The implication of calf circumference and grip strength in osteoporosis and bone mineral density among hemodialysis patients
Background Chronic kidney disease–mineral and bone disorder (CKD–MBD), nutritional status, and uremia management have been emphasized for bone management in hemodialysis patients. Nevertheless, valuable data on the importance of muscle mass in bone management are limited, including whether conventio...
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| Veröffentlicht in: | Clinical and experimental nephrology 2023-04, Vol.27 (4), p.365-373 |
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| creator | Ozawa, Moe Hirawa, Nobuhito Haze, Tatsuya Haruna, Aiko Kawano, Rina Komiya, Shiro Ohki, Yuki Suzuki, Shota Kobayashi, Yusuke Fujiwara, Akira Saka, Sanae Hanaoka, Masaaki Mitsuhashi, Hiroshi Yamaguchi, Satoshi Ohnishi, Toshimasa Tamura, Kouichi |
| description | Background
Chronic kidney disease–mineral and bone disorder (CKD–MBD), nutritional status, and uremia management have been emphasized for bone management in hemodialysis patients. Nevertheless, valuable data on the importance of muscle mass in bone management are limited, including whether conventional management alone can prevent osteoporosis. Thus, the importance of muscle mass and strength, independent of the conventional management in osteoporosis prevention among hemodialysis patients, was evaluated.
Methods
Patients with a history of hemodialysis 6 months or longer were selected. We assessed the risk for osteoporosis associated with calf circumference or grip strength using multivariable adjustment for indices of CKD–MBD, nutrition, and dialysis adequacy. Moreover, the associations between bone mineral density (BMD), calf circumference, grip strength, and bone metabolic markers were also evaluated.
Results
A total of 136 patients were included. The odds ratios (95% confidence interval) for osteoporosis at the femoral neck were 1.25 (1.04–1.54,
P
|
| doi_str_mv | 10.1007/s10157-022-02308-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10023647</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2890336744</sourcerecordid><originalsourceid>FETCH-LOGICAL-c499t-2c8bcf9a3ca30df9642abc2a7444b47bbfab32e06606597a36392a95b8004d53</originalsourceid><addsrcrecordid>eNp9kctq3TAQhk1paNK0L9BFEXTTjRvdZa1KCekFAt2cvZBk2UfBllzJLhzIw2eSk6aXRRe6oPnm_0czTfOG4A8EY3VRCSZCtZhSWAx3bfesOSOcqVYprZ_DnXHaEiXIafOy1huMcaeFftGcMikUJ1icNbe7fUBxXqbo7RpzQnlA3k6wxeK3eQglJB-QTT0aS1xQXeFhXPcoAlrXkJdcco31gXA5BTTHFIqdUB9SjesB2TmnEe3DnPtop8M9u4BVSGt91ZwMdqrh9eN53uw-X-0uv7bX3798u_x03Xqu9dpS3zk_aMu8ZbgftOTUOk-t4pw7rpwbrGM0YCmxFFpZJpmmVgvXYcx7wc6bj0fZZXNz6D1YQ4FmKXG25WCyjebvSIp7M-afBrpMmeQKFN4_KpT8Ywt1NXOsPkyTTSFv1VAlOqGkkAzQd_-gN3krCb5naKcxYxLKBooeKQ_dqyUMT9UQfG-rzHG4BoZrHoZrOkh6--c_nlJ-TRMAdgQqhNIYym_v_8jeAQpmssw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2890336744</pqid></control><display><type>article</type><title>The implication of calf circumference and grip strength in osteoporosis and bone mineral density among hemodialysis patients</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Ozawa, Moe ; Hirawa, Nobuhito ; Haze, Tatsuya ; Haruna, Aiko ; Kawano, Rina ; Komiya, Shiro ; Ohki, Yuki ; Suzuki, Shota ; Kobayashi, Yusuke ; Fujiwara, Akira ; Saka, Sanae ; Hanaoka, Masaaki ; Mitsuhashi, Hiroshi ; Yamaguchi, Satoshi ; Ohnishi, Toshimasa ; Tamura, Kouichi</creator><creatorcontrib>Ozawa, Moe ; Hirawa, Nobuhito ; Haze, Tatsuya ; Haruna, Aiko ; Kawano, Rina ; Komiya, Shiro ; Ohki, Yuki ; Suzuki, Shota ; Kobayashi, Yusuke ; Fujiwara, Akira ; Saka, Sanae ; Hanaoka, Masaaki ; Mitsuhashi, Hiroshi ; Yamaguchi, Satoshi ; Ohnishi, Toshimasa ; Tamura, Kouichi</creatorcontrib><description>Background
Chronic kidney disease–mineral and bone disorder (CKD–MBD), nutritional status, and uremia management have been emphasized for bone management in hemodialysis patients. Nevertheless, valuable data on the importance of muscle mass in bone management are limited, including whether conventional management alone can prevent osteoporosis. Thus, the importance of muscle mass and strength, independent of the conventional management in osteoporosis prevention among hemodialysis patients, was evaluated.
