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it
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a
s
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o
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.
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is r
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s in
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ro
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ims
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stim
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a
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b
y
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c
l
u
d
i
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g
o
c
c
u
p
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ti
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l
a
c
ti
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it
ies
.
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e
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m
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s
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p
p
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t
o
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a
ta
fro
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ietit
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wh
o
c
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te
d
1
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a
ta
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ts
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o
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a
c
ro
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th
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e
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iffere
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t
o
c
c
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ti
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s.
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p
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a
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led
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c
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l
sc
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ste
m
wa
s
d
e
v
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b
a
se
d
o
n
t
h
e
n
e
w
c
a
lo
rifi
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v
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e
n
a
b
l
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g
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i
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n
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K
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CC B
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C
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Kau
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ag
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a9
@
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m
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co
m
1.
I
NT
RO
D
UCT
I
O
N
T
h
e
g
r
o
win
g
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s
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f
a
u
to
m
ate
d
tech
n
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lo
g
y
h
as
le
d
to
lo
we
r
lev
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o
f
p
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y
s
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ac
tiv
ity
(
PA)
o
n
a
d
aily
b
asis
co
m
p
ar
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d
to
p
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en
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ati
o
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s
,
wh
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h
as
h
a
d
a
n
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g
ativ
e
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f
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t
o
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b
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lth
.
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lack
o
f
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ca
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s
e
o
f
o
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esit
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wh
ich
is
a
m
ajo
r
r
is
k
f
ac
to
r
f
o
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r
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to
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ci
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cu
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u
s
cu
lo
s
k
eleta
l,
an
d
m
etab
o
li
c
d
is
ea
s
es
[
1
]
.
B
y
is
s
u
in
g
tim
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PA
r
ec
o
m
m
en
d
atio
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s
,
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e
W
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ld
Hea
lth
Or
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an
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W
HO
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wan
ts
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ain
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a
h
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life
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ty
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b
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e
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r
is
e
in
lo
ad
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s
p
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m
o
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ess
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o
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a
h
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e
s
y
s
tem
th
at
was
alr
ea
d
y
o
v
er
b
u
r
d
en
ed
[
2
]
.
Ad
h
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ce
to
th
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g
u
id
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n
es
lead
s
to
im
p
r
o
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tco
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b
o
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en
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d
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h
a
n
c
in
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ical
f
itn
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,
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r
d
io
m
e
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o
lic
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d
b
o
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lth
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co
g
n
i
tiv
e
f
u
n
ctio
n
,
s
leep
q
u
ality
,
an
d
m
en
tal
well
-
b
ein
g
[
3
]
.
Ob
esit
y
is
m
ain
ly
in
f
lu
en
ce
d
b
y
g
en
etic
f
ac
to
r
s
,
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er
g
y
in
t
ak
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(
E
I
)
,
an
d
en
er
g
y
ex
p
en
d
i
tu
r
e
(
E
E
)
,
wh
er
e
g
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n
etics
p
o
s
e
a
lim
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r
is
k
.
C
o
n
v
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r
s
ely
,
d
is
cr
ep
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n
ci
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b
etwe
en
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g
y
co
n
s
u
m
p
tio
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d
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x
p
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d
itu
r
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8
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3
8
A
h
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erg
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ex
p
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it
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tr
a
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in
g
fr
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mewo
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fu
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(
P
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m
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3547
wh
ich
ar
e
in
f
lu
en
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d
b
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y
s
ical
in
ac
tiv
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,
en
v
ir
o
n
m
e
n
t,
o
cc
u
p
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n
,
s
u
p
p
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ts
,
an
d
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ed
icatio
n
s
,
ar
e
m
ajo
r
f
ac
to
r
s
in
th
e
d
e
v
elo
p
m
en
t
o
f
o
b
esit
y
[
4
]
.
E
E
is
th
e
m
ain
f
o
cu
s
in
th
is
r
esear
ch
w
o
r
k
.
E
E
r
ef
er
s
to
th
e
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er
g
y
th
e
b
o
d
y
u
s
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u
p
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r
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tial
f
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n
s
lik
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r
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th
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g
,
d
ig
esti
o
n
,
b
lo
o
d
cir
c
u
latio
n
,
a
n
d
PA
[
5
]
.
PA
is
lin
k
ed
to
EE
r
esu
ltin
g
f
r
o
m
ac
tiv
ities
o
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er
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an
d
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d
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ch
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s
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.
