Randomized open-label trial of docosahexaenoic acid–enriched fish oil and fish meal on cognitive and behavioral functioning in Omani children
•Cognitive and behavioral functioning was assessed in school children before and after intervention with docosahexaenoic acid–enriched fish oil and a fish meal.•Fish oil and a fish meal improved executive functioning with significantly better results with fish oil. Neither verbal ability nor memory...
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Veröffentlicht in: | Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2019-01, Vol.57, p.167-172 |
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creator | Al-Ghannami, Samia S. Al-Adawi, Samir Ghebremeskel, Kebreab Hussein, Izzeldin S. Min, Yoeju Jeyaseelan, Lakshmanan Al-Shammakhi, Saleh M. Mabry, Ruth M. Al-Oufi, Hamed S. |
description | •Cognitive and behavioral functioning was assessed in school children before and after intervention with docosahexaenoic acid–enriched fish oil and a fish meal.•Fish oil and a fish meal improved executive functioning with significantly better results with fish oil. Neither verbal ability nor memory was improved.•Fish oil ameliorated attention-deficit/hyperactivity disorder–related symptoms; however, a fish meal did not.
This study aimed to examine the effect of docosahexaenoic acid (DHA)–enriched fish oil supplement and meal of grilled fish on cognitive and behavioral functioning manifested as attention-deficit/hyperactivity disorder in primary school students 9 to 10 y of age in Muscat, Oman.
This randomized open-label trial involved two types of interventions: fish oil supplement or one serving (100 g) of grilled fish per day (Sunday through Friday) for 12 weeks. Red cell total lipid DHA levels were assessed. The Verbal Fluency Test, Buschke Selective Reminding Test, and Trail Making Test were used to measure cognitive functioning. Behavioral functioning was assessed using a standardized Arabic version of the National Initiative for Children’s Health Quality Vanderbilt Assessment Scales. All measurements were carried out before and after intervention.
DHA levels increased by 72% and 64% in the fish oil (mean, 3.6%–6.2%) and fish-meal (mean, 3.4%–5.6%) groups, respectively (P = 0.000). The Trail Making Test was the only cognitive test that demonstrated marked differences between groups: Median interquartile range difference between pre- and postintervention in the Trail Making Part B score was 61.5 (SE, 19.3, 103.2) in the fish oil versus fish-meal group, 24.5 (SE, −15.2, 74.7, P = 0.005). The Vanderbilt Assessment Scales also showed significant differences between groups (P |
doi_str_mv | 10.1016/j.nut.2018.04.008 |
format | Article |
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This study aimed to examine the effect of docosahexaenoic acid (DHA)–enriched fish oil supplement and meal of grilled fish on cognitive and behavioral functioning manifested as attention-deficit/hyperactivity disorder in primary school students 9 to 10 y of age in Muscat, Oman.
This randomized open-label trial involved two types of interventions: fish oil supplement or one serving (100 g) of grilled fish per day (Sunday through Friday) for 12 weeks. Red cell total lipid DHA levels were assessed. The Verbal Fluency Test, Buschke Selective Reminding Test, and Trail Making Test were used to measure cognitive functioning. Behavioral functioning was assessed using a standardized Arabic version of the National Initiative for Children’s Health Quality Vanderbilt Assessment Scales. All measurements were carried out before and after intervention.
DHA levels increased by 72% and 64% in the fish oil (mean, 3.6%–6.2%) and fish-meal (mean, 3.4%–5.6%) groups, respectively (P = 0.000). The Trail Making Test was the only cognitive test that demonstrated marked differences between groups: Median interquartile range difference between pre- and postintervention in the Trail Making Part B score was 61.5 (SE, 19.3, 103.2) in the fish oil versus fish-meal group, 24.5 (SE, −15.2, 74.7, P = 0.005). The Vanderbilt Assessment Scales also showed significant differences between groups (P < 0.001).
