesis (e.g., tetrahydrofolate, acetyl-CoA, and l-methionine) and tricarboxylic acid (TCA) cycle, and increased degradation (or reduced biosynthesis) of certain sugars [e.g., cytidine monophosphate (CMP)-legionaminate, deoxythymidine diphosphate (dTDP)-l-rhamnose, and sucrose], nucleotides, 4-aminobutanoate, methylglyoxal, sulfate, and aromatic compounds (e.g., catechol and toluene). Meanwhile, several food groups were associated with the CMP-legionaminate biosynthesis pathway at FDR &lt;0.05. Conclusions In a small longitudinal study of generally healthy, older Chinese adults, we found long-term healthy eating was associated with increased α-diversity of microbial gene families and metabolic pathways and altered symbiotic functions relevant to human nutrition and health.

scholarly journals Food insecurity and its association with changes in nutritional habits among adults during the COVID-19 confinement measures in Belgium

2020 ◽  
pp. 1-7
Author(s):  
Stefanie Vandevijvere ◽  
Karin De Ridder ◽  
Sabine Drieskens ◽  
Rana Charafeddine ◽  
Finaba Berete ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Multinomial Logistic Regression ◽  
Soft Drink ◽  
Household Composition ◽  
Healthy Diet ◽  
Cross Sectional ◽  
Nutritional Habits ◽  
Logistic Regression Models ◽  
Soft Drink Consumption ◽  
Snack Consumption

Abstract Objective: To assess food insecurity and its association with changes in nutritional habits among Belgian adults during confinement due to COVID-19. Design: Three cross-sectional online health surveys were conducted during March–May 2020. Multinomial logistic regression models were used to determine associations between self-reported changes in fruit, vegetable, soft drink and sweet and salted snack consumption or weight as dependent variables and food insecurity indicators as independent variables, adjusted for gender, household composition, educational attainment and household income. Setting: Belgium. Participants: In total, 8640 adults recruited by convenience sampling. Results: About 10·4 % of Belgians often or sometimes feared food shortages, 5·0 % were often or sometimes short of food without money to buy more and 10·3 % often or sometimes could not afford to eat a healthy diet during confinement. These percentages were highest among single-parent families (26·7, 14·4 and 23·4 %, respectively). Adults who often or sometimes feared that food would run out during confinement had significantly higher odds of decreased v. unchanged fruits (3·53; 95 % CI = 2·06, 6·05) and vegetables (5·42; 95 % CI = 2·90, 10·11) consumption and significantly higher odds of increased v. unchanged soft drink consumption (3·79; 95 % CI = 2·20, 6·54). Similar results were found for adults who often or sometimes ran out of food and for adults who often or sometimes were not able to afford a healthy diet. Conclusion: Food insecurity during the COVID-19 confinement measures in Belgium was associated with adverse changes in most dietary behaviours. A strong government response is needed to tackle malnutrition and food insecurity to protect public health from ongoing and future pandemics.

scholarly journals SunSmart Accreditation and Use of a Professional Policy Drafting Service: Both Positively and Independently Associated with High Sun Protective Hat Scores Derived from Primary School Policies

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
A. I. Reeder ◽  
E. E. Iosua ◽  
B. McNoe ◽  
A.-C. L. Petersen
Keyword(s):  
Logistic Regression ◽  
Skin Cancer ◽  
Primary Schools ◽  
World Health Organisation ◽  
World Health ◽  
Solar Ultraviolet Radiation ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Accredited Schools ◽  
Prevention Programmes