I
n
o
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d
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r
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in
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e
r
m
a
n
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r
au
to
m
atica
lly
[
6
]
.
I
n
ter
n
atio
n
al
p
h
y
s
ical
ac
tiv
ity
q
u
esti
o
n
n
air
e
(
I
PAQ)
is
a
m
an
u
al
q
u
esti
o
n
n
ai
r
e
m
eth
o
d
to
lo
g
th
e
PA
an
d
id
en
tif
y
th
e
m
etab
o
lic
eq
u
iv
alen
t
o
f
task
(
MET
)
f
o
r
a
wee
k
[
7
]
.
T
h
e
au
to
m
atic
m
eth
o
d
o
f
m
ea
s
u
r
in
g
PA
is
b
y
m
o
b
ile
APPs
[
8
]
,
[
9
]
,
web
ap
p
s
[
1
0
]
o
r
wea
r
ab
le
d
e
v
ices lik
e
f
itn
ess
b
an
d
s
[
1
1
]
,
[
1
2
]
.
I
n
s
p
ite
o
f
th
e
f
ac
t
th
at
o
v
er
-
in
f
o
r
m
in
g
o
r
u
n
d
er
-
in
f
o
r
m
in
g
lead
s
to
m
is
tak
es
wh
en
u
s
in
g
m
an
u
al
s
u
g
g
esti
o
n
s
,
th
e
m
eth
o
d
f
o
r
P
A
tr
ac
k
in
g
b
y
I
PAQ
h
as
s
h
o
wn
r
em
ar
k
a
b
le
r
eliab
ilit
y
if
th
e
test
in
g
p
o
p
u
latio
n
h
as
b
ee
n
ad
ap
ted
o
r
s
o
m
e
m
o
d
if
icatio
n
s
h
av
e
b
ee
n
m
ad
e
to
m
ea
s
u
r
e
EE
[
1
3
]
,
[
1
4
]
.
T
h
e
q
u
esti
o
n
n
air
e
-
b
ased
m
eth
o
d
s
ass
ess
PA
th
r
o
u
g
h
th
r
ee
in
ten
s
ity
lev
els
,
wh
ich
in
clu
d
e
v
ig
o
r
o
u
s
,
m
o
d
er
ate,
an
d
lo
w
-
i
n
ten
s
ity
ac
tiv
ities
th
at
p
eo
p
le
p
er
f
o
r
m
d
u
r
in
g
th
eir
wo
r
k
,
h
o
m
e,
a
n
d
f
r
ee
tim
e
ac
tiv
ities
.
T
h
e
u
s
e
o
f
wea
r
ab
le
d
e
v
ices
an
d
m
o
b
ile
tech
n
o
lo
g
ies
en
ab
les
co
n
tin
u
o
u
s
m
o
n
ito
r
in
g
o
f
h
ea
lth
d
ata,
y
et
p
eo
p
l
e
s
till
d
ep
en
d
o
n
q
u
esti
o
n
n
air
e
-
b
ased
f
r
am
ewo
r
k
s
b
ec
au
s
e
th
ey
f
ac
e
ch
allen
g
es
with
d
ev
ice
ac
ce
s
s
ib
ilit
y
an
d
u
n
d
er
s
tan
d
in
g
tech
n
o
lo
g
y
.
T
h
e
ex
is
tin
g
m
et
h
o
d
s
f
o
r
ass
ess
in
g
wee
k
ly
PA
an
d
ca
lo
r
ie
ex
p
en
d
itu
r
e
f
ac
e
lim
itatio
n
s
b
ec
au
s
e
th
ey
d
o
n
o
t
co
n
s
id
er
p
h
y
s
ical
ac
tiv
ities
th
at
wo
r
k
er
s
p
er
f
o
r
m
in
th
eir
s
p
ec
if
ic
jo
b
s
[
1
5
]
.
T
h
e
d
ev
elo
p
m
en
t
o
f
p
er
s
o
n
alize
d
PA
r
ec
o
m
m
en
d
a
tio
n
s
b
ec
o
m
es
n
ec
ess
ar
y
b
ec
a
u
s
e
o
cc
u
p
atio
n
al
p
h
y
s
ical
ac
ti
v
ity
(
OPA)
s
h
o
ws
d
is
tin
ct
v
ar
iatio
n
s
ac
r
o
s
s
d
if
f
e
r
en
t
jo
b
r
o
les
wh
ile
OPA
s
er
v
es
as
a
m
ajo
r
co
n
tr
ib
u
t
o
r
to
d
aily
EE
[
1
6
]
,
[
1
7
]
.