This study contributed to available evidence on the cognitive and behavioral benefits of DHA in healthy school children. Expanding the food fortification program with DHA-enriched fish oil should be considered as part of broader policy to improve child health.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2018.04.008</identifier><identifier>PMID: 30195244</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Age ; Animals ; Attention Deficit Disorder with Hyperactivity - blood ; Attention Deficit Disorder with Hyperactivity - drug therapy ; Attention deficit hyperactivity disorder ; Balances (scales) ; Behavior ; Child ; Child Behavior - drug effects ; Child behavior disorders ; Child nutrition ; Children ; Children & youth ; Cognition - drug effects ; Cognitive ability ; Cognitive disorder ; Diet ; Dietary Supplements ; Docosahexaenoic acid ; Docosahexaenoic Acids - blood ; Docosahexaenoic Acids - pharmacology ; Docosahexaenoic Acids - therapeutic use ; Enrichment ; Ethics ; Fatty acids ; Female ; Fish ; Fish meal ; Fish oils ; Fish Oils - pharmacology ; Fish Oils - therapeutic use ; Fishes ; Humans ; Hyperactivity ; Learning ; Lipids ; Male ; Meals ; Nutrition research ; Oman ; Quality assessment ; Seafood ; Students ; Teachers</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2019-01, Vol.57, p.167-172</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><rights>2019. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-52bdad28d616a72d39155f6a8a4525ad798802ac7228af79e0bb1854cf1af1423</citedby><cites>FETCH-LOGICAL-c381t-52bdad28d616a72d39155f6a8a4525ad798802ac7228af79e0bb1854cf1af1423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2460755218?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,782,786,3552,27931,27932,46002,64392,64394,64396,72476</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30195244$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al-Ghannami, Samia S.</creatorcontrib><creatorcontrib>Al-Adawi, Samir</creatorcontrib><creatorcontrib>Ghebremeskel, Kebreab</creatorcontrib><creatorcontrib>Hussein, Izzeldin S.</creatorcontrib><creatorcontrib>Min, Yoeju</creatorcontrib><creatorcontrib>Jeyaseelan, Lakshmanan</creatorcontrib><creatorcontrib>Al-Shammakhi, Saleh M.</creatorcontrib><creatorcontrib>Mabry, Ruth M.</creatorcontrib><creatorcontrib>Al-Oufi, Hamed S.</creatorcontrib><title>Randomized open-label trial of docosahexaenoic acid–enriched fish oil and fish meal on cognitive and behavioral functioning in Omani children</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>•Cognitive and behavioral functioning was assessed in school children before and after intervention with docosahexaenoic acid–enriched fish oil and a fish meal.•Fish oil and a fish meal improved executive functioning with significantly better results with fish oil. Neither verbal ability nor memory was improved.•Fish oil ameliorated attention-deficit/hyperactivity disorder–related symptoms; however, a fish meal did not.
This study aimed to examine the effect of docosahexaenoic acid (DHA)–enriched fish oil supplement and meal of grilled fish on cognitive and behavioral functioning manifested as attention-deficit/hyperactivity disorder in primary school students 9 to 10 y of age in Muscat, Oman.
This randomized open-label trial involved two types of interventions: fish oil supplement or one serving (100 g) of grilled fish per day (Sunday through Friday) for 12 weeks. Red cell total lipid DHA levels were assessed. The Verbal Fluency Test, Buschke Selective Reminding Test, and Trail Making Test were used to measure cognitive functioning. Behavioral functioning was assessed using a standardized Arabic version of the National Initiative for Children’s Health Quality Vanderbilt Assessment Scales. All measurements were carried out before and after intervention.
DHA levels increased by 72% and 64% in the fish oil (mean, 3.6%–6.2%) and fish-meal (mean, 3.4%–5.6%) groups, respectively (P = 0.000). The Trail Making Test was the only cognitive test that demonstrated marked differences between groups: Median interquartile range difference between pre- and postintervention in the Trail Making Part B score was 61.5 (SE, 19.3, 103.2) in the fish oil versus fish-meal group, 24.5 (SE, −15.2, 74.7, P = 0.005). The Vanderbilt Assessment Scales also showed significant differences between groups (P < 0.001).
