Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais?
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFSCAR |
Texto Completo: | https://repositorio.ufscar.br/handle/ufscar/14470 |
Resumo: | BACKGROUND: Epidemiological studies that demonstrated the association between low concentrations of 25(OH)D and reduction in neuromuscular strength (dynapenia) as age advances are few and controversial. The vast majority of them are cross-sectional studies, which do not allow establishing a causal relationship, and which present important methodological divergences, such as different cutoffs to define low neuromuscular strength as well as different thresholds to define low serum concentrations of 25(OH)D. The only longitudinal study that we are aware of has not confirmed this association and, to date, we have not observed studies that analyzed whether the diagnosis of osteoporosis and vitamin D supplementation could modify these associations. OBJECTIVES: i) To analyze whether serum 25(OH)D deficiency and insufficiency are risk factors for the incidence of dynapenia in people aged 50 and over; ii) To analyze whether these associations are modified with the withdrawal of individuals diagnosed with osteoporosis or who were supplemented with vitamin D from our analyzes. METHOD: Longitudinal study involving 3,205 participants in the English Longitudinal Study of Ageing (ELSA Study), non-dynapenic at baseline and followed for four years. Vitamin D, also assessed at baseline by the serum concentration of 25(OH)D, was classified as sufficient (> 50 nmol/L), insufficient (≥ 30 and ≤ 50 nmol/L) and deficient (< 30 nmol/L). The incidence of dynapenia was considered when the handgrip strength was < 26 kg for men and < 16 kg for women at the end of the four-year follow-up. Poisson regression models were adjusted for sociodemographic, behavioral, clinical and biochemical characteristics. RESULTS: Serum deficiency of 25(OH)D was a risk factor for the incidence of dynapenia (IRR = 1.70 95%CI 1.04 – 2.79), as well as age from 70 to 79 years (IRR = 3.89 95%CI 1,61 – 9.44), 80 years and over (IRR = 8.07 95%CI 3.05 – 21.36), presence of osteoporosis (IRR = 1.76 95%CI 1.02 – 3.03) and low levels serum IGF-1 (IRR = 1.76 95%CI 1.02 – 3.04). When only individuals without osteoporosis or who did not undergo vitamin D supplementation were analyzed, both the deficiency (IRR = 1.78 95%CI 1.01 – 3.13) and insufficiency of 25(OH)D (IRR = 1.77 95%CI 1.06 – 2.94) were risk factors for the incidence of dynapenia, as well as the age from 70 to 79 years (IRR = 5.15 95%CI 1.77 – 14.97), 80 years and more (IRR = 8.55 95%CI 2.66 – 27.51), low serum IGF-1 levels (IRR = 1.94 95%CI 1.05 – 3.61), low appendicular skeletal muscle mass index (ASMI) (IRR = 2.12 95%CI 1.07 – 4.19) and hight waist circumference (IRR = 1.97 95%CI 1.08 – 3.59). CONCLUSION: Serum level of 25(OH)D < 30 nmol / L is a risk factor for the incidence of dynapenia. In those individuals without osteoporosis or who do not take vitamin D supplementation, the risk threshold is higher (≤ 50 nmol / L). In addition to osteoporosis and vitamin D supplementation modifying the effect of the associations found, older age groups, low serum IGF-1 concentrations, low ASMI and hight waist circumference are among the risk factors identified for the incidence of dynapenia in four years of follow-up. |
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Delinocente, Maicon Luís BicigoAlexandre, Tiago da Silvahttp://lattes.cnpq.br/5393622641681701http://lattes.cnpq.br/639935759653949468cf354a-8369-4de5-bda7-8cceb3e4bbbf2021-06-30T11:24:26Z2021-06-30T11:24:26Z2021-06-23DELINOCENTE, Maicon Luís Bicigo. Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais?. 2021. Dissertação (Mestrado em Gerontologia) – Universidade Federal de São Carlos, São Carlos, 2021. Disponível em: https://repositorio.ufscar.br/handle/ufscar/14470.https://repositorio.ufscar.br/handle/ufscar/14470BACKGROUND: Epidemiological studies that demonstrated the association between low concentrations of 25(OH)D and reduction in neuromuscular strength (dynapenia) as age advances are few and controversial. The vast majority of them are cross-sectional studies, which do not allow establishing a causal relationship, and which present important methodological divergences, such as different cutoffs to define low neuromuscular strength as well as different thresholds to define low serum concentrations of 25(OH)D. The only longitudinal study that we are aware of has not confirmed this association and, to date, we have not observed studies that analyzed whether the diagnosis of osteoporosis and vitamin D supplementation could modify these associations. OBJECTIVES: i) To analyze whether serum 25(OH)D deficiency and insufficiency are risk factors for the incidence of dynapenia in people aged 50 and over; ii) To analyze whether these associations are modified with the withdrawal of individuals diagnosed with osteoporosis or who were supplemented with vitamin D from our analyzes. METHOD: Longitudinal study involving 3,205 participants in the English Longitudinal Study of Ageing (ELSA Study), non-dynapenic at baseline and followed for four years. Vitamin D, also assessed at baseline by the serum concentration of 25(OH)D, was classified as sufficient (> 50 nmol/L), insufficient (≥ 30 and ≤ 50 nmol/L) and deficient (< 30 nmol/L). The incidence of dynapenia was considered when the handgrip strength was < 26 kg for men and < 16 kg for women at the end of the four-year follow-up. Poisson regression models were adjusted for sociodemographic, behavioral, clinical and biochemical characteristics. RESULTS: Serum deficiency of 25(OH)D was a risk factor for the incidence of dynapenia (IRR = 1.70 95%CI 1.04 – 2.79), as well as age from 70 to 79 years (IRR = 3.89 95%CI 1,61 – 9.44), 80 years and over (IRR = 8.07 95%CI 3.05 – 21.36), presence of osteoporosis (IRR = 1.76 95%CI 1.02 – 3.03) and low levels serum IGF-1 (IRR = 1.76 95%CI 1.02 – 3.04). When only individuals without osteoporosis or who did not undergo vitamin D supplementation were analyzed, both the deficiency (IRR = 1.78 95%CI 1.01 – 3.13) and insufficiency of 25(OH)D (IRR = 1.77 95%CI 1.06 – 2.94) were risk factors for the incidence of dynapenia, as well as the age from 70 to 79 years (IRR = 5.15 95%CI 1.77 – 14.97), 80 years and more (IRR = 8.55 95%CI 2.66 – 27.51), low serum IGF-1 levels (IRR = 1.94 95%CI 1.05 – 3.61), low appendicular skeletal muscle mass index (ASMI) (IRR = 2.12 95%CI 1.07 – 4.19) and hight waist circumference (IRR = 1.97 95%CI 1.08 – 3.59). CONCLUSION: Serum level of 25(OH)D < 30 nmol / L is a risk factor for the incidence of dynapenia. In those individuals without osteoporosis or who do not take vitamin D supplementation, the risk threshold is higher (≤ 50 nmol / L). In addition to osteoporosis and vitamin D supplementation modifying the effect of the associations found, older age groups, low serum IGF-1 concentrations, low ASMI and hight waist circumference are among the risk factors identified for the incidence of dynapenia in four years of follow-up.INTRODUÇÃO: Estudos epidemiológicos que demonstraram a associação entre baixas concentrações de 25(OH)D e redução da força neuromuscular (dinapenia) à medida que a idade avança são poucos e controversos. A grande maioria deles são estudos transversais, que não permitem estabelecer relação de causalidade, e que apresentam divergências metodológicas importantes, como diferentes cutoffs para definir baixa força neuromuscular bem como diferentes limiares para definir baixas concentrações séricas de 25(OH)D. O único estudo longitudinal de que temos conhecimento, não confirmou essa associação e, até o momento, não observamos estudos que analisaram se o diagnóstico de osteoporose e a suplementação de vitamina D poderiam modificar essas associações. OBJETIVOS: i) Analisar se a deficiência e a insuficiência sérica de 25(OH)D são fatores de risco para a incidência de dinapenia em pessoas