T
h
e
p
r
o
p
o
s
ed
wo
r
k
will
cr
e
ate
a
co
m
p
lete
s
y
s
tem
th
at
e
n
ab
les
ac
cu
r
ate
to
tal
en
e
r
g
y
ex
p
en
d
itu
r
e
(
T
E
E
)
ca
lcu
latio
n
th
r
o
u
g
h
t
h
e
in
teg
r
a
tio
n
o
f
all
m
o
v
em
en
t
ac
tiv
ities
.
2.
L
I
T
E
R
AT
U
RE
R
E
VI
E
W
T
h
e
s
t
u
d
y
p
r
o
p
o
s
e
d
b
y
P
r
i
n
c
e
e
t
a
l
.
[
1
7
]
r
e
c
o
g
n
i
z
e
d
t
h
e
r
o
l
e
o
f
w
e
i
g
h
t
s
ta
t
u
s
i
n
w
o
r
k
e
r
s
a
n
d
p
u
t
f
o
r
w
a
r
d
a
s
o
l
u
t
i
o
n
a
d
h
e
r
i
n
g
t
o
U
.
S
.
l
e
g
a
l
c
o
n
s
i
d
e
r
a
t
i
o
n
s
.
T
h
e
s
t
u
d
y
a
l
s
o
e
m
p
h
a
s
i
z
e
d
t
h
e
s
u
b
je
c
t
i
v
e
n
a
t
u
r
e
o
f
t
h
e
c
u
r
r
e
n
t
p
h
y
s
i
c
al
l
o
a
d
e
v
a
l
u
a
tio
n
s
.
O
c
c
u
p
at
i
o
n
a
l
m
o
v
e
m
e
n
t
s
w
e
r
e
e
s
t
i
m
a
t
e
d
w
it
h
h
i
g
h
ac
c
u
r
a
c
y
b
y
A
I
-
b
a
s
e
d
i
n
e
r
t
i
a
l
m
e
as
u
r
e
m
e
n
t
u
n
i
t
s
y
s
te
m
s
,
a
l
t
h
o
u
g
h
w
o
r
k
p
l
a
c
e
i
n
t
e
r
v
e
n
t
i
o
n
s
w
i
t
h
a
c
c
el
e
r
o
m
e
t
e
r
s
a
n
d
c
o
u
n
s
e
l
i
n
g
d
i
d
n
o
t
d
e
m
o
n
s
t
r
a
t
e
s
i
g
n
i
f
i
ca
n
t
i
m
p
r
o
v
e
m
e
n
t
s
i
n
PA
,
p
r
o
d
u
c
t
i
v
i
ty
,
o
r
h
e
a
l
t
h
o
u
t
c
o
m
e
s
c
o
m
p
a
r
ed
t
o
c
o
n
t
r
o
l
s
[
1
8
]
.
C
an
a
d
i
a
n
r
es
ea
r
c
h
e
r
s
d
em
o
n
s
tr
a
te
d
p
r
o
m
is
in
g
o
u
t
c
o
m
es
t
h
r
o
u
g
h
a
h
ea
lt
h
m
o
n
it
o
r
i
n
g
s
y
s
te
m
,
s
h
o
wi
n
g
s
u
b
s
ta
n
ti
al
i
m
p
r
o
v
e
m
e
n
t
i
n
b
l
o
o
d
p
r
ess
u
r
e,
s
l
ee
p
q
u
alit
y
,
em
o
t
io
n
a
l
r
es
ili
en
ce
,
a
n
d
r
e
d
u
c
ed
f
at
ig
u
e
o
v
e
r
a
1
2
-
m
o
n
t
h
p
er
io
d
[
1
9
]
.
T
h
e
o
n
e
-
y
e
ar
w
al
k
i
n
g
ex
e
r
cis
e
f
o
r
s
ed
e
n
ta
r
y
m
ales
s
h
o
we
d
e
n
co
u
r
a
g
i
n
g
ca
r
d
io
v
as
c
u
la
r
r
es
u
l
ts
,
r
ef
lec
te
d
i
n
d
ec
r
e
ase
d
h
e
ar
t r
at
e
a
n
d
l
ac
t
ate
,
"
i
n
d
ica
ti
n
g
i
m
p
r
o
v
e
d
e
n
d
u
r
a
n
ce
an
d
d
ela
y
s
in
f
at
ig
u
e
[
2
0
]
.
