Influence of benzoic acid and phytase in low-phosphorus diets on bone characteristics in growing-finishing pigs
In 2 simultaneous experiments (Exp. 1 and Exp. 2), the effects of benzoic acid (BA) and phytase (Phy) in low-P diets on bone metabolism, bone composition, and bone stability in growing and growing-finishing pigs were examined. Experiment 1 was conducted with 16 crossbred gilts in the BW range of 25...
Gespeichert in:
Veröffentlicht in: | Journal of animal science 2010-10, Vol.88 (10), p.3363-3371 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 3371 |
---|---|
container_issue | 10 |
container_start_page | 3363 |
container_title | Journal of animal science |
container_volume | 88 |
creator | Bühler, K Liesegang, A Bucher, B Wenk, C Broz, J |
description | In 2 simultaneous experiments (Exp. 1 and Exp. 2), the effects of benzoic acid (BA) and phytase (Phy) in low-P diets on bone metabolism, bone composition, and bone stability in growing and growing-finishing pigs were examined. Experiment 1 was conducted with 16 crossbred gilts in the BW range of 25 to 66 kg of BW, whereas in Exp. 2, 32 crossbred gilts (25 to 108 kg of BW) were used. All pigs were individually housed in pens and restrictively fed 1 of 4 diets throughout the experiment. Total P content of the wheat-soybean diets was 4 g/kg (all values on an as-fed basis). The experimental diets were 1) unsupplemented control diet; 2) control diet with 0.5% BA; 3) Phy diet with 750 Phy units (FTU) of Phy/kg and no BA; and 4) PhyBA, control diet with 750 FTU of Phy/kg and 0.5% BA. Blood samples were taken at the beginning of the experiment, wk 3 (only for pigs in Exp. 1), wk 6, and before slaughter to determine P and Ca in serum and concentrations of total alkaline phosphatase, serum crosslaps (marker for bone resorption), and osteocalcin (marker for bone formation). Ash, P, and Ca contents of bones and bone stability were examined using the left metatarsal bones and tibia of the pigs after slaughter. Benzoic acid did not influence any of the blood variables (P > 0.09). The addition of Phy increased (P [less-than or equal to] 0.03) P concentration in serum from 2.71 ± 0.08 to 3.03 ± 0.07 mmol/L at wk 3 and content of serum crosslaps from 0.39 ± 0.02 to 0.45 ± 0.02 ng/mL at wk 6 and decreased (P < 0.05) osteocalcin at wk 6 by 160 ng/mL. No long-term effect of diets on serum mineral concentrations, alkaline phosphatase, and bone markers in serum could be detected. Benzoic acid negatively affected (P [less-than or equal to] 0.03) Ca content in bones and distal bone mineral density, especially in the younger pigs. In the control diet with 0.5% BA and the control diet with 750 FTU of Phy/kg and 0.5% BA, the CA content in bones and distal bone mineral density were reduced by 6 and 11%, respectively. Throughout the whole growing and finishing period, Phy increased (P [less-than or equal to] 0.02) ash, P, and Ca contents in bones by 29.4, 4.8, and 11.6 g/kg of DM, respectively. Bone mineral density and bone mineral content were greater in diets with Phy (P [less-than or equal to] 0.03), as well as breaking strength of tibia (+22%) and metatarsal bones (+27%; P < 0.01). The results of this study indicate that for a healthy skeleton, BA should not be used in low-P diets |
doi_str_mv | 10.2527/jas.2009-1940 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_877601514</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>877601514</sourcerecordid><originalsourceid>FETCH-LOGICAL-f296t-b295c5236be95541d68f3d6b225e261d42ceaf0d24bf59e23dd79fd5ae2aac263</originalsourceid><addsrcrecordid>eNqF0M1v1DAQBXALFdGl7bHX4gvilGKPY8c5VqsClSpxgJ6jiT92XWXtkElUlb-eVF3EkcPTvMNPc3iMXUpxDRqaz49I1yBEW8m2Fm_YRmrQlZJGnbCNECArayWcsvdEj0JI0K1-x05BaANKqw0rdzkOS8gu8BJ5H_LvkhxHlzzH7Pm4f56RAk-ZD-WpGveF1kwLcZ_CTLxk3pccuNvjhG4OU6I5OXrxu6k8pbyrYsqJ9mvjY9rROXsbcaBwcbxn7OHL7c_tt-r--9e77c19FaE1c9VDq50GZfrQal1Lb2xU3vQAOoCRvgYXMAoPdR91G0B537TRawyA6MCoM_bp9e84lV9LoLk7JHJhGDCHslBnm8YIqWX9X9noWoAV6kVeHeXSH4LvxikdcHru_q65go9HgORwiBNml-ifU6AaC3Z1H15dxNLhbh2te_gBQiohrW2krtUfvoKOFg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>754028034</pqid></control><display><type>article</type><title>Influence