Children who are unhealthy are at higher risk for school problems than students who are free from medical problems. Students with poor health have a higher probability of school failure, grade retention, and dropout. The relationship between student health and academic success is complex. Common manageable factors of student health are nutrition, maintaining healthy weight, and physical fitness. Through a comprehensive literature review the relationships among school achievement and nutrition, maintaining healthy weight, and physical fitness are examined. Furthermore, the efficacy of educational programs to improve nutrition, maintain healthy weight, and increase physical fitness is evaluated. The complexity of the relationship among variables is presented and areas for future research and practice for school psychologists are described.

Al Junaibi, A., Abdulle, A., Sabri, S., Hag-Ali, M., Nagelkerke, N. (2013) The prevalence and potential determinants of obesity among school children and adolescents in Abu Dhabi, United Arab Emirates. International Journal of Obesity 37: 6874. DOI: 10.1038/ijo.2012.131.
Google Scholar | Crossref | ISI
Andreyeva, T., Puhl, R. M., Brownell, K. D. (2008) Changes in perceived weight discrimination among Americans, 1995–1996 through 2004–2006. Obesity 16: 11291134. DOI: 10.1038/oby.2008.35.
Google Scholar | Crossref | Medline | ISI
Baxter, S. D., Royer, J. A., Hardin, J. W., Guinn, G. H., Devlin, C. M. (2011) The relationship of school absenteeism with body mass index, academic achievement, and socioeconomic status among fourth-grade children. Journal of School Health 81: 417423.
Google Scholar | Crossref | Medline | ISI
Belsky, D. W., Caspi, A., Goldman-Mellor, S., Meier, M. H., Ramrakha, S., Poulton, R. (2013) Is obesity associated with a decline in intelligence quotient during the first half of the life course? American Journal of Epidemiology 178: 14611468. DOI: 10.1093/aje/kwt135.
Google Scholar | Crossref | Medline | ISI
Bisset, S., Potvin, L., Daniel, M. (2013) The adaptive nature of implementation practice: Case study of a school-based nutrition education interventions. Evaluation and ProgramPlanning 39: 1018. DOI: 10.1016/j.evalprogplan.2012.12.004.
Google Scholar | Medline | ISI
Blom-Hoffman, J. (2008) School-based promotion of fruit and vegetable consumption in multiculturally diverse, urban schools. Psychology in the Schools 45: 1627. DOI: 10.1002/pits.20275.
Google Scholar | Crossref | Medline | ISI
Blom-Hoffman, J., Wilcox, K. A., Dunn, L., Leff, S. S., Power, T. J. (2008) Family involvement in school-based health promotion: Bringing nutrition information home. School Psychology Review 37: 567577.
Google Scholar | Medline | ISI
Boddy, L. M., Downs, S. J., Knowles, Z. R., & Fairclough, S. J. (2015). Physical activity and play behaviors in children and young people with intellectual disabilities: A cross-sectional observational study. School Psychology International, 36, 154--171. DOI: 10.1177/0143034314564242.
Google Scholar
Booth, J. N., Tomporowski, P. D., Boyle, J. M. E., Ness, A. R., Johnson, C., Leary, S. D., & Reilly, J. J. (2014). Obesity impairs academic attainment in adolescence: Findings from ALSPAC, a UK cohort. International Journal of Obesity, 38, 1335--1342. DOI: 10.1038/ijo.2014.40.
Google Scholar
Bosworth, K., & Judkins, M. (2014). Tapping into the power of school climate to prevent bullying: One application of schoolwide positive behavior interventions and supports. Theory into Practice, 53, 300--307. DOI: 10.1080/00405841.2014.947224.
Google Scholar
Brooke, H. L., Corder, K., Atkin, A. J., vanSluijs, E. M. F. (2014) A systematic literature review with meta-analysis of within- and between-day differences in objectively measures physical activity in school-aged children. Sports Medicine 44: 14271438. DOI: 10.1007/s40279-014-0215-5.
Google Scholar | Crossref | Medline | ISI