Ot
h
e
r
s
t
u
d
ies
ex
h
i
b
it
e
d
t
h
e
i
m
p
ac
t
o
f
d
i
g
it
iz
ati
o
n
o
n
h
ea
lt
h
i
n
t
h
e
w
o
r
k
p
l
a
ce
.
L
i
v
e
wo
r
k
s
h
o
p
s
an
d
tr
ac
k
i
n
g
d
ev
ices
r
ais
ed
h
o
p
e;
t
h
e
p
a
n
d
e
m
ic
,
h
o
w
ev
e
r
,
c
a
lle
d
f
o
r
m
o
r
e
s
c
ala
b
l
e
we
b
-
b
as
ed
m
o
d
e
ls
[
2
1
]
.
A
2
1
-
wee
k
"
1
0
,
0
0
0
Step
s
®"
p
r
o
g
r
a
m
in
a
n
ac
ad
e
m
ic
s
ettin
g
en
jo
y
e
d
s
tr
o
n
g
in
itial
p
ar
tici
p
atio
n
b
u
t
with
m
in
im
al
b
eh
av
io
r
c
h
an
g
e
in
t
h
e
lo
n
g
r
u
n
.
T
h
e
f
in
d
in
g
s
s
u
g
g
ested
th
at
f
u
t
u
r
e
r
esear
ch
s
h
o
u
ld
ta
k
e
in
to
ac
co
u
n
t
in
d
iv
id
u
al
b
aselin
e
ac
tiv
ity
an
d
m
o
tiv
ato
r
s
[
2
2
]
.
A
co
m
p
ar
is
o
n
o
f
m
o
v
em
e
n
t
ac
tiv
ity
lev
els
b
etwe
en
b
r
ewe
r
y
wo
r
k
er
s
an
d
o
f
f
ice
s
taf
f
u
s
in
g
two
k
in
d
s
o
f
ac
tiv
ity
t
r
ac
k
er
s
r
e
v
ea
led
m
ajo
r
d
if
f
er
en
ce
s
in
E
E
,
h
ea
r
t
r
ate,
an
d
s
tep
co
u
n
t,
em
p
h
asizin
g
th
e
im
p
o
r
t
an
ce
o
f
ch
o
o
s
in
g
a
d
ev
ice
an
d
o
b
s
er
v
in
g
th
e
en
v
ir
o
n
m
en
t o
f
a
p
er
s
o
n
[
2
3
]
.
Me
an
wh
ile,
em
ail
-
b
ased
in
ter
v
en
tio
n
s
am
o
n
g
h
ea
lth
ca
r
e
w
o
r
k
er
s
s
h
o
wed
im
p
r
o
v
em
en
ts
in
d
ietar
y
h
ab
its
an
d
PA
with
last
in
g
e
f
f
ec
ts
[
2
4
]
.
Similar
ly
,
th
e
“Ac
tiv
ate
y
o
u
r
h
ea
lth
”
p
r
o
g
r
am
d
em
o
n
s
tr
ated
th
a
t
in
teg
r
ated
wo
r
k
p
lace
welln
e
s
s
in
itiativ
es
f
o
cu
s
in
g
o
n
s
t
r
ess
m
an
ag
em
en
t,
n
u
t
r
itio
n
,
an
d
PA
p
o
s
itiv
ely
b
en
ef
ited
b
o
th
e
m
p
lo
y
ee
s
a
n
d
o
r
g
a
n
izatio
n
s
[
2
5
]
.
T
h
e
m
ajo
r
s
h
o
r
tco
m
i
n
g
s
id
en
tifie
d
b
y
t
h
e
r
ev
iew
a
r
e
th
at
th
e
p
r
esen
t
PA
tr
ac
k
in
g
s
y
s
t
em
s
u
n
d
e
r
esti
m
ate
EE
b
y
n
o
t
co
n
s
id
er
in
g
o
cc
u
p
atio
n
,
s
le
ep
,
an
d
h
o
u
s
eh
o
ld
ac
tiv
ities
,
an
d
th
ey
f
ail
to
p
er
s
o
n
alize
EE
b
y
n
o
t
co
n
s
id
er
in
g
in
d
iv
id
u
al
d
if
f
er
en
ce
s
.