of benzoic acid and phytase in low-phosphorus diets on bone characteristics in growing-finishing pigs</title><source>MEDLINE</source><source>Oxford University Press Journals All Titles (1996-Current)</source><creator>Bühler, K ; Liesegang, A ; Bucher, B ; Wenk, C ; Broz, J</creator><creatorcontrib>Bühler, K ; Liesegang, A ; Bucher, B ; Wenk, C ; Broz, J</creatorcontrib><description>In 2 simultaneous experiments (Exp. 1 and Exp. 2), the effects of benzoic acid (BA) and phytase (Phy) in low-P diets on bone metabolism, bone composition, and bone stability in growing and growing-finishing pigs were examined. Experiment 1 was conducted with 16 crossbred gilts in the BW range of 25 to 66 kg of BW, whereas in Exp. 2, 32 crossbred gilts (25 to 108 kg of BW) were used. All pigs were individually housed in pens and restrictively fed 1 of 4 diets throughout the experiment. Total P content of the wheat-soybean diets was 4 g/kg (all values on an as-fed basis). The experimental diets were 1) unsupplemented control diet; 2) control diet with 0.5% BA; 3) Phy diet with 750 Phy units (FTU) of Phy/kg and no BA; and 4) PhyBA, control diet with 750 FTU of Phy/kg and 0.5% BA. Blood samples were taken at the beginning of the experiment, wk 3 (only for pigs in Exp. 1), wk 6, and before slaughter to determine P and Ca in serum and concentrations of total alkaline phosphatase, serum crosslaps (marker for bone resorption), and osteocalcin (marker for bone formation). Ash, P, and Ca contents of bones and bone stability were examined using the left metatarsal bones and tibia of the pigs after slaughter. Benzoic acid did not influence any of the blood variables (P > 0.09). The addition of Phy increased (P [less-than or equal to] 0.03) P concentration in serum from 2.71 ± 0.08 to 3.03 ± 0.07 mmol/L at wk 3 and content of serum crosslaps from 0.39 ± 0.02 to 0.45 ± 0.02 ng/mL at wk 6 and decreased (P < 0.05) osteocalcin at wk 6 by 160 ng/mL. No long-term effect of diets on serum mineral concentrations, alkaline phosphatase, and bone markers in serum could be detected. Benzoic acid negatively affected (P [less-than or equal to] 0.03) Ca content in bones and distal bone mineral density, especially in the younger pigs. In the control diet with 0.5% BA and the control diet with 750 FTU of Phy/kg and 0.5% BA, the CA content in bones and distal bone mineral density were reduced by 6 and 11%, respectively. Throughout the whole growing and finishing period, Phy increased (P [less-than or equal to] 0.02) ash, P, and Ca contents in bones by 29.4, 4.8, and 11.6 g/kg of DM, respectively. Bone mineral density and bone mineral content were greater in diets with Phy (P [less-than or equal to] 0.03), as well as breaking strength of tibia (+22%) and metatarsal bones (+27%; P < 0.01). The results of this study indicate that for a healthy skeleton, BA should not be used in low-P diets without the addition of Phy.</description><identifier>ISSN: 0021-8812</identifier><identifier>EISSN: 1525-3163</identifier><identifier>DOI: 10.2527/jas.2009-1940</identifier><identifier>PMID: 20562353</identifier><language>eng</language><publisher>Champaign, IL: American Society of Animal Science</publisher><subject>6-Phytase - pharmacology ; Alkaline Phosphatase - blood ; Animal productions ; Animals ; benzoic acid ; Benzoic Acid - pharmacology ; Biological and medical sciences ; Bone and Bones - chemistry ; Bone and Bones - drug effects ; Bone and Bones - physiology ; Bone Density - drug effects ; bone metabolism ; bones ; Calcium - blood ; Diet - veterinary ; dietary minerals ; Dietary Supplements ; experimental diets ; feeder pigs ; Female ; Fundamental and applied biological sciences. Psychology ; low-phosphorus diet ; nutrient intake ; Osteocalcin - blood ; phosphorus ; Phosphorus - deficiency ; Swine - growth & development ; Swine - physiology ; swine feeding ; Terrestrial animal productions ; Tibia - chemistry ; Tibia - drug effects ; Tibia - physiology ; Vertebrates</subject><ispartof>Journal of animal science, 