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Article History

Received: 16 February 2026

Accepted: 11 May 2026

First Online: 26 May 2026

Declarations

Competing interests: The authors declare no competing interests.

Ethics approval and consent to participate: The research was conducted on the database obtained from the Three Generations for Health Program, which is a national prevention program in Hungary based on Government Decision No.1234/2017 (IV. 28.). Gottsegen National Cardiovascular Center is responsible for providing professional, organizational, and IT support for the participating general practices/clusters and