Methods
Patients with a history of hemodialysis 6 months or longer were selected. We assessed the risk for osteoporosis associated with calf circumference or grip strength using multivariable adjustment for indices of CKD–MBD, nutrition, and dialysis adequacy. Moreover, the associations between bone mineral density (BMD), calf circumference, grip strength, and bone metabolic markers were also evaluated.
Results
A total of 136 patients were included. The odds ratios (95% confidence interval) for osteoporosis at the femoral neck were 1.25 (1.04–1.54,
P
< 0.05) and 1.08 (1.00–1.18,
P
< 0.05) per 1 cm shorter calf circumference or 1 kg weaker grip strength, respectively. Shorter calf circumference was significantly associated with a lower BMD at the femoral neck and lumbar spine (
P
< 0.001). Weaker grip strength was also associated with lower BMD at the femoral neck (
P
< 0.01). Calf circumference or grip strength was negatively correlated with bone metabolic marker values.
Conclusion
Shorter calf circumference or weaker grip strength was associated with osteoporosis risk and lower BMD among hemodialysis patients, independent of the conventional therapies.</description><identifier>ISSN: 1342-1751</identifier><identifier>EISSN: 1437-7799</identifier><identifier>DOI: 10.1007/s10157-022-02308-8</identifier><identifier>PMID: 36574105</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Absorptiometry, Photon ; Bone density ; Bone Density - physiology ; Bone mass ; Bone mineral density ; Chronic Kidney Disease-Mineral and Bone Disorder ; Femur ; Hand Strength - physiology ; Hemodialysis ; Humans ; Kidney diseases ; Management ; Medicine ; Medicine & Public Health ; Metabolism ; Nephrology ; Nutritional status ; Original ; Original Article ; Osteoporosis ; Osteoporosis - etiology ; Osteoporosis - prevention & control ; Renal Dialysis - adverse effects ; Spine (lumbar) ; Uremia ; Urology</subject><ispartof>Clinical and experimental nephrology, 2023-04, Vol.27 (4), p.365-373</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-2c8bcf9a3ca30df9642abc2a7444b47bbfab32e06606597a36392a95b8004d53</citedby><cites>FETCH-LOGICAL-c499t-2c8bcf9a3ca30df9642abc2a7444b47bbfab32e06606597a36392a95b8004d53</cites><orcidid>0000-0001-5824-3652</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10157-022-02308-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10157-022-02308-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36574105$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ozawa, Moe</creatorcontrib><creatorcontrib>Hirawa, Nobuhito</creatorcontrib><creatorcontrib>Haze, Tatsuya</creatorcontrib><creatorcontrib>Haruna, Aiko</creatorcontrib><creatorcontrib>Kawano, Rina</creatorcontrib><creatorcontrib>Komiya, Shiro</creatorcontrib><creatorcontrib>Ohki, Yuki</creatorcontrib><creatorcontrib>Suzuki, Shota</creatorcontrib><creatorcontrib>Kobayashi, Yusuke</creatorcontrib><creatorcontrib>Fujiwara, Akira</creatorcontrib><creatorcontrib>Saka, Sanae</creatorcontrib><creatorcontrib>Hanaoka, Masaaki</creatorcontrib><creatorcontrib>Mitsuhashi, Hiroshi</creatorcontrib><creatorcontrib>Yamaguchi, Satoshi</creatorcontrib><creatorcontrib>Ohnishi, Toshimasa</creatorcontrib><creatorcontrib>Tamura, Kouichi</creatorcontrib><title>The implication of calf circumference and grip strength in osteoporosis and bone mineral density among hemodialysis patients</title><title>Clinical and experimental nephrology</title><addtitle>Clin Exp Nephrol</addtitle><addtitle>Clin Exp Nephrol</addtitle><description>Background
Chronic kidney disease–mineral and bone disorder (CKD–MBD), nutritional status, and uremia management have been emphasized for bone management in hemodialysis patients. Nevertheless, valuable data on the importance of muscle mass in bone management are limited, including whether conventional management alone can prevent osteoporosis. Thus, the importance of muscle mass and strength, independent of the conventional management in osteoporosis prevention among hemodialysis patients, was evaluated.
Methods
Patients with a history of hemodialysis 6 months or longer were selected. We assessed the risk for osteoporosis associated with calf circumference or grip strength using multivariable adjustment for indices of CKD–MBD, nutrition, and dialysis adequacy. Moreover, the associations between bone mineral density (BMD), calf circumference, grip strength, and bone metabolic markers were also evaluated.
