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Assessing Relationships between Physically Demanding Work and Late-Life Disability in Italian Nonagenarian Women Living in a Rural Area. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148880. [PMID: 35886729 PMCID: PMC9319548 DOI: 10.3390/ijerph19148880] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 07/11/2022] [Accepted: 07/20/2022] [Indexed: 02/04/2023]
Abstract
As more and more persons live into their 90s and beyond, investigating causes of disability in the oldest-old population is relevant for public health implications to plan preventive strategies and rehabilitation interventions. A negative association between physically demanding work and midlife physical function has been shown, but there is a paucity of longitudinal studies investigating possible work-related long-term effects in the oldest old. This study investigates the relationship between physically demanding work exposure and late-life physical performances, disability, general health status, and quality of life in a sample of women aged 90 years and over inside the Mugello Study. Sociodemographic data, cognitive and functional status, lifestyle, medical history, drug use, and work history were collected from 236 participants. Farmers had a lower percentage of individuals with preserved independence in basic activities of daily living compared to other occupations. However, in the multivariate analysis, only a higher cognitive function remained associated with functional independence. While confirming the well-known association between cognitive and functional decline in very old age, our results do not support the hypothesis that the negative effects of physical work exposure observed in midlife are relevant to predict disability in nonagenarian women.
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Fong JH, Feng Q. Toileting Disability Among Older Adults in China and Role of Environmental Factors. J Aging Health 2021; 33:852-864. [PMID: 33929272 DOI: 10.1177/08982643211015026] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objectives: We investigated the risk factors associated with toileting disability among older adults in China, focusing on environmental factors (physical, social, and external supports). Methods: Data were drawn from the WHO's SAGE wave 1. We proposed a conceptual framework to guide the selection of risk factors, and implemented logistic regressions separately for urban and rural subpopulations. Results: In both subsamples, older adults who relied on assistive devices were about three times more likely to be toileting-disabled. Rural residents using non-flush toilets were 1.94 more likely to have difficulty toileting than those using flush system toilets. Sharing toilets and did not feel safe in homes were also positively associated with toileting disability. For urban residents, low neighborhood trust was weakly predictive of higher odds of toileting disability. Discussion: This study highlights the importance of environmental factors in explaining toileting disability, and the potential for related policy interventions in developing countries.
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Affiliation(s)
- Joelle H Fong
- Lee Kuan Yew School of Public Policy, 37580National University of Singapore, Singapore
| | - Qiushi Feng
- Department of Sociology, 37580National University of Singapore, Singapore
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Wang S, Jia W, Yang S, Han K, Cao W, Ren X, Li J, Tai P, Kou F, Liu M, He Y. The Role of BMI and Blood Pressure in the Relationship Between Total Cholesterol and Disability in Chinese Centenarians: A Cross-Sectional Study. Front Med (Lausanne) 2021; 8:608941. [PMID: 33665198 PMCID: PMC7921456 DOI: 10.3389/fmed.2021.608941] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Accepted: 01/26/2021] [Indexed: 12/26/2022] Open
Abstract
Background: Lower serum lipid metabolism might be associated with the decline of activity of daily living in the extreme longevity group. However, studies on models and possible paths of this correlation between total cholesterol (TC) and disability in centenarians are scarce. The aim of this study was to verify this correlation and explore the mediating effect of BMI and blood pressure on this relationship in Hainan centenarians. Methods: We conducted a cross-sectional analysis of 1002 centenarians from the China Hainan Centenarians Cohort Study (CHCCS). Data on demographics, anthropometry data, lifestyle, and TC levels were collected through interviews, physical examinations, and laboratory tests. The Barthel index and Lawton index, measuring the disability status, were used to estimate the activity of daily living (ADL) and instrumental activity of daily living (IADL). A multivariable logistic regression model was used to explore the correlation between disability and TC levels. Mediation analyses were used to explore the both direct and indirect effects of TC level on disability. Results: After adjusting for covariates, with 1 mmol/L increment in TC, the adjusted odds ratios (ORs) of ADL severe disability and ADL moderate & severe disability were 0.789(95%CI: 0.650-0.959) and 0.822(95%CI: 0. 0.699-0.966), respectively. There was a significant declining trend in the prevalence of different types of disability with increment in TC. The correlation was more pronounced among Hainan female centenarians. In the analysis of mediating effect among the female population, BMI significantly mediated the effect of TC levels on different types of disability. BMI and SBP, as chain mediators, multiply and chain mediated the effect of TC levels on IADL. Conclusion: Low TC levels might be correlated with a higher frequency of disability in female centenarians, and this correlation might be mediated by BMI and blood pressure.