This study contributed to available evidence on the cognitive and behavioral benefits of DHA in healthy school children. Expanding the food fortification program with DHA-enriched fish oil should be considered as part of broader policy to improve child health.</description><subject>Age</subject><subject>Animals</subject><subject>Attention Deficit Disorder with Hyperactivity - blood</subject><subject>Attention Deficit Disorder with Hyperactivity - drug therapy</subject><subject>Attention deficit hyperactivity disorder</subject><subject>Balances (scales)</subject><subject>Behavior</subject><subject>Child</subject><subject>Child Behavior - drug effects</subject><subject>Child behavior disorders</subject><subject>Child nutrition</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cognition - drug effects</subject><subject>Cognitive ability</subject><subject>Cognitive disorder</subject><subject>Diet</subject><subject>Dietary Supplements</subject><subject>Docosahexaenoic acid</subject><subject>Docosahexaenoic Acids - blood</subject><subject>Docosahexaenoic Acids - pharmacology</subject><subject>Docosahexaenoic Acids - therapeutic use</subject><subject>Enrichment</subject><subject>Ethics</subject><subject>Fatty acids</subject><subject>Female</subject><subject>Fish</subject><subject>Fish meal</subject><subject>Fish oils</subject><subject>Fish Oils - pharmacology</subject><subject>Fish Oils - therapeutic use</subject><subject>Fishes</subject><subject>Humans</subject><subject>Hyperactivity</subject><subject>Learning</subject><subject>Lipids</subject><subject>Male</subject><subject>Meals</subject><subject>Nutrition research</subject><subject>Oman</subject><subject>Quality assessment</subject><subject>Seafood</subject><subject>Students</subject><subject>Teachers</subject><issn>0899-9007</issn><issn>1873-1244</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kcuKFDEUhoMoTjv6AG4k4GY2VSapWwpXMniDgQHRdTiVnJo-TVXSJlWNupo3cOEb-iSm7dGFC1dJON__E87H2FMpSilk-2JX-nUplZC6FHUphL7HNlJ3VSFVXd9nG6H7vuiF6M7Yo5R2QgjZt_1DdlblS5OZDfv-AbwLM31Dx8MefTHBgBNfIsHEw8hdsCHBFr8A-kCWgyX38_YH-kh2mzMjpS0PNPFcc3rMeEx6bsONp4UO-Hs04BYOFGKejau3CwVP_oaT59czeOJ2S5OL6B-zByNMCZ_cnefs05vXHy_fFVfXb99fvroqbKXlUjRqcOCUdq1soVOu6mXTjC1oqBvVgOt6rYUC2ymlYex6FMMgdVPbUcIoa1Wds4tT7z6GzyumxcyULE4TeAxrMiovWHV128mMPv8H3YU1-vw7o-pWdE2jpM6UPFE2hpQijmYfaYb41UhhjrbMzmRb5mjLiNpkWznz7K55HWZ0fxN_9GTg5QnAvIoDYTTJEnqLjiLaxbhA_6n_BQm4p5w</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Al-Ghannami, Samia S.</creator><creator>Al-Adawi, Samir</creator><creator>Ghebremeskel, Kebreab</creator><creator>Hussein, Izzeldin S.</creator><creator>Min, Yoeju</creator><creator>Jeyaseelan, Lakshmanan</creator><creator>Al-Shammakhi, Saleh M.</creator><creator>Mabry, Ruth M.</creator><creator>Al-Oufi, Hamed S.</creator><general>Elsevier Inc</general><general>Elsevier Limited</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>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201901</creationdate><title>Randomized open-label trial of docosahexaenoic acid–enriched fish oil and fish meal on cognitive and behavioral functioning in Omani children</title><author>Al-Ghannami, Samia S. ; Al-Adawi, Samir ; Ghebremeskel, Kebreab ; Hussein, Izzeldin S. ; Min, Yoeju ; Jeyaseelan, Lakshmanan ; Al-Shammakhi, Saleh M. ; Mabry, Ruth M. ; Al-Oufi, Hamed S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-52bdad28d616a72d39155f6a8a4525ad798802ac7228af79e0bb1854cf1af1423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Age</topic><topic>Animals</topic><topic>Attention Deficit Disorder with Hyperactivity - blood</topic><topic>Attention Deficit Disorder with Hyperactivity - drug therapy</topic><topic>Attention deficit hyperactivity disorder</topic><topic>Balances (scales)</topic><topic>Behavior</topic><topic>Child</topic><topic>Child Behavior - drug effects</topic><topic>Child behavior disorders</topic><topic>Child nutrition</topic><topic>Children</topic><topic>Children & youth</topic><topic>Cognition - drug effects</topic><topic>Cognitive ability</topic><topic>Cognitive disorder</topic><topic>Diet</topic><topic>Dietary Supplements</topic><topic>Docosahexaenoic acid</topic><topic>Docosahexaenoic Acids - blood</topic><topic>Docosahexaenoic Acids - pharmacology</topic><topic>Docosahexaenoic Acids - therapeutic use</topic><topic>Enrichment</topic><topic>Ethics</topic><topic>Fatty acids</topic><topic>Female</topic><topic>Fish</topic><topic>Fish meal</topic><topic>Fish oils</topic><topic>Fish Oils - pharmacology</topic><topic>Fish Oils - therapeutic use</topic><topic>Fishes</topic><topic>Humans</topic><topic>Hyperactivity</topic><topic>Learning</topic><topic>Lipids</topic><topic>Male</topic><topic>Meals</topic><topic>Nutrition research</topic><topic>Oman</topic><topic>Quality assessment</topic><topic>Seafood</topic><topic>Students</topic><topic>Teachers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Al-Ghannami, Samia S.