Age is independently related to muscle metabolic capacity in premenopausal women

Departments of 1  Human Studies, 2  Nutrition Sciences, 3  Diagnostic and Therapeutic Sciences, and 7  Physiology and Biophysics, University of Alabama at Birmingham, Birmingham, Alabama 35294; 4  Physical Therapy Program, The University of Findlay, Findlay, Ohio 45840; 5  Pennington Biomedical Rese...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of applied physiology (1985) 2002-07, Vol.93 (1), p.70-76
Hauptverfasser: Hunter, Gary R, Newcomer, Bradley R, Weinsier, Roland L, Karapondo, Daniel L, Larson-Meyer, D. Enette, Joanisse, Denis R, Bamman, Marcas M
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 76
container_issue 1
container_start_page 70
container_title Journal of applied physiology (1985)
container_volume 93
creator Hunter, Gary R
Newcomer, Bradley R
Weinsier, Roland L
Karapondo, Daniel L
Larson-Meyer, D. Enette
Joanisse, Denis R
Bamman, Marcas M
description Departments of 1  Human Studies, 2  Nutrition Sciences, 3  Diagnostic and Therapeutic Sciences, and 7  Physiology and Biophysics, University of Alabama at Birmingham, Birmingham, Alabama 35294; 4  Physical Therapy Program, The University of Findlay, Findlay, Ohio 45840; 5  Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana 70803; and 6  Division of Kinesiology, Laval University and Laval Hospital Research Center, Sainte-Foy, Quebec City, Quebec, Canada G1K 7P4 The purpose of this study was to determine whether muscle metabolic capacity was inversely related to age after adjusting for physical activity in sedentary premenopausal women. Eighty-three women (ages 23-47 yr) had their free-living, activity-related energy expenditure evaluated with doubly labeled water procedures, and room calorimeter determined sleeping energy expenditure. Maximum O 2 uptake and strength were evaluated in all subjects, whereas 31 P-magnetic resonance spectroscopy determined metabolic economy during maximal exercise, and muscle biopsy maximal enzyme activity was evaluated in subsets of the sample (48 and 18 subjects, respectively). Age was significantly related to whole body treadmill endurance time ( r  =  0.32), plantar flexion strength ( r  =  0.29), maximum O 2 uptake ( r  =  0.27), 31 P-magnetic resonance spectroscopy ADP recovery rate ( r  =  0.44), and anaerobic glycolytic capacity ( r  =  0.37), and muscle biopsy citrate synthase activity ( r  =  0.48), glyceraldehyde-3-phosphate dehydrogenase ( r  =  0.54), phosphofructokinase ( r  =  0.62), and phosphorylase ( r  =  0.58) activity even after adjusting for activity-related energy expenditure. These data suggest that, in sedentary premenopausal women, both oxidative and glycolytic muscle capacity decrease with age even when physical activity is taken into account. energy expenditure; aerobic capacity; anaerobic capacity
doi_str_mv 10.1152/japplphysiol.01239.2001
format Article
fullrecord <record><control><sourceid>proquest_highw</sourceid><recordid>TN_cdi_highwire_physiology_jap_93_1_70</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>137135171</sourcerecordid><originalsourceid>FETCH-LOGICAL-c440t-341c57cd0e66f71db4bcb0da4890e622932eb4e6e360bf9b2efe52108fcb902c3</originalsourceid><addsrcrecordid>eNp1kE1v1DAQhi0EokvhL0CEBLcsYzuJk2NVUUCqBIdythxnsuuVExs7UZt_X4dGWlQJH2yN53nn4yXkA4U9pSX7clLeW39conF2D5TxZs8A6AuyS1mW0wroS7KrRQm5KGtxQd7EeEpAUZT0NbmgDATQut6RX1cHzEzMzNihx3SNk12ygFZN2GWTy4Y5aovZgJNqnTU608orbaYlSTIfcMDReTVHZbN7l4K35FWvbMR323tJft98vbv-nt_-_Pbj-uo210UBU84LqkuhO8Cq6gXt2qLVLXSqqJv0xVjDGbYFVsgraPumZdhjySjUvW4bYJpfks9PdX1wf2aMkxxM1GitGtHNUQpacwYNJPDjM_Dk5jCm2SRbTwmwQuIJ0sHFGLCXPphBhUVSkKvj8l_H5V_H5ep4Ur7fys_tgN1Zt1mcgE8boKJWtg9q1CaeOS4qzmt-XuhoDsd7E1Bu3dxhWbvLhksqxTor-z94M1t7hw_TqtgE0nc9fwR_ka5A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>222225000</pqid></control><display><type>article</type><title>Age