Health-related quality of life, obesity, and fitness in schoolchildren: the Cuenca study

Purpose The purpose of this study was to analyze the association of weight status and physical fitness with health-related quality of life (HRQoL) and to examine the independent association of body mass index (BMI), cardiorespiratory fitness (CRF) and musculoskeletal fitness (MF) with HRQoL in schoo...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Quality of life research 2013-09, Vol.22 (7), p.1515-1523
Hauptverfasser: Morales, Pablo Franquelo, Sánchez-López, Mairena, Moya-Martínez, Pablo, García-Prieto, Jorge Cañete, Martínez-Andrés, María, García, Noelia Lahoz, Martínez-Vizcaíno, Vicente
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1523
container_issue 7
container_start_page 1515
container_title Quality of life research
container_volume 22
creator Morales, Pablo Franquelo
Sánchez-López, Mairena
Moya-Martínez, Pablo
García-Prieto, Jorge Cañete
Martínez-Andrés, María
García, Noelia Lahoz
Martínez-Vizcaíno, Vicente
description Purpose The purpose of this study was to analyze the association of weight status and physical fitness with health-related quality of life (HRQoL) and to examine the independent association of body mass index (BMI), cardiorespiratory fitness (CRF) and musculoskeletal fitness (MF) with HRQoL in schoolchildren. Methods Cross-sectional study of 1,158 schoolchildren, 8–11 years, from 20 schools in the Cuenca province, Spain. We measured weight, height, and physical fitness, measured by CRF (20-m shuttle run test) and MF index by summing the age–sex z scores of handgrip strength test/weight + standing broad jump test. Self-reported HRQoL was measured by KIDSCREEN-52 questionnaire. Results Normal weight boys scored better in physical well-being, mood and emotions, autonomy, and social support and peers dimensions than overweight/obese boys. The mean in self-perception dimensions was lower in obese girls compared to normal weight or overweight girls. Higher levels of CRF and MF were associated with better physical well-being in both genders. Multiple linear regression models showed that the influence of MF in boys and CRF in girls on HRQoL was greater than that of overweight. Conclusions This is one of the first studies that assess the association of CRF and MF with HRQoL while controlling for BMI. CRF and MF are closely related to HRQoL, in particular to physical well-being. Improving fitness could be a strategy of particular interest for improving the HRQoL of schoolchildren.
doi_str_mv 10.1007/s11136-012-0282-8
format Article
fullrecord <record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1897378019</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>24725186</jstor_id><sourcerecordid>24725186</sourcerecordid><originalsourceid>FETCH-LOGICAL-c526t-cc2c8b58b84db2d4306b8eba7b5c491744361f6d6b61be9d9a111723cf2236e43</originalsourceid><addsrcrecordid>eNqFkUuLFDEUhYMoTjv6A1woATcupjTvSmYnjTrCgBsFdyGPW3Y16cpMUrXof2_aGh-4cFYXcr9zbg4HoeeUvKGE9G8rpZSrjlDWEaZZpx-gDZU975gS5iHaEKNYZ7jgZ-hJrXtCiDaEPUZnjBMphJEb9O0KXJp3XYHkZoj4dnFpnI84DziNA1zg7KG2hwvspoiHcZ6gVjxOuIZdzinsxhQLTJd43gHeLjAFh-u8xONT9GhwqcKzu3mOvn54_2V71V1__vhp--66C5KpuQuBBe2l9lpEz6LgRHkN3vVeBmFoLwRXdFBReUU9mGhcy9wzHgbGuALBz9Hr1fem5NsF6mwPYw2QkpsgL9VSbXrea0LN_aiU7IRydT_aPqplr5hs6Kt_0H1eytQyn6iWR4qft-lKhZJrLTDYmzIeXDlaSuypTLuWaVuZ9lSm1U3z8s558QeIvxW_2msAW4HaVtN3KH-d_o_ri1W0r3Muf0xFzyTViv8Aq3Sw_A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1433065419</pqid></control><display><type>article</type><title>Health-related quality of life, obesity, and fitness in schoolchildren: the Cuenca study</title><source>Jstor Complete Legacy</source><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Morales, Pablo Franquelo ; Sánchez-López, Mairena ; Moya-Martínez, Pablo ; García-Prieto, Jorge Cañete ; Martínez-Andrés, María ; García, Noelia Lahoz ; Martínez-Vizcaíno, Vicente</creator><creatorcontrib>Morales, Pablo Franquelo ; Sánchez-López, Mairena ; Moya-Martínez, Pablo ; García-Prieto, Jorge Cañete ; Martínez-Andrés, María ; García, Noelia Lahoz ; Martínez-Vizcaíno, Vicente</creatorcontrib><description>Purpose The purpose of this study was to analyze the association of weight status and physical fitness with health-related quality of