T
h
ese
s
h
o
r
tco
m
in
g
s
f
o
r
m
th
e
r
atio
n
ale
f
o
r
th
e
p
r
o
p
o
s
ed
h
o
lis
tic
en
er
g
y
e
x
p
en
d
itu
r
e
tr
a
ck
in
g
(
HE
E
T
)
s
y
s
tem
.
3.
B
I
O
L
O
G
Y
O
F
E
N
E
RG
Y
E
XP
E
NDI
T
UR
E
T
h
is
s
ec
tio
n
will
co
v
er
th
e
b
io
lo
g
ical
co
m
p
o
n
en
ts
o
f
EE
,
wh
er
e
T
E
E
is
m
ad
e
u
p
o
f
PA
EE
,
th
e
th
er
m
ic
ef
f
ec
t
o
f
f
o
o
d
(
T
E
F)
f
o
r
d
ig
esti
o
n
e
n
er
g
y
ex
p
en
d
it
u
r
e
(
DE
E
)
an
d
r
esti
n
g
en
er
g
y
ex
p
en
d
itu
r
e
(
R
E
E
)
th
at
s
u
p
p
o
r
ts
ess
en
tial
b
o
d
il
y
f
u
n
ctio
n
s
[
2
6
]
,
[
2
7
]
.
T
h
e
r
elatio
n
s
h
ip
b
etwe
en
t
h
ese
co
m
p
o
n
en
ts
ca
n
b
e
ex
p
r
ess
ed
as
(
1
)
.
=
+
+
(
1
)
W
h
er
e,
r
ep
r
esen
ts
TEE
,
r
ep
r
esen
ts
R
E
E
,
r
ep
r
esen
ts
DE
E
,
an
d
r
ep
r
esen
ts
PA
EE
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8
9
3
8
I
n
t J Ar
tif
I
n
tell
,
Vo
l.
15
,
No
.
4
,
Au
g
u
s
t
20
26
:
3
5
4
6
-
3
5
5
5
3548
R
E
E
is
th
e
en
er
g
y
e
x
p
en
d
ed
b
y
th
e
v
ital
o
r
g
a
n
s
f
o
r
th
eir
b
asic
f
u
n
ctio
n
s
.
I
t
is
s
tr
o
n
g
ly
ass
o
ciate
d
with
th
e
b
asal
m
etab
o
lic
r
ate.
Diet
-
in
d
u
ce
d
EE
(
DE
E
/TE
F)
i
s
th
e
EE
th
at
o
cc
u
r
s
af
ter
m
ea
ls
d
u
e
to
d
i
g
esti
o
n
.
R
E
E
ac
co
u
n
ts
f
o
r
6
0
%
o
f
T
E
E
,
DE
E
ac
co
u
n
ts
f
o
r
1
0
%,
an
d
PA
EE
d
if
f
er
s
f
r
o
m
p
er
s
o
n
to
p
er
s
o
n
b
ased
o
n
th
eir
life
s
ty
le
[
2
8
]
,
[
2
9
]
.
B
ased
o
n
th
ese
p
r
o
p
o
r
tio
n
s
,
T
E
E
c
an
b
e
ex
p
r
ess
ed
as (
2
)
.
=
0
.
6
×
+
0
.
1
×
+
(
2
)
B
y
r
ea
r
r
an
g
i
n
g
th
is
ex
p
r
ess
io
n
g
iv
es
(
3
)
.
=
0
.
3
×
(
3
)
In
(
2
)
ca
n
b
e
v
er
if
ie
d
b
y
th
e
s
tu
d
y
d
o
n
e
in
[
2
8
]
.
T
h
e
PA E
E
co
m
p
o
n
en
t c
an
also
b
e
d
er
i
v
e
d
as (
4
)
.
=
0
.
9
×
−
(
4
)
Su
b
s
titu
tin
g
th
e
R
E
E
co
n
tr
ib
u
tio
n
in
to
th
is
ex
p
r
ess
io
n
r
esu
lts
in
(
5
)
.
=
0
.
3
×
−
0
.
6
×
(
5
)
T
h
u
s
,
it lea
d
s
to
(
3
).
