Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults

Muscular strength and hypertrophy following resistance training may be obtained in different degrees depending on the approach performed. This study was designed to compare the responses of the biceps brachii to two preacher curl exercises, one performed on a cable-pulley system (CAB; in which a gre...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:International journal of environmental research and public health 2020-08, Vol.17 (16), p.5859
Hauptverfasser: Nunes, João Pedro, Jacinto, Jeferson L, Ribeiro, Alex S, Mayhew, Jerry L, Nakamura, Masatoshi, Capel, Danila M G, Santos, Leidiane R, Santos, Leandro, Cyrino, Edilson S, Aguiar, Andreo F
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page
container_issue 16
container_start_page 5859
container_title International journal of environmental research and public health
container_volume 17
creator Nunes, João Pedro
Jacinto, Jeferson L
Ribeiro, Alex S
Mayhew, Jerry L
Nakamura, Masatoshi
Capel, Danila M G
Santos, Leidiane R
Santos, Leandro
Cyrino, Edilson S
Aguiar, Andreo F
description Muscular strength and hypertrophy following resistance training may be obtained in different degrees depending on the approach performed. This study was designed to compare the responses of the biceps brachii to two preacher curl exercises, one performed on a cable-pulley system (CAB; in which a greater torque was applied during the exercise when elbows were flexed and biceps shortened) and one performed with a barbell (BAR; in which greater torque was applied when the elbows were extended and biceps stretched). Thirty-five young adults (CAB: 13 men, 5 women; BAR: 12 men, 5 women; age = 24 ± 5 years) performed a resistance training program three times per week for 10 weeks, with preacher curl exercises performed in three sets of 8-12 repetitions. Outcomes measured included elbow flexion peak isokinetic torque at angles of 20°, 60°, and 100° (considering 0° as elbow extended), and biceps brachii thickness (B-mode ultrasound). Following the training period, there were significant increases for both groups in elbow flexion peak torque at the 20° (CAB: 30%; BAR = 39%; = 0.046), 60° (CAB: 27%; BAR = 32%; = 0.874), and 100° (CAB: 17%; BAR = 19%; = 0.728), and biceps brachii thickness (CAB: 7%; BAR = 8%; = 0.346). In conclusion, gains in muscular strength were greater for BAR only at longer muscle length, whereas hypertrophy was similar regardless of whether torque emphasis was carried out in the final (CAB) or initial (BAR) degrees of the range of motion of the preacher curl in young adults.
doi_str_mv 10.3390/ijerph17165859
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7460162</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2436395036</sourcerecordid><originalsourceid>FETCH-LOGICAL-c484t-30b12133699d7b2f3d644b99d61d85961a766b9ab7bfa785491184cfef3a6c2c3</originalsourceid><addsrcrecordid>eNpdkkFvFCEUx4nR2Lp69WhIvHjZFQaGGS6auqmtyRqbdD14mgADO7OZhfHBNNnv4weVaWvTeoEH7_f-wJ-H0FtKVoxJ8rHfWxg7WlFR1qV8hk6pEGTJBaHPH8Un6FWMe0JYzYV8iU5YUReMS3KK_lwNyvR-hy_AqmQBbwP8nixWCV93AeadAHgT_C5H36doBos31u9SFz_jc-esSREHh9dK58xNXOEvCrQdBnyVBU2Xq9YTDHgLqvfzOcHfykyDAnyd4FYKK9_iy-NoIUEYuyPuPf4VpkyftdOQ4mv0wqkh2jf38wL9_Hq-XV8uNz8uvq3PNkvDa56WjGhaUMaElG2lC8dawbnOC0HbbI6gqhJCS6Ur7VRVl1xSWnPjrGNKmMKwBfp0pztO-mBbY30CNTQj9AcFxyaovnma8X3X7MJNU80miyILfLgXgJBdjKk59NFkN5S3YYpNwZlgsiR5XKD3_6H7MIHPz5spXle8rstMre4oAyFGsO7hMpQ0cwM0TxsgF7x7_IQH_N-Ps7-8Kq9I</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2434874885</pqid></control><display><type>article</type><title>Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults</title><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>PubMed Central Open Access</source><creator>Nunes, João Pedro ; Jacinto, Jeferson L ; Ribeiro, Alex S ; Mayhew, Jerry L ; Nakamura, Masatoshi ; Capel, Danila M G ; Santos, Leidiane R ; Santos, Leandro ; Cyrino, Edilson S ; Aguiar, Andreo F</creator><creatorcontrib>Nunes, João Pedro ; Jacinto, Jeferson L ; Ribeiro, Alex S ; Mayhew, Jerry L ; Nakamura, Masatoshi ; Capel, Danila M G ; Santos, Leidiane R ; Santos, Leandro ; Cyrino, Edilson S ; Aguiar, Andreo F</creatorcontrib><description>Muscular strength and hypertrophy following resistance training may be obtained in different degrees depending on the approach performed. This study was designed to compare the responses of the biceps brachii to two preacher curl exercises, one performed on a cable-pulley system (CAB; in which a greater torque was applied during the exercise when elbows were flexed and biceps shortened) and one performed with a barbell (BAR; in which greater torque was applied when the elbows were extended and biceps stretched). Thirty-five young adults (CAB: 13 men, 5 women; BAR: 12 men, 5 women; age = 24 ± 5 years) performed a resistance training program three times per week for 10 weeks, with preacher curl exercises performed in three sets of 8-12 repetitions. Outcomes measured included elbow flexion peak isokinetic torque at angles of 20°, 60°, and 100° (considering 0° as elbow extended), and biceps brachii thickness (B-mode ultrasound). Following the training period, there were significant increases for both groups in elbow flexion peak torque at the 20° (CAB: 30%; BAR = 39%; = 0.046), 60° (CAB: 27%; BAR = 32%; = 0.874), and 100° (CAB: 17%; BAR = 19%; = 0.728), and biceps brachii thickness (CAB: 7%; BAR = 8%; = 0.346). In conclusion, gains in muscular strength were greater for BAR only at longer muscle length, whereas hypertrophy was similar regardless of whether torque emphasis was carried out in the final (CAB) or initial (BAR) degrees of the range of motion of the preacher curl in young adults.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph17165859</identifier><identifier>PMID: 32823490</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Adult ; Adults ; Elbow ; Exercise ; Female ; Humans ; Hypertrophy ; Investigations ; Laboratories ; Male ; Muscle Strength ; Muscle, Skeletal - pathology ; Muscle, Skeletal - physiology ; Muscles ; Physical fitness ; Physical training ; Range of motion ; Range of Motion, Articular ; Resistance Training ; Strength training ; Thickness ; Torque ; Ultrasonic imaging ; Ultrasound ; Young Adult ; Young adults</subject><ispartof>International journal of environmental research and public health, 2020-08, Vol.17 (16), p.5859</ispartof><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 by the authors. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-30b12133699d7b2f3d644b99d61d85961a766b9ab7bfa785491184cfef3a6c2c3</citedby><cites>FETCH-LOGICAL-c484t-30b12133699d7b2f3d644b99d61d85961a766b9ab7bfa785491184cfef3a6c2c3</cites><orcidid>0000-0002-8184-1121</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7460162/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7460162/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32823490$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nunes, João Pedro</creatorcontrib><creatorcontrib>Jacinto, Jeferson L</creatorcontrib><creatorcontrib>Ribeiro, Alex S</creatorcontrib><creatorcontrib>Mayhew, Jerry L</creatorcontrib><creatorcontrib>Nakamura, Masatoshi</creatorcontrib><creatorcontrib>Capel, Danila M G</creatorcontrib><creatorcontrib>Santos, Leidiane R</creatorcontrib><creatorcontrib>Santos, Leandro</creatorcontrib><creatorcontrib>Cyrino, Edilson S</creatorcontrib><creatorcontrib>Aguiar, Andreo F</creatorcontrib><title>Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Muscular strength and hypertrophy following resistance training may be obtained in different degrees depending on the approach performed. This study was designed to compare the responses of the biceps brachii to two preacher curl exercises, one performed on a cable-pulley system (CAB; in which a greater torque was applied during the exercise when elbows were flexed and biceps shortened) and one performed with a barbell (BAR; in which greater torque was applied when the elbows were extended and biceps stretched). Thirty-five young adults (CAB: 13 men, 5 women; BAR: 12 men, 5 women; age = 24 ± 5 years) performed a resistance training program three times per week for 10 weeks, with preacher curl exercises performed in three sets