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Research ArticleOriginal Research

Impact of the COVID-19 Pandemic on Exercise Habits Among US Primary Care Patients

Natalie Wood Byrne, Daniel J. Parente and Nicole T. Yedlinsky
The Journal of the American Board of Family Medicine March 2022, 35 (2) 295-309; DOI: https://doi.org/10.3122/jabfm.2022.02.210313
Natalie Wood Byrne
From School of Medicine, University of Kansas Medical Center, Kansas City, KS (NWB); Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS (DJP, NTY).
PharmD
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Daniel J. Parente
From School of Medicine, University of Kansas Medical Center, Kansas City, KS (NWB); Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS (DJP, NTY).
MD, PhD
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Nicole T. Yedlinsky
From School of Medicine, University of Kansas Medical Center, Kansas City, KS (NWB); Department of Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS (DJP, NTY).
MD, CAQSM, FAAFP
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Article Figures & Data

Figures

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  • Appendix Figure 1.
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    Appendix Figure 1.

    Distribution of Change in Total Minutes of Weekly Exercise Among Respondents.

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    Appendix Figure 2.

    Distribution of Change in Total Weekly Exercise, Stratified by Demographic Variables.

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    Appendix Figure 3.

    Distribution of Change in Total Weekly Exercise, Stratified by Before the Pandemic Employment Status (Panels) and During the Pandemic Employment Status.

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    Research Survey About Exercise Habits Before and After the COVID-19 Pandemic.

Tables

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    Table 1.

    Sample Demographics, Exercise Session Days/Wk, Session Duration, and Total Exercise Min/Wk