W
h
ile
th
e
eq
u
atio
n
is
v
ali
d
,
ac
cu
r
ately
esti
m
atin
g
r
eq
u
ir
es
co
n
s
id
er
atio
n
o
f
m
u
ltip
le
co
n
tr
ib
u
tin
g
f
ac
to
r
s
.
PA
E
E
is
th
e
to
tal
en
er
g
y
ex
p
e
n
d
ed
i
n
2
4
h
o
u
r
s
th
r
o
u
g
h
e
x
er
cise,
wo
r
k
-
r
elate
d
ac
tiv
ities
,
leis
u
r
e
ac
tiv
ities
(
wh
ich
in
clu
d
e
h
o
u
s
eh
o
ld
ch
o
r
es
to
p
ass
iv
e
b
eh
av
i
o
r
)
,
an
d
co
m
m
u
tin
g
,
wh
ile
ex
er
cise
is
th
e
in
ten
tio
n
al
ef
f
o
r
t to
in
c
r
ea
s
e
h
ea
r
t r
ate.
T
h
u
s
,
PA E
E
ca
n
b
e
r
ep
r
esen
ted
as (
6
).
=
∑
E
PA
+
L
PA
+
TPA
+
∑
6
=
1
7
=
1
(
6
)
W
h
er
e
E
PA
r
ep
r
esen
ts
e
x
er
cise
-
s
p
ec
if
ic
ac
tiv
ity
,
OPA
r
ep
r
e
s
en
ts
o
cc
u
p
ati
o
n
al
o
f
PA
,
L
P
A
r
ep
r
esen
ts
leis
u
r
e
PA,
an
d
T
PA
r
e
p
r
esen
ts
tr
an
s
p
o
r
tatio
n
al
PA
.
T
h
e
o
cc
u
p
atio
n
al
an
d
leis
u
r
e
co
m
p
o
n
en
ts
o
f
PA
E
E
ar
e
d
ef
in
e
d
as (
7
)
an
d
(
8
)
,
r
esp
ec
tiv
ely
.
OPA
=
∑
ST
+
SI
+
HL
6
=
1
(
7
)
L
PA
=
∑
HW
+
SI
7
=
1
(
8
)
W
h
er
e
ST
r
ep
r
esen
ts
s
ta
n
d
in
g
PA,
SI
r
ep
r
esen
ts
s
itti
n
g
PA,
HL
r
ep
r
esen
ts
h
ea
v
y
wo
r
k
PA,
an
d
HW
r
ep
r
esen
ts
h
o
u
s
eh
o
ld
PA; e
ac
h
co
m
p
o
n
en
t is ex
p
r
ess
ed
in
ME
T
s
p
er
wee
k
.
4.
P
RO
P
O
SE
D
M
E
T
H
O
D
Fig
u
r
e
1
p
r
esen
ts
a
th
r
ee
-
lay
er
HE
E
T
f
r
am
ewo
r
k
co
m
p
r
is
in
g
d
ata,
k
n
o
wled
g
e,
an
d
d
ec
i
s
io
n
lay
er
s
f
o
r
co
llectin
g
,
p
r
ep
r
o
ce
s
s
in
g
,
an
aly
zin
g
,
an
d
i
n
ter
p
r
etin
g
PA
d
ata
f
r
o
m
wea
r
ab
les,
a
p
p
s
,
an
d
q
u
esti
o
n
n
air
es.
T
h
e
f
r
am
ewo
r
k
u
s
es
m
ac
h
in
e
lear
n
in
g
to
p
er
f
o
r
m
class
if
icatio
n
an
d
p
r
ed
ictio
n
task
s
.
W
h
ich
h
elp
cr
ea
te
p
er
s
o
n
alize
d
h
ea
lth
r
ec
o
m
m
en
d
atio
n
s
th
at
tak
e
in
to
ac
co
u
n
t
a
p
er
s
o
n
'
s
o
cc
u
p
atio
n
.
Fig
u
r
e
1
.
Ho
lis
tic
EE
tr
ac
k
in
g
f
r
am
ewo
r
k
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J Ar
tif
I
n
tell
I
SS
N:
2252
-
8
9
3
8
A
h
o
lis
tic
en
erg
y
ex
p
en
d
it
u
r
e
tr
a
ck
in
g
fr
a
mewo
r
k:
fu
ellin
g
w
elln
ess
w
i
th
…
(
P
r
a
ch
i Ka
d
a
m
)
3549
T
h
e
s
tu
d
y
u
s
ed
I
PAQ
s
tan
d
ar
d
s
to
class
if
y
o
cc
u
p
atio
n
al
ac
tiv
ities
in
to
th
r
ee
ca
teg
o
r
ies,
wh
ich
in
clu
d
ed
s
itti
n
g
an
d
s
tan
d
in
g
,
an
d
h
ea
v
y
lab
o
r
,
wh
ile
ass
ig
n
in
g
ME
T
v
alu
es
to
esti
m
at
e
wee
k
ly
E
E
.