</creatorcontrib><creatorcontrib>Al-Adawi, Samir</creatorcontrib><creatorcontrib>Ghebremeskel, Kebreab</creatorcontrib><creatorcontrib>Hussein, Izzeldin S.</creatorcontrib><creatorcontrib>Min, Yoeju</creatorcontrib><creatorcontrib>Jeyaseelan, Lakshmanan</creatorcontrib><creatorcontrib>Al-Shammakhi, Saleh M.</creatorcontrib><creatorcontrib>Mabry, Ruth M.</creatorcontrib><creatorcontrib>Al-Oufi, Hamed S.</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>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</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 Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Al-Ghannami, Samia S.</au><au>Al-Adawi, Samir</au><au>Ghebremeskel, Kebreab</au><au>Hussein, Izzeldin S.</au><au>Min, Yoeju</au><au>Jeyaseelan, Lakshmanan</au><au>Al-Shammakhi, Saleh M.</au><au>Mabry, Ruth M.</au><au>Al-Oufi, Hamed S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Randomized open-label trial of docosahexaenoic acid–enriched fish oil and fish meal on cognitive and behavioral functioning in Omani children</atitle><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle><addtitle>Nutrition</addtitle><date>2019-01</date><risdate>2019</risdate><volume>57</volume><spage>167</spage><epage>172</epage><pages>167-172</pages><issn>0899-9007</issn><eissn>1873-1244</eissn><abstract>•Cognitive and behavioral functioning was assessed in school children before and after intervention with docosahexaenoic acid–enriched fish oil and a fish meal.•Fish oil and a fish meal improved executive functioning with significantly better results with fish oil. Neither verbal ability nor memory was improved.•Fish oil ameliorated attention-deficit/hyperactivity disorder–related symptoms; however, a fish meal did not.
This study aimed to examine the effect of docosahexaenoic acid (DHA)–enriched fish oil supplement and meal of grilled fish on cognitive and behavioral functioning manifested as attention-deficit/hyperactivity disorder in primary school students 9 to 10 y of age in Muscat, Oman.
This randomized open-label trial involved two types of interventions: fish oil supplement or one serving (100 g) of grilled fish per day (Sunday through Friday) for 12 weeks. Red cell total lipid DHA levels were assessed. The Verbal Fluency Test, Buschke Selective Reminding Test, and Trail Making Test were used to measure cognitive functioning. Behavioral functioning was assessed using a standardized Arabic version of the National Initiative for Children’s Health Quality Vanderbilt Assessment Scales. All measurements were carried out before and after intervention.
DHA levels increased by 72% and 64% in the fish oil (mean, 3.6%–6.2%) and fish-meal (mean, 3.4%–5.6%) groups, respectively (P = 0.000). The Trail Making Test was the only cognitive test that demonstrated marked differences between groups: Median interquartile range difference between pre- and postintervention in the Trail Making Part B score was 61.5 (SE, 19.3, 103.2) in the fish oil versus fish-meal group, 24.5 (SE, −15.2, 74.7, P = 0.005). The Vanderbilt Assessment Scales also showed significant differences between groups (P < 0.001).
This study contributed to available evidence on the cognitive and behavioral benefits of DHA in healthy school children. Expanding the food fortification program with DHA-enriched fish oil should be considered as part of broader policy to improve child health.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30195244</pmid><doi>10.1016/j.nut.2018.04.008</doi><tpages>6</tpages></addata></record> |
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subjects | Age Animals Attention Deficit Disorder with Hyperactivity - blood Attention Deficit Disorder with Hyperactivity - drug therapy Attention deficit hyperactivity disorder Balances (scales) Behavior Child Child Behavior - drug effects Child behavior disorders Child nutrition Children Children & youth Cognition - drug effects Cognitive ability Cognitive disorder Diet Dietary Supplements Docosahexaenoic acid Docosahexaenoic Acids - blood Docosahexaenoic Acids - pharmacology Docosahexaenoic Acids - therapeutic use Enrichment Ethics Fatty acids Female Fish Fish meal Fish oils Fish Oils - pharmacology Fish Oils - therapeutic use Fishes Humans Hyperactivity Learning Lipids Male Meals Nutrition research Oman Quality assessment Seafood Students Teachers |
title | Randomized open-label trial of docosahexaenoic acid–enriched fish oil and fish meal on cognitive and behavioral functioning in Omani children |
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