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t
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CDs
.
K
ey
w
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d
s
:
C
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R
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b
eh
a
v
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NC
Ds
R
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k
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C
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:
Su
p
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itn
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p
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itn
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Dep
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m
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t o
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Nu
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Ke
m
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k
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ala
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J
l.
I
j
en
7
7
C
Ma
lan
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d
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ac
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id
1.
I
NT
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O
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No
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-
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m
m
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d
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(
NC
Ds)
is
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ch
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lo
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-
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m
aj
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ca
u
s
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d
ea
th
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lo
b
all
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[
1
]
.
NC
Ds
ca
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s
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t
h
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d
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4
1
m
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m
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in
lo
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-
m
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s
.
T
o
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ac
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s
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n
o
t
d
o
in
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ac
tiv
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ties
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alco
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l
co
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s
u
m
p
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,
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d
an
u
n
b
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ce
d
d
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e
r
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k
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to
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s
f
o
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th
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d
ea
th
o
f
p
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p
le
w
it
h
NC
Ds
[
2
]
.
Me
tab
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lic
f
ac
to
r
s
co
n
tr
ib
u
te
a
s
a
ca
u
s
e
o
f
NC
Ds
;
ch
a
n
g
e
s
i
n
m
etab
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lis
m
ca
n
lead
to
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n
cr
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l
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m
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a
n
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m
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[
2
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.
R
esear
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C
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a
n
d
co
g
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v
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m
p
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m
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n
t
[
3
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.
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b
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p
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t
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m
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tal
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ti
v
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to
g
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k
n
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led
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e
[
4
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.
A
cc
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to
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lo
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m
,
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eh
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id
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k
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att
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p
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[
6
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.
I
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I
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d
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av
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v
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eq
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f
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3.
RE
SU
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D
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ese
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ab
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1
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Gen
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ch
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ac
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3
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Me
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181
T
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2
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9
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.
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f
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9
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.
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ai
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alco
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1
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least
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s
u
b
-
d
is
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r
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[
1
1
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W
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it
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o
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h
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ld
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a
k
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to
p
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ev
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t
NC
D
s
[
7
]
,
[
1
1
]
.
Mo
r
e
th
an
h
alf
o
f
t
h
e
in
d
i
v
id
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w
h
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ar
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k
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f
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ab
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2
0
1
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1
2
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a
b
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h
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y
s
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ar
e
also
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ties
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N
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ev
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co
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tr
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1
3
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ar
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M
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[
1
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h
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s
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R
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ed
1
5
-
1
9
y
e
ar
s
is
d
u
e
to
co
n
s
u
m
p
tio
n
o
f
f
ast
f
o
o
d
o
r
d
r
in
k
s
t
h
at
co
n
ta
i
n
lo
ts
o
f
g
lu
co
s
e
o
r
ca
r
b
o
h
y
d
r
ates.
A
d
o
lesce
n
ts
ar
e
a
v
u
l
n
er
ab
le
g
r
o
u
p
b
ec
au
s
e
th
e
y
ar
e
a
tr
an
s
i
tio
n
al
a
g
e
b
etw
ee
n
ch
i
ld
r
en
an
d
ad
u
lts
.
N
C
Ds
t
h
at
o
cc
u
r
d
u
e
to
ad
o
lescen
ce
ar
e
o
b
esit
y
,
co
n
s
u
m
p
tio
n
o
f
f
o
o
d
in
s
ec
u
r
it
y
,
p
o
o
r
a
cc
ess
to
h
ea
lt
h
y
f
o
o
d
,
an
d
ex
p
o
s
u
r
e
to
u
n
h
ea
lt
h
y
e
n
v
ir
o
n
m
en
ts
[
2
1
]
–
[
2
3
]
,
also
co
n
s
u
m
p
t
io
n
o
f
a
n
u
n
h
ea
lt
h
y
d
iet
a
n
d
in
ad
eq
u
ate
p
h
y
s
ica
l a
ctiv
i
t
y
[
2
4
]
.
I
n
d
iv
id
u
a
ls
w
h
o
ar
e
at
r
is
k
o
f
s
u
f
f
er
in
g
f
r
o
m
N
C
D
s
h
av
e
a
h
eig
h
t
1
6
0
.
0
0
+
9
.
6
2
cm
;
b
o
d
y
w
ei
g
h
t
5
7
.
9
3
+
1
5
.