Results
A total of 136 patients were included. The odds ratios (95% confidence interval) for osteoporosis at the femoral neck were 1.25 (1.04–1.54,
P
< 0.05) and 1.08 (1.00–1.18,
P
< 0.05) per 1 cm shorter calf circumference or 1 kg weaker grip strength, respectively. Shorter calf circumference was significantly associated with a lower BMD at the femoral neck and lumbar spine (
P
< 0.001). Weaker grip strength was also associated with lower BMD at the femoral neck (
P
< 0.01). Calf circumference or grip strength was negatively correlated with bone metabolic marker values.
Conclusion
Shorter calf circumference or weaker grip strength was associated with osteoporosis risk and lower BMD among hemodialysis patients, independent of the conventional therapies.</description><subject>Absorptiometry, Photon</subject><subject>Bone density</subject><subject>Bone Density - physiology</subject><subject>Bone mass</subject><subject>Bone mineral density</subject><subject>Chronic Kidney Disease-Mineral and Bone Disorder</subject><subject>Femur</subject><subject>Hand Strength - physiology</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Kidney diseases</subject><subject>Management</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolism</subject><subject>Nephrology</subject><subject>Nutritional status</subject><subject>Original</subject><subject>Original Article</subject><subject>Osteoporosis</subject><subject>Osteoporosis - etiology</subject><subject>Osteoporosis - prevention & control</subject><subject>Renal Dialysis - adverse effects</subject><subject>Spine (lumbar)</subject><subject>Uremia</subject><subject>Urology</subject><issn>1342-1751</issn><issn>1437-7799</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kctq3TAQhk1paNK0L9BFEXTTjRvdZa1KCekFAt2cvZBk2UfBllzJLhzIw2eSk6aXRRe6oPnm_0czTfOG4A8EY3VRCSZCtZhSWAx3bfesOSOcqVYprZ_DnXHaEiXIafOy1huMcaeFftGcMikUJ1icNbe7fUBxXqbo7RpzQnlA3k6wxeK3eQglJB-QTT0aS1xQXeFhXPcoAlrXkJdcco31gXA5BTTHFIqdUB9SjesB2TmnEe3DnPtop8M9u4BVSGt91ZwMdqrh9eN53uw-X-0uv7bX3798u_x03Xqu9dpS3zk_aMu8ZbgftOTUOk-t4pw7rpwbrGM0YCmxFFpZJpmmVgvXYcx7wc6bj0fZZXNz6D1YQ4FmKXG25WCyjebvSIp7M-afBrpMmeQKFN4_KpT8Ywt1NXOsPkyTTSFv1VAlOqGkkAzQd_-gN3krCb5naKcxYxLKBooeKQ_dqyUMT9UQfG-rzHG4BoZrHoZrOkh6--c_nlJ-TRMAdgQqhNIYym_v_8jeAQpmssw</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Ozawa, Moe</creator><creator>Hirawa, Nobuhito</creator><creator>Haze, Tatsuya</creator><creator>Haruna, Aiko</creator><creator>Kawano, Rina</creator><creator>Komiya, Shiro</creator><creator>Ohki, Yuki</creator><creator>Suzuki, Shota</creator><creator>Kobayashi, Yusuke</creator><creator>Fujiwara, Akira</creator><creator>Saka, Sanae</creator><creator>Hanaoka, Masaaki</creator><creator>Mitsuhashi, Hiroshi</creator><creator>Yamaguchi, Satoshi</creator><creator>Ohnishi, Toshimasa</creator><creator>Tamura, Kouichi</creator><general>Springer Nature Singapore</general><general>Springer Nature B.V</general><scope>C6C</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>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5824-3652</orcidid></search><sort><creationdate>20230401</creationdate><title>The implication of calf circumference and grip strength in osteoporosis and bone mineral density among hemodialysis patients</title><author>Ozawa, Moe ; Hirawa, Nobuhito ; Haze, Tatsuya ; Haruna, Aiko ; Kawano, Rina ; Komiya, Shiro ; Ohki, Yuki ; Suzuki, Shota ; Kobayashi, Yusuke ; Fujiwara, Akira ; Saka, Sanae ; Hanaoka, Masaaki ; Mitsuhashi, Hiroshi ; Yamaguchi, Satoshi ; Ohnishi, Toshimasa ; Tamura, Kouichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-2c8bcf9a3ca30df9642abc2a7444b47bbfab32e06606597a36392a95b8004d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Absorptiometry, Photon</topic><topic>Bone density</topic><topic>Bone Density - physiology</topic><topic>Bone mass</topic><topic>Bone mineral density</topic><topic>Chronic Kidney Disease-Mineral and Bone Disorder</topic><topic>Femur</topic><topic>Hand Strength - physiology</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Kidney diseases</topic><topic>Management</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolism</topic><topic>Nephrology</topic><topic>Nutritional status</topic><topic>Original</topic><topic>Original Article</topic><topic>Osteoporosis</topic><topic>Osteoporosis - etiology</topic><topic>Osteoporosis - prevention & control</topic><topic>Renal Dialysis - adverse effects</topic><topic>Spine (lumbar)</topic><topic>Uremia</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozawa, Moe</creatorcontrib><creatorcontrib>Hirawa, Nobuhito</creatorcontrib><creatorcontrib>Haze, Tatsuya</creatorcontrib><creatorcontrib>Haruna, Aiko</creatorcontrib><creatorcontrib>Kawano, Rina</creatorcontrib><creatorcontrib>Komiya, Shiro</creatorcontrib><creatorcontrib>Ohki, Yuki</creatorcontrib><creatorcontrib>Suzuki, Shota</creatorcontrib><creatorcontrib>Kobayashi, Yusuke</creatorcontrib><creatorcontrib>Fujiwara, Akira</creatorcontrib><creatorcontrib>Saka, Sanae</creatorcontrib><creatorcontrib>Hanaoka, Masaaki</creatorcontrib><creatorcontrib>Mitsuhashi, Hiroshi</creatorcontrib><creatorcontrib>Yamaguchi, Satoshi</creatorcontrib><creatorcontrib>Ohnishi, Toshimasa</creatorcontrib><creatorcontrib>Tamura, Kouichi</creatorcontrib><collection>SpringerOpen website</collection><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>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical and experimental nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozawa, Moe</au><au>Hirawa, Nobuhito</au><au>Haze, Tatsuya</au><au>Haruna, Aiko</au><au>Kawano, Rina</au><au>Komiya, Shiro</au><au>Ohki, Yuki</au><au>Suzuki, Shota</au><au>Kobayashi, Yusuke</au><au>Fujiwara, Akira</au><au>Saka, Sanae</au><au>Hanaoka, Masaaki</au><au>Mitsuhashi, Hiroshi</au><au>Yamaguchi, Satoshi</au><au>Ohnishi, Toshimasa</au><au>Tamura, Kouichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The implication of calf circumference and grip strength in osteoporosis and bone mineral density among hemodialysis patients</atitle><jtitle>Clinical and experimental nephrology</jtitle><stitle>Clin Exp Nephrol</stitle><addtitle>Clin Exp Nephrol</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>27</volume><issue>4</issue><spage>365</spage><epage>373</epage><pages>365-373</pages><issn>1342-1751</issn><eissn>1437-7799</eissn><abstract>Background
Chronic kidney disease–mineral and bone disorder (CKD–MBD), nutritional status, and uremia management have been emphasized for bone management in hemodialysis patients. Nevertheless, valuable data on the importance of muscle mass in bone management are limited, including whether conventional management alone can prevent osteoporosis. Thus, the importance of muscle mass and strength, independent of the conventional management in osteoporosis prevention among hemodialysis patients, was evaluated.
Methods
Patients with a history of hemodialysis 6 months or longer were selected. We assessed the risk for osteoporosis associated with calf circumference or grip strength using multivariable adjustment for indices of CKD–MBD, nutrition, and dialysis adequacy. Moreover, the associations between bone mineral density (BMD), calf circumference, grip strength, and bone metabolic markers were also evaluated.
Results
A total of 136 patients were included. The odds ratios (95% confidence interval) for osteoporosis at the femoral neck were 1.25 (1.04–1.54,
P
< 0.05) and 1.08 (1.00–1.18,
P
< 0.05) per 1 cm shorter calf circumference or 1 kg weaker grip strength, respectively. Shorter calf circumference was significantly associated with a lower BMD at the femoral neck and lumbar spine (
P
< 0.001). Weaker grip strength was also associated with lower BMD at the femoral neck (
P
< 0.01). Calf circumference or grip strength was negatively correlated with bone metabolic marker values.
Conclusion
Shorter calf circumference or weaker grip strength was associated with osteoporosis risk and lower BMD among hemodialysis patients, independent of the conventional therapies.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>36574105</pmid><doi>10.1007/s10157-022-02308-8</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-5824-3652</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1342-1751 |
| ispartof | Clinical and experimental nephrology, 2023-04, Vol.27 (4), p.365-373 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Absorptiometry, Photon Bone density Bone Density - physiology Bone mass Bone mineral density Chronic Kidney Disease-Mineral and Bone Disorder Femur Hand Strength - physiology Hemodialysis Humans Kidney diseases Management Medicine Medicine & Public Health Metabolism Nephrology Nutritional status Original Original Article Osteoporosis Osteoporosis - etiology Osteoporosis - prevention & control Renal Dialysis - adverse effects Spine (lumbar) Uremia Urology |
| title | The implication of calf circumference and grip strength in osteoporosis and bone mineral density among hemodialysis patients |
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