Brown, H. E., Pearson, N., Braithwaite, R. E., Brown, W. J., Biddle, S. J. H. (2013) Physical activity interventions and depression in children and adolescents. Sports Medicine 43: 195206. DOI: 10.1007/s40279-012-0015-8.
Google Scholar | Crossref | Medline | ISI
Burkhalter, T. M., Hillman, C. H. (2011) A narrative review of physical activity, nutrition, and obesity to cognition and scholastic performance across the human lifespan. Advances in Nutrition: An International Review Journal 2: 201S206S. DOI: 10.3945/an.111.000331.
Google Scholar | Crossref
Busch, V., Loyen, A., Lodder, M., Schrijvers, A. J. P., van Yperen, T. A., de Leeuw, R. J. (2014) The effects of adolescent health-related behavior on academic performance: A systematic review of the longitudinal evidence. Review of Educational Research 84: 245274. DOI: 10.3102/0034654313518441.
Google Scholar | SAGE Journals | ISI
Canning, H., Mayer, J. (1967) Obesity: An influence on high school performance? The American Journal of Clinical Nutrition 20: 352354.
Google Scholar | Medline | ISI
Case, A., Fertig, A., Paxon, C. (2005) The lasting impact of childhood health and circumstance. Journal of Health Economics 24: 365389.
Google Scholar | Crossref | Medline | ISI
Centers for Disease Control and Prevention. (2011) School health guidelines to promote healthy eating and physical activity. Morbidity and Mortality Weekly Report, 60 (no. RR–5), 28–33.
Google Scholar
Chen, L., Fox, K. R., Ku, P., Wang, C. (2012) A longitudinal study of childhood obesity, weight status change, and subsequent academic performance in Taiwanese children. Journal of School Health 82: 424431. DOI: 10.1111/j.1746-1561.2012.00718.x.
Google Scholar | Crossref | Medline | ISI
Cohen, A. K., Rai, M., Rehkopf, D. H., Abrams, B. (2013) Educational attainment and obesity: A systematic review. Obesity Reviews 14: 9891005. DOI: 10.1111/obr.12062.
Google Scholar | Crossref | Medline | ISI
Crosnoe, R., Muller, C. (2004) Body mass index, academic achievement, and school context: Examining the educational experience of adolescents at risk of obesity. Journal of Health and Social Behavior 45: 393407. DOI: 10.1177/002214650404500403.
Google Scholar | SAGE Journals | ISI
Daniels, S. R., Arnett, D. K., Eckel, R. H., Gidding, S. S., Hayman, L. L., Kumanyika, S. (2005) Overweight in children and adolescents pathophysiology, consequences, prevention, and treatment. Circulation 111: 19992012.
Google Scholar | Crossref | Medline | ISI
Dehghan, M., Akhtar-Danesh, N., Merchant, A. T. (2005) Childhood obesity, prevalence and prevention. Journal of Nutrition 4: 24.DOI: 10.1186/1475-2891-4-24.
Google Scholar | Crossref | ISI
Dewa, C. S., Lin, E. (2000) Chronic physical illness, psychiatric disorder and disability in the workplace. Social Sciences & Medicine 51: 4150.
Google Scholar | Crossref | Medline | ISI
Dudley, D. A., Okely, A. D., Cotton, W. G., Pearson, P., Caputi, P. (2012) Physical activity levels and movement skill instruction in secondary school physical education. Journal of Science and Medicine in Sport 15: 231238. DOI: 10.1016/j.jsams.2011.10.005.
Google Scholar | Crossref | Medline | ISI
Dudley, D. A., Okely, A. D., Pearson, P., Cotton, W. G., Caputi, P. (2012) Changes in physical activity, lesson context, and teacher interaction during physical education in culturally and linguistically diverse Australian schools. International Journal of Behavioural Nutrition and Physical Activity 9: 114131. DOI: www.ijbnpa.org/content/9/1/114.
Google Scholar | Crossref | Medline | ISI
Dudley, D. A., Pearson, P., Okely, A. D., & Cotton, W. G. (2015). Recommendations for policy and practice of physical education in culturally and linguistically diverse Australian secondary schools based on a two-year prospective cohort study. School Psychology International, 36, 172--188. DOI: 10.1177/0143034314566489.
Google Scholar
Eagle, T. F., Sheetz, A., Gurm, R., Woodward, A. C., Kline-Rogers, E., Leibowitz, R. (2012) Understanding childhood obesity in America: Linkages between household income, community resources, and children’s behaviors. American Heart Journal 163: 836843. DOI: 10.1016/j.ahj.2012.02.025.