com 50 anos e mais; ii) Analisar se essas associações são modificadas com a retirada dos indivíduos com diagnóstico de osteoporose ou que realizavam suplementação de vitamina D de nossas análises. MÉTODO: Estudo longitudinal envolvendo 3.205 participantes do English Longitudinal Study of Ageing (Estudo ELSA), não dinapênicos na linha de base, e acompanhados por quatro anos. A vitamina D, também avaliada na linha de base pela concentração sérica de 25(OH)D, foi classificada como suficiente (> 50 nmol/L), insuficiente (≥ 30 e ≤ 50 nmol/L) e deficiente (< 30 nmol/L). A incidência de dinapenia foi considerada quando a força de preensão manual foi < 26 kg para homens e < 16 kg para mulheres ao final dos quatro anos de acompanhamento. Modelos de regressão de Poisson foram ajustados por características sociodemográficas, comportamentais, clínicas e bioquímicas. RESULTADOS: A deficiência sérica de 25(OH)D foi fator de risco para incidência de dinapenia (IRR = 1,70 IC95% 1.04 – 2.79) assim como idade de 70 a 79 anos (IRR = 3,89 IC95% 1,61 – 9,44), 80 anos e mais (IRR = 8,07 IC95% 3,05 – 21,36), presença de osteoporose (IRR = 1,76 IC95% 1,02 – 3,03) e baixos níveis séricos de IGF-1 (IRR = 1,76 IC95% 1,02 – 3,04). Quando somente os indivíduos sem osteoporose ou que não realizavam suplementação de vitamina D foram analisados, tanto a deficiência (IRR = 1.78 IC95% 1.01 – 3.13) quanto a insuficiência sérica de 25(OH)D (IRR = 1,77 IC95% 1.06 – 2.94) foram fatores de risco para incidência de dinapenia assim como a idade de 70 a 79 anos (IRR = 5,15 IC95% 1,77 – 14,97), 80 anos e mais (IRR = 8,55 IC95% 2,66 – 27,51), baixos níveis séricos de IGF-1 (IRR = 1,94 IC95% 1,05 – 3,61), baixo índice de massa muscular esquelética apendicular (IMMEA) (IRR = 2,12 IC95% 1,07 – 4,19) e circunferência de cintura aumentada (IRR = 1,97 IC95% 1,08 – 3,59). CONCLUSÃO: Nível sérico de 25(OH)D < 30 nmol/L é fator de risco para incidência de dinapenia. Naqueles indivíduos sem osteoporose ou que não fazem suplementação de vitamina D o limiar de risco é maior (≤ 50 nmol/L). Além da osteoporose e a da suplementação de vitamina D modificarem o efeito das associações encontradas, estratos etários mais velhos, baixas concentrações séricas de IGF-1, baixo IMMEA e circunferência de cintura aumentada estão entre os fatores de risco identificados para incidência de dinapenia em quatro anos de acompanhamento.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)FAPESP: 2019/07417-0FAPESP: 2018/13917-3porUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Gerontologia - PPGGeroUFSCarAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessAnálises de incidênciaDinapeniaEnvelhecimento musculoesqueléticoForça da mãoHidroxivitamina D [25(OH)D]Incidence analysisDynapeniaMusculoskeletal agingHandgrip strength25-Hydroxyvitamin DCIENCIAS DA SAUDE::SAUDE COLETIVACIENCIAS DA SAUDEDeficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais?Are serum 25-Hydroxyvitamin D [25(OH)D] deficiency and insufficiency risk factors for the incidence of dynapenia in individuals 50 years and older?info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis60060030231575-e34a-4fff-a15f-6c2706a394c7reponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALDissertação Final Maicon PPGGero 2021.pdfDissertação Final Maicon PPGGero 2021.pdfapplication/pdf1350329https://repositorio.ufscar.br/bitstream/ufscar/14470/3/Disserta%c3%a7%c3%a3o%20Final%20Maicon%20PPGGero%202021.pdfaf9f9c5ebd74a6087c39e49787ddeefdMD53carta-comprovante dissertação assinada.pdfcarta-comprovante dissertação assinada.pdfapplication/pdf487206https://repositorio.ufscar.br/bitstream/ufscar/14470/4/carta-comprovante%20disserta%c3%a7%c3%a3o%20assinada.pdfc79264f788e9168b8ca575e39065ca0dMD54CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repositorio.ufscar.br/bitstream/ufscar/14470/5/license_rdfe39d27027a6cc9cb039ad269a5db8e34MD55TEXTDissertação Final Maicon PPGGero 2021.pdf.txtDissertação Final Maicon PPGGero 2021.pdf.txtExtracted