Background. The head and neck are exposed to the highest solar ultraviolet radiation levels and experience a disproportionate skin cancer burden. Sun protective hats can provide an effective barrier. Since early life exposure contributes to skin cancer risk, the World Health Organisation recommends prevention programmes in schools. The New Zealand SunSmart Schools programme is one example. Two criteria concern wearing hat outdoors: students are required to wear a hat providing protection for the face, neck, and ears; if a suitable hat is not worn, students must play in shaded areas. Objectives. To investigate two internationally relevant interventions as plausible statistical predictors of hat policy strength: (1) skin cancer primary prevention programme membership, (2) use of a professional policy drafting service. Methods. Of 1,242 (62%) eligible schools participating in a 2017 national survey, 1,137 reported a sun protection policy and 842 were available for categorising and allocating protective scores (0–3). Results. In multinomial (polytomous) logistic regression models of cross-sectional association, adjusted for school characteristics, SunSmart accredited schools and those utilising a policy drafting service were independently significantly more likely than their counterparts to obtain the most protective compared to the least protective hat score (respectively, RRR 6.48: 95% CI 3.66, 11.47; 7.47: 3.67, and 15.20). For the dichotomous shade measure, similar associations were found using adjusted logistic regression (OR 3.28: 95% CI 2.11, 5.09; 2.70: 1.54, 4.74). Conclusions. Our findings provide support for two plausible interventions that could potentially be implemented beneficially in primary schools via established infrastructure in any jurisdiction, internationally.

scholarly journals Factors associated with accelerometer measured movement behaviours among White British and South Asian children aged 6–8 years during school terms and school holidays

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e025071 ◽  
Author(s):  
Liana Carmen Nagy ◽  
Muhammad Faisal ◽  
Maria Horne ◽  
Paul Collings ◽  
Sally Barber ◽  
...  
Keyword(s):  
Physical Activity ◽  
South Asian ◽  
Primary Schools ◽  
Weight Status ◽  
Vigorous Physical Activity ◽  
Multilevel Modelling ◽  
Normal Weight ◽  
Obese Children ◽  
Cross Sectional ◽  
Factors Associated

ObjectivesTo investigate factors associated with movement behaviours among White British (WB) and South Asian (SA) children aged 6–8 years during school terms and holidays.DesignCross-sectional.SettingThree primary schools from the Bradford area, UK.ParticipantsOne hundred and sixty WB and SA children aged 6–8 years.Primary and secondary outcomesSedentary behaviour (SB), light physical activity (LPA) and moderate-to-vigorous physical activity (MVPA) measured by accelerometry during summer, winter and spring and during school terms and school holidays. Data were analysed using multivariate mixed-effects multilevel modelling with robust SEs. Factors of interest were ethnicity, holiday/term, sex, socioeconomic status (SES), weight status, weekend/weekday and season.ResultsOne hundred and eight children (67.5%) provided 1157 valid days of data. Fifty-nine per cent of children were WB (n=64) and 41% (n=44) were SA. Boys spent more time in MVPA (11 min/day, p=0.013) compared with girls and SA children spent more time in SB (39 min, p=0.017) compared with WB children in adjusted models. Children living in higher SES areas were more sedentary (43 min, p=0.006) than children living in low SES areas. Children were more active during summer (15 min MVPA, p<0.001; 27 LPA, p<0.001) and spring (15 min MVPA, p=0.005; 38 min LPA, p<0.001) and less sedentary (−42 min and −53 min, p<0.001) compared with winter. Less time (8 min, p=0.012) was spent in LPA during school terms compared with school holidays. Children spent more time in MVPA (5 min, p=0.036) during weekend compared with weekdays. Overweight and obese children spent more time in LPA (21 min, p=0.021) than normal-weight children.ConclusionThe results of our study suggest that significant child level factors associated with movement behaviours are ethnicity, sex, weight-status and area SES. Significant temporal factors are weekends, school holidays and seasonality. Interventions to support health enhancing movement behaviours may need to be tailored around these factors.

scholarly journals Effect of a fruit and vegetable subscription in Danish schools

