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Article History

Received: 26 June 2025

Revised: 1 December 2025

Accepted: 23 December 2025

First Online: 14 January 2026

Declarations

:

: This study uses only secondary data analyses without any personal information identified using statistical data from the NHANES website. We confirm that all human and animal studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. The program was approved by the National Centre for Health Statistics (NCHS) Research Ethics Review Committee and informed consent was obtained from the participants.

: All the authors have read and approved the final manuscript.

: None.