is independently related to muscle metabolic capacity in premenopausal women</title><source>MEDLINE</source><source>American Physiological Society</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Hunter, Gary R ; Newcomer, Bradley R ; Weinsier, Roland L ; Karapondo, Daniel L ; Larson-Meyer, D. Enette ; Joanisse, Denis R ; Bamman, Marcas M</creator><creatorcontrib>Hunter, Gary R ; Newcomer, Bradley R ; Weinsier, Roland L ; Karapondo, Daniel L ; Larson-Meyer, D. Enette ; Joanisse, Denis R ; Bamman, Marcas M</creatorcontrib><description>Departments of 1  Human Studies, 2  Nutrition Sciences, 3  Diagnostic and Therapeutic Sciences, and 7  Physiology and Biophysics, University of Alabama at Birmingham, Birmingham, Alabama 35294; 4  Physical Therapy Program, The University of Findlay, Findlay, Ohio 45840; 5  Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana 70803; and 6  Division of Kinesiology, Laval University and Laval Hospital Research Center, Sainte-Foy, Quebec City, Quebec, Canada G1K 7P4 The purpose of this study was to determine whether muscle metabolic capacity was inversely related to age after adjusting for physical activity in sedentary premenopausal women. Eighty-three women (ages 23-47 yr) had their free-living, activity-related energy expenditure evaluated with doubly labeled water procedures, and room calorimeter determined sleeping energy expenditure. Maximum O 2 uptake and strength were evaluated in all subjects, whereas 31 P-magnetic resonance spectroscopy determined metabolic economy during maximal exercise, and muscle biopsy maximal enzyme activity was evaluated in subsets of the sample (48 and 18 subjects, respectively). Age was significantly related to whole body treadmill endurance time ( r  =  0.32), plantar flexion strength ( r  =  0.29), maximum O 2 uptake ( r  =  0.27), 31 P-magnetic resonance spectroscopy ADP recovery rate ( r  =  0.44), and anaerobic glycolytic capacity ( r  =  0.37), and muscle biopsy citrate synthase activity ( r  =  0.48), glyceraldehyde-3-phosphate dehydrogenase ( r  =  0.54), phosphofructokinase ( r  =  0.62), and phosphorylase ( r  =  0.58) activity even after adjusting for activity-related energy expenditure. These data suggest that, in sedentary premenopausal women, both oxidative and glycolytic muscle capacity decrease with age even when physical activity is taken into account. energy expenditure; aerobic capacity; anaerobic capacity</description><identifier>ISSN: 8750-7587</identifier><identifier>EISSN: 1522-1601</identifier><identifier>DOI: 10.1152/japplphysiol.01239.2001</identifier><identifier>PMID: 12070188</identifier><identifier>CODEN: JAPHEV</identifier><language>eng</language><publisher>Bethesda, MD: Am Physiological Soc</publisher><subject>Absorptiometry, Photon ; Adult ; Age ; Aging - physiology ; Anaerobic Threshold - physiology ; Biological and medical sciences ; Energy Metabolism - physiology ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Magnetic Resonance Imaging ; Magnetic Resonance Spectroscopy ; Menopause ; Metabolism ; Middle Aged ; Muscle Fibers, Skeletal - physiology ; Muscle, Skeletal - anatomy &amp; histology ; Muscle, Skeletal - enzymology ; Muscle, Skeletal - metabolism ; Muscular system ; Oxidation-Reduction ; Oxygen Consumption - physiology ; Physical Endurance - physiology ; Premenopause - physiology ; Sleep - physiology ; Striated muscle. Tendons ; Vertebrates: osteoarticular system, musculoskeletal system ; Women</subject><ispartof>Journal of applied physiology (1985), 2002-07, Vol.93 (1), p.70-76</ispartof><rights>2002 INIST-CNRS</rights><rights>Copyright American Physiological Society Jul 