T
h
e
s
tu
d
y
in
v
o
lv
ed
1
8
0
p
r
o
f
ess
io
n
als
f
r
o
m
I
T
,
teac
h
in
g
,
a
n
d
s
h
o
p
-
f
l
o
o
r
o
cc
u
p
atio
n
s
r
ep
r
ese
n
tin
g
d
if
f
er
e
n
t
OPA
lev
els.
T
h
e
ex
p
er
t
ev
alu
atio
n
p
r
o
ce
s
s
,
to
g
eth
er
with
th
e
p
r
ep
r
o
ce
s
s
in
g
v
alid
atio
n
p
r
o
ce
d
u
r
e,
co
n
f
ir
m
ed
th
e
co
n
ten
t v
alid
ity
a
n
d
estab
lis
h
e
d
ac
ce
p
tab
le
r
eliab
ilit
y
s
tan
d
a
r
d
s
.
5.
RE
SU
L
T
S AN
D
D
I
SCU
SS
I
O
N
T
h
e
tr
en
d
o
f
PA
f
r
o
m
th
e
ex
p
er
im
en
t
s
h
o
ws
th
at
it
is
n
ec
ess
ar
y
to
in
clu
d
e
OPA
an
d
o
th
er
s
m
aller
ac
tiv
ities
f
o
r
ME
T
/wee
k
ca
lcu
latio
n
s
.
T
h
e
g
r
a
p
h
ical
r
ep
r
e
s
en
tatio
n
o
f
th
e
r
esu
lts
is
d
ep
icted
in
th
e
tr
en
d
s
b
elo
w.
Fig
u
r
e
2
s
h
o
ws
th
e
d
if
f
er
en
ce
b
etwe
en
ME
T
v
alu
es
f
o
r
s
p
ec
if
ic
p
h
y
s
ical
ac
tiv
ities
an
d
to
tal
ME
T
f
o
r
all
ac
tiv
ities
.
ME
T
/wee
k
f
r
o
m
PA
alo
n
e,
w
h
ile
th
e
r
ed
lin
e
s
h
o
ws
to
tal
OPA
ME
T
/wee
k
,
th
at
in
clu
d
es d
aily
task
s
,
o
cc
u
p
atio
n
al
ac
tiv
ity
,
s
leep
,
tr
an
s
p
o
r
tatio
n
,
a
n
d
leis
u
r
e
ac
tiv
ities
.
T
h
e
PA
with
o
u
t
OP
A
an
d
with
OPA
co
m
p
ar
is
o
n
s
h
o
wed
4
1
%
in
cr
ea
s
e
in
ME
T
an
d
2
7
%
in
cr
ea
s
e
in
th
e
n
u
m
b
er
o
f
ca
lo
r
ies.
T
h
e
o
b
s
er
v
ed
in
cr
ea
s
e
in
p
er
ce
n
tag
e
r
ep
r
esen
ts
a
s
u
b
s
tan
tial e
f
f
ec
t in
m
ag
n
itu
d
e,
in
d
icatin
g
a
s
tr
o
n
g
co
n
tr
ib
u
tio
n
o
f
OPA
to
th
e
o
v
er
all
EE
.
T
h
e
d
if
f
e
r
en
c
es
ar
e
p
r
ac
tically
s
ig
n
if
ican
t,
p
ar
ticu
lar
ly
f
o
r
o
cc
u
p
atio
n
s
wh
er
e
wo
r
k
-
r
elate
d
ac
tiv
ity
co
n
s
titu
tes a
m
ajo
r
p
o
r
tio
n
o
f
d
aily
m
o
v
em
en
t.
Fig
u
r
e
2
.
C
o
m
p
a
r
is
o
n
o
f
PA
lev
els in
clu
d
in
g
a
n
d
ex
cl
u
d
in
g
O
PA
5
.
1
.