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Affiliation(s)
- Shengshu Wang
- Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Second Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Wangping Jia
- Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Second Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Shanshan Yang
- Department of Disease Prevention and Control, The 1st Medical Center, Chinese PLA General Hospital, Beijing, China
| | - Ke Han
- Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Second Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Wenzhe Cao
- Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Second Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Xueling Ren
- Department of Respiratory, The 2nd Medical Center, Chinese People's Liberation Army General Hospital, Beijing, China
| | - Jing Li
- Medical Service Department, The 5th Medical Center, Chinese People's Liberation Army General Hospital, Beijing, China
| | - Penggang Tai
- Medical Service Department, Chinese People's Liberation Army General Hospital, Beijing, China
| | - Fuyin Kou
- Medical Service Department, Chinese People's Liberation Army General Hospital, Beijing, China
| | - Miao Liu
- Department of Statistics and Epidemiology, Graduate School of Chinese PLA General Hospital, Beijing, China
| | - Yao He
- Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Second Medical Center of Chinese PLA General Hospital, Beijing, China
- State Key Laboratory of Kidney Diseases, Chinese People's Liberation Army General Hospital, Beijing, China
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Yorgason JB, Draper TW, Bronson H, Nielson M, Babcock K, Jones K, Hill MS, Howard M. Biological, Psychological, and Social Predictors of Longevity Among Utah Centenarians. Int J Aging Hum Dev 2018; 87:225-243. [PMID: 29577740 DOI: 10.1177/0091415018757211] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Studies of longevity among centenarians examine biological, psychological, and social factors, yet few consider these components concurrently. This study explores such factors individually and collectively, as they are related to days lived past the age of 100 years. Data from 268 family members of centenarians identified in the State of Utah between 2008 and 2015 were used in negative binomial models predicting number of days lived among the centenarians. Findings suggested that sleep latency (biological), life satisfaction (psychological), and attachment closeness (social) were predictive factors of more days lived within individual models. When considered together, sleep latency and life satisfaction remained significant predictors of days lived. Although biological factors are commonly considered in relation to longevity, this study further indicates that psychological and social factors may play important roles in life expectancy. Further examination is needed to explore how these factors link additionally to active life expectancy.
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Parlevliet JL, MacNeil-Vroomen J, Buurman BM, de Rooij SE, Bosmans JE. Health-Related Quality of Life at Admission Is Associated with Postdischarge Mortality, Functional Decline, and Institutionalization in Acutely Hospitalized Older Medical Patients. J Am Geriatr Soc 2016; 64:761-8. [PMID: 27100574 DOI: 10.1111/jgs.14050] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
OBJECTIVES To assess the independent association between health-related quality of life (HRQOL) at admission and mortality, functional decline, and institutionalization 3 and 12 months after admission in acutely hospitalized older adults. DESIGN Post hoc analysis of data from prospective cohort study, 2006 to 2009, 12-month follow-up. SETTING Eleven medical wards in three hospitals in the Netherlands. PARTICIPANTS Medical patients aged 65 and older acutely hospitalized for 48 hours or longer (N = 473). MEASUREMENTS OUTCOMES mortality, functional decline, and institutionalization, 3 and 12 months after admission. Main determinant was HRQOL (utility based on the EuroQol-5D at admission, reflecting the relative desirability of a particular health state and is measured on a scale from 0 (death) to 1 (full health). Some health states are regarded as being worse than death, resulting in negative utilities, with a minimum of -0.330). Participants were split into two groups based on median utility at admission. Unadjusted and adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using Cox and logistic regression analyses, adjusted for sociodemographic and health variables. RESULTS Median utility was 0.775 (interquartile range 0.399-0.861). Utility greater than 0.775, indicating high HRQOL, was associated with lower risk of mortality (hazard ratio = 0.38, 95% CI = 0.18-0.83) and functional decline (OR = 0.47, 95% CI = 0.28-0.79) at 3 months in the adjusted models. At 12 months, these associations were statistically significant in the crude models but not in the adjusted models. Utility was not associated with risk of institutionalization at 3 or 12 months. CONCLUSION Higher HRQOL at admission was associated with lower risk of mortality and functional decline 3 months after admission. In older, acutely hospitalized individuals, the EQ-5D may provide a means of risk stratification and may ultimately guide individuals, their families, and professionals in treatment decisions during hospitalization.