2010-10, Vol.88 (10), p.3363-3371</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23237828$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20562353$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bühler, K</creatorcontrib><creatorcontrib>Liesegang, A</creatorcontrib><creatorcontrib>Bucher, B</creatorcontrib><creatorcontrib>Wenk, C</creatorcontrib><creatorcontrib>Broz, J</creatorcontrib><title>Influence of benzoic acid and phytase in low-phosphorus diets on bone characteristics in growing-finishing pigs</title><title>Journal of animal science</title><addtitle>J Anim Sci</addtitle><description>In 2 simultaneous experiments (Exp. 1 and Exp. 2), the effects of benzoic acid (BA) and phytase (Phy) in low-P diets on bone metabolism, bone composition, and bone stability in growing and growing-finishing pigs were examined. Experiment 1 was conducted with 16 crossbred gilts in the BW range of 25 to 66 kg of BW, whereas in Exp. 2, 32 crossbred gilts (25 to 108 kg of BW) were used. All pigs were individually housed in pens and restrictively fed 1 of 4 diets throughout the experiment. Total P content of the wheat-soybean diets was 4 g/kg (all values on an as-fed basis). The experimental diets were 1) unsupplemented control diet; 2) control diet with 0.5% BA; 3) Phy diet with 750 Phy units (FTU) of Phy/kg and no BA; and 4) PhyBA, control diet with 750 FTU of Phy/kg and 0.5% BA. Blood samples were taken at the beginning of the experiment, wk 3 (only for pigs in Exp. 1), wk 6, and before slaughter to determine P and Ca in serum and concentrations of total alkaline phosphatase, serum crosslaps (marker for bone resorption), and osteocalcin (marker for bone formation). Ash, P, and Ca contents of bones and bone stability were examined using the left metatarsal bones and tibia of the pigs after slaughter. Benzoic acid did not influence any of the blood variables (P > 0.09). The addition of Phy increased (P [less-than or equal to] 0.03) P concentration in serum from 2.71 ± 0.08 to 3.03 ± 0.07 mmol/L at wk 3 and content of serum crosslaps from 0.39 ± 0.02 to 0.45 ± 0.02 ng/mL at wk 6 and decreased (P < 0.05) osteocalcin at wk 6 by 160 ng/mL. No long-term effect of diets on serum mineral concentrations, alkaline phosphatase, and bone markers in serum could be detected. Benzoic acid negatively affected (P [less-than or equal to] 0.03) Ca content in bones and distal bone mineral density, especially in the younger pigs. In the control diet with 0.5% BA and the control diet with 750 FTU of Phy/kg and 0.5% BA, the CA content in bones and distal bone mineral density were reduced by 6 and 11%, respectively. Throughout the whole growing and finishing period, Phy increased (P [less-than or equal to] 0.02) ash, P, and Ca contents in bones by 29.4, 4.8, and 11.6 g/kg of DM, respectively. Bone mineral density and bone mineral content were greater in diets with Phy (P [less-than or equal to] 0.03), as well as breaking strength of tibia (+22%) and metatarsal bones (+27%; P < 0.01). The results of this study indicate that for a healthy skeleton, BA should not be used in low-P diets without the addition of Phy.</description><subject>6-Phytase - pharmacology</subject><subject>Alkaline Phosphatase - blood</subject><subject>Animal productions</subject><subject>Animals</subject><subject>benzoic acid</subject><subject>Benzoic Acid - pharmacology</subject><subject>Biological and medical sciences</subject><subject>Bone and Bones - chemistry</subject><subject>Bone and Bones - drug effects</subject><subject>Bone and Bones - physiology</subject><subject>Bone Density - drug effects</subject><subject>bone metabolism</subject><subject>bones</subject><subject>Calcium - blood</subject><subject>Diet - veterinary</subject><subject>dietary minerals</subject><subject>Dietary Supplements</subject><subject>experimental diets</subject><subject>feeder pigs</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>low-phosphorus diet</subject><subject>nutrient intake</subject><subject>Osteocalcin - blood</subject><subject>phosphorus</subject><subject>Phosphorus - deficiency</subject><subject>Swine - growth & development</subject><subject>Swine - physiology</subject><subject>swine feeding</subject><subject>Terrestrial animal productions</subject><subject>Tibia - chemistry</subject><subject>Tibia - drug effects</subject><subject>Tibia - physiology</subject><subject>Vertebrates</subject><issn>0021-8812</issn><issn>1525-3163</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0M1v1DAQBXALFdGl7bHX4gvilGKPY8c5VqsClSpxgJ6jiT92XWXtkElUlb-eVF3EkcPTvMNPc3iMXUpxDRqaz49I1yBEW8m2Fm_YRmrQlZJGnbCNECArayWcsvdEj0JI0K1-x05BaANKqw0rdzkOS8gu8BJ5H_LvkhxHlzzH7Pm4f56RAk-ZD-WpGveF1kwLcZ_CTLxk3pccuNvjhG4OU6I5OXrxu6k8pbyrYsqJ9mvjY9rROXsbcaBwcbxn7OHL7c_tt-r--9e77c19FaE1c9VDq50GZfrQal1Lb2xU3vQAOoCRvgYXMAoPdR91G0B537TRawyA6MCoM_bp9e84lV9LoLk7JHJhGDCHslBnm8YIqWX9X9noWoAV6kVeHeXSH4LvxikdcHru_q65go9HgORwiBNml-ifU6AaC3Z1H15dxNLhbh2te_gBQiohrW2krtUfvoKOFg</recordid><startdate>20101001</startdate><enddate>20101001</enddate><creator>Bühler, K</creator><creator>Liesegang, A</creator><creator>Bucher, B</creator><creator>Wenk, C</creator><creator>Broz, J</creator><general>American Society of Animal Science</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>7QP</scope></search><sort><creationdate>20101001</creationdate><title>Influence of benzoic acid and phytase in low-phosphorus diets on bone characteristics in growing-finishing pigs</title><author>Bühler, K ; Liesegang, A ; Bucher, B ; Wenk, C ; Broz, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-f296t-b295c5236be95541d68f3d6b225e261d42ceaf0d24bf59e23dd79fd5ae2aac263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>6-Phytase - pharmacology</topic><topic>Alkaline Phosphatase - blood</topic><topic>Animal productions</topic><topic>Animals</topic><topic>benzoic acid</topic><topic>Benzoic Acid - pharmacology</topic><topic>Biological and medical sciences</topic><topic>Bone and Bones - chemistry</topic><topic>Bone and Bones - drug effects</topic><topic>Bone and Bones - physiology</topic><topic>Bone Density - drug effects</topic><topic>bone metabolism</topic><topic>bones</topic><topic>Calcium - blood</topic><topic>Diet - veterinary</topic><topic>dietary minerals</topic><topic>Dietary Supplements</topic><topic>experimental diets</topic><topic>feeder pigs</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>low-phosphorus diet</topic><topic>nutrient intake</topic><topic>Osteocalcin - blood</topic><topic>phosphorus</topic><topic>Phosphorus - deficiency</topic><topic>Swine - growth & development</topic><topic>Swine - physiology</topic><topic>swine feeding</topic><topic>Terrestrial animal productions</topic><topic>Tibia - chemistry</topic><topic>Tibia - drug effects</topic><topic>Tibia - physiology</topic><topic>Vertebrates</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bühler, K</creatorcontrib><creatorcontrib>Liesegang, A</creatorcontrib><creatorcontrib>Bucher, B</creatorcontrib><creatorcontrib>Wenk, C</creatorcontrib><creatorcontrib>Broz, J</creatorcontrib><collection>AGRIS</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>MEDLINE - Academic</collection><collection>Calcium & Calcified Tissue Abstracts</collection><jtitle>Journal of animal science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bühler, K</au><au>Liesegang, A</au><au>Bucher, B</au><au>Wenk, C</au><au>Broz, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influence of benzoic acid and phytase in low-phosphorus diets on bone characteristics in growing-finishing pigs</atitle><jtitle>Journal of animal science</jtitle><addtitle>J Anim Sci</addtitle><date>2010-10-01</date><risdate>2010</risdate><volume>88</volume><issue>10</issue><spage>3363</spage><epage>3371</epage><pages>3363-3371</pages><issn>0021-8812</issn><eissn>1525-3163</eissn><abstract>In 2 simultaneous experiments (Exp. 1 and Exp. 2), the effects of benzoic acid (BA) and phytase (Phy) in low-P diets on bone metabolism, bone composition, and bone stability in growing and growing-finishing pigs were examined. Experiment 1 was conducted with 16 crossbred gilts in the BW range of 25 to 66 kg of BW, whereas in Exp. 2, 32 crossbred gilts (25 to 108 