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Article History

Received: 28 March 2025

Accepted: 30 July 2025

First Online: 29 August 2025

Declarations

:

: The study was performed in accordance with the Declaration of Helsinki. The ethics committee affiliated to Qazvin University of Medical Sciences approved the protocol (decree code IR.QUMS.REC.1397.100) and it was pre-registered in the Iranian Clinical Trial Registration Center under decree code of IRCT20180823040851N1.

: After obtaining the necessary permits, the individuals were invited to participate in the research, and informed consent was obtained from all participants.

: Not applicable.

: The authors declare no competing interests.