The Relationship between Self-Reported Sitting Time and Vitamin D Levels in Middle-Aged and Elderly Taiwanese Population: A Community-Based Cross-Sectional Study
被引:1
作者:
Chang, Yu-Hsuan
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h-index: 0
机构:
Chang Gung Mem Hosp, Dept Med Educ, Linkou Branch, Taoyuan 333, TaiwanChang Gung Mem Hosp, Dept Med Educ, Linkou Branch, Taoyuan 333, Taiwan
Chang, Yu-Hsuan
[1
]
Lin, Chun-Ru
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h-index: 0
机构:
Chang Gung Mem Hosp, Dept Med Educ, Linkou Branch, Taoyuan 333, TaiwanChang Gung Mem Hosp, Dept Med Educ, Linkou Branch, Taoyuan 333, Taiwan
Lin, Chun-Ru
[1
]
Shih, Yu-Lin
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h-index: 0
机构:
Chang Gung Mem Hosp, Dept Family Med, Linkou Branch, Taoyuan 333, TaiwanChang Gung Mem Hosp, Dept Med Educ, Linkou Branch, Taoyuan 333, Taiwan
Shih, Yu-Lin
[2
]
Shih, Chin-Chuan
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h-index: 0
机构:
United Safety Med Grp, Gen Adm Dept, New Taipei City 242, TaiwanChang Gung Mem Hosp, Dept Med Educ, Linkou Branch, Taoyuan 333, Taiwan
Shih, Chin-Chuan
[3
]
Chen, Jau-Yuan
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h-index: 0
机构:
Chang Gung Mem Hosp, Dept Family Med, Linkou Branch, Taoyuan 333, Taiwan
Chang Gung Univ, Coll Med, Taoyuan 333, TaiwanChang Gung Mem Hosp, Dept Med Educ, Linkou Branch, Taoyuan 333, Taiwan
Chen, Jau-Yuan
[2
,4
]
机构:
[1] Chang Gung Mem Hosp, Dept Med Educ, Linkou Branch, Taoyuan 333, Taiwan
[2] Chang Gung Mem Hosp, Dept Family Med, Linkou Branch, Taoyuan 333, Taiwan
[3] United Safety Med Grp, Gen Adm Dept, New Taipei City 242, Taiwan
25-hydroxy vitamin D;
middle-age and elderly;
sitting time;
SEDENTARY TIME;
D DEFICIENCY;
PREVENTION;
DISEASE;
D O I:
10.3390/nu15224766
中图分类号:
R15 [营养卫生、食品卫生];
TS201 [基础科学];
学科分类号:
100403 ;
摘要:
(1) Background: Many studies have revealed a relationship between serum 25-hydroxy vitamin D and physical activity. This study aimed to investigate the relationship between self-reported sitting time and serum 25-hydroxy vitamin D levels in middle-aged and elderly adults in Taiwan. (2) Methods: A total of 396 people were enrolled in our study during a community health examination in Taiwan in 2019. We grouped participants from low to high according to their tertile of serum 25-hydroxy vitamin D levels, using the following categories: deficiency, insufficiency, and sufficiency. Parameters including self-reported sitting time were analyzed between each group. Pearson correlation coefficients were calculated to explore the relationships of serum 25-hydroxy vitamin D levels with age-adjusted risk factors. A scatter plot demonstrated the relationship between serum 25-hydroxy vitamin D levels and self-reported sitting time. The association between serum 25-hydroxy vitamin D levels and self-reported sitting time was assessed by multivariate linear regression with adjustment for age, sex, waist circumference, low-density lipoprotein, triglycerides, and smoking and drinking status. (3) Results: We analyzed the data from 396 participants. A total of 41.4% of participants were male, and the average age of all participants was 64.91 (+/- 8.80) years. The participants in the high serum 25-hydroxy vitamin D group were more likely to have shorter self-reported sitting time. Serum 25-hydroxy vitamin D was negatively correlated (Pearson's r) with self-reported sitting time, even after adjustment for age. According to the results of multivariate linear regression, vitamin D levels showed a negative association with self-reported sitting time (beta = -0.131, p = 0.006) after adjustment for age, sex, waist circumference, low-density lipoprotein, triglycerides, and smoking and drinking status. (4) Conclusions: According to our research, self-reported sitting time was inversely correlated with serum 25-hydroxy vitamin D in middle-aged and elderly people in Taiwan. Meanwhile, longer self-reported sitting time can be an independent risk factor for lower serum 25-hydroxy vitamin D levels.