of 8-12 repetitions. Outcomes measured included elbow flexion peak isokinetic torque at angles of 20°, 60°, and 100° (considering 0° as elbow extended), and biceps brachii thickness (B-mode ultrasound). Following the training period, there were significant increases for both groups in elbow flexion peak torque at the 20° (CAB: 30%; BAR = 39%; = 0.046), 60° (CAB: 27%; BAR = 32%; = 0.874), and 100° (CAB: 17%; BAR = 19%; = 0.728), and biceps brachii thickness (CAB: 7%; BAR = 8%; = 0.346). In conclusion, gains in muscular strength were greater for BAR only at longer muscle length, whereas hypertrophy was similar regardless of whether torque emphasis was carried out in the final (CAB) or initial (BAR) degrees of the range of motion of the preacher curl in young adults.</description><subject>Adult</subject><subject>Adults</subject><subject>Elbow</subject><subject>Exercise</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertrophy</subject><subject>Investigations</subject><subject>Laboratories</subject><subject>Male</subject><subject>Muscle Strength</subject><subject>Muscle, Skeletal - pathology</subject><subject>Muscle, Skeletal - physiology</subject><subject>Muscles</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Range of motion</subject><subject>Range of Motion, Articular</subject><subject>Resistance Training</subject><subject>Strength training</subject><subject>Thickness</subject><subject>Torque</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkkFvFCEUx4nR2Lp69WhIvHjZFQaGGS6auqmtyRqbdD14mgADO7OZhfHBNNnv4weVaWvTeoEH7_f-wJ-H0FtKVoxJ8rHfWxg7WlFR1qV8hk6pEGTJBaHPH8Un6FWMe0JYzYV8iU5YUReMS3KK_lwNyvR-hy_AqmQBbwP8nixWCV93AeadAHgT_C5H36doBos31u9SFz_jc-esSREHh9dK58xNXOEvCrQdBnyVBU2Xq9YTDHgLqvfzOcHfykyDAnyd4FYKK9_iy-NoIUEYuyPuPf4VpkyftdOQ4mv0wqkh2jf38wL9_Hq-XV8uNz8uvq3PNkvDa56WjGhaUMaElG2lC8dawbnOC0HbbI6gqhJCS6Ur7VRVl1xSWnPjrGNKmMKwBfp0pztO-mBbY30CNTQj9AcFxyaovnma8X3X7MJNU80miyILfLgXgJBdjKk59NFkN5S3YYpNwZlgsiR5XKD3_6H7MIHPz5spXle8rstMre4oAyFGsO7hMpQ0cwM0TxsgF7x7_IQH_N-Ps7-8Kq9I</recordid><startdate>20200813</startdate><enddate>20200813</enddate><creator>Nunes, João Pedro</creator><creator>Jacinto, Jeferson L</creator><creator>Ribeiro, Alex S</creator><creator>Mayhew, Jerry L</creator><creator>Nakamura, Masatoshi</creator><creator>Capel, Danila M G</creator><creator>Santos, Leidiane R</creator><creator>Santos, Leandro</creator><creator>Cyrino, Edilson S</creator><creator>Aguiar, Andreo F</creator><general>MDPI AG</general><general>MDPI</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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8184-1121</orcidid></search><sort><creationdate>20200813</creationdate><title>Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults</title><author>Nunes, João Pedro ; Jacinto, Jeferson L ; Ribeiro, Alex S ; Mayhew, Jerry L ; Nakamura, Masatoshi ; Capel, Danila M G ; Santos, Leidiane R ; Santos, Leandro ; Cyrino, Edilson S ; Aguiar, Andreo F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-30b12133699d7b2f3d644b99d61d85961a766b9ab7bfa785491184cfef3a6c2c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Adults</topic><topic>Elbow</topic><topic>Exercise</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertrophy</topic><topic>Investigations</topic><topic>Laboratories</topic><topic>Male</topic><topic>Muscle Strength</topic><topic>Muscle, Skeletal - pathology</topic><topic>Muscle, Skeletal - physiology</topic><topic>Muscles</topic><topic>Physical fitness</topic><topic>Physical training</topic><topic>Range of motion</topic><topic>Range of Motion, Articular</topic><topic>Resistance Training</topic><topic>Strength training</topic><topic>Thickness</topic><topic>Torque</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nunes, João Pedro</creatorcontrib><creatorcontrib>Jacinto, Jeferson L</creatorcontrib><creatorcontrib>Ribeiro, Alex S</creatorcontrib><creatorcontrib>Mayhew, Jerry L</creatorcontrib><creatorcontrib>Nakamura, Masatoshi</creatorcontrib><creatorcontrib>Capel, Danila M G</creatorcontrib><creatorcontrib>Santos, Leidiane R</creatorcontrib><creatorcontrib>Santos, Leandro</creatorcontrib><creatorcontrib>Cyrino, Edilson