The effects of caloric restriction on Fetuin-A and cardiovascular risk factors in rats and humans: a randomized controlled trial

Summary Objectives The liver‐secreted protein fetuin‐A is associated with insulin resistance, metabolic syndrome, type 2 diabetes and atherosclerosis. We examined the effect of caloric restriction (CR) on fetuin‐A levels and concomitant changes in hepatic steatosis and cardiovascular risk factors in...

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Veröffentlicht in:Clinical endocrinology (Oxford) 2013-09, Vol.79 (3), p.356-363
Hauptverfasser: Choi, Kyung Mook, Han, Kyung Ah, Ahn, Hee Jung, Lee, So Young, Hwang, Soon Young, Kim, Baek-Hui, Hong, Ho Cheol, Choi, Hae Yoon, Yang, Sae Jeong, Yoo, Hye Jin, Baik, Sei Hyun, Choi, Dong Seop, Min, Kyung Wan
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container_issue 3
container_start_page 356
container_title Clinical endocrinology (Oxford)
container_volume 79
creator Choi, Kyung Mook
Han, Kyung Ah
Ahn, Hee Jung
Lee, So Young
Hwang, Soon Young
Kim, Baek-Hui
Hong, Ho Cheol
Choi, Hae Yoon
Yang, Sae Jeong
Yoo, Hye Jin
Baik, Sei Hyun
Choi, Dong Seop
Min, Kyung Wan
description Summary Objectives The liver‐secreted protein fetuin‐A is associated with insulin resistance, metabolic syndrome, type 2 diabetes and atherosclerosis. We examined the effect of caloric restriction (CR) on fetuin‐A levels and concomitant changes in hepatic steatosis and cardiovascular risk factors in rats and humans. Design and Subjects We performed a randomized, controlled clinical trial to examine circulating fetuin‐A levels and cardiovascular risk parameters including visceral fat area (VFA), atherogenic lipid profile, inflammatory markers, adipokines levels and brachial artery endothelial function in 76 overweight women with type 2 diabetes before and after 12 weeks of CR. In addition, the effects of CR on hepatic steatosis and fetuin‐A mRNA expression were evaluated in Otuska Long Evans Tokushima Fatty (OLETF) rats, an animal model of obesity and type 2 diabetes. Results Circulating fetuin‐A levels were significantly decreased after 12 weeks of CR and were accompanied by improvements in VFA, blood pressure, glucose, lipid profiles and liver function. The CR group also showed a significant decrease in apolipoprotein B, leptin and insulin resistance compared to those in the control group, although endothelial function was not different. Multiple regression analysis showed that the changes in fetuin‐A levels were independently associated with CR and changes in hsCRP and adiponectin (R2 = 0·156). Moreover, CR significantly reduced hepatic steatosis and fetuin‐A expression, as well as weight, glucose, total cholesterol and triglyceride levels, in OLETF rats. Conclusion Caloric restriction significantly reduced the hepatic expression of fetuin‐A and its circulating levels and improved several cardiovascular risk factors in obese rats and humans with type 2 diabetes.