2003 ◽  
Vol 6 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Karen Eriksen ◽  
Jóhanna Haraldsdóttir ◽  
Robert Pederson ◽  
Hanne Vig Flyger
Keyword(s):  
Primary Schools ◽  
Vegetable Intake ◽  
Dietary Assessment ◽  
Evaluation Study ◽  
Fruit And Vegetables ◽  
Fruit And Vegetable ◽  
Total Food Intake ◽  
School Day ◽  
24 Hour Recall ◽  
Design And Methods

AbstractObjective:To measure the effect of a school fruit and vegetable subscription on children's intake of fruit and vegetables after 5 weeks of intervention.Setting:Seven primary schools in Denmark.Design and methods: Intervention schools (n = 4) were offered a fruit and vegetable subscription comprising one piece per day. Control schools (n = 3) situated in another municipality were not offered the subscription. Intake of fruit and vegetables was measured at baseline and 5 weeks after the start of the subscription. Two methods were used for dietary assessment: a pre-coded 24-hour recall form including total food intake and a food-frequency questionnaire (FFQ) including only fruit and vegetables.Subjects:Children aged 6–10 years (n = 804 from intervention schools and n = 689 from control schools). Response rate in the dietary assessment was 31%.Results:At intervention schools 45% of the children enrolled in the subscription. After 5 weeks of intervention, both subscribers and non-subscribers had increased their intake of fruit by 0.4 (P = 0.019) and 0.3 (P = 0.008) pieces per school day, respectively, but no change was observed in vegetable intake. Total intake increased only for non-subscribers by 0.4 piece/school day (P = 0.008), mainly due to the consistent increase in fruit intake. No change in intake was measured at control schools. Only the 24-hour recall questionnaire was sensitive enough to pick up the changes of the subscription, whereas the FFQ was not.Conclusion:Five weeks with the subscription affected both subscribers and non-subscribers to increase intake of fruit. This may indicate that the subscription had an additional effect of stimulating parents of non-subscribers to supply their children with fruit. The results stress the importance of evaluating the effect of this type of programme, and the carefulness needed in designing the evaluation study.

scholarly journals Timing of household food insecurity exposures and asthma in a cohort of US school-aged children

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021683 ◽  
Author(s):  
Lauren D Mangini ◽  
Mark D Hayward ◽  
Yeyi Zhu ◽  
Yongquan Dong ◽  
Michele R Forman
Keyword(s):  
Early Childhood ◽  
Food Insecurity ◽  
Primary Outcome Measure ◽  
Third Grade ◽  
Second Grade ◽  
Dual Frame ◽  
Cluster Sampling ◽  
Household Food Insecurity ◽  
Logistic Regression Models ◽  
Household Food

ObjectiveFood insecurity is positively associated with asthma, the most common chronic childhood disease, yet directionality is unclear. The objective was to determine the association between exposure to food insecurity in early childhood and the odds of asthma later in childhood.DesignData from four waves of the Early Childhood Longitudinal Study-Kindergarten (ECLS-K) cohort, a prospective, dual-frame, multistage probability cluster sampling study of school-aged US children were entered in multivariate logistic regression models, adjusted for covariates. Exposures to food insecurity were based on parental responses to the validated USDA 18-item module at each wave.SettingPublic and private primary and secondary schools between 1998 and 2007.ParticipantsAt its inception (1999), the ECLS-K had 20 578 kindergarteners; by the spring of eighth grade (2007), the cohort dropped to 9725 due to attrition. Children missing an exposure, outcome or confounding variable were excluded, final n=6731.Primary outcome measureChild’s diagnosis of asthma by a healthcare professional as reported by the parent.ResultsHousehold food insecurity (vs food security) in the year before kindergarten and in second grade had a higher odds of asthma by 18% (95% CI 1.17 to 1.20) and 55% (95% CI 1.51 to 1.55). After removing asthmatics before third grade from the model, food insecurity in second grade was associated with higher odds of asthma at fifth or eighth grades (OR 1.55; 95% CI 1.53 to 1.58), whereas food insecurity in the year before kindergarten had a lower odds at fifth or eighth grades.ConclusionsFood insecurity in the year before kindergarten and in second grade were associated with a higher odds of asthma in third grade. Food insecurity in second grade retained the signal for increased odds of asthma after third and through eighth grades. Additional research is needed to explore childhood windows of vulnerability to asthma.