0
4
k
g
;
t
h
e
lo
w
e
s
t
b
o
d
y
m
a
s
s
in
d
e
x
w
as
1
4
.
5
3
,
th
e
h
i
g
h
e
s
t
w
as
7
2
.
9
5
,
an
d
th
e
av
er
ag
e
w
a
s
2
2
.
6
2
+
5
.
8
0
as
p
r
esen
ted
T
ab
l
e
2
.
T
h
e
b
o
d
y
m
a
s
s
o
f
r
esp
o
n
d
en
ts
in
t
h
e
f
a
t
an
d
o
b
ese
ca
teg
o
r
y
w
as
3
3
.
6
%
as
s
h
o
w
n
i
n
T
ab
le
1
,
illu
s
tr
ati
n
g
th
at
t
h
e
b
o
d
y
'
s
m
etab
o
lis
m
d
o
es n
o
t ta
k
e
p
lace
n
o
r
m
all
y
s
o
t
h
at
m
o
r
e
g
l
u
co
s
e
i
s
s
to
r
ed
as
m
u
s
cle
g
l
y
co
g
e
n
.
O
b
esit
y
is
ca
u
s
ed
b
y
t
h
e
u
n
h
ea
lth
y
b
eh
a
v
io
r
o
f
e
x
ce
s
s
iv
e
g
l
u
co
s
e
co
n
s
u
m
p
tio
n
,
w
h
ic
h
is
s
u
p
p
o
r
ted
b
y
th
e
lar
g
e
n
u
m
b
er
o
f
f
a
s
t
f
o
o
d
an
d
d
r
in
k
p
r
o
v
id
er
s
in
B
litar
,
w
h
ic
h
ar
e
cr
o
w
d
ed
w
it
h
b
u
y
er
s
,
esp
ec
iall
y
at
n
i
g
h
t.
T
w
o
o
f
t
h
e
t
h
r
ee
co
m
m
o
n
N
C
Ds
ar
e
h
y
p
er
te
n
s
io
n
an
d
o
b
esit
y
.
U
n
co
n
tr
o
lled
o
b
esit
y
ca
n
b
e
a
p
h
y
s
ical
h
a
za
r
d
an
d
a
co
m
m
o
n
ca
u
s
e
o
f
d
ea
th
in
in
d
i
v
id
u
a
ls
s
u
f
f
er
i
n
g
f
r
o
m
N
C
D
s
[
2
5
]
.
T
h
u
s
,
h
ea
lth
w
o
r
k
er
s
at
t
h
e
C
o
m
m
u
n
it
y
Hea
lt
h
C
e
n
ter
h
av
e
a
m
aj
o
r
r
o
le
in
s
cr
ee
n
i
n
g
i
n
d
i
v
id
u
al
s
a
g
ed
1
5
-
45
w
h
o
ar
e
at
r
is
k
o
f
s
u
f
f
er
in
g
f
r
o
m
NC
Ds
a
n
d
m
a
n
ag
i
n
g
th
e
m
s
o
th
at
t
h
e
y
d
o
n
o
t b
ec
o
m
e
a
ca
u
s
e
o
f
d
ea
t
h
[
3
]
.
T
h
e
b
o
d
y
m
ass
i
n
d
ex
i
n
t
h
e
o
v
er
w
ei
g
h
t
ca
te
g
o
r
y
w
a
s
3
3
.
6
%
an
d
t
h
e
p
o
s
s
ib
ili
t
y
o
f
s
u
f
f
er
in
g
f
r
o
m
h
y
p
er
te
n
s
io
n
w
as
1
0
.
9
%
an
d
n
o
t
h
y
p
er
ten
s
io
n
w
a
s
2
2
.
7
%
as
s
h
o
w
n
i
n
T
ab
le
3
.
Ob
esit
y
in
t
h
is
s
it
u
atio
n
i
s
d
u
e
to
t
h
e
lar
g
e
i
n
ta
k
e
o
f
ca
r
b
o
h
y
d
r
ates
o
r
g
lu
co
s
e
o
b
tain
e
d
th
r
o
u
g
h
t
h
e
h
ab
it
o
f
co
n
s
u
m
i
n
g
f
ast
f
o
o
d
an
d
d
r
in
k
s
.
Ob
esit
y
i
s
r
elate
d
to
an
i
m
b
ala
n
ce
b
et
w
ee
n
e
n
er
g
y
i
n
ta
k
e
a
n
d
ex
p
e
n
d
itu
r
e
b
y
th
e
b
o
d
y
.