Google Scholar | Crossref | Medline | ISI
Echeverría, S. E., Vélez-Valle, E., Janevic, T., Prystowsky, A. (2014) The role of poverty status and obesity on school attendance in the United States. Journal of Adolescent Health 55: 402407. http://dx.doi.org/10.1016/j.jadohealth.2014.03.012.
Google Scholar | Crossref | Medline | ISI
Edwards, J. U., Mauch, L., Winkelman, M. R. (2011) Relationship of nutrition and physical activity behaviors and fitness measures to academic performance for sixth graders in a Midwest city school district. Journal of School Health 81: 6573. DOI: 10.1111/j.1746-1561.2010.00562.x.
Google Scholar | Crossref | Medline | ISI
Ericsson, I., Karlsson, M. K. (2014) Motor skills and school performance in children with daily physical education in school – A 9-year intervention study. Scandinavian Journal of Medicine & Science in Sports 24: 273278. DOI: 10.1111/j.1600-0838.2012.01458.x.
Google Scholar | Crossref | Medline | ISI
Erickson, S. J., Robinson, T. N., Haydel, K., Killen, J. D. (2000) Are overweight children unhappy? Body mass index, depressive symptoms, and overweight concerns in elementary school children. Archives of Pediatrics and Adolescent Medicine 154: 931935. DOI: 10.1001/archpedi.154.9.931.
Google Scholar | Crossref | Medline
Evans, G. W., Jones-Rounds, M. L., Belojevic, G., Vermeylan, F. (2012) Family income and childhood obesity in eight European cities: The mediating roles of neighborhood characteristics and physical activity. Social Science & Medicine 75: 477481. DOI: 10.1016/j.socscimed.2012.03.037.
Google Scholar | Crossref | Medline | ISI
Fedewa, A. L., Ahn, S. (2011) The effects of physical activity and physical fitness on children’s cognitive outcomes: A meta-analysis. Research Quarterly for exercise and Sport 82: 521535. DOI: PMid:219557711.
Google Scholar | Crossref | Medline | ISI
Fedewa, A. L., Ahn, S., Erwin, H., & Davis, C. M. (2015). A randomized controlled design investigating the effects of classroom-based physical activity on children’s fluid intelligence and achievement. School Psychology International, 36, 135--153. DOI: 10.1177/0143034314565424.
Google Scholar
Fedewa, A. L., Candelaria, A., Erwin, H. A., Clark, T. P. (2013) Incorporating physical activity into the schools using a three-tiered approach. Journal of School Health 83: 290297. DOI: 10.1111/josh.12029.
Google Scholar | Crossref | Medline | ISI
Florin, T. A., Shults, J., Stettler, N. (2011) Perception of overweight is associated with poor academic performance in US adolescents. Journal of School Health 81: 663670. DOI: 10.1111/j.1746-1561.2011.00642.x.
Google Scholar | Crossref | Medline | ISI
Fontain, K. R., Robertson, H. T., Holst, C., Desmond, R., Stunkard, A. J., Sorensen, T. I. A. (2011) Is socioeconomic status of the rearing environment causally related to obesity in the offspring? PLoS ONE 6: e27692.DOI: 10.1371/journal.pone.0027692.
Google Scholar | Crossref | ISI
Fowler, M. G., Davenport, M. G., Garg, R. (1992) School functioning of US children with asthma. Pediatrics 90: 939944.
Google Scholar | Medline | ISI
Fuxa, A. J., Fulkerson, J. A. (2011) Adolescent obesity and school performance and perceptions of the school environment among Minnesota high school students. School Mental Health 3: 102110. DOI: 10.1007/s12310-011-9050-0.
Google Scholar | Crossref
Gortmakers, S. L., Swinburn, B. A., Levy, D., Carter, R., Mabry, P. L., Finegood, D. T. (2011) Changing the future of obesity: Science, policy, and action. The Lancet 378: 838847. DOI: 10.1016/S0140-6736(11)60815-5.
Google Scholar | Crossref | Medline | ISI
Hattie, J. (2013) Visible learning: A synthesis of over 800 meta-analyses relating to achievement, New York, NY: Routledge.
Google Scholar
Hanson, T. L., Austin, G., Lee-Bayha, J. (2004) Ensuring that no child is left behind: How are student health risks and resilience related to the academic progress of schools?, San Francisco, CA: WestEd.