life (HRQoL) and to examine the independent association of body mass index (BMI), cardiorespiratory fitness (CRF) and musculoskeletal fitness (MF) with HRQoL in schoolchildren. Methods Cross-sectional study of 1,158 schoolchildren, 8–11 years, from 20 schools in the Cuenca province, Spain. We measured weight, height, and physical fitness, measured by CRF (20-m shuttle run test) and MF index by summing the age–sex z scores of handgrip strength test/weight + standing broad jump test. Self-reported HRQoL was measured by KIDSCREEN-52 questionnaire. Results Normal weight boys scored better in physical well-being, mood and emotions, autonomy, and social support and peers dimensions than overweight/obese boys. The mean in self-perception dimensions was lower in obese girls compared to normal weight or overweight girls. Higher levels of CRF and MF were associated with better physical well-being in both genders. Multiple linear regression models showed that the influence of MF in boys and CRF in girls on HRQoL was greater than that of overweight. Conclusions This is one of the first studies that assess the association of CRF and MF with HRQoL while controlling for BMI. CRF and MF are closely related to HRQoL, in particular to physical well-being. Improving fitness could be a strategy of particular interest for improving the HRQoL of schoolchildren.</description><identifier>ISSN: 0962-9343</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-012-0282-8</identifier><identifier>PMID: 23054495</identifier><language>eng</language><publisher>Dordrecht: Springer</publisher><subject>Adolescents ; Body Composition ; Body Mass Index ; Child ; Children ; Children &amp; youth ; Cross-Sectional Studies ; Exercise ; Exercise Test ; Female ; Hand Strength ; Hands ; Health Status ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Obesity ; Obesity - psychology ; Overweight ; Physical Fitness ; Public Health ; Quality of Life ; Quality of Life Research ; Questionnaires ; Regression analysis ; Schools ; Self image ; Self perception ; Sociology ; Spain ; Surveys and Questionnaires ; Teenagers ; Wellbeing</subject><ispartof>Quality of life research, 2013-09, Vol.22 (7), p.1515-1523</ispartof><rights>Springer Science+Business Media Dordrecht 2012</rights><rights>Springer Science+Business Media Dordrecht 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-cc2c8b58b84db2d4306b8eba7b5c491744361f6d6b61be9d9a111723cf2236e43</citedby><cites>FETCH-LOGICAL-c526t-cc2c8b58b84db2d4306b8eba7b5c491744361f6d6b61be9d9a111723cf2236e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/24725186$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/24725186$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,41464,42533,51294,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23054495$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morales, Pablo Franquelo</creatorcontrib><creatorcontrib>Sánchez-López, Mairena</creatorcontrib><creatorcontrib>Moya-Martínez, Pablo</creatorcontrib><creatorcontrib>García-Prieto, Jorge Cañete</creatorcontrib><creatorcontrib>Martínez-Andrés, María</creatorcontrib><creatorcontrib>García, Noelia Lahoz</creatorcontrib><creatorcontrib>Martínez-Vizcaíno, Vicente</creatorcontrib><title>Health-related quality of life, obesity, and fitness in schoolchildren: the Cuenca study</title><title>Quality of life research</title><addtitle>Qual Life Res</addtitle><addtitle>Qual Life Res</addtitle><description>Purpose The purpose of this study was to analyze the association of weight status and physical fitness with health-related quality of life (HRQoL) and to examine the independent association of body mass index (BMI), cardiorespiratory fitness (CRF) and musculoskeletal fitness (MF) with HRQoL in schoolchildren. Methods Cross-sectional study of 1,158 schoolchildren, 8–11 years, from 20 schools in the Cuenca province, Spain. We measured weight, height, and physical fitness, measured by CRF (20-m shuttle run test) and MF index by summing the age–sex z scores of handgrip strength test/weight + standing broad jump test. Self-reported HRQoL was measured by KIDSCREEN-52 questionnaire. Results Normal weight boys scored better in physical well-being, mood and emotions, autonomy, and social support and peers dimensions than