Xu, Andi
Zhang, Chunhong
Lv, Honghua
Zhang, Qiankun
He, Limei
Article History
Received: 18 December 2024
Revised: 22 March 2025
Accepted: 29 March 2025
First Online: 22 August 2025
Ethics declaration
: The authors declare no conflicts to declare. This work was supported by Lishui Science and Technology Bureau (2024SJZC082). This study adheres to guidelines in the Declaration of Helsinki. The National Center for Health Statistics (NCHS) Ethics Review Board approved NHANES project, and all participants provided written informed consents. The approvals for the NHANES protocols for the periods 1999-2004 and 2011-2014 were obtained separately and can be accessed on the NHANES website (). Since NHANES data are de-identified and anonymised during analysis, conducting secondary analyses on the data did not require additional ethical approval or informed consent.