doi_str_mv 10.1111/cen.12076
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We examined the effect of caloric restriction (CR) on fetuin‐A levels and concomitant changes in hepatic steatosis and cardiovascular risk factors in rats and humans. Design and Subjects We performed a randomized, controlled clinical trial to examine circulating fetuin‐A levels and cardiovascular risk parameters including visceral fat area (VFA), atherogenic lipid profile, inflammatory markers, adipokines levels and brachial artery endothelial function in 76 overweight women with type 2 diabetes before and after 12 weeks of CR. In addition, the effects of CR on hepatic steatosis and fetuin‐A mRNA expression were evaluated in Otuska Long Evans Tokushima Fatty (OLETF) rats, an animal model of obesity and type 2 diabetes. Results Circulating fetuin‐A levels were significantly decreased after 12 weeks of CR and were accompanied by improvements in VFA, blood pressure, glucose, lipid profiles and liver function. The CR group also showed a significant decrease in apolipoprotein B, leptin and insulin resistance compared to those in the control group, although endothelial function was not different. Multiple regression analysis showed that the changes in fetuin‐A levels were independently associated with CR and changes in hsCRP and adiponectin (R2 = 0·156). Moreover, CR significantly reduced hepatic steatosis and fetuin‐A expression, as well as weight, glucose, total cholesterol and triglyceride levels, in OLETF rats. Conclusion Caloric restriction significantly reduced the hepatic expression of fetuin‐A and its circulating levels and improved several cardiovascular risk factors in obese rats and humans with type 2 diabetes.</description><identifier>ISSN: 0300-0664</identifier><identifier>EISSN: 1365-2265</identifier><identifier>DOI: 10.1111/cen.12076</identifier><identifier>PMID: 23067229</identifier><identifier>CODEN: CLECAP</identifier><language>eng</language><publisher>Oxford: Blackwell Publishing Ltd</publisher><subject>Adipokines - biosynthesis ; Aged ; alpha-2-HS-Glycoprotein - biosynthesis ; Animals ; Biological and medical sciences ; Body Composition ; Caloric Restriction ; Cardiovascular Diseases - prevention &amp; control ; Diabetes Complications - diagnosis ; Diabetes Mellitus, Type 2 - blood ; Endocrinopathies ; Fatty Liver - prevention &amp; control ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Inflammation ; Intra-Abdominal Fat - pathology ; Lipids - blood ; Medical sciences ; Middle Aged ; Overweight ; Rats ; Rats, Long-Evans ; Risk Factors ; Tomography, X-Ray Computed ; Vertebrates: endocrinology</subject><ispartof>Clinical endocrinology (Oxford), 2013-09, Vol.79 (3), p.356-363</ispartof><rights>2012 John Wiley &amp; Sons Ltd</rights><rights>2014 INIST-CNRS</rights><rights>2012 John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2013 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcen.12076$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcen.12076$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27605222$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23067229$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Choi, Kyung Mook</creatorcontrib><creatorcontrib>Han, Kyung Ah</creatorcontrib><creatorcontrib>Ahn, Hee Jung</creatorcontrib><creatorcontrib>Lee, So Young</creatorcontrib><creatorcontrib>Hwang, Soon Young</creatorcontrib><creatorcontrib>Kim, Baek-Hui</creatorcontrib><creatorcontrib>Hong, Ho Cheol</creatorcontrib><creatorcontrib>Choi, Hae Yoon</creatorcontrib><creatorcontrib>Yang, Sae Jeong</creatorcontrib><creatorcontrib>Yoo, Hye Jin</creatorcontrib><creatorcontrib>Baik, Sei Hyun</creatorcontrib><creatorcontrib>Choi, Dong Seop</creatorcontrib><creatorcontrib>Min, Kyung Wan</creatorcontrib><title>The effects of caloric restriction on Fetuin-A and cardiovascular risk factors in rats and humans: a randomized controlled trial</title><title>Clinical endocrinology (Oxford)</title><addtitle>Clin Endocrinol</addtitle><description>Summary Objectives The liver‐secreted protein fetuin‐A is associated with insulin resistance, metabolic syndrome, type 2 diabetes and atherosclerosis. We examined the effect of caloric restriction (CR) on fetuin‐A levels and concomitant changes