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-341c57cd0e66f71db4bcb0da4890e622932eb4e6e360bf9b2efe52108fcb902c3</citedby><cites>FETCH-LOGICAL-c440t-341c57cd0e66f71db4bcb0da4890e622932eb4e6e360bf9b2efe52108fcb902c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,3026,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=13763383$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12070188$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hunter, Gary R</creatorcontrib><creatorcontrib>Newcomer, Bradley R</creatorcontrib><creatorcontrib>Weinsier, Roland L</creatorcontrib><creatorcontrib>Karapondo, Daniel L</creatorcontrib><creatorcontrib>Larson-Meyer, D. Enette</creatorcontrib><creatorcontrib>Joanisse, Denis R</creatorcontrib><creatorcontrib>Bamman, Marcas M</creatorcontrib><title>Age is independently related to muscle metabolic capacity in premenopausal women</title><title>Journal of applied physiology (1985)</title><addtitle>J Appl Physiol (1985)</addtitle><description>Departments of 1  Human Studies, 2  Nutrition Sciences, 3  Diagnostic and Therapeutic Sciences, and 7  Physiology and Biophysics, University of Alabama at Birmingham, Birmingham, Alabama 35294; 4  Physical Therapy Program, The University of Findlay, Findlay, Ohio 45840; 5  Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana 70803; and 6  Division of Kinesiology, Laval University and Laval Hospital Research Center, Sainte-Foy, Quebec City, Quebec, Canada G1K 7P4 The purpose of this study was to determine whether muscle metabolic capacity was inversely related to age after adjusting for physical activity in sedentary premenopausal women. Eighty-three women (ages 23-47 yr) had their free-living, activity-related energy expenditure evaluated with doubly labeled water procedures, and room calorimeter determined sleeping energy expenditure. Maximum O 2 uptake and strength were evaluated in all subjects, whereas 31 P-magnetic resonance spectroscopy determined metabolic economy during maximal exercise, and muscle biopsy maximal enzyme activity was evaluated in subsets of the sample (48 and 18 subjects, respectively). Age was significantly related to whole body treadmill endurance time ( r  =  0.32), plantar flexion strength ( r  =  0.29), maximum O 2 uptake ( r  =  0.27), 31 P-magnetic resonance spectroscopy ADP recovery rate ( r  =  0.44), and anaerobic glycolytic capacity ( r  =  0.37), and muscle biopsy citrate synthase activity ( r  =  0.48), glyceraldehyde-3-phosphate dehydrogenase ( r  =  0.54), phosphofructokinase ( r  =  0.62), and phosphorylase ( r  =  0.58) activity even after adjusting for activity-related energy expenditure. These data suggest that, in sedentary premenopausal women, both oxidative and glycolytic muscle capacity decrease with age even when physical activity is taken into account. energy expenditure; aerobic capacity; anaerobic capacity</description><subject>Absorptiometry, Photon</subject><subject>Adult</subject><subject>Age</subject><subject>Aging - physiology</subject><subject>Anaerobic Threshold - physiology</subject><subject>Biological and medical sciences</subject><subject>Energy Metabolism - physiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Magnetic Resonance Spectroscopy</subject><subject>Menopause</subject><subject>Metabolism</subject><subject>Middle Aged</subject><subject>Muscle Fibers, Skeletal - physiology</subject><subject>Muscle, Skeletal - anatomy &amp; histology</subject><subject>Muscle, Skeletal - enzymology</subject><subject>Muscle, Skeletal - metabolism</subject><subject>Muscular system</subject><subject>Oxidation-Reduction</subject><subject>Oxygen Consumption - physiology</subject><subject>Physical Endurance - physiology</subject><subject>Premenopause - physiology</subject><subject>Sleep - physiology</subject><subject>Striated