overweight/obese boys. The mean in self-perception dimensions was lower in obese girls compared to normal weight or overweight girls. Higher levels of CRF and MF were associated with better physical well-being in both genders. Multiple linear regression models showed that the influence of MF in boys and CRF in girls on HRQoL was greater than that of overweight. Conclusions This is one of the first studies that assess the association of CRF and MF with HRQoL while controlling for BMI. CRF and MF are closely related to HRQoL, in particular to physical well-being. Improving fitness could be a strategy of particular interest for improving the HRQoL of schoolchildren.</description><subject>Adolescents</subject><subject>Body Composition</subject><subject>Body Mass Index</subject><subject>Child</subject><subject>Children</subject><subject>Children &amp; youth</subject><subject>Cross-Sectional Studies</subject><subject>Exercise</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Hand Strength</subject><subject>Hands</subject><subject>Health Status</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Obesity</subject><subject>Obesity - psychology</subject><subject>Overweight</subject><subject>Physical Fitness</subject><subject>Public Health</subject><subject>Quality of Life</subject><subject>Quality of Life Research</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Schools</subject><subject>Self image</subject><subject>Self perception</subject><subject>Sociology</subject><subject>Spain</subject><subject>Surveys and Questionnaires</subject><subject>Teenagers</subject><subject>Wellbeing</subject><issn>0962-9343</issn><issn>1573-2649</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkUuLFDEUhYMoTjv6A1woATcupjTvSmYnjTrCgBsFdyGPW3Y16cpMUrXof2_aGh-4cFYXcr9zbg4HoeeUvKGE9G8rpZSrjlDWEaZZpx-gDZU975gS5iHaEKNYZ7jgZ-hJrXtCiDaEPUZnjBMphJEb9O0KXJp3XYHkZoj4dnFpnI84DziNA1zg7KG2hwvspoiHcZ6gVjxOuIZdzinsxhQLTJd43gHeLjAFh-u8xONT9GhwqcKzu3mOvn54_2V71V1__vhp--66C5KpuQuBBe2l9lpEz6LgRHkN3vVeBmFoLwRXdFBReUU9mGhcy9wzHgbGuALBz9Hr1fem5NsF6mwPYw2QkpsgL9VSbXrea0LN_aiU7IRydT_aPqplr5hs6Kt_0H1eytQyn6iWR4qft-lKhZJrLTDYmzIeXDlaSuypTLuWaVuZ9lSm1U3z8s558QeIvxW_2msAW4HaVtN3KH-d_o_ri1W0r3Muf0xFzyTViv8Aq3Sw_A</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>Morales, Pablo Franquelo</creator><creator>Sánchez-López, Mairena</creator><creator>Moya-Martínez, Pablo</creator><creator>García-Prieto, Jorge Cañete</creator><creator>Martínez-Andrés, María</creator><creator>García, Noelia Lahoz</creator><creator>Martínez-Vizcaíno, Vicente</creator><general>Springer</general><general>Springer Netherlands</general><general>Springer Nature B.V</general><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>3V.</scope><scope>7RV</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7TS</scope></search><sort><creationdate>20130901</creationdate><title>Health-related quality of life, obesity, and fitness in schoolchildren: the Cuenca study</title><author>Morales, Pablo Franquelo ; Sánchez-López, Mairena ; Moya-Martínez, Pablo ; García-Prieto, Jorge Cañete ; Martínez-Andrés, María ; García, Noelia Lahoz ; Martínez-Vizcaíno, Vicente</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c526t-cc2c8b58b84db2d4306b8eba7b5c491744361f6d6b61be9d9a111723cf2236e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescents</topic><topic>Body Composition</topic><topic>Body Mass Index</topic><topic>Child</topic><topic>Children</topic><topic>Children &amp; youth</topic><topic>Cross-Sectional Studies</topic><topic>Exercise</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Hand Strength</topic><topic>Hands</topic><topic>Health Status</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Obesity</topic><topic>Obesity - psychology</topic><topic>Overweight</topic><topic>Physical Fitness</topic><topic>Public Health</topic><topic>Quality of Life</topic><topic>Quality of Life Research</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Schools</topic><topic>Self image</topic><topic>Self perception</topic><topic>Sociology</topic><topic>Spain</topic><topic>Surveys and Questionnaires</topic><topic>Teenagers</topic><topic>Wellbeing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morales, Pablo