机构:
Tamkang Univ, Dept Architecture, New Taipei 25137, TaiwanTamkang Univ, Dept Architecture, New Taipei 25137, Taiwan
Ling, Tzen-Ying
;
Lu, Hsien-Tsung
论文数: 0引用数: 0
h-index: 0
机构:
Taipei Med Univ Hosp, Dept Orthoped, Taipei 11031, Taiwan
Taipei Med Univ, Coll Med, Sch Med, Dept Orthoped, Taipei 11031, TaiwanTamkang Univ, Dept Architecture, New Taipei 25137, Taiwan
Lu, Hsien-Tsung
;
Kao, Yen-Pin
论文数: 0引用数: 0
h-index: 0
机构:
Taipei Med Univ, Grad Inst Biomed Informat, Coll Med Sci & Technol, Taipei 11031, TaiwanTamkang Univ, Dept Architecture, New Taipei 25137, Taiwan
Kao, Yen-Pin
;
论文数: 引用数:
h-index:
机构:
Chien, Szu-Cheng
;
Chen, Hung-Chou
论文数: 0引用数: 0
h-index: 0
机构:
Taipei Med Univ, Shuang Ho Hosp, Dept Phys Med & Rehabil, New Taipei 23561, Taiwan
Taipei Med Univ, Coll Med, Sch Med, Dept Phys Med & Rehabil, Taipei 11031, TaiwanTamkang Univ, Dept Architecture, New Taipei 25137, Taiwan
Chen, Hung-Chou
;
Lin, Li-Fong
论文数: 0引用数: 0
h-index: 0
机构:
Taipei Med Univ, Shuang Ho Hosp, Dept Phys Med & Rehabil, New Taipei 23561, Taiwan
Taipei Med Univ, Coll Nursing, Sch Gerontol & Long Term Care, Taipei 11031, TaiwanTamkang Univ, Dept Architecture, New Taipei 25137, Taiwan
机构:
Univ Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
Ctr Estudos Lab Aptidao Fis Sao Caetano do Sul, Sao Caetano do Sul, BrazilUniv Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
Machado de Rezende, Leandro Fornias
;
Lopes, Mauricio Rodrigues
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, BrazilUniv Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
Lopes, Mauricio Rodrigues
;
Rey-Lopez, Juan Pablo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, BrazilUniv Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
Rey-Lopez, Juan Pablo
;
Rodrigues Matsudo, Victor Keihan
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Estudos Lab Aptidao Fis Sao Caetano do Sul, Sao Caetano do Sul, BrazilUniv Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
Rodrigues Matsudo, Victor Keihan
;
Luiz, Olinda do Carmo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, BrazilUniv Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
机构:
Univ Brasilia, Grad Program Human Nutr, Brasilia, DF, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Moreira da Silva, Ana Carla
;
Cureau, Felipe Vogt
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Sul, Grad Program Endocrinol, Porto Alegre, RS, Brazil
Hosp Clin Porto Alegre, Inst Hlth Technol Assessment IATS, Porto Alegre, RS, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Cureau, Felipe Vogt
;
de Oliveira, Cecilia Lacroix
论文数: 0引用数: 0
h-index: 0
机构:
Univ Estado Rio de Janeiro, Inst Nutr, Rio De Janeiro, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
de Oliveira, Cecilia Lacroix
;
Giannini, Denise Tavares
论文数: 0引用数: 0
h-index: 0
机构:
Univ Estado Rio de Janeiro, Hosp Univ Pedro Ernesto, Rio De Janeiro, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Giannini, Denise Tavares
;
Bloch, Katia Vergetti
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio de Janeiro, Inst Estudos Saude Colet, Rio De Janeiro, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Bloch, Katia Vergetti
;
Caetano Kuschnir, Maria Cristina
论文数: 0引用数: 0
h-index: 0
机构:
Univ Estado Rio de Janeiro, Grad Program Med Sci, Rio De Janeiro, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Caetano Kuschnir, Maria Cristina
;
论文数: 引用数:
h-index:
机构:
Dutra, Eliane Said
;
Schaan, Beatriz D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Sul, Grad Program Endocrinol, Porto Alegre, RS, Brazil
Hosp Clin Porto Alegre, Porto Alegre, RS, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Schaan, Beatriz D.
