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Article History

Received: 16 June 2025

Accepted: 24 November 2025

First Online: 28 January 2026

Declarations

: The authors of this study declare that the present article is original (not a copy nor a plagiarism) and unpublished (it has not been spread to any other journal) as well as the original sources of information are properly cited and identified.

: The questionnaires and methodology for this study was approved by the Research Committee of the Albacete, Spain, Health Area (Ethics approval number: 05/2017CEIm).

: Informed consent was obtained from parents or legal guardians.

: Participants’ parents or legal guardians provided permission for the publication of anonymized data and information included in this manuscript. No identifiable personal information is disclosed.

: The authors declare not having affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript. In addition, we certify that (1) we have not received any funding or financial support, or other benefits from any organization or entity that could be perceived as a conflict of interest; and (2) there are no relationships or activities that could appear to have influenced the work reported in this manuscript.