Ge
n
etic,
p
h
y
s
io
lo
g
ical,
a
n
d
b
eh
a
v
io
r
al
f
ac
to
r
s
a
s
t
h
e
m
ai
n
ca
u
s
e
s
o
f
o
b
esit
y
[
2
6
]
.
T
h
e
co
r
r
elatio
n
b
et
w
ee
n
b
o
d
y
m
as
s
in
d
ex
a
n
d
th
e
p
o
s
s
ib
ilit
y
o
f
h
y
p
er
te
n
s
io
n
w
as
a
n
al
y
ze
d
u
s
i
n
g
th
e
C
h
i
s
q
u
ar
e
C
o
n
ti
n
g
en
c
y
C
o
e
f
f
icien
t
w
it
h
a
v
alu
e
o
f
0
.
1
3
3
,
w
h
ic
h
m
ea
n
s
t
h
at
it
h
a
s
a
v
er
y
lo
w
r
elat
io
n
s
h
ip
.
T
h
e
r
esu
lts
o
f
o
t
h
er
s
t
u
d
ie
s
co
n
f
ir
m
t
h
at
b
o
d
y
m
as
s
in
d
ex
h
as
a
s
ig
n
i
f
ica
n
t
r
elatio
n
s
h
ip
an
d
in
f
lu
e
n
ce
o
n
h
y
p
er
te
n
s
io
n
[
1
6
]
,
[
2
6
]
–
[
3
0
]
,
e
v
en
i
n
cr
ea
s
i
n
g
ag
e
in
in
d
i
v
id
u
a
ls
w
it
h
o
b
esit
y
h
a
s
a
h
ig
h
r
is
k
o
f
s
u
f
f
er
i
n
g
f
r
o
m
h
y
p
er
te
n
s
io
n
[
2
7
]
.
A
cc
o
r
d
in
g
to
B
lo
o
m
,
b
eh
av
i
o
r
co
n
s
is
ts
o
f
t
h
r
ee
i
m
p
o
r
tan
t
ac
tiv
ities
,
n
a
m
el
y
:
i
)
co
g
n
iti
v
e,
ii
)
af
f
ec
tiv
e,
a
n
d
iii
)
p
s
y
c
h
o
m
o
t
o
r
(
p
r
ac
tice)
.
C
o
g
n
iti
v
e
ca
n
b
e
m
ea
s
u
r
ed
f
r
o
m
k
n
o
w
led
g
e,
af
f
ec
t
iv
e
ca
n
b
e
m
ea
s
u
r
ed
f
r
o
m
attit
u
d
es
o
r
r
e
s
p
o
n
s
es,
a
n
d
p
s
y
ch
o
m
o
to
r
ca
n
b
e
m
ea
s
u
r
ed
b
y
t
h
e
p
r
ac
tice
tak
e
n
[
5
]
,
[
6
]
.
T
h
e
th
r
ee
ac
ti
v
itie
s
ar
e
co
n
s
ec
u
ti
v
e
co
n
d
itio
n
s
w
it
h
th
e
lo
g
ic
t
h
at
in
d
i
v
id
u
al
s
ca
n
b
e
p
o
s
it
iv
e
o
r
n
e
g
ativ
e
[
3
1
]
,
[
3
2
]
af
ter
h
av
in
g
en
o
u
g
h
k
n
o
w
led
g
e.
T
h
er
e
is
m
u
c
h
k
n
o
w
l
ed
g
e
th
at
i
s
o
w
n
ed
,
esp
ec
iall
y
in
f
o
r
m
atio
n
ab
o
u
t
NC
Ds
,
ef
f
o
r
ts
to
p
r
ev
e
n
t,
d
ir
ec
t
o
r
in
d
ir
ec
t
s
o
u
r
ce
s
o
f
i
n
f
o
r
m
at
io
n
,
a
n
d
ex
i
s
ti
n
g
g
o
v
er
n
m
e
n
t
p
r
o
g
r
a
m
s
as
m
ater
ial
f
o
r
in
d
i
v
id
u
al
s
to
ac
t.
Kn
o
w
led
g
e
r
eq
u
ir
e
s
m
e
n
tal
a
ctiv
it
y
as
th
i
n
k
i
n
g
.