scholarly journals Associations of sedentary behaviours and incidence of unhealthy diet during the COVID-19 quarantine in Brazil

2020 ◽  
pp. 1-5 ◽  
Author(s):  
André O Werneck ◽  
Danilo R Silva ◽  
Deborah C Malta ◽  
Crizian Saar Gomes ◽  
Paulo RB Souza-Júnior ◽  
...  
Keyword(s):  
Food Consumption ◽  
Fruits And Vegetables ◽  
Processed Food ◽  
Tv Viewing ◽  
Logistic Regression Models ◽  
Sedentary Behaviours ◽  
Unhealthy Behaviour ◽  
Unhealthy Diet ◽  
Nationally Representative ◽  
Elevated Frequency

Abstract Objective: Our aim was to analyse the association of change patterns on TV-viewing and computer/tablet use and incidence of elevated consumption of ultra-processed food consumption and lower consumption of fruits and vegetables during the COVID-19 pandemic. Design: Data of 39 208 Brazilian adults from a Behaviour Web Survey were used. Unhealthy nutrition habits were eating fruits or vegetables for <5 d/week and ultra-processed food (sugary foods, snacks, ready-to-eat frozen foods and embedded foods) for ≥5 d/week. For incidence indicators, we only considered participants without unhealthy behaviour before the quarantine. We created four categories of change in TV-viewing and computer/tablet use, considering a cut-off point of 4 h/d for each behaviour (1 – consistently low, 2 – become low during the quarantine, 3 – become high during the quarantine or 4 – consistently high). Analyses were adjusted for sex, age group, highest academic achievement, per capita income, working status during the quarantine, skin colour and adherence to the quarantine. Setting: Brazil. Participants: Brazilian adults (nationally representative). Results: Logistic regression models revealed that high TV-viewing and computer/tablet use incidence were associated with higher odds for elevated frequency of ultra-processed food consumption (TV-viewing: OR 1·70; 95 % CI 1·37, 2·12; computer/tablet: OR 1·73; 95 % CI 1·31, 2·27) and low consumption of fruit and vegetables (TV-viewing: OR 1·70; 95 % CI 1·29, 2·23; computer/tablet: OR 1·53; 95 % CI 1·08, 2·17) incidence. Consistent high computer/tablet use also presented higher odds for incidence of elevated frequency of ultra-processed food consumption. Conclusions: Participants with incidence of sedentary behaviours were also more likely to present incidence of unhealthy diet during the COVID-19 pandemic quarantine.

scholarly journals Epidemiological trends, predictive factors, and projection of tooth loss in Germany 1997–2030: part II. Edentulism in seniors

2020 ◽  
Vol 24 (11) ◽  
pp. 3997-4003 ◽  
Author(s):  
Falk Schwendicke ◽  
Ina Nitschke ◽  
Helmut Stark ◽  
Wolfgang Micheelis ◽  
Rainer A. Jordan
Keyword(s):  
Predictive Factors ◽  
Educational Level ◽  
Tooth Loss ◽  
Smoking Status ◽  
Binary Logistic Regression ◽  
High Educational Level ◽  
Health Care Planning ◽  
Absolute Level ◽  
Cross Sectional ◽  
Logistic Regression Models