S</creatorcontrib><creatorcontrib>Aguiar, Andreo F</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>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</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>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content 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>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nunes, João Pedro</au><au>Jacinto, Jeferson L</au><au>Ribeiro, Alex S</au><au>Mayhew, Jerry L</au><au>Nakamura, Masatoshi</au><au>Capel, Danila M G</au><au>Santos, Leidiane R</au><au>Santos, Leandro</au><au>Cyrino, Edilson S</au><au>Aguiar, Andreo F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2020-08-13</date><risdate>2020</risdate><volume>17</volume><issue>16</issue><spage>5859</spage><pages>5859-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Muscular strength and hypertrophy following resistance training may be obtained in different degrees depending on the approach performed. This study was designed to compare the responses of the biceps brachii to two preacher curl exercises, one performed on a cable-pulley system (CAB; in which a greater torque was applied during the exercise when elbows were flexed and biceps shortened) and one performed with a barbell (BAR; in which greater torque was applied when the elbows were extended and biceps stretched). Thirty-five young adults (CAB: 13 men, 5 women; BAR: 12 men, 5 women; age = 24 ± 5 years) performed a resistance training program three times per week for 10 weeks, with preacher curl exercises performed in three sets of 8-12 repetitions. Outcomes measured included elbow flexion peak isokinetic torque at angles of 20°, 60°, and 100° (considering 0° as elbow extended), and biceps brachii thickness (B-mode ultrasound). Following the training period, there were significant increases for both groups in elbow flexion peak torque at the 20° (CAB: 30%; BAR = 39%; = 0.046), 60° (CAB: 27%; BAR = 32%; = 0.874), and 100° (CAB: 17%; BAR = 19%; = 0.728), and biceps brachii thickness (CAB: 7%; BAR = 8%; = 0.346). In conclusion, gains in muscular strength were greater for BAR only at longer muscle length, whereas hypertrophy was similar regardless of whether torque emphasis was carried out in the final (CAB) or initial (BAR) degrees of the range of motion of the preacher curl in young adults.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>32823490</pmid><doi>10.3390/ijerph17165859</doi><orcidid>https://orcid.org/0000-0002-8184-1121</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1660-4601
ispartof International journal of environmental research and public health, 2020-08, Vol.17 (16), p.5859
issn 1660-4601
1661-7827
1660-4601
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7460162
source MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; PubMed Central Open Access
subjects Adult
Adults
Elbow
Exercise
Female
Humans
Hypertrophy
Investigations
Laboratories
Male
Muscle Strength
Muscle, Skeletal - pathology
Muscle, Skeletal - physiology
Muscles
Physical fitness
Physical training
Range of motion
Range of Motion, Articular
Resistance Training
Strength training
Thickness
Torque
Ultrasonic imaging
Ultrasound
Young Adult
Young adults
title Placing Greater Torque at Shorter or Longer Muscle Lengths? Effects of Cable vs. Barbell Preacher Curl Training on Muscular Strength and Hypertrophy in Young Adults
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-29T03%3A40%3A32IST&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=Placing%20Greater%20Torque%20at%20Shorter%20or%20Longer%20Muscle%20Lengths?%20Effects%20of%20Cable%20vs.%20Barbell%20Preacher%20Curl%20Training%20on%20Muscular%20Strength%20and%20Hypertrophy%20in%20Young%20Adults&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Nunes,%20Jo%C3%A3o%20Pedro&rft.date=2020-08-13&rft.volume=17&rft.issue=16&rft.spage=5859&rft.pages=5859-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph17165859&rft_dat=%3Cproquest_pubme%3E2436395036%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=2434874885&rft_id=info:pmid/32823490&rfr_iscdi=true