Funding for this research was provided by:
U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (U54GM104940)
U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (U54GM104940)
Article History
Received: 22 September 2025
Revised: 18 November 2025
Accepted: 20 November 2025
First Online: 5 December 2025
Competing interests
: The authors declare no competing interests.
: The NCHS Ethics Review Board approved the NHANES data collection (Protocols #2018 - 01), and all participants provided written informed consent. The design and report of the research adhered to the guidelines in the Declaration of Helsinki and the Strengthening the reporting of observational studies in epidemiology (STROBE) Statement.
: All data are publicly accessible at .