Google Scholar
Hawkins, R., Mulkey, L. M. (2005) Athletic investment and academic resilience in a national sample of African American females and males in the middle grades. Education and Urban Society 38: 6288. DOI: 10.1177/0013124505280025.
Google Scholar | SAGE Journals | ISI
Hobin, E. P., Leatherdale, S. T., Manske, S., Dubin, J. A., Elliott, S., Veugelers, P. (2012a) A multi-level examination of gender differences in the association between features of the school environment and physical activity among a sample of grades 9 to 12 students in Ontario, Canada. BMC Public Health 12: 74.DOI: 10.1186/1471-2458-12-74.
Google Scholar | Crossref | Medline | ISI
Hobin, E. P., Leatherdale, S., Manske, S., Dubin, J., Elliott, S., Veugelers, P. (2012b) A multilevel examination of factors of the school environment and time spent in moderate to vigorous physical activity among a sample of secondary school students in grades 9–12 in Ontario, Canada. International Journal of Public Health 57: 699709. DOI: 10.1007/s00038-012-0336-2.
Google Scholar | Crossref | Medline | ISI
Hoffman, J. A., Franko, D. L., Thompson, D. R., Stallings, V. A., Power, T. J. (2010) Longitudinal behavioral effects of a school-based fruit and vegetable promotion program. Journal of Pediatric Psychology 35: 6171. DOI: 10.1093/jpepsy/jsp041.
Google Scholar | Crossref | Medline | ISI
Kanazawa, S. (2013) Childhood intelligence and adult obesity. Obesity 21: 434440. DOI: 10.1002/oby.20018.
Google Scholar | Crossref | Medline | ISI
Karayiannis, D., Yannakoulia, M., Terzidou, M., Sidossis, L. S., Kokkevi, A. (2003) Prevalence of overweight and obesity in Greek school-aged children and adolescents. European Journal of Clinical Nutrition 57: 11891192.
Google Scholar | Crossref | Medline | ISI
Kark, M., Hjern, A., Rasmussen, F. (2014) Poor school performance is associated with larger gain in body mass index during puberty. Acta Paediatrica 103: 207213. DOI: 10.1111/apa.12471.
Google Scholar | Crossref | Medline | ISI
Krukowski, R. A., West, D. S., Perez, A. P., Bursac, Z., Phillips, M. M., Raczynski, J. M. (2009) Overweight children, weight-based teasing and academic performance. International Journal of Pediatric Obesity 4(4): 274280. DOI: 10.3109/17477160902846203.
Google Scholar | Crossref | Medline
Kwak, L., Kremers, S. P. J., Bergman, P., Ruiz, J. R., Rizzo, N. S., Sjostrom, M. (2009) Associations between physical activity, fitness, and academic achievement. The Journal of Pediatrics 155: 914918. DOI: 10.1016/j.jpeds.2009.06.019.
Google Scholar | Crossref | Medline | ISI
Langendijk, G., Wellings, S., van Wijk, M., Thompson, S. J., McComb, J., Chusilp, K. (2003) The prevalence of childhood obesity in primary school children in urban Khon Kaen, Northeast Thailand. Asia Pacific Journal of Clinical Nutrition 12: 6672.
Google Scholar | Medline | ISI
Leatherdale, S. T. (2013) A cross-sectional examination of school characteristics associated with overweight and obesity among grade 1 to 4 students. BMC Public Health 13: 982.DOI: 10.1186/1471-2458-13-982.
Google Scholar | Crossref | Medline | ISI
Ling, J., Anderson, L. M., & Ji, H. (2015). Self-management training for Chinese obese children at risk for metabolic syndrome: Effectiveness and implications for school health. School Psychology International, 36, 189--206. DOI: 10.1177/0143034314564613.
Google Scholar
Link, B. G., Struening, E. L., Neese-Todd, S., Asmussen, S., Phelan, J. C. (2001) Stigma as a barrier to recovery: The consequences of stigma for the self-esteem of people with mental illnesses. Psychiatric Services 52: 16211626.
Google Scholar | Crossref | Medline | ISI
Long, M. W., Sobol, A. M., Cradock, A. L., Subramamian, S. V., Blendon, R. J., Gortmaker, S. L. (2013) School-day and overall physical activity among youth. American Journal of Preventative Medicine 45: 150157. DOI: 10.1016/j.amepre.2013.03.011.
Google Scholar | Crossref | Medline | ISI