Af
ter
h
av
i
n
g
k
n
o
w
led
g
e,
t
h
e
in
d
iv
id
u
al
w
i
ll
b
e
p
o
s
iti
v
e,
th
at
is
,
s
u
p
p
o
r
tiv
e,
o
r
n
e
g
ativ
e,
w
h
ic
h
is
n
o
t
s
u
p
p
o
r
t
iv
e
f
o
r
ta
k
in
g
a
p
r
ac
tice.
T
h
e
p
r
ac
tice
r
ef
er
r
ed
to
in
th
is
r
ese
ar
ch
is
th
e
i
n
d
i
v
id
u
al
p
r
ac
tice
o
f
d
o
in
g
C
E
R
DI
K.
B
eh
av
io
r
co
n
s
i
s
ti
n
g
o
f
k
n
o
w
l
ed
g
e,
attitu
d
es,
a
n
d
p
r
ac
tices
ab
o
u
t
in
f
ec
tio
u
s
d
is
ea
s
e
s
w
as
m
ea
s
u
r
ed
u
s
i
n
g
a
q
u
est
io
n
n
air
e
[
8
]
w
h
i
ch
is
f
illed
i
n
d
ir
ec
tl
y
b
y
th
e
in
d
iv
id
u
al
a
f
ter
r
ec
eiv
i
n
g
in
f
o
r
m
atio
n
a
n
d
g
i
v
i
n
g
co
n
s
en
t
to
b
e
in
v
o
lv
ed
in
t
h
e
r
esear
ch
.
Kn
o
w
led
g
e
co
n
s
i
s
ts
o
f
2
0
q
u
esti
o
n
s
w
it
h
th
e
c
h
o
ice
o
f
co
r
r
ec
t,
w
r
o
n
g
,
an
d
u
n
k
n
o
w
in
g
an
s
w
er
s
,
s
o
th
at
th
e
lo
w
e
s
t
s
co
r
e
is
2
0
an
d
th
e
h
i
g
h
est
is
6
0
.
A
tt
itu
d
es
co
n
s
is
t
o
f
2
9
s
tate
m
en
t
s
w
i
th
c
h
o
i
ce
s
o
f
s
tr
o
n
g
l
y
a
g
r
ee
,
ag
r
ee
,
d
is
a
g
r
ee
,
an
d
s
tr
o
n
g
l
y
d
is
a
g
r
ee
,
s
o
t
h
e
lo
w
es
t
s
co
r
e
i
s
2
9
an
d
th
e
h
ig
h
e
s
t
is
1
1
6
.
T
h
e
p
r
ac
tice
co
n
s
is
t
s
o
f
2
0
s
tate
m
en
ts
w
it
h
c
h
o
ices
o
f
te
n
/al
wa
y
s
,
s
o
m
eti
m
es,
a
n
d
n
ev
er
,
s
o
t
h
e
lo
w
est
s
co
r
e
is
2
0
an
d
th
e
h
i
g
h
e
s
t
is
6
0
.
T
h
e
m
e
a
n
a
n
d
s
tan
d
ar
d
d
ev
iat
io
n
o
f
k
n
o
w
led
g
e
,
attitu
d
es,
a
n
d
p
r
ac
tice
o
f
in
d
i
v
id
u
al
s
w
h
o
ar
e
at
r
is
k
o
f
s
u
f
f
er
in
g
f
r
o
m
N
C
D
s
is
5
1
.
6
9
±
5
.
1
6
;
9
4
.
0
3
±
9
.
0
4
;
an
d
4
3
.
9
4
±
5
.
7
9
,
r
esp
ec
tiv
ely
a
s
s
h
o
w
n
in
T
ab
le
4
.
Kn
o
w
led
g
e
ca
n
b
e
o
b
tain
ed
in
s
e
v
er
al
w
a
y
s
;
i
)
th
r
o
u
g
h
d
ir
ec
t
p
er
s
o
n
al
ex
p
er
ien
ce
o
r
v
ar
io
u
s
s
ec
o
n
d
ar
y
ele
m
en
ts
w
h
ic
h
p
r
o
v
id
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v
ar
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s
in
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o
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o
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ee
k
a
n
d
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ec
eiv
e
ex
p
la
n
atio
n
s
f
r
o
m
ce
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tain
p
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tr
o
l
o
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au
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ized
;
iii
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d
ed
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ctiv
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r
ea
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;
an
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v
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th
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e
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is
k
leve
l fo
r
in
d
ivid
u
a
ls
to
s
u
ffer
in
g
fr
o
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… (
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183
th
r
o
u
g
h
ex
p
er
ie
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ce
[
3
2
]
.