kg of BW) were used. All pigs were individually housed in pens and restrictively fed 1 of 4 diets throughout the experiment. Total P content of the wheat-soybean diets was 4 g/kg (all values on an as-fed basis). The experimental diets were 1) unsupplemented control diet; 2) control diet with 0.5% BA; 3) Phy diet with 750 Phy units (FTU) of Phy/kg and no BA; and 4) PhyBA, control diet with 750 FTU of Phy/kg and 0.5% BA. Blood samples were taken at the beginning of the experiment, wk 3 (only for pigs in Exp. 1), wk 6, and before slaughter to determine P and Ca in serum and concentrations of total alkaline phosphatase, serum crosslaps (marker for bone resorption), and osteocalcin (marker for bone formation). Ash, P, and Ca contents of bones and bone stability were examined using the left metatarsal bones and tibia of the pigs after slaughter. Benzoic acid did not influence any of the blood variables (P > 0.09). The addition of Phy increased (P [less-than or equal to] 0.03) P concentration in serum from 2.71 ± 0.08 to 3.03 ± 0.07 mmol/L at wk 3 and content of serum crosslaps from 0.39 ± 0.02 to 0.45 ± 0.02 ng/mL at wk 6 and decreased (P < 0.05) osteocalcin at wk 6 by 160 ng/mL. No long-term effect of diets on serum mineral concentrations, alkaline phosphatase, and bone markers in serum could be detected. Benzoic acid negatively affected (P [less-than or equal to] 0.03) Ca content in bones and distal bone mineral density, especially in the younger pigs. In the control diet with 0.5% BA and the control diet with 750 FTU of Phy/kg and 0.5% BA, the CA content in bones and distal bone mineral density were reduced by 6 and 11%, respectively. Throughout the whole growing and finishing period, Phy increased (P [less-than or equal to] 0.02) ash, P, and Ca contents in bones by 29.4, 4.8, and 11.6 g/kg of DM, respectively. Bone mineral density and bone mineral content were greater in diets with Phy (P [less-than or equal to] 0.03), as well as breaking strength of tibia (+22%) and metatarsal bones (+27%; P < 0.01). The results of this study indicate that for a healthy skeleton, BA should not be used in low-P diets without the addition of Phy.</abstract><cop>Champaign, IL</cop><pub>American Society of Animal Science</pub><pmid>20562353</pmid><doi>10.2527/jas.2009-1940</doi><tpages>9</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0021-8812 |
ispartof | Journal of animal science, 2010-10, Vol.88 (10), p.3363-3371 |
issn | 0021-8812 1525-3163 |
language | eng |
recordid | cdi_proquest_miscellaneous_877601514 |
source | MEDLINE; Oxford University Press Journals All Titles (1996-Current) |
subjects | 6-Phytase - pharmacology Alkaline Phosphatase - blood Animal productions Animals benzoic acid Benzoic Acid - pharmacology Biological and medical sciences Bone and Bones - chemistry Bone and Bones - drug effects Bone and Bones - physiology Bone Density - drug effects bone metabolism bones Calcium - blood Diet - veterinary dietary minerals Dietary Supplements experimental diets feeder pigs Female Fundamental and applied biological sciences. Psychology low-phosphorus diet nutrient intake Osteocalcin - blood phosphorus Phosphorus - deficiency Swine - growth & development Swine - physiology swine feeding Terrestrial animal productions Tibia - chemistry Tibia - drug effects Tibia - physiology Vertebrates |
title | Influence of benzoic acid and phytase in low-phosphorus diets on bone characteristics in growing-finishing pigs |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T07%3A04%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Influence%20of%20benzoic%20acid%20and%20phytase%20in%20low-phosphorus%20diets%20on%20bone%20characteristics%20in%20growing-finishing%20pigs&rft.jtitle=Journal%20of%20animal%20science&rft.au=B%C3%BChler,%20K&rft.date=2010-10-01&rft.volume=88&rft.issue=10&rft.spage=3363&rft.epage=3371&rft.pages=3363-3371&rft.issn=0021-8812&rft.eissn=1525-3163&rft_id=info:doi/10.2527/jas.2009-1940&rft_dat=%3Cproquest_pubme%3E877601514%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=754028034&rft_id=info:pmid/20562353&rfr_iscdi=true |