in hepatic steatosis and cardiovascular risk factors in rats and humans. Design and Subjects We performed a randomized, controlled clinical trial to examine circulating fetuin‐A levels and cardiovascular risk parameters including visceral fat area (VFA), atherogenic lipid profile, inflammatory markers, adipokines levels and brachial artery endothelial function in 76 overweight women with type 2 diabetes before and after 12 weeks of CR. In addition, the effects of CR on hepatic steatosis and fetuin‐A mRNA expression were evaluated in Otuska Long Evans Tokushima Fatty (OLETF) rats, an animal model of obesity and type 2 diabetes. Results Circulating fetuin‐A levels were significantly decreased after 12 weeks of CR and were accompanied by improvements in VFA, blood pressure, glucose, lipid profiles and liver function. The CR group also showed a significant decrease in apolipoprotein B, leptin and insulin resistance compared to those in the control group, although endothelial function was not different. Multiple regression analysis showed that the changes in fetuin‐A levels were independently associated with CR and changes in hsCRP and adiponectin (R2 = 0·156). Moreover, CR significantly reduced hepatic steatosis and fetuin‐A expression, as well as weight, glucose, total cholesterol and triglyceride levels, in OLETF rats. 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Psychology</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Intra-Abdominal Fat - pathology</subject><subject>Lipids - blood</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Overweight</subject><subject>Rats</subject><subject>Rats, Long-Evans</subject><subject>Risk Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Vertebrates: endocrinology</subject><issn>0300-0664</issn><issn>1365-2265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkV1rFDEUhoModq1e-AckIII30-Zjksx4V5Z2FWpFXPEyZPNB02YmbTKj1it_ume7awVDIIfkeU_OeQ9CLyk5orCOrR-PKCNKPkILyqVoGJPiMVoQTkhDpGwP0LNarwghoiPqKTpgnEjFWL9Av9eXHvsQvJ0qzgFbk3KJFhdfJzinmEcM-8xPcxybE2xGB0xxMX831c7JFFxivcbB2CmXiuOIi4FUW-5yHsxY32EDV6PLQ_zlQZzHqeSUIIQPTHqOngSTqn-xPw_R17PT9fJ9c_5p9WF5ct5E3irZCEGcJL2z7abvvG-N57IPzgTattZL70jPjOoC9x2jYmPABcc7EmSwG6cE44fo7S7vTcm3M3Snh1itT8mMPs9V05YywaTiHNDX_6FXeS4jVKepYL1QYKkA6tWemjeDd_qmxMGUO_3XWwDe7AFwyqQAJthY_3FKEsHYtrLjHfcjJn_38E6J3g5Xw3D1_XD18vTiPgBFs1PEOvmfDwpTrjU0oIT-drHSn9lHxtWXtV7xP1XLpa8</recordid><startdate>201309</startdate><enddate>201309</enddate><creator>Choi, Kyung Mook</creator><creator>Han, Kyung Ah</creator><creator>Ahn, Hee Jung</creator><creator>Lee, So Young</creator><creator>Hwang, Soon Young</creator><creator>Kim, Baek-Hui</creator><creator>Hong, Ho Cheol</creator><creator>Choi, Hae Yoon</creator><creator>Yang, Sae Jeong</creator><creator>Yoo, Hye Jin</creator><creator>Baik, Sei Hyun</creator><creator>Choi, Dong Seop</creator><creator>Min, Kyung Wan</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QP</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201309</creationdate><title>The effects of caloric restriction on Fetuin-A and cardiovascular risk factors in rats and humans: a randomized controlled trial</title><author>Choi, Kyung Mook ; Han, Kyung Ah ; Ahn, Hee Jung ; Lee, So Young ; Hwang, Soon Young ; Kim, Baek-Hui ; Hong, Ho Cheol ; Choi, Hae Yoon ; Yang, Sae Jeong ; Yoo, Hye Jin ; Baik, Sei Hyun ; Choi, Dong Seop ; Min, Kyung Wan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i3476-550d609dc4b98ee4ae369fdaf144ce6ed092a78f3e8215ba365d380f6fcbd7523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adipokines - biosynthesis</topic><topic>Aged</topic><topic>alpha-2-HS-Glycoprotein - biosynthesis</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Body Composition</topic><topic>Caloric Restriction</topic><topic>Cardiovascular Diseases - prevention &amp; control</topic><topic>Diabetes Complications - diagnosis</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Endocrinopathies</topic><topic>Fatty Liver - prevention &amp; control</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Intra-Abdominal Fat - pathology</topic><topic>Lipids - blood</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Overweight</topic><topic>Rats</topic><topic>Rats, Long-Evans</topic><topic>Risk Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Choi, Kyung