P
r
ac
tice
is
t
h
e
ac
ti
v
it
y
o
f
a
p
er
s
o
n
ca
r
r
y
i
n
g
o
u
t
ac
ti
v
it
ies
to
ac
h
iev
e
ce
r
tai
n
g
o
als
w
h
ic
h
ar
e
in
f
lu
e
n
ce
d
b
y
o
b
j
e
ctiv
e
attit
u
d
es
a
n
d
n
o
r
m
s
.
P
r
a
ctice
s
ar
e
f
o
r
m
ed
b
y
t
h
e
ex
p
e
r
ie
n
ce
o
f
in
d
i
v
id
u
a
l
in
ter
ac
tio
n
s
w
it
h
t
h
e
en
v
ir
o
n
m
en
t,
esp
ec
iall
y
r
eg
ar
d
in
g
k
n
o
wled
g
e
an
d
attit
u
d
es to
w
ar
d
an
o
b
j
ec
t.
De
W
er
d
t'
s
r
esear
ch
s
a
y
s
th
at
th
er
e
i
s
a
s
t
r
o
n
g
i
n
f
lu
e
n
ce
o
f
t
h
e
le
v
el
o
f
k
n
o
w
led
g
e
o
n
p
r
ac
tice
[
6
]
.
T
h
e
b
eh
a
v
io
r
th
eo
r
y
th
at
m
ak
e
s
in
d
i
v
id
u
al
s
ta
k
e
p
r
ac
tice
in
an
e
f
f
o
r
t
to
p
r
ev
en
t
NC
Ds
i
s
k
n
o
w
n
a
s
th
e
A
I
E
T
A
m
o
d
el.
Na
m
el
y
;
i
)
A
w
a
r
en
ess
,
t
h
e
in
d
i
v
id
u
al
h
as
p
r
ev
io
u
s
l
y
k
n
o
w
n
t
h
e
s
ti
m
u
l
u
s
,
ii
)
I
n
teres
t
,
th
er
e
is
a
f
ee
li
n
g
o
f
b
ein
g
attr
ac
ted
to
th
e
s
ti
m
u
l
u
s
(
o
b
j
ec
t)
s
o
th
at
th
e
atti
tu
d
e
b
eg
i
n
s
to
ap
p
ea
r
,
iii
)
E
va
lu
a
tio
n
,
c
o
n
s
id
er
in
g
w
h
et
h
er
o
r
n
o
t
th
e
s
ti
m
u
l
u
s
is
w
it
h
i
n
h
i
m
,
t
h
is
c
o
n
d
itio
n
m
ea
n
s
th
at
t
h
e
atti
tu
d
e
is
b
etter
,
iv
)
Tr
ia
l
,
th
e
i
n
d
i
v
id
u
al
b
e
g
in
s
to
d
o
s
o
m
et
h
i
n
g
as
d
es
ir
ed
b
y
t
h
e
s
ti
m
u
lu
s
,
a
n
d
(
v
)
A
d
o
p
tio
n
,
th
e
in
d
i
v
id
u
al
b
eh
a
v
es
in
a
cc
o
r
d
an
ce
w
i
th
th
e
k
n
o
w
led
g
e
an
d
attit
u
d
e
[
4
]
.
I
n
d
iv
id
u
a
ls
w
h
o
h
a
v
e
r
ec
ei
v
e
d
in
f
o
r
m
atio
n
f
r
o
m
h
ea
lt
h
wo
r
k
er
s
an
d
r
ea
d
ar
t
icle
s
ab
o
u
t
C
E
R
DI
K
h
av
e
k
n
o
w
led
g
e
o
f
ef
f
o
r
ts
to
p
r
ev
en
t
NC
D
s
.
F
u
r
t
h
er
m
o
r
e,
i
n
d
iv
id
u
als
r
esp
o
n
d
a
n
d
b
eh
a
v
e
to
w
ar
d
C
E
R
DI
K,
f
i
n
all
y
ta
k
in
g
p
r
ac
tice
s
o
as
n
o
t
to
s
u
f
f
er
f
r
o
m
N
C
D
s
.