muscle. Tendons</subject><subject>Vertebrates: osteoarticular system, musculoskeletal system</subject><subject>Women</subject><issn>8750-7587</issn><issn>1522-1601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1v1DAQhi0EokvhL0CEBLcsYzuJk2NVUUCqBIdythxnsuuVExs7UZt_X4dGWlQJH2yN53nn4yXkA4U9pSX7clLeW39conF2D5TxZs8A6AuyS1mW0wroS7KrRQm5KGtxQd7EeEpAUZT0NbmgDATQut6RX1cHzEzMzNihx3SNk12ygFZN2GWTy4Y5aovZgJNqnTU608orbaYlSTIfcMDReTVHZbN7l4K35FWvbMR323tJft98vbv-nt_-_Pbj-uo210UBU84LqkuhO8Cq6gXt2qLVLXSqqJv0xVjDGbYFVsgraPumZdhjySjUvW4bYJpfks9PdX1wf2aMkxxM1GitGtHNUQpacwYNJPDjM_Dk5jCm2SRbTwmwQuIJ0sHFGLCXPphBhUVSkKvj8l_H5V_H5ep4Ur7fys_tgN1Zt1mcgE8boKJWtg9q1CaeOS4qzmt-XuhoDsd7E1Bu3dxhWbvLhksqxTor-z94M1t7hw_TqtgE0nc9fwR_ka5A</recordid><startdate>20020701</startdate><enddate>20020701</enddate><creator>Hunter, Gary R</creator><creator>Newcomer, Bradley R</creator><creator>Weinsier, Roland L</creator><creator>Karapondo, Daniel L</creator><creator>Larson-Meyer, D. Enette</creator><creator>Joanisse, Denis R</creator><creator>Bamman, Marcas M</creator><general>Am Physiological Soc</general><general>American Physiological Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7TK</scope><scope>7TS</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20020701</creationdate><title>Age is independently related to muscle metabolic capacity in premenopausal women</title><author>Hunter, Gary R ; Newcomer, Bradley R ; Weinsier, Roland L ; Karapondo, Daniel L ; Larson-Meyer, D. Enette ; Joanisse, Denis R ; Bamman, Marcas M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-341c57cd0e66f71db4bcb0da4890e622932eb4e6e360bf9b2efe52108fcb902c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Absorptiometry, Photon</topic><topic>Adult</topic><topic>Age</topic><topic>Aging - physiology</topic><topic>Anaerobic Threshold - physiology</topic><topic>Biological and medical sciences</topic><topic>Energy Metabolism - physiology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Magnetic Resonance Spectroscopy</topic><topic>Menopause</topic><topic>Metabolism</topic><topic>Middle Aged</topic><topic>Muscle Fibers, Skeletal - physiology</topic><topic>Muscle, Skeletal - anatomy &amp; histology</topic><topic>Muscle, Skeletal - enzymology</topic><topic>Muscle, Skeletal - metabolism</topic><topic>Muscular system</topic><topic>Oxidation-Reduction</topic><topic>Oxygen Consumption - physiology</topic><topic>Physical Endurance - physiology</topic><topic>Premenopause - physiology</topic><topic>Sleep - physiology</topic><topic>Striated muscle. Tendons</topic><topic>Vertebrates: osteoarticular system, musculoskeletal system</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hunter, Gary R</creatorcontrib><creatorcontrib>Newcomer, Bradley R</creatorcontrib><creatorcontrib>Weinsier, Roland L</creatorcontrib><creatorcontrib>Karapondo, Daniel L</creatorcontrib><creatorcontrib>Larson-Meyer, D. Enette</creatorcontrib><creatorcontrib>Joanisse, Denis R</creatorcontrib><creatorcontrib>Bamman, Marcas M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of applied physiology (1985)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hunter, Gary R</au><au>Newcomer, Bradley R</au><au>Weinsier, Roland L</au><au>Karapondo, Daniel L</au><au>Larson-Meyer, D. Enette</au><au>Joanisse, Denis R</au><au>Bamman, Marcas M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Age is independently related to muscle metabolic capacity in premenopausal women</atitle><jtitle>Journal of applied physiology (1985)</jtitle><addtitle>J Appl Physiol (1985)</addtitle><date>2002-07-01</date><risdate>2002</risdate><volume>93</volume><issue>1</issue><spage>70</spage><epage>76</epage><pages>70-76</pages><issn>8750-7587</issn><eissn>1522-1601</eissn><coden>JAPHEV</coden><abstract>Departments of 1  Human Studies, 2  Nutrition