texttext/plain142887https://repositorio.ufscar.br/bitstream/ufscar/14470/6/Disserta%c3%a7%c3%a3o%20Final%20Maicon%20PPGGero%202021.pdf.txt7bb1d26e58826b861b4a358bbdddccb7MD56carta-comprovante dissertação assinada.pdf.txtcarta-comprovante dissertação assinada.pdf.txtExtracted texttext/plain1547https://repositorio.ufscar.br/bitstream/ufscar/14470/8/carta-comprovante%20disserta%c3%a7%c3%a3o%20assinada.pdf.txtd5653a8fa4ff76b3a1671582ae3dfe2bMD58THUMBNAILDissertação Final Maicon PPGGero 2021.pdf.jpgDissertação Final Maicon PPGGero 2021.pdf.jpgIM Thumbnailimage/jpeg6544https://repositorio.ufscar.br/bitstream/ufscar/14470/7/Disserta%c3%a7%c3%a3o%20Final%20Maicon%20PPGGero%202021.pdf.jpgdf1ef5453e743889b18d9ab4ad1f7cfdMD57carta-comprovante dissertação assinada.pdf.jpgcarta-comprovante dissertação assinada.pdf.jpgIM Thumbnailimage/jpeg7863https://repositorio.ufscar.br/bitstream/ufscar/14470/9/carta-comprovante%20disserta%c3%a7%c3%a3o%20assinada.pdf.jpga37654232babc7b7a26eb972e6f6c9f8MD59ufscar/144702023-09-18 18:32:12.256oai:repositorio.ufscar.br:ufscar/14470Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:32:12Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.por.fl_str_mv |
Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais? |
dc.title.alternative.eng.fl_str_mv |
Are serum 25-Hydroxyvitamin D [25(OH)D] deficiency and insufficiency risk factors for the incidence of dynapenia in individuals 50 years and older? |
title |
Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais? |
spellingShingle |
Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais? Delinocente, Maicon Luís Bicigo Análises de incidência Dinapenia Envelhecimento musculoesquelético Força da mão Hidroxivitamina D [25(OH)D] Incidence analysis Dynapenia Musculoskeletal aging Handgrip strength 25-Hydroxyvitamin D CIENCIAS DA SAUDE::SAUDE COLETIVA CIENCIAS DA SAUDE |
title_short |
Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais? |
title_full |
Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais? |
title_fullStr |
Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais? |
title_full_unstemmed |
Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais? |
title_sort |
Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais? |
author |
Delinocente, Maicon Luís Bicigo |
author_facet |
Delinocente, Maicon Luís Bicigo |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/6399357596539494 |
dc.contributor.author.fl_str_mv |
Delinocente, Maicon Luís Bicigo |
dc.contributor.advisor1.fl_str_mv |
Alexandre, Tiago da Silva |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/5393622641681701 |
dc.contributor.authorID.fl_str_mv |
68cf354a-8369-4de5-bda7-8cceb3e4bbbf |
contributor_str_mv |
Alexandre, Tiago da Silva |
dc.subject.por.fl_str_mv |
Análises de incidência Dinapenia Envelhecimento musculoesquelético Força da mão Hidroxivitamina D [25(OH)D] |
topic |
Análises de incidência Dinapenia Envelhecimento musculoesquelético Força da mão Hidroxivitamina D [25(OH)D] Incidence analysis Dynapenia Musculoskeletal aging Handgrip strength 25-Hydroxyvitamin D CIENCIAS DA SAUDE::SAUDE COLETIVA CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
Incidence analysis Dynapenia Musculoskeletal aging Handgrip strength 25-Hydroxyvitamin D |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA CIENCIAS DA SAUDE |
description |
BACKGROUND: Epidemiological studies that demonstrated the association between low concentrations of 25(OH)D and reduction in neuromuscular strength (dynapenia) as age advances are few and controversial. The vast majority of them are cross-sectional studies, which do not allow establishing a causal relationship, and which present important methodological divergences, such as different cutoffs to define low neuromuscular strength as well as different thresholds to define low serum concentrations of 25(OH)D. The only longitudinal study that we are aware of has not confirmed this association and, to date, we have not observed studies that analyzed