Abstract Objective This is the second part of a report on tooth loss in Germany 1997–2030. Here, we describe trends in the prevalence of edentulism in seniors 1997–2014, assess predictive factors for edentulism, and projected it into 2030. Material and methods We used data from three waves of the cross-sectional, multi-center, nationwide representative German Oral Health Studies. Overall, 3449 seniors (65–74 years) were included (1997: 1367; 2005: 1040; 2016: 1042). Age, sex, educational level, smoking status, and the cohort were entered into age-cohort binary-logistic regression models to assess the association of predictors with edentulism and to project edentulism in 2030 via Monte Carlo simulations. Results Between 1997 and 2014, the prevalence of edentulism decreased from 24.8 to 12.4%. With each year of age, the risk of being edentate increased (by 11%, p < 0.001); it was also significantly increased in female versus male (by 40%, p = 0.001), low versus medium and high educational level (up to 257%, p < 0.001), and in former and current smokers (up to 258%, p < 0.001). We predict the prevalence of edentulism to be reduced to 4.2% in 2030. The reduction will be higher in males, never and former smokers, and those with low socio-educational level. On an absolute level and despite a growing elderly population (aged 60–80 years), the number of edentate individuals will have decreased by 3.6 million in 2030 compared with 1997. Conclusions Edentulism in seniors has declined equitably in Germany. The decline is expected to continue until 2030. Further efforts are needed to tackle the underlying risk factors. Clinical relevance This study presents trends of edentulism in Germany for a period of three decades. It provides clinically relevant data for health care planning by 2030.

A Comparative Study of Breakfast Habits of Romanian and Spanish Adolescents Enrolled in Southern Spain Schools

2015 ◽  
Vol 10 (3) ◽  
pp. 276-284
Author(s):  
Encarnación Soriano-Ayala ◽  
Verónica C. Cala
Keyword(s):  
Primary Schools ◽  
Eating Habits ◽  
Cross Sectional Study ◽  
Southern Spain ◽  
Cluster Sampling ◽  
Cultural Groups ◽  
Chi Square ◽  
Cross Sectional ◽  
Leaving Home ◽  
And Gender

AbstractIntroduction: Globalization has favored intra-European Commission (EC) and extra-EC migration to Spain. One of the most numerous cultural groups that have settled in the southern Spain is from Romania. Coexistence, especially in schools, has made us become interested in knowing the eating habits at breakfast of Romanian and Spanish populations. Numerous studies show that the food intake at breakfast, mostly made before leaving home, has an incidence on the physic wellbeing of adolescent throughout the day. The processes of acculturation are also inseparable from the eating habits, health and life, that maintain the migrant teenagers. Breakfast is analyzed as one of the habits more associated with diet quality; paradoxically, one of the findings of our study, many adolescents do not take a proper breakfast every day.Objectives: The study analyzes the characteristics and the main cultural and gender differences in the implementation of breakfast: its maintenance or omission in young autochthonous and immigrants of Romanian origin in the southeast Spanish schools. Design. This is a cross-sectional study with a cluster sampling in two Primary schools and seven Secondary schools. The instrument applied was an adaptation of the KIDSCREEN-27 questionnaire. Sample. It has been formed by 1472 students between 11 and 18 years old; nationality: 1315 were Spanish and 157 were Romanians. Data analysis. Descriptive and differential analyses using the chi-square and U of Mann-Whitney statistics.Results: In the study we identified 1.2% of Spaniards and 3.3% of Romanians who either skip breakfast or do not eat foods throughout the morning. The main breakfast foods of the Spanish students are dairy, bread and cereals, cookies, juice and olive oil; for the Romanian students the basic foods at breakfast are cereals, dairy products, juices, biscuits and jams. We have found significant differences between the two compared cultural groups. We also found significant differences between the food eaten by men of the two cultural groups (Spanish and Romanian) and by the food eaten by women (Spanish and Romanian) in the breakfast food.Conclusions: The results show the need to further promote and implement educational programs that encourage students to make breakfast before leaving home. Also, it is necessary, they take care of the intake of the right foods to start the day and contemplate this habit from a transcultural and gender approach. Significant differences were identified in the breakfast practice food by both genders and cultural groups.

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