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Affiliation(s)
- Juliette L Parlevliet
- Section of Geriatric Medicine, Department of Internal Medicine, Academic Medical Center, University of Amsterdam, the Netherlands
| | - Janet MacNeil-Vroomen
- Section of Geriatric Medicine, Department of Internal Medicine, Academic Medical Center, University of Amsterdam, the Netherlands
| | - Bianca M Buurman
- Section of Geriatric Medicine, Department of Internal Medicine, Academic Medical Center, University of Amsterdam, the Netherlands
| | - Sophia E de Rooij
- Section of Geriatric Medicine, Department of Internal Medicine, Academic Medical Center, University of Amsterdam, the Netherlands.,Department of Internal Medicine, University Center for Geriatric Medicine, University Medical Center Groningen, Groningen, the Netherlands
| | - Judith E Bosmans
- Department of Health Sciences, VU University Amsterdam, the Netherlands.,EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam, the Netherlands
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Herr M, Arvieu JJ, Robine JM, Ankri J. Health, frailty and disability after ninety: Results of an observational study in France. Arch Gerontol Geriatr 2016; 66:166-75. [PMID: 27341649 DOI: 10.1016/j.archger.2016.06.002] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Revised: 05/09/2016] [Accepted: 06/04/2016] [Indexed: 01/04/2023]
Abstract
BACKGROUND In spite of their increasing demographic weight, health characteristics of the oldest old remain poorly described in epidemiological studies. OBJECTIVE To describe the health of people aged 70 years and over included in the SIPAF study, and to compare the prevalence of health indicators including successful aging, frailty, and disability between three age groups including the oldest old. METHODS The study population is composed of 2350 retired people recruited between 2008 and 2010, of whom 512 are aged 90 and over (21.8%). A comprehensive geriatric assessment was performed at home by trained nurses. The prevalence of health and functional indicators, as well as the distribution of people among successful ageing, frailty, and disability, were described by age group (70-79, 80-89, 90+) and sex. RESULTS Compared to their younger counterparts, people aged 90 years and over were more likely to experience functional limitations, sensory impairment, cognitive impairment, poor mood, and frailty. One third of the nonagenarians needed help in at least one basic activity of daily living and 25% met the frailty criteria. In contrast, the prevalence of most chronic diseases did not increase after ninety. Successful ageing concerned 9% of the oldest old. Women were less likely to experience successful ageing and more likely to be frail or dependent. CONCLUSION This study shows the diversity of health states in very old age and points out that one quarter of the people aged 90 and over said frail are likely to take advantage of preventive actions of disability.
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Affiliation(s)
- M Herr
- INSERM, U1168, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, F-94807, Villejuif, France; Univ Versailles St-Quentin-en-Yvelines, UMR-S 1168, F-78180, Montigny le Bretonneux, France; AP-HP, Hôpital Sainte Périne, Département de Santé Publique, Paris, France.
| | - J J Arvieu
- AG2R La Mondiale, Direction des Etudes, Prévoyance Individuelle et IARD, Paris, France
| | - J M Robine
- INSERM U988 et U1198, EPHE, Paris & Montpellier, France
| | - J Ankri
- INSERM, U1168, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, F-94807, Villejuif, France; Univ Versailles St-Quentin-en-Yvelines, UMR-S 1168, F-78180, Montigny le Bretonneux, France; AP-HP, Hôpital Sainte Périne, Département de Santé Publique, Paris, France
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Sebastião E. Perceived poor health is positively associated with physical limitations and chronic diseases in Brazilian nonagenarians and centenarians. Geriatr Gerontol Int 2015; 16:1196-1203. [PMID: 26460227 DOI: 10.1111/ggi.12614] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/30/2015] [Indexed: 11/28/2022]
Abstract
AIM The oldest old are in most need of help. The present study examined the association between perceived health, physical functioning and diagnosed chronic disease in a sample of Brazilian nonagenarians and centenarians. METHODS The 2008 Brazilian Household Survey dataset was used. The 2008 Brazilian Household Survey interviewed 292 553 individuals aged 14 years and older from the 26 Brazilian states plus the Federal District, selected in a multistage procedure. Our analytical sample focused on those aged 90 years and older. This yielded a final sample of 819 individuals. Logistic regression was used to examine the association between self-reported health and health conditions. RESULTS Nearly 7% (n = 56) of the total sample were centenarians. High rates of physical limitations and chronic disease were reported by the participants. Participants reporting their health as poor were, on average, twofold more likely to report limitations in activities of daily living, and 1.7-fold more likely to report a chronic disease. CONCLUSIONS Perceived poor health was positively associated with physical limitations and chronic disease in Brazilian oldest-old. These findings highlight the need for feasible interventions aiming to improve health and quality of life in this population, especially because this is the fastest growing age group worldwide. Geriatr Gerontol Int 2016; 16: 1196-1203.