Sciences, 3  Diagnostic and Therapeutic Sciences, and 7  Physiology and Biophysics, University of Alabama at Birmingham, Birmingham, Alabama 35294; 4  Physical Therapy Program, The University of Findlay, Findlay, Ohio 45840; 5  Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana 70803; and 6  Division of Kinesiology, Laval University and Laval Hospital Research Center, Sainte-Foy, Quebec City, Quebec, Canada G1K 7P4 The purpose of this study was to determine whether muscle metabolic capacity was inversely related to age after adjusting for physical activity in sedentary premenopausal women. Eighty-three women (ages 23-47 yr) had their free-living, activity-related energy expenditure evaluated with doubly labeled water procedures, and room calorimeter determined sleeping energy expenditure. Maximum O 2 uptake and strength were evaluated in all subjects, whereas 31 P-magnetic resonance spectroscopy determined metabolic economy during maximal exercise, and muscle biopsy maximal enzyme activity was evaluated in subsets of the sample (48 and 18 subjects, respectively). Age was significantly related to whole body treadmill endurance time ( r  =  0.32), plantar flexion strength ( r  =  0.29), maximum O 2 uptake ( r  =  0.27), 31 P-magnetic resonance spectroscopy ADP recovery rate ( r  =  0.44), and anaerobic glycolytic capacity ( r  =  0.37), and muscle biopsy citrate synthase activity ( r  =  0.48), glyceraldehyde-3-phosphate dehydrogenase ( r  =  0.54), phosphofructokinase ( r  =  0.62), and phosphorylase ( r  =  0.58) activity even after adjusting for activity-related energy expenditure. These data suggest that, in sedentary premenopausal women, both oxidative and glycolytic muscle capacity decrease with age even when physical activity is taken into account. energy expenditure; aerobic capacity; anaerobic capacity</abstract><cop>Bethesda, MD</cop><pub>Am Physiological Soc</pub><pmid>12070188</pmid><doi>10.1152/japplphysiol.01239.2001</doi><tpages>7</tpages></addata></record>
fulltext fulltext
identifier ISSN: 8750-7587
ispartof Journal of applied physiology (1985), 2002-07, Vol.93 (1), p.70-76
issn 8750-7587
1522-1601
language eng
recordid cdi_highwire_physiology_jap_93_1_70
source MEDLINE; American Physiological Society; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Absorptiometry, Photon
Adult
Age
Aging - physiology
Anaerobic Threshold - physiology
Biological and medical sciences
Energy Metabolism - physiology
Female
Fundamental and applied biological sciences. Psychology
Humans
Magnetic Resonance Imaging
Magnetic Resonance Spectroscopy
Menopause
Metabolism
Middle Aged
Muscle Fibers, Skeletal - physiology
Muscle, Skeletal - anatomy & histology
Muscle, Skeletal - enzymology
Muscle, Skeletal - metabolism
Muscular system
Oxidation-Reduction
Oxygen Consumption - physiology
Physical Endurance - physiology
Premenopause - physiology
Sleep - physiology
Striated muscle. Tendons
Vertebrates: osteoarticular system, musculoskeletal system
Women
title Age is independently related to muscle metabolic capacity in premenopausal women
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T16%3A55%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_highw&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Age%20is%20independently%20related%20to%20muscle%20metabolic%20capacity%20in%20premenopausal%20women&rft.jtitle=Journal%20of%20applied%20physiology%20(1985)&rft.au=Hunter,%20Gary%20R&rft.date=2002-07-01&rft.volume=93&rft.issue=1&rft.spage=70&rft.epage=76&rft.pages=70-76&rft.issn=8750-7587&rft.eissn=1522-1601&rft.coden=JAPHEV&rft_id=info:doi/10.1152/japplphysiol.01239.2001&rft_dat=%3Cproquest_highw%3E137135171%3C/proquest_highw%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=222225000&rft_id=info:pmid/12070188&rfr_iscdi=true