T
h
e
r
esu
lt
s
s
h
o
w
ed
t
h
at
t
h
e
a
v
er
ag
e
v
al
u
e
a
n
d
s
ta
n
d
ar
d
d
ev
iatio
n
o
f
C
E
R
DI
K
'
s
b
eh
a
v
io
r
in
clu
d
es
k
n
o
w
led
g
e,
attit
u
d
es,
an
d
p
r
ac
tice,
n
a
m
el
y
7
0
.
7
6
±
7
.
6
8
as
s
h
o
w
n
i
n
T
ab
le
4
.
T
h
e
r
is
k
o
f
i
n
d
iv
id
u
als
s
u
f
f
er
i
n
g
f
r
o
m
N
C
D
s
in
t
h
e
lo
w
ca
teg
o
r
y
w
as
8
.
4
%,
8
1
.
1
%
m
o
d
er
ate,
an
d
1
0
.
5
%
h
ig
h
a
s
s
h
o
w
n
i
n
T
ab
le
5
.
W
h
at
i
s
m
ea
n
t
i
n
r
e
s
ea
r
ch
in
to
t
h
e
r
i
s
k
o
f
s
u
f
f
er
i
n
g
f
r
o
m
NC
D
s
i
s
t
h
e
lar
g
e
r
is
k
o
f
a
n
i
n
d
iv
id
u
al
s
u
f
f
er
i
n
g
f
r
o
m
h
y
p
er
ten
s
io
n
a
n
d
o
b
esit
y
i
n
a
p
er
ce
n
ta
g
e
as
m
ea
s
u
r
ed
b
y
i
n
tel
lig
e
n
t
b
eh
av
io
r
(
k
n
o
w
led
g
e,
attit
u
d
es,
an
d
p
r
ac
tice)
.
Facto
r
s
ca
u
s
i
n
g
N
C
D
s
d
eter
m
i
n
ed
b
y
W
H
O
ar
e
to
b
ac
co
u
s
e,
p
h
y
s
ical
i
n
ac
ti
v
it
y
,
d
r
i
n
k
i
n
g
al
co
h
o
lic
b
ev
er
ag
es,
a
n
d
u
n
h
ea
l
th
y
d
iet
[
2
]
an
d
is
n
o
d
i
f
f
er
e
n
t
f
r
o
m
t
h
e
C
E
R
DI
K
b
eh
av
io
u
r
[
7
]
,
b
u
t
ev
e
n
m
o
r
e
co
m
p
lete
w
it
h
th
e
b
e
h
av
io
r
o
f
r
eg
u
lar
h
ea
lt
h
ch
ec
k
s
,
ad
eq
u
ate
r
est,
an
d
m
an
a
g
i
n
g
s
tr
e
s
s
.
T
h
at
is
,
t
h
e
m
ea
s
u
r
e
m
en
t
o
f
b
eh
a
v
io
r
(
k
n
o
w
led
g
e,
atti
tu
d
es,
a
n
d
p
r
ac
tice)
also
d
escr
ib
es
ef
f
o
r
t
s
to
p
r
ev
en
t
N
C
Ds
b
y
i
n
d
iv
id
u
al
s
.
I
n
d
iv
id
u
a
ls
w
h
o
h
a
v
e
a
lo
w
r
i
s
k
,
s
tati
s
ticall
y
h
a
v
e
s
u
f
f
ic
ien
t
k
n
o
w
led
g
e
a
n
d
attitu
d
e
v
al
u
e
,
b
u
t
m
a
k
e
r
o
u
tin
e
p
r
ac
tice
ef
f
o
r
ts
at
all
t
i
m
es.
Me
a
n
w
h
ile,
in
d
i
v
id
u
a
ls
w
h
o
h
a
v
e
a
h
i
g
h
r
is
k
h
av
e
a
l
o
w
p
r
ac
tice
v
al
u
e.
T
h
is
co
n
d
itio
n
is
i
n
li
n
e
w
ith
th
e
r
esu
lts
o
f
t
h
e
r
esear
ch
t
h
at
th
e
ac
t
o
f
C
E
R
DI
K
is
t
h
e
m
o
s
t
i
m
p
o
r
tan
t
f
ac
to
r
in
b
e
h
av
io
r
f
o
r
m
ea
s
u
r
in
g
t
h
e
r
is
k
o
f
NC
D
s
[
8
]
.