Franquelo</creatorcontrib><creatorcontrib>Sánchez-López, Mairena</creatorcontrib><creatorcontrib>Moya-Martínez, Pablo</creatorcontrib><creatorcontrib>García-Prieto, Jorge Cañete</creatorcontrib><creatorcontrib>Martínez-Andrés, María</creatorcontrib><creatorcontrib>García, Noelia Lahoz</creatorcontrib><creatorcontrib>Martínez-Vizcaíno, Vicente</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>ABI/INFORM Collection</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Physical Education Index</collection><jtitle>Quality of life research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morales, Pablo Franquelo</au><au>Sánchez-López, Mairena</au><au>Moya-Martínez, Pablo</au><au>García-Prieto, Jorge Cañete</au><au>Martínez-Andrés, María</au><au>García, Noelia Lahoz</au><au>Martínez-Vizcaíno, Vicente</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health-related quality of life, obesity, and fitness in schoolchildren: the Cuenca study</atitle><jtitle>Quality of life research</jtitle><stitle>Qual Life Res</stitle><addtitle>Qual Life Res</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>22</volume><issue>7</issue><spage>1515</spage><epage>1523</epage><pages>1515-1523</pages><issn>0962-9343</issn><eissn>1573-2649</eissn><abstract>Purpose The purpose of this study was to analyze the association of weight status and physical fitness with health-related quality of life (HRQoL) and to examine the independent association of body mass index (BMI), cardiorespiratory fitness (CRF) and musculoskeletal fitness (MF) with HRQoL in schoolchildren. Methods Cross-sectional study of 1,158 schoolchildren, 8–11 years, from 20 schools in the Cuenca province, Spain. We measured weight, height, and physical fitness, measured by CRF (20-m shuttle run test) and MF index by summing the age–sex z scores of handgrip strength test/weight + standing broad jump test. Self-reported HRQoL was measured by KIDSCREEN-52 questionnaire. Results Normal weight boys scored better in physical well-being, mood and emotions, autonomy, and social support and peers dimensions than overweight/obese boys. The mean in self-perception dimensions was lower in obese girls compared to normal weight or overweight girls. Higher levels of CRF and MF were associated with better physical well-being in both genders. Multiple linear regression models showed that the influence of MF in boys and CRF in girls on HRQoL was greater than that of overweight. Conclusions This is one of the first studies that assess the association of CRF and MF with HRQoL while controlling for BMI. CRF and MF are closely related to HRQoL, in particular to physical well-being. Improving fitness could be a strategy of particular interest for improving the HRQoL of schoolchildren.</abstract><cop>Dordrecht</cop><pub>Springer</pub><pmid>23054495</pmid><doi>10.1007/s11136-012-0282-8</doi><tpages>9</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0962-9343
ispartof Quality of life research, 2013-09, Vol.22 (7), p.1515-1523
issn 0962-9343
1573-2649
language eng
recordid cdi_proquest_miscellaneous_1897378019
source Jstor Complete Legacy; MEDLINE; SpringerLink Journals
subjects Adolescents
Body Composition
Body Mass Index
Child
Children
Children & youth
Cross-Sectional Studies
Exercise
Exercise Test
Female
Hand Strength
Hands
Health Status
Humans
Male
Medicine
Medicine & Public Health
Obesity
Obesity - psychology
Overweight
Physical Fitness
Public Health
Quality of Life
Quality of Life Research
Questionnaires
Regression analysis
Schools
Self image
Self perception
Sociology
Spain
Surveys and Questionnaires
Teenagers
Wellbeing
title Health-related quality of life, obesity, and fitness in schoolchildren: the Cuenca study
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T15%3A42%3A07IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Health-related%20quality%20of%20life,%20obesity,%20and%20fitness%20in%20schoolchildren:%20the%20Cuenca%20study&rft.jtitle=Quality%20of%20life%20research&rft.au=Morales,%20Pablo%20Franquelo&rft.date=2013-09-01&rft.volume=22&rft.issue=7&rft.spage=1515&rft.epage=1523&rft.pages=1515-1523&rft.issn=0962-9343&rft.eissn=1573-2649&rft_id=info:doi/10.1007/s11136-012-0282-8&rft_dat=%3Cjstor_proqu%3E24725186%3C/jstor_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1433065419&rft_id=info:pmid/23054495&rft_jstor_id=24725186&rfr_iscdi=true