Mook</creatorcontrib><creatorcontrib>Han, Kyung Ah</creatorcontrib><creatorcontrib>Ahn, Hee Jung</creatorcontrib><creatorcontrib>Lee, So Young</creatorcontrib><creatorcontrib>Hwang, Soon Young</creatorcontrib><creatorcontrib>Kim, Baek-Hui</creatorcontrib><creatorcontrib>Hong, Ho Cheol</creatorcontrib><creatorcontrib>Choi, Hae Yoon</creatorcontrib><creatorcontrib>Yang, Sae Jeong</creatorcontrib><creatorcontrib>Yoo, Hye Jin</creatorcontrib><creatorcontrib>Baik, Sei Hyun</creatorcontrib><creatorcontrib>Choi, Dong Seop</creatorcontrib><creatorcontrib>Min, Kyung Wan</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical endocrinology (Oxford)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Choi, Kyung Mook</au><au>Han, Kyung Ah</au><au>Ahn, Hee Jung</au><au>Lee, So Young</au><au>Hwang, Soon Young</au><au>Kim, Baek-Hui</au><au>Hong, Ho Cheol</au><au>Choi, Hae Yoon</au><au>Yang, Sae Jeong</au><au>Yoo, Hye Jin</au><au>Baik, Sei Hyun</au><au>Choi, Dong Seop</au><au>Min, Kyung Wan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of caloric restriction on Fetuin-A and cardiovascular risk factors in rats and humans: a randomized controlled trial</atitle><jtitle>Clinical endocrinology (Oxford)</jtitle><addtitle>Clin Endocrinol</addtitle><date>2013-09</date><risdate>2013</risdate><volume>79</volume><issue>3</issue><spage>356</spage><epage>363</epage><pages>356-363</pages><issn>0300-0664</issn><eissn>1365-2265</eissn><coden>CLECAP</coden><abstract>Summary Objectives The liver‐secreted protein fetuin‐A is associated with insulin resistance, metabolic syndrome, type 2 diabetes and atherosclerosis. We examined the effect of caloric restriction (CR) on fetuin‐A levels and concomitant changes in hepatic steatosis and cardiovascular risk factors in rats and humans. Design and Subjects We performed a randomized, controlled clinical trial to examine circulating fetuin‐A levels and cardiovascular risk parameters including visceral fat area (VFA), atherogenic lipid profile, inflammatory markers, adipokines levels and brachial artery endothelial function in 76 overweight women with type 2 diabetes before and after 12 weeks of CR. In addition, the effects of CR on hepatic steatosis and fetuin‐A mRNA expression were evaluated in Otuska Long Evans Tokushima Fatty (OLETF) rats, an animal model of obesity and type 2 diabetes. Results Circulating fetuin‐A levels were significantly decreased after 12 weeks of CR and were accompanied by improvements in VFA, blood pressure, glucose, lipid profiles and liver function. The CR group also showed a significant decrease in apolipoprotein B, leptin and insulin resistance compared to those in the control group, although endothelial function was not different. Multiple regression analysis showed that the changes in fetuin‐A levels were independently associated with CR and changes in hsCRP and adiponectin (R2 = 0·156). Moreover, CR significantly reduced hepatic steatosis and fetuin‐A expression, as well as weight, glucose, total cholesterol and triglyceride levels, in OLETF rats. Conclusion Caloric restriction significantly reduced the hepatic expression of fetuin‐A and its circulating levels and improved several cardiovascular risk factors in obese rats and humans with type 2 diabetes.</abstract><cop>Oxford</cop><pub>Blackwell Publishing Ltd</pub><pmid>23067229</pmid><doi>10.1111/cen.12076</doi><tpages>8</tpages></addata></record>
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subjects Adipokines - biosynthesis
Aged
alpha-2-HS-Glycoprotein - biosynthesis
Animals
Biological and medical sciences
Body Composition
Caloric Restriction
Cardiovascular Diseases - prevention & control
Diabetes Complications - diagnosis
Diabetes Mellitus, Type 2 - blood
Endocrinopathies
Fatty Liver - prevention & control
Female
Fundamental and applied biological sciences. Psychology
Humans
Inflammation
Intra-Abdominal Fat - pathology
Lipids - blood
Medical sciences
Middle Aged
Overweight
Rats
Rats, Long-Evans
Risk Factors
Tomography, X-Ray Computed
Vertebrates: endocrinology
title The effects of caloric restriction on Fetuin-A and cardiovascular risk factors in rats and humans: a randomized controlled trial
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