    Session days/wk, median (IQR)Session duration, minutes, median (IQR)Total exercise min/wk, median (IQR)
    CategoryNo. (%)BeforeDuringChangeBeforeDuringChangeBeforeDuringChange
    All respondents382 (100%)3.0 (2.0)2.5 (3.0)0.0 (1.0)36.2 (40.0)30.0 (35.0)0.0 (10.0)120 (162.5)85.0 (167.8)0.0 (60.0)
    Age, years
        18 to 2446 (12.0)3.0 (2.0)2.8 (2.9)0.0 (1.0)40.0 (30.0)30.0 (29.4)0.0 (13.8)120.0 (120.0)75.0 (118.1)0.0 (82.5)
        25 to 34123 (32.2)3.0 (2.0)2.5 (3.0)0.0 (1.0)40.0 (30.0)30.0 (37.5)0.0 (12.5)120.0 (150.0)90.0 (169.4)0.0 (63.8)
        35 to 4491 (23.8)3.0 (2.0)2.5 (3.2)0.0 (2.0)45.0 (30.0)30.0 (42.5)0.0 (20.0)120.0 (160.0)90.0 (170.1)0.0 (90.0)
        45 to 5465 (17.0)3.0 (3.0)2.0 (4.0)0.0 (1.0)30.0 (40.0)30.0 (45.0)0.0 (7.5)75.0 (157.5)60.0 (150.0)0.0 (37.5)
        55 to 6439 (10.2)3.0 (3.0)3.0 (2.5)0.0 (0.0)30.0 (25.0)30.0 (32.5)0.0 (0.0)135.0 (156.2)100.0 (180.0)0.0 (0.0)
        65 to 7418 (4.7)3.5 (3.8)2.0 (4.5)0.0 (0.8)30.0 (23.8)30.0 (24.5)0.0 (0.0)120.0 (127.5)75.0 (151.8)0.0 (23.8)
    Sex
        Female248 (64.9)3.0 (2.0)2.5 (3.0)0.0 (1.0)30.0 (32.5)30.0 (35.0)0.0 (7.5)90.0 (135.0)72.5 (145.2)0.0 (60.0)
        Male134 (35.1)3.0 (3.0)3.0 (3.0)0.0 (1.5)45.0 (30.0)30.0 (54.9)0.0 (15.0)142.5 (170.6)102.5 (206.2)0.0 (90.0)
    Gender
        Man135 (35.3)3.0 (3.0)3.0 (3.0)0.0 (1.5)45.0 (30.0)30.0 (53.2)0.0 (15.0)135.0 (168.8)100.0 (203.4)0.0 (90.0)
        Woman247 (64.7)3.0 (2.0)2.5 (3.0)0.0 (1.0)30.0 (32.5)30.0 (35.0)0.0 (7.5)90.0 (135.0)70.0 (145.2)0.0 (60.0)
    Race
        Asian14 (3.7)3.0 (0.9)3.0 (2.5)−0.5 (2.1)60.0 (15.0)47.5 (30.0)0.0 (9.4)176.2 (60.0)120.0 (93.8)−5.0 (95.6)
        Black86 (22.5)3.0 (1.9)2.0 (3.0)0.0 (1.0)30.0 (53.8)20.0 (37.5)0.0 (10.0)90.0 (160.0)38.8 (110.6)0.0 (45.0)
        None5 (1.3)5.0 (1.0)4.0 (4.0)−1.0 (1.5)30.0 (30.0)5.0 (30.0)−10.0 (30.0)120.0 (210.0)30.0 (120.0)−60.0 (15.0)
        Other/multiple26 (6.8)3.0 (1.9)1.5 (3.4)0.0 (1.9)30.0 (25.0)16.0 (30.0)0.0 (18.8)90.0 (107.5)30.0 (101.2)0.0 (71.2)
        White251 (65.7)3.0 (3.0)3.0 (3.0)0.0 (1.0)40.0 (30.0)30.0 (25.0)0.0 (7.5)120.0 (154.4)90.0 (150.0)0.0 (60.0)
    Ethnicity
        Hispanic46 (12.0)3.0 (2.0)2.0 (4.0)0.0 (1.5)33.8 (37.5)30.0 (45.0)0.0 (15.0)102.5 (131.2)63.8 (159.4)0.0 (60.0)
        Not Hispanic336 (88.0)3.0 (2.0)2.8 (3.0)0.0 (1.0)36.2 (40.0)30.0 (33.1)0.0 (8.1)120.0 (165.0)90.0 (165.0)0.0 (60.0)
    Educational attainment
        Doctorate/professional degree25 (6.5)3.0 (2.0)4.0 (4.0)0.0 (2.0)45.0 (22.5)40.0 (30.0)0.0 (7.5)180.0 (135.0)135.0 (142.5)0.0 (160.0)
        Master's degree42 (11.0)3.8 (2.0)4.0 (2.4)0.0 (1.8)40.0 (30.0)38.8 (28.1)0.0 (0.0)150.0 (194.1)167.5 (172.5)0.0 (96.9)
        College graduate145 (38.0)3.0 (2.0)2.5 (3.0)0.0 (1.0)45.0 (30.0)30.0 (35.0)0.0 (15.0)120.0 (158.8)90.0 (145.2)0.0 (60.0)
        Some college117 (30.6)3.0 (2.0)2.0 (3.5)0.0 (1.5)30.0 (40.0)30.0 (45.0)0.0 (11.0)90.0 (135.0)60.0 (157.5)0.0 (75.0)
        High school graduate42 (11.0)3.0 (2.4)2.0 (2.9)0.0 (0.4)27.5 (39.4)22.5 (26.1)0.0 (2.2)83.8 (125.8)60.0 (104.9)0.0 (27.8)