MacCann, C., Roberts, R. D. (2013) Just as smart but not as successful: Obese students obtain lower school grades but equivalent test scores to non-obese students. International Journal of Obesity 37: 4046. DOI: 10.1038/ijo.2012.47.
Google Scholar | Crossref | ISI
McCaughtry, N., Martin, J. J., Fahlman, M., Shen, B. (2012) Urban health educators’perspectives and practices regarding school nutrition educational policies. Health Education Research 27: 6980. DOI:10.1093/her/cyr101.
Google Scholar | Crossref | Medline | ISI
Needham, B. L., Crosnoe, R., Muller, C. (2004) Academic failure in secondary school: The inter-related role of health problems and educational context. Social Problems 51: 569586.
Google Scholar | Crossref | Medline | ISI
Neter, J. E., Schokker, D. F., de Jong, E., Renders, C. M., Seidell, J. C., Visscher, T. L. S. (2011) The prevalence of overweight and obesity and its determinants in children with and without disabilities. The Journal of Pediatrics 158: 735739. DOI: 10.1016/j.jpeds.2010.10.039.
Google Scholar | Crossref | Medline | ISI
Odom, S. L. (2009) The tie that binds: Evidence-based practice, implementation science, and outcomes for children. Topics in Early Childhood Education 29: 5361. DOI: 10.1177/0271121408329171.
Google Scholar | SAGE Journals | ISI
Palloni, A. (2006) Reproducing inequalities: Luck, wallets, and the enduring effects childhood health. Demography 43: 587615.
Google Scholar | Crossref | Medline | ISI
Ploughman, M. (2008) Exercise is brain food: The effects of physical activity on cognitive function. Developmental Neurorehabilitation 11: 236240. DOI: 10.1080/17518420801997007.
Google Scholar | Crossref | Medline | ISI
Prelip, M., Kinsler, J., Thai, C. L., Erausquin, J. T., Slusser, W. (2012) Evaluation of a school-based multicomponent nutrition education program to improve young children’s fruit and vegetable consumption. Journal of Nutrition Education and Behavior 44: 310318. DOI: 10.1016/j.jneb.2011.10.005.
Google Scholar | Crossref | Medline | ISI
Prickett, C., Brennan, L., & Stolwyk, R. (2014). Examining the relationship between obesity and cognitive function: A systematic literature review. Obesity Research and Clinical Practice, advanced online Publication. DOI: 10.1016/j.orcp.2014.05.001.
Google Scholar
Pucher, K. K., Boot, N. M. W. M., DeVries, N. K. (2013) School health promotion interventions targeting physical activity and nutrition can improve academic performance in primary and middle school children. Health Education 113: 372391. DOI: 10.1108/HE-02-2012-0013.
Google Scholar | Crossref
Puhl, R., Brownell, K. D. (2001) Bias, discrimination, and obesity. Obesity Research and Clinical Practice 9: 788805. DOI: 10.1038/oby.2001.108.
Google Scholar
Roberts, C. K., Freed, B., McCarthy, W. J. (2010) Low aerobic fitness and obesity are associated with lower standardized test scores in children. The Journal of Pediatrics 156: 711718. DOI: 10.1016/j.jpeds.2009.11.039.
Google Scholar | Crossref | Medline | ISI
Rundle, A., Richards, C., Bader, M. D. M., Schwartz-Solcher, O., Lee, K. K., Quinn, J. (2012) Individual- and school-level sociodemographic predictors of obesity among New York City Public School Children. American Journal of Epidemiology 176: 986994. DOI: 10.1093/aje/kws187.
Google Scholar | Crossref | Medline | ISI
Sallis, J. F. (2010) We do not have to sacrifice children’s health to achieve academic goals [letter to the editor]. The Journal of Pediatrics 156: 696697. DOI: 10.1016/j.peds.2010.01.001.
Google Scholar | Crossref | Medline | ISI
Shaw, S. R., Jankowska, A. M., & Claro, A. (2013, February). Academic success for students at risk: Meta-academic interventions. Mini-skills workshop at the National Association of School Psychologists. Seattle, WA.
Google Scholar
Shaw, S. R., Varona Prevez, L., Shah, S. (2014) Evidence-based interventions: Necessary, but not sufficient for a profession of scientist-practitioners. NASP Communique 43(1): 1718.
Google Scholar