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Affiliation(s)
- Emerson Sebastião
- Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, IL, USA
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Mikkola TM, Polku H, Portegijs E, Rantakokko M, Rantanen T, Viljanen A. Self-Reported Hearing Status Is Associated with Lower Limb Physical Performance, Perceived Mobility, and Activities of Daily Living in Older Community-Dwelling Men and Women. J Am Geriatr Soc 2015; 63:1164-9. [PMID: 26096390 DOI: 10.1111/jgs.13381] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To explore the associations between self-reported hearing problems and physical performance and self-reported difficulties in mobility and activities of daily living (ADLs) in community-dwelling older adults. DESIGN Cross-sectional cohort study. SETTING Community. PARTICIPANTS Men and women aged 75 to 90 (N = 848). MEASUREMENTS Structured face-to-face interviews to assess perceived hearing problems in the presence of noise, mobility difficulties (moving indoors, stair-climbing, 0.5-km walk, 2-km walk), and difficulties in ADLs and instrumental ADLs. The Short Physical Performance Battery (SPPB) was administered. Age; years of education; cognitive functioning; and self-reported cardiac, circulatory, and locomotor diseases were used as covariates. RESULTS Persons who reported major hearing problems had a lower SPPB total score than those who reported good hearing (mean 9.8 vs 10.9, P = .009), indicating poorer performance, and more difficulties in ADLs (mean 1.8 vs 1.4, P = .002) and IADLs (mean 4.6 vs 3.4, P = .002), after controlling for covariates. They were also more likely to have more difficulty in stair-climbing (odds ratio (OR) = 2.8, P < .001) and walking 2 km (OR = 2.1, P = .003) and tended to have more difficulty in walking 0.5 km (OR = 1.7, P = .05) but not moving indoors (P = .18). Persons who reported only some hearing problems did not differ from those who reported good hearing in any of the variables studied. CONCLUSION Perceived major hearing problems in older adults may contribute to poorer lower limb performance and difficulties in mobility and ADLs. Longitudinal studies are needed to determine whether poor hearing is a risk factor for decline in physical performance.
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Affiliation(s)
- Tuija M Mikkola
- Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Hannele Polku
- Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Erja Portegijs
- Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Merja Rantakokko
- Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Taina Rantanen
- Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Anne Viljanen
- Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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Nilsson I, Nyqvist F, Gustafson Y, Nygård M. Leisure Engagement: Medical Conditions, Mobility Difficulties, and Activity Limitations-A Later Life Perspective. J Aging Res 2015; 2015:610154. [PMID: 26346706 PMCID: PMC4540994 DOI: 10.1155/2015/610154] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2014] [Revised: 03/18/2015] [Accepted: 03/18/2015] [Indexed: 11/17/2022] Open
Abstract
Objectives. This study aims to investigate the impact of medical conditions, mobility difficulties, and activity limitations on older people's engagement in leisure activities. Methods. The analyses are based on a cross regional survey carried out in 2010 in the Bothnia region (Northern Sweden and Western Finland). A posted questionnaire, which included questions on different aspects of leisure engagement, medical history, and health, was sent out to older persons in the region. The final sample consisted of 5435 persons aged 65, 70, 75, and 80 years. The data was analyzed by using ordinary least squares (OLS) multivariate regression. Results. The most important predictor of leisure engagement abstention among older people is the prevalence of activity limitations, whereas mobility difficulties and medical conditions play less important roles. The strong negative association between activity limitations and leisure engagement remains significant even after we control for individual, sociodemographic characteristics, and country. Discussion. This study provides a window into leisure engagement in later life and factors influencing the magnitude of engagement in leisure activities.
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Affiliation(s)
- Ingeborg Nilsson
- Department of Community Medicine and Rehabilitation, Occupational Therapy, Umeå University, 901 87 Umeå, Sweden
- Umeå University, Ageing and Living Conditions Program, 901 87 Umeå, Sweden
| | - Fredrica Nyqvist
- Faculty of Education and Welfare Studies, Social Policy Unit, Åbo Akademi University, 651 01 Vasa, Finland
| | - Yngve Gustafson
- Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, 901 87 Umeå, Sweden
| | - Mikael Nygård
- Faculty of Education and Welfare Studies, Social Policy Unit, Åbo Akademi University, 651 01 Vasa, Finland
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Gazzaruso C, Coppola A, Luppi C, Giustina A, Solerte SB. Effect of different diabetes mellitus treatments on functional decline and death in elderly adults with diabetes mellitus. J Am Geriatr Soc 2013; 61:666-7. [PMID: 23581934 DOI: 10.1111/jgs.12191] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lee SJ, Yau CK, Eng C. Response Letter to Gazzaruso and Colleagues. J Am Geriatr Soc 2013; 61:667-8. [DOI: 10.1111/jgs.12192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Sei J. Lee
- Division of Geriatrics; University of California at San Francisco; San Francisco California
- San Francisco Veterans Affairs Research Enhancement Award Program; San Francisco California
| | | | - Catherine Eng
- Division of Geriatrics; University of California at San Francisco; San Francisco California
- On Lok Lifeways; San Francisco California
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