        Some high school or less11 (2.9)3.0 (3.0)0.0 (2.5)0.0 (1.5)15.0 (27.5)0.0 (22.5)0.0 (2.5)45.0 (87.5)0.0 (60.0)0.0 (15.0)
    Before pandemic employment status
        Employed: work at home41 (10.7)3.0 (2.0)3.0 (4.0)0.0 (1.5)37.5 (40.0)30.0 (45.0)0.0 (30.0)135.0 (135.0)60.0 (180.0)0.0 (90.0)
        Employed: work away from home217 (56.8)3.0 (2.0)3.0 (3.0)0.0 (1.0)37.5 (30.0)30.0 (30.0)0.0 (10.0)120.0 (150.0)90.0 (165.0)0.0 (60.0)
        Employed: work at home and away from home36 (9.4)3.0 (2.1)2.8 (3.1)0.0 (0.6)42.5 (30.0)32.5 (31.9)0.0 (1.2)120.0 (137.8)80.0 (161.2)0.0 (37.5)
        Retired20 (5.2)2.0 (3.5)2.0 (2.6)0.0 (0.0)30.0 (18.8)25.0 (28.9)0.0 (1.2)60.0 (112.5)45.0 (108.0)0.0 (3.8)
        Student26 (6.8)3.2 (2.4)3.0 (3.0)0.0 (2.8)45.0 (30.0)30.0 (28.1)0.0 (15.0)142.5 (168.8)90.0 (125.6)0.0 (195.0)
        Unemployed42 (11.0)3.0 (3.0)2.2 (3.8)0.0 (1.0)30.0 (37.5)27.5 (43.8)0.0 (0.0)90.0 (140.3)60.0 (134.1)0.0 (29.1)
    During pandemic employment status
        Employed: work at home103 (27.0)3.0 (2.0)3.0 (3.2)0.0 (1.0)45.0 (30.0)30.0 (36.2)0.0 (5.0)120.0 (120.0)90.0 (164.9)0.0 (60.0)
        Employed: work away from home132 (34.6)3.0 (2.0)2.5 (2.6)0.0 (1.0)37.5 (30.0)30.0 (41.9)0.0 (20.6)120.0 (166.2)84.4 (169.6)0.0 (80.0)
        Employed: work at home and away from home50 (13.1)3.0 (2.5)2.0 (2.9)0.0 (1.4)32.5 (28.2)30.0 (22.5)0.0 (0.2)108.8 (135.0)68.8 (150.0)0.0 (56.2)
        Retired18 (4.7)2.0 (4.5)2.0 (2.4)0.0 (0.0)30.0 (18.8)25.0 (24.5)0.0 (0.0)55.0 (137.5)45.0 (103.0)0.0 (0.0)
        Student23 (6.0)3.0 (2.8)3.0 (3.0)0.0 (2.5)45.0 (30.0)30.0 (26.2)0.0 (15.0)135.0 (172.5)90.0 (123.8)0.0 (180.0)
        Unemployed56 (14.7)3.0 (2.0)2.0 (4.0)0.0 (1.0)30.0 (50.0)27.5 (38.1)0.0 (6.2)90.0 (159.2)60.0 (132.2)0.0 (31.9)
    Marital status
        Divorced and not remarried47 (12.3)3.0 (4.0)2.0 (4.0)0.0 (2.0)30.0 (42.5)30.0 (56.2)0.0 (15.0)105.0 (192.5)60.0 (170.0)0.0 (70.0)
        Married156 (40.8)3.0 (2.5)3.0 (3.1)0.0 (1.0)37.5 (30.0)30.0 (27.0)0.0 (7.5)140.0 (138.8)97.5 (161.2)0.0 (60.0)
        Married but separated11 (2.9)2.5 (1.5)2.5 (2.5)0.0 (0.2)30.0 (47.5)30.0 (47.5)0.0 (18.8)90.0 (132.5)90.0 (132.5)0.0 (37.5)
        Single (never married)159 (41.6)3.0 (2.0)2.0 (3.5)0.0 (1.0)30.0 (40.0)30.0 (44.8)0.0 (13.0)90.0 (137.5)60.0 (120.0)0.0 (60.0)
        Widowed and not remarried9 (2.4)3.0 (4.0)3.0 (5.0)0.0 (0.0)20.0 (20.0)30.0 (20.0)0.0 (0.0)60.0 (150.0)90.0 (120.0)0.0 (30.0)
    Children in household 10 years or younger
        No288 (75.4)3.0 (2.5)3.0 (3.0)0.0 (1.0)32.5 (40.0)30.0 (35.0)0.0 (7.5)120.0 (161.2)90.0 (161.0)0.0 (60.0)
        Yes94 (24.6)3.0 (2.0)2.0 (3.4)0.0 (1.0)37.5 (33.8)30.0 (43.4)0.0 (15.0)97.5 (135.0)76.9 (147.4)−6.9 (60.0)
    Children in household 11 years or older
        No301 (78.8)3.0 (2.0)2.5 (3.0)0.0 (1.0)37.5 (35.0)30.0 (35.0)0.0 (10.0)120.0 (150.0)90.0 (168.8)0.0 (60.0)
        Yes81 (21.2)3.0 (2.0)2.5 (3.0)0.0 (1.0)30.0 (40.0)30.0 (40.0)0.0 (5.0)90.0 (157.5)75.0 (165.0)0.0 (45.0)
    • Abbreviation: IQR, interquartile range.