P
r
ev
en
ti
o
n
ef
f
o
r
ts
s
o
t
h
at
d
ea
t
h
f
r
o
m
NC
D
s
[
2
]
ca
n
b
e
co
n
tr
o
lled
r
eq
u
ir
e
t
h
e
e
f
f
o
r
ts
o
f
h
ea
lt
h
w
o
r
k
er
s
o
n
a
r
e
g
u
lar
b
asis
a
n
d
co
n
ti
n
u
o
u
s
l
y
s
o
cializin
g
C
E
R
DI
K
b
eh
av
io
r
in
e
v
er
y
h
ea
lt
h
s
er
v
i
ce
p
r
o
v
id
ed
at
th
e
C
o
m
m
u
n
it
y
Hea
lth
C
e
n
ter
.
4.
CO
NCLU
SI
O
N
P
r
ac
tice
h
as a
n
i
m
p
o
r
tan
t r
o
le
in
i
n
d
iv
id
u
als at
r
is
k
o
f
s
u
f
f
er
i
n
g
f
r
o
m
N
C
D
s
an
d
m
o
s
t i
n
d
iv
id
u
als ar
e
in
th
e
m
o
d
er
ate
ca
teg
o
r
y
,
w
h
i
le
a
s
m
all
p
r
o
p
o
r
tio
n
ar
e
in
th
e
lo
w
an
d
h
i
g
h
r
is
k
ca
te
g
o
r
y
.
I
t
is
s
u
g
g
e
s
t
ed
th
at
h
ea
lt
h
w
o
r
k
er
s
r
o
u
ti
n
el
y
a
n
d
c
o
n
tin
u
o
u
s
l
y
ca
m
p
ai
g
n
f
o
r
C
E
R
DI
K
b
eh
a
v
io
r
as a
n
ef
f
o
r
t to
p
r
ev
en
t
N
C
Ds
.
ACK
NO
WL
E
D
G
E
M
E
NT
S
T
h
e
au
th
o
r
w
o
u
ld
lik
e
to
t
h
an
k
th
e
Dir
ec
to
r
o
f
P
o
ltek
k
es Ke
m
en
k
e
s
Ma
lan
g
an
d
t
h
e
r
esp
o
n
d
en
t
s
.
RE
F
E
R
E
NC
E
S
[
1
]
M
i
n
i
s
t
r
y
o
f
H
e
a
l
t
h
o
f
R
I
,
“
N
a
t
i
o
n
a
l
H
e
a
l
t
h
I
n
d
i
c
a
t
o
r
s
S
u
r
v
e
y
R
e
p
o
r
t
o
f
2
0
1
6
,
”
Jak
a
r
t
a
,
2
0
1
6
.
h
t
t
p
s:
/
/
l
a
b
m
a
n
d
a
t
.
l
i
t
b
a
n
g
.
k
e
mk
e
s.g
o
.
i
d
/
r
i
se
t
-
b
a
d
a
n
-
l
i
t
b
a
n
g
k
e
s/
me
n
u
-
r
i
s
k
e
sn
a
s/
me
n
u
-
r
i
k
u
s
/
4
2
2
-
si
r
k
-
2
0
1
6
(a
c
c
e
s
se
d
1
0
M
a
r
c
h
2
0
2
0
)
[
2
]
W
H
O
,
“
N
o
n
c
o
mm
u
n
i
c
a
b
l
e
d
i
se
a
s
e
s,”
2
0
1
8
.
h
t
t
p
s:
/
/
w
w
w
.
w
h
o
.
i
n
t
/
n
e
w
s
-
r
o
o
m/
f
a
c
t
-
sh
e
e
t
s/
d
e
t
a
i
l
/
n
o
n
c
o
mm
u
n
i
c
a
b
l
e
-
d
i
se
a
se
s
(a
c
c
e
sse
d
2
6
N
o
v
e
mb
e
r
2
0
2
0
).
[
3
]
V
.
S
.
Y
i
e
n
g
p
r
u
g
saw
a
n
a
n
d
C
.
J.
B
r
o
w
n
i
n
g
,
“
N
C
D
s
a
n
d
c
o
g
n
i
t
i
v
e
i
mp
a
i
r
m
e
n
t
:
p
a
t
h
w
a
y
s
a
n
d
s
h
a
r
e
d
b
e
h
a
v
i
o
r
a
l
r
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Evaluation Warning : The document was created with Spire.PDF for Python.