whether the diagnosis of osteoporosis and vitamin D supplementation could modify these associations. OBJECTIVES: i) To analyze whether serum 25(OH)D deficiency and insufficiency are risk factors for the incidence of dynapenia in people aged 50 and over; ii) To analyze whether these associations are modified with the withdrawal of individuals diagnosed with osteoporosis or who were supplemented with vitamin D from our analyzes. METHOD: Longitudinal study involving 3,205 participants in the English Longitudinal Study of Ageing (ELSA Study), non-dynapenic at baseline and followed for four years. Vitamin D, also assessed at baseline by the serum concentration of 25(OH)D, was classified as sufficient (> 50 nmol/L), insufficient (≥ 30 and ≤ 50 nmol/L) and deficient (< 30 nmol/L). The incidence of dynapenia was considered when the handgrip strength was < 26 kg for men and < 16 kg for women at the end of the four-year follow-up. Poisson regression models were adjusted for sociodemographic, behavioral, clinical and biochemical characteristics. RESULTS: Serum deficiency of 25(OH)D was a risk factor for the incidence of dynapenia (IRR = 1.70 95%CI 1.04 – 2.79), as well as age from 70 to 79 years (IRR = 3.89 95%CI 1,61 – 9.44), 80 years and over (IRR = 8.07 95%CI 3.05 – 21.36), presence of osteoporosis (IRR = 1.76 95%CI 1.02 – 3.03) and low levels serum IGF-1 (IRR = 1.76 95%CI 1.02 – 3.04). When only individuals without osteoporosis or who did not undergo vitamin D supplementation were analyzed, both the deficiency (IRR = 1.78 95%CI 1.01 – 3.13) and insufficiency of 25(OH)D (IRR = 1.77 95%CI 1.06 – 2.94) were risk factors for the incidence of dynapenia, as well as the age from 70 to 79 years (IRR = 5.15 95%CI 1.77 – 14.97), 80 years and more (IRR = 8.55 95%CI 2.66 – 27.51), low serum IGF-1 levels (IRR = 1.94 95%CI 1.05 – 3.61), low appendicular skeletal muscle mass index (ASMI) (IRR = 2.12 95%CI 1.07 – 4.19) and hight waist circumference (IRR = 1.97 95%CI 1.08 – 3.59). CONCLUSION: Serum level of 25(OH)D < 30 nmol / L is a risk factor for the incidence of dynapenia. In those individuals without osteoporosis or who do not take vitamin D supplementation, the risk threshold is higher (≤ 50 nmol / L). In addition to osteoporosis and vitamin D supplementation modifying the effect of the associations found, older age groups, low serum IGF-1 concentrations, low ASMI and hight waist circumference are among the risk factors identified for the incidence of dynapenia in four years of follow-up. |
publishDate |
2021 |
dc.date.accessioned.fl_str_mv |
2021-06-30T11:24:26Z |
dc.date.available.fl_str_mv |
2021-06-30T11:24:26Z |
dc.date.issued.fl_str_mv |
2021-06-23 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
DELINOCENTE, Maicon Luís Bicigo. Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais?. 2021. Dissertação (Mestrado em Gerontologia) – Universidade Federal de São Carlos, São Carlos, 2021. Disponível em: https://repositorio.ufscar.br/handle/ufscar/14470. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufscar.br/handle/ufscar/14470 |
identifier_str_mv |
DELINOCENTE, Maicon Luís Bicigo. Deficiência e insuficiência sérica de 25-Hidroxivitamina D [25(OH)D] são fatores de risco para incidência de dinapenia em indivíduos com 50 anos e mais?. 2021. Dissertação (Mestrado em Gerontologia) – Universidade Federal de São Carlos, São Carlos, 2021. Disponível em: https://repositorio.ufscar.br/handle/ufscar/14470. |
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https://repositorio.ufscar.br/handle/ufscar/14470 |
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Universidade Federal de São Carlos Câmpus São Carlos |
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Programa de Pós-Graduação em Gerontologia - PPGGero |
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UFSCar |
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Universidade Federal de São Carlos Câmpus São Carlos |
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