Shriver, L. H., Harris, A. W., Page, M., Hubbs-Tait, L., Moulton, M., Topham, G. (2013) Differences in body esteem by weight status, gender, and physical activity among young elementary school-aged children. Body Image 10: 7884. DOI: 10.1016/j.bodyim.2012.10.005.
Google Scholar | Crossref | Medline | ISI
Sigfúsdóttir, I. D., Kristjáansson, Á. L., Allegrante, J. P. (2007) Health behavior and academic achievement in Icelandic school children. Health Education Research 22: 7080.
Google Scholar | Crossref | Medline | ISI
Silveira, J. A. C., Taddei, J. A. C., Guerra, P. H., Nobre, M. R. C. (2013) The effect of participation in school-based nutrition education interventions on body mass index: A meta-analysis of randomized controlled community trials. Preventative Medicine 56: 237243. DOI: 10.1016/j.ypmed.2013.01.011.
Google Scholar | Crossref | ISI
Singh, G. K., Kogan, M. D., Van Dyck, P. C., Siahpush, M. (2008) Racial/ethnic, socioeconomic, and behavioral determinants of childhood and adolescent obesity in the United States: Analyzing independent and joint associations. Annals of Epidemiology 18: 682695. DOI: 10.1016/j.annepidem.2008.05.001.
Google Scholar | Crossref | Medline | ISI
Spernak, S. M., Schottenbauer, M. A., Ramey, S. L., Ramey, C. T. (2006) Child health and academic achievement among former head start children. Children and Youth Services Review 28: 12511261. DOI: 10.1016/j.childyouth.2006.01.006.
Google Scholar | Crossref | ISI
Strauss, R. S., Pollack, H. A. (2003) Social marginalization of overweight children. Archives of Pediatric and Adolescent Medicine 157: 746752. DOI: 10.1001/archpedi.157.8.746.
Google Scholar | Crossref | Medline
Taras, H., Potts-Datema, W. (2005) Obesity and student performance at school. Journal of School Health 75: 291295.
Google Scholar | Crossref | Medline | ISI
Telford, R. D., Cunningham, R. B., Fitzgerald, R., Olive, L. S., Prosser, L., Jiang, X., Telford, R. M. (2012) Physical education, obesity, and academic achievement: A 2-year longitudinal investigation of Australian elementary school children. American Journal of Public Health 102: 368374. DOI: 10.2105/AJPH.2011.300220.
Google Scholar | Crossref | Medline | ISI
Thornicroft, G., Brohan, E., Rose, D., Sartorius, N., Leese, M. (2009) Global pattern of experienced and anticipated discrimination against people with schizophrenia: A cross-sectional survey. The Lancet 373: 408415. DOI: http://dx.doi.org/10.1016/S0140-6736(08)61817-6.
Google Scholar | Crossref | Medline | ISI
Troiano, R. P., Flegal, K. M., Kuczmarski, R. J., Campbell, S. M., Johnson, C. L. (1995) Overweight prevalence and trends for children and adolescents: The national health and nutrition examination surveys, 1963 to 1991. Archives of Pediatrics and Adolescent Medicine 149: 10851091. DOI: 10.1001/archpedi.1995.02170230039005.
Google Scholar | Crossref | Medline
Warraich, H. J., Javed, F., Faraz-ul-Haq, M., Khawaja, F. B., Saleem, S. (2009) Prevalence of obesity in school-going children of Karachi. PLoS ONE 4: e4816.DOI: 10.1371/journal.pone.0004816.
Google Scholar | Crossref | ISI
World Health Organization (2007) A guide for population-based approaches to increasing levels of physical activity: Implementation of the WHO global strategy on diet, physical activity and health, Geneva: World Health Organization.
Google Scholar
World Health Organization (2014). Report of the first meeting of the ad hoc working group on science and evidence for ending childhood obesity. Geneva: World Health Organization. Retrieved from http://www.who.int/end-childhood-obesity/echo-final-report-august-2014.pdf?ua=1.
Google Scholar
View access options

My Account

Welcome
You do not have access to this content.



Chinese Institutions / 中国用户

Click the button below for the full-text content

请点击以下获取该全文

Institutional Access

does not have access to this content.

Purchase Content

24 hours online access to download content

Your Access Options


Purchase

SPI-article-ppv for $36.00