;
Baiocchi de Carvalho, Kenia Mara
论文数: 0引用数: 0
h-index: 0
机构:
Univ Brasilia, Grad Program Human Nutr, Brasilia, DF, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
机构:
Jeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
Jeju Natl Univ, Dept Family Med, Sch Med, Jeju, South KoreaJeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
Kim, Hyeon Ju
;
Kong, Mi Hee
论文数: 0引用数: 0
h-index: 0
机构:
Jeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
Jeju Natl Univ, Dept Family Med, Sch Med, Jeju, South KoreaJeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
Kong, Mi Hee
;
Oh, Yun Hwan
论文数: 0引用数: 0
h-index: 0
机构:
Jeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
Jeju Natl Univ, Dept Family Med, Sch Med, Jeju, South KoreaJeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
机构:
Imperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Patterson, Richard
;
McNamara, Eoin
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cambridge, Sch Clin Med, MRC Epidemiol Unit, Cambridge CB2 0QQ, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
McNamara, Eoin
;
Tainio, Marko
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cambridge, Sch Clin Med, MRC Epidemiol Unit, Cambridge CB2 0QQ, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Tainio, Marko
;
de Sa, Thiago Herick
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Ctr Epidemiol Res Nutr & Hlth, Sao Paulo, BrazilImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
de Sa, Thiago Herick
;
Smith, Andrea D.
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Res Dept Behav Sci & Hlth, London WC1E 6BT, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Smith, Andrea D.
;
Sharp, Stephen J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cambridge, Sch Clin Med, MRC Epidemiol Unit, Cambridge CB2 0QQ, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Sharp, Stephen J.
;
Edwards, Phil
论文数: 0引用数: 0
h-index: 0
机构:
London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, London WC1E 7HT, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Edwards, Phil
;
Woodcock, James
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cambridge, Sch Clin Med, MRC Epidemiol Unit, Cambridge CB2 0QQ, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Woodcock, James
;
论文数: 引用数:
h-index:
机构:
Brage, Soren
;
Wijndaele, Katrien
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cambridge, Sch Clin Med, MRC Epidemiol Unit, Cambridge CB2 0QQ, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
机构:
Tamkang Univ, Dept Architecture, New Taipei 25137, TaiwanTamkang Univ, Dept Architecture, New Taipei 25137, Taiwan
Ling, Tzen-Ying
;
Lu, Hsien-Tsung
论文数: 0引用数: 0
h-index: 0
机构:
Taipei Med Univ Hosp, Dept Orthoped, Taipei 11031, Taiwan
Taipei Med Univ, Coll Med, Sch Med, Dept Orthoped, Taipei 11031, TaiwanTamkang Univ, Dept Architecture, New Taipei 25137, Taiwan
Lu, Hsien-Tsung
;
Kao, Yen-Pin
论文数: 0引用数: 0
h-index: 0
机构:
Taipei Med Univ, Grad Inst Biomed Informat, Coll Med Sci & Technol, Taipei 11031, TaiwanTamkang Univ, Dept Architecture, New Taipei 25137, Taiwan
Kao, Yen-Pin
;
论文数: 引用数:
h-index:
机构:
Chien, Szu-Cheng
;
Chen, Hung-Chou
论文数: 0引用数: 0
h-index: 0
机构:
Taipei Med Univ, Shuang Ho Hosp, Dept Phys Med & Rehabil, New Taipei 23561, Taiwan
Taipei Med Univ, Coll Med, Sch Med, Dept Phys Med & Rehabil, Taipei 11031, TaiwanTamkang Univ, Dept Architecture, New Taipei 25137, Taiwan
Chen, Hung-Chou
;
Lin, Li-Fong
论文数: 0引用数: 0
h-index: 0
机构:
Taipei Med Univ, Shuang Ho Hosp, Dept Phys Med & Rehabil, New Taipei 23561, Taiwan
Taipei Med Univ, Coll Nursing, Sch Gerontol & Long Term Care, Taipei 11031, TaiwanTamkang Univ, Dept Architecture, New Taipei 25137, Taiwan
机构:
Univ Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
Ctr Estudos Lab Aptidao Fis Sao Caetano do Sul, Sao Caetano do Sul, BrazilUniv Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
Machado de Rezende, Leandro Fornias
;
Lopes, Mauricio Rodrigues
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, BrazilUniv Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
Lopes, Mauricio Rodrigues
;
Rey-Lopez, Juan Pablo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, BrazilUniv Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
Rey-Lopez, Juan Pablo
;
Rodrigues Matsudo, Victor Keihan
论文数: 0引用数: 0
h-index: 0
机构:
Ctr Estudos Lab Aptidao Fis Sao Caetano do Sul, Sao Caetano do Sul, BrazilUniv Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
Rodrigues Matsudo, Victor Keihan
;
Luiz, Olinda do Carmo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, BrazilUniv Sao Paulo, Fac Med, Dept Prevent Med, Sao Paulo, Brazil
机构:
Univ Brasilia, Grad Program Human Nutr, Brasilia, DF, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Moreira da Silva, Ana Carla
;
Cureau, Felipe Vogt
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Sul, Grad Program Endocrinol, Porto Alegre, RS, Brazil
Hosp Clin Porto Alegre, Inst Hlth Technol Assessment IATS, Porto Alegre, RS, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Cureau, Felipe Vogt
;
de Oliveira, Cecilia Lacroix
论文数: 0引用数: 0
h-index: 0
机构:
Univ Estado Rio de Janeiro, Inst Nutr, Rio De Janeiro, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
de Oliveira, Cecilia Lacroix
;
Giannini, Denise Tavares
论文数: 0引用数: 0
h-index: 0
机构:
Univ Estado Rio de Janeiro, Hosp Univ Pedro Ernesto, Rio De Janeiro, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Giannini, Denise Tavares
;
Bloch, Katia Vergetti
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio de Janeiro, Inst Estudos Saude Colet, Rio De Janeiro, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Bloch, Katia Vergetti
;
Caetano Kuschnir, Maria Cristina
论文数: 0引用数: 0
h-index: 0
机构:
Univ Estado Rio de Janeiro, Grad Program Med Sci, Rio De Janeiro, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Caetano Kuschnir, Maria Cristina
;
论文数: 引用数:
h-index:
机构:
Dutra, Eliane Said
;
Schaan, Beatriz D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Sul, Grad Program Endocrinol, Porto Alegre, RS, Brazil
Hosp Clin Porto Alegre, Porto Alegre, RS, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
Schaan, Beatriz D.
;
Baiocchi de Carvalho, Kenia Mara
论文数: 0引用数: 0
h-index: 0
机构:
Univ Brasilia, Grad Program Human Nutr, Brasilia, DF, BrazilUniv Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
机构:
Jeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
Jeju Natl Univ, Dept Family Med, Sch Med, Jeju, South KoreaJeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
Kim, Hyeon Ju
;
Kong, Mi Hee
论文数: 0引用数: 0
h-index: 0
机构:
Jeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
Jeju Natl Univ, Dept Family Med, Sch Med, Jeju, South KoreaJeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
Kong, Mi Hee
;
Oh, Yun Hwan
论文数: 0引用数: 0
h-index: 0
机构:
Jeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
Jeju Natl Univ, Dept Family Med, Sch Med, Jeju, South KoreaJeju Natl Univ Hosp, Dept Family Med, Jeju, South Korea
机构:
Imperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Patterson, Richard
;
McNamara, Eoin
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cambridge, Sch Clin Med, MRC Epidemiol Unit, Cambridge CB2 0QQ, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
McNamara, Eoin
;
Tainio, Marko
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cambridge, Sch Clin Med, MRC Epidemiol Unit, Cambridge CB2 0QQ, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Tainio, Marko
;
de Sa, Thiago Herick
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Ctr Epidemiol Res Nutr & Hlth, Sao Paulo, BrazilImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
de Sa, Thiago Herick
;
Smith, Andrea D.
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Res Dept Behav Sci & Hlth, London WC1E 6BT, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Smith, Andrea D.
;
Sharp, Stephen J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cambridge, Sch Clin Med, MRC Epidemiol Unit, Cambridge CB2 0QQ, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Sharp, Stephen J.
;
Edwards, Phil
论文数: 0引用数: 0
h-index: 0
机构:
London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, London WC1E 7HT, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Edwards, Phil
;
Woodcock, James
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cambridge, Sch Clin Med, MRC Epidemiol Unit, Cambridge CB2 0QQ, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England
Woodcock, James
;
论文数: 引用数:
h-index:
机构:
Brage, Soren
;
Wijndaele, Katrien
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cambridge, Sch Clin Med, MRC Epidemiol Unit, Cambridge CB2 0QQ, EnglandImperial Coll London, Sch Publ Hlth, Publ Hlth Policy Evaluat Unit, London W6 8RP, England