The number of different responsibilities decreases from 7 to 6, threshold = 3. Cohesion is calculated using the LCOM4 metric. Low cohesion means that the module/class has multiple unrelated responsibilities, doing too many things and breaking the Single Responsibility Principle.

PersistUpdatedItem already has high cyclomatic complexity, and now it increases in Lines of Code from 101 to 102. This function has many conditional statements (e.g. if, for, while), leading to lower code health. Avoid adding more conditionals and code to it without refactoring.

The ratio of primitive types in function arguments decreases from 40.00% to 39.22%, threshold = 30.0%. The functions in this file have too many primitive types (e.g. int, double, float) in their function argument lists. Using many primitive types lead to the code smell Primitive Obsession. Avoid adding more primitive arguments.