Ca
t
eg
o
ric
a
l
s
co
re
I
n
th
e
I
PAQ,
ca
teg
o
r
ical
s
co
r
es
ar
e
b
ased
o
n
th
e
s
p
ec
if
ic
a
ctiv
ities
.
An
in
d
iv
id
u
al
p
e
r
f
o
r
m
s
d
aily
o
r
wee
k
ly
.
B
u
ild
in
g
o
n
th
is
b
aselin
e,
th
e
HI
PAQ
ME
T
t
o
tal
s
c
o
r
e
is
clas
s
if
ied
in
to
th
r
ee
ca
te
g
o
r
ies
ac
co
r
d
in
g
to
PA
in
ten
s
ity
.
C
ateg
o
r
y
3
r
e
p
r
e
s
en
ts
h
ig
h
PA
.
5
.
1
.
1
.
Ca
t
eg
o
ry
3
(
hig
h)
I
n
d
iv
id
u
als
at
th
is
lev
el
ar
e
co
n
s
id
er
ed
h
ig
h
ly
ac
tiv
e,
r
e
g
u
l
ar
ly
ex
ce
ed
in
g
p
u
b
lic
h
ea
lth
g
u
id
elin
es
f
o
r
PA
a
n
d
m
ain
tain
in
g
a
lif
esty
le
th
at
s
u
p
p
o
r
ts
o
v
er
all
well
-
b
ein
g
.
Fig
u
r
e
3
illu
s
tr
at
es
th
e
wee
k
ly
ME
T
tr
en
d
s
o
b
s
er
v
e
d
am
o
n
g
I
T
p
r
o
f
ess
io
n
als.
T
h
e
r
esu
lts
in
d
ic
ate
co
n
s
is
ten
tly
lo
wer
ME
T
v
alu
es,
r
ef
lectin
g
a
p
r
ed
o
m
i
n
an
tly
s
ed
e
n
tar
y
w
o
r
k
p
atter
n
ch
ar
ac
ter
ize
d
b
y
p
r
o
lo
n
g
e
d
s
itti
n
g
d
u
r
atio
n
s
.
Fig
u
r
e
4
p
r
esen
ts
th
e
ME
T
/wee
k
tr
en
d
s
f
o
r
teac
h
in
g
p
r
o
f
ess
io
n
als.
C
o
m
p
ar
e
d
to
I
T
p
r
o
f
ess
io
n
als,
teac
h
er
s
d
e
m
o
n
s
tr
ate
m
o
d
er
at
e
to
h
ig
h
PA
le
v
els
d
u
e
to
a
c
o
m
b
in
atio
n
o
f
s
tan
d
in
g
ac
tiv
iti
es
d
u
r
in
g
lectu
r
es
an
d
lab
o
r
at
o
r
y
s
ess
io
n
s
,
alo
n
g
with
s
ed
en
tar
y
ac
ad
em
ic
task
s
s
u
ch
as
r
esear
ch
an
d
g
r
ad
in
g
.
Her
e,
in
d
iv
i
d
u
als
ac
h
iev
e
m
o
r
e
th
an
6
,
0
0
0
ME
T
/m
in
u
tes
p
er
wee
k
o
r
b
u
r
n
m
o
r
e
th
an
3
,
0
0
0
ca
lo
r
ies,
in
d
icatin
g
th
at
teac
h
in
g
p
r
o
f
ess
io
n
als
o
f
ten
f
all
with
in
th
e
h
ig
h
PA
ca
teg
o
r
y
.
Evaluation Warning : The document was created with Spire.PDF for Python.
I
SS
N
:
2
2
5
2
-
8
9
3
8
I
n
t J Ar
tif
I
n
tell
,
Vo
l.
15
,
No
.
4
,
Au
g
u
s
t
20
26
:
3
5
4
6
-
3
5
5
5
3550
Fig
u
r
e
3
.
T
r
en
d
o
f
I
T
p
r
o
f
ess
i
on
v
s
.
ME
T
/
we
ek
Fig
u
r
e
4
.
T
r
en
d
o
f
teac
h
i
n
g
p
r
o
f
ess
io
n
v
s
.
MET/
w
eek
5
.
1
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2
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1
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3
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ased
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ased
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ates
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u
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p
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Fig
u
r
e
7
.
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ex
p
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M
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T
5
.
3
.
L
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ic
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na
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is
L
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r
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r
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e,
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[
1
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.
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