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This could partly be explained by secular trends in BMI distribution: in the general population of Scotland the prevalence of obesity increased from 16.9% in 1995 to 22.3% in 2003 with rising median BMI over time (23).
The cost reduction in Group 1 cannot be explained by secular trends towards a reduction in inpatient hospital days and long-term sick-leave during the study (1999 2003).
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This finding can be explained by significant secular changes of body composition increased adiposity due to the reduction of energy expenditure resulting from decreased physical activity level, and reflected also by decreased level of motor performance.
Because the values of the Sq trends derived from the observation data were smaller than those from the model calculations, this result suggests that the Sq trends cannot be explained by only the secular variation of the ambient magnetic field.
Apparent improvements in outcomes over time in before-and-after studies of duty hours and other "safety interventions" [ 15, 16] may be explained by other factors, including secular trends showing improvement in hospitals with and without residents [ 17].
We thus venture that this peculiarity could be explained by a possible bias in the dipole term of the secular variation model that would counterbalance the bias in the 2010 main field model.
This can be explained by different scenarios.
This could be explained by human selection.
This can be explained by multiple possibilities.
The drop in the rate of SGA is explained by the secular increase in the size of live births in Canada [ 32, 55], since the birthweight reference was based on infants born in the years 1994 to 1996, when babies were somewhat smaller [ 31].
This relationship between economic growth and CFR was fully explained by secular time trends.
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