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    Table 2.

    Exercise Setting Before and During the Pandemic

    No. (%) reporting activity
    Type of activityBeforeDuringPa
    Sports55 (14.4)27 (7.1)<.001
    Group classes (virtual)24 (6.3)50 (13.1)<.001
    Group classes (on site)58 (15.2)9 (2.4)<.001
    Weightlifting113 (29.6)72 (18.8)<.001
    Walking257 (67.3)247 (64.7).229
    Running111 (29.1)93 (24.3).010b
    Biking57 (14.9)47 (12.3).089
    Swimming26 (6.8)13 (3.4).006
    • ↵a McNemar's paired chi-square test.

    • ↵b Controlling for multiple comparisons using the Holm–Sidak procedure, rather than the Benjamini-Hochberg, attenuates the statistical significance of this result (Holm–Sidak adjusted P = .073).

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    Table 3.

    Self-Reported Change in Weight Stratified by Demographic Variables

    Weight change >4 lbs, No. (%)
    CategoryNo. (%)IncreasedNo changeDecreased
    All respondents382 (100.0)148 (38.7)162 (42.4)72 (18.8)
    Age, years
        18 to 2446 (12.0)17 (37.0)25 (54.3)4 (8.7)
        25 to 34123 (32.2)46 (37.4)50 (40.7)27 (22.0)
        35 to 4491 (23.8)36 (39.6)38 (41.8)17 (18.7)
        45 to 5465 (17.0)32 (49.2)22 (33.8)11 (16.9)
        55 to 6439 (10.2)13 (33.3)17 (43.6)9 (23.1)
        65 to 7418 (4.7)4 (22.2)10 (55.6)4 (22.2)
    Sex
        Male134 (35.1)50 (37.3)62 (46.3)22 (16.4)
        Female248 (64.9)98 (39.5)100 (40.3)50 (20.2)
    Gender
        Man135 (35.3)50 (37.0)62 (45.9)23 (17.0)
        Woman247 (64.7)98 (39.7)100 (40.5)49 (19.8)
    Race
        Asian14 (3.7)5 (35.7)9 (64.3)0 (0.0)
        Black86 (22.5)44 (51.2)26 (30.2)16 (18.6)
        None5 (1.3)3 (60.0)2 (40.0)0 (0.0)
        Other/multiple26 (6.8)12 (46.2)10 (38.5)4 (15.4)
        White251 (65.7)84 (33.5)115 (45.8)52 (20.7)
    Ethnicity
        Hispanic46 (12.0)16 (34.8)19 (41.3)11 (23.9)
        Non-Hispanic336 (88.0)132 (39.3)143 (42.6)61 (18.2)
    Educational attainment
        Some high school or less11 (2.9)6 (54.5)4 (36.4)1 (9.1)
        High school graduate42 (11.0)15 (35.7)22 (52.4)5 (11.9)
        Some college117 (30.6)43 (36.8)51 (43.6)23 (19.7)
        College graduate145 (38.0)59 (40.7)59 (40.7)27 (18.6)
        Master's degree42 (11.0)14 (33.3)20 (47.6)8 (19.0)
        Doctorate/Professional degree25 (6.5)11 (44.0)6 (24.0)8 (32.0)
    Before pandemic employment status
        Unemployed42 (11.0)19 (45.2)12 (28.6)11 (26.2)
        Employed: work away from home217 (56.8)81 (37.3)94 (43.3)42 (19.4)
        Employed: work at home41 (10.7)19 (46.3)21 (51.2)1 (2.4)
        Employed: work at home and away from home36 (9.4)12 (33.3)13 (36.1)11 (30.6)
        Retired20 (5.2)8 (40.0)9 (45.0)3 (15.0)
        Student26 (6.8)9 (34.6)13 (50.0)4 (15.4)
    During pandemic employment status
        Unemployed56 (14.7)27 (48.2)19 (33.9)10 (17.9)
        Employed: work away from home132 (34.6)51 (38.6)53 (40.2)28 (21.2)
        Employed: work at home103 (27.0)36 (35.0)51 (49.5)16 (15.5)
        Employed: work at home and away from home50 (13.1)21 (42.0)17 (34.0)12 (24.0)
        Retired18 (4.7)7 (38.9)9 (50.0)2 (11.1)
        Student23 (6.0)6 (26.1)13 (56.5)4 (17.4)
    Marital status
        Single (never married)159 (41.6)61 (38.4)70 (44.0)28 (17.6)
        Married156 (40.8)62 (39.7)68 (43.6)26 (16.7)
        Married but separated11 (2.9)2 (18.2)6 (54.5)3 (27.3)
        Widowed and not remarried9 (2.4)1 (11.1)6 (66.7)2 (22.2)
        Divorced and not remarried47 (12.3)22 (46.8)12 (25.5)13 (27.7)
    Children in household 10 years or younger
        Yes94 (24.6)42 (44.7)34 (36.2)18 (19.1)
        No288 (75.4)106 (36.8)128 (44.4)54 (18.8)
    Children in household 11 years or greater
        Yes81 (21.2)36 (44.4)30 (37.0)15 (18.5)
        No301 (78.8)112 (37.2)132 (43.9)57 (18.9)
    • View popup
    Table 4.

    Employment Status Before and During the Pandemic and Change in Total Weekly Exercise

    Exercise min/wk, Median (IQR)
    Employment status during pandemicNo. (%)BeforeDuringChange
    Before pandemic: unemployed
        Employed: work away from home4 (1.0)125.6 (81.6)72.5 (93.8)−53.1 (68.4)
        Unemployed36 (9.4)88.8 (124.7)60.0 (132.2)0.0 (16.2)
        Employed: work at home2 (0.5)153.8 (18.8)105.0 (30.0)−48.8 (48.8)
    Before pandemic: employed, work away from home
        Employed: work away from home123 (32.2)120.0 (167.5)90.0 (165.8)0.0 (80.0)
        Unemployed15 (3.9)120.0 (177.5)30.0 (120.0)0.0 (135.0)
        Employed: work at home58 (15.2)112.5 (120.0)112.5 (142.5)0.0 (57.5)
        Employed: work at home and away from home21 (5.5)135.0 (127.5)90.0 (127.5)0.0 (65.0)
    Before pandemic: employed, work at home
        Employed: work away from home1 (0.3)90.0 (0.0)0.0 (0.0)−90.0 (0.0)
        Unemployed2 (0.5)100.5 (79.5)105.0 (105.0)4.5 (184.5)
        Employed: work at home36 (9.4)137.5 (138.8)67.5 (195.0)0.0 (63.8)
        Employed: work at home and away from home2 (0.5)90.0 (90.0)7.5 (7.5)−82.5 (82.5)
    Before pandemic: employed, work both at home and away from home
        Employed: work away from home3 (0.8)120.0 (120.0)100.0 (112.5)−15.0 (10.0)
        Unemployed1 (0.3)120.0 (0.0)120.0 (0.0)0.0 (0.0)
        Employed: work at home5 (1.3)180.0 (30.0)120.0 (120.0)0.0 (240.0)
        Employed: work at home and away from home27 (7.1)100.0 (148.1)67.5 (172.5)0.0 (40.0)
    Before pandemic: retired
        Employed: work away from home1 (0.3)80.0 (0.0)0.0 (0.0)−80.0 (0.0)
        Employed: work at home1 (0.3)60.0 (0.0)112.5 (0.0)52.5 (0.0)
        Retired18 (4.7)55.0 (137.5)45.0 (103.0)0.0 (0.0)
    Before pandemic: student
        Unemployed2 (0.5)187.5 (52.5)165.0 (135.0)−22.5 (187.5)
        Employed: work at home1 (0.3)240.0 (0.0)120.0 (0.0)−120.0 (0.0)
        Student23 (6.0)135.0 (172.5)90.0 (123.8)0.0 (180.0)
    • Abbreviations: IQR, interquartile range.

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    Table 5.

    Self-Reported Change in Weight Stratified by Before and During Pandemic Employment Status

    Weight change more than 4 lbs, No. (%)
    During pandemic employment statusNo. (%)IncreasedNo changeDecreased
    Before pandemic: unemployed
        Employed: work away from home4 (1.0)2 (50.0)1 (25.0)1 (25.0)
        Unemployed36 (9.4)16 (44.4)10 (27.8)10 (27.8)
        Employed: work at home2 (0.5)1 (50.0)1 (50.0)0 (0.0)
    Before pandemic: employed, work away from home
        Employed: work away from home123 (32.2)47 (38.2)51 (41.5)25 (20.3)
        Unemployed15 (3.9)8 (53.3)7 (46.7)0 (0.0)
        Employed: work at home58 (15.2)17 (29.3)28 (48.3)13 (22.4)
        Employed: work at home and away from home21 (5.5)9 (42.9)8 (38.1)4 (19.0)
    Before pandemic: employed, work at home
        Employed: work away from home1 (0.3)1 (100.0)0 (0.0)0 (0.0)
        Unemployed2 (0.5)1 (50.0)1 (50.0)0 (0.0)
        Employed: work at home36 (9.4)16 (44.4)19 (52.8)1 (2.8)
        Employed: work at home and away from home2 (0.5)1 (50.0)1 (50.0)0 (0.0)
    Before pandemic: employed, work at home and away from home
        Employed: work away from home3 (0.8)0 (0.0)1 (33.3)2 (66.7)
        Unemployed1 (0.3)0 (0.0)1 (100.0)0 (0.0)
        Employed: work at home5 (1.3)1 (20.0)3 (60.0)1 (20.0)
        Employed: work at home and away from home27 (7.1)11 (40.7)8 (29.6)8 (29.6)
    Before pandemic: retired
        Employed: work away from home1 (0.3)1 (100.0)0 (0.0)0 (0.0)
        Employed: work at home1 (0.3)0 (0.0)0 (0.0)1 (100.0)
        Retired18 (4.7)7 (38.9)9 (50.0)2 (11.1)
    Before pandemic: student
        Unemployed2 (0.5)2 (100.0)0 (0.0)0 (0.0)
        Employed: work at home1 (0.3)1 (100.0)0 (0.0)0 (0.0)
        Student23 (6.0)6 (26.1)13 (56.5)4 (17.4)
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The Journal of the American Board of Family     Medicine: 35 (2)
The Journal of the American Board of Family Medicine
Vol. 35, Issue 2
March/April 2022
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Impact of the COVID-19 Pandemic on Exercise Habits Among US Primary Care Patients
Natalie Wood Byrne, Daniel J. Parente, Nicole T. Yedlinsky
The Journal of the American Board of Family Medicine Mar 2022, 35 (2) 295-309; DOI: 10.3122/jabfm.2022.02.210313

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Impact of the COVID-19 Pandemic on Exercise Habits Among US Primary Care Patients
Natalie Wood Byrne, Daniel J. Parente, Nicole T. Yedlinsky
The Journal of the American Board of Family Medicine Mar 2022, 35 (2) 295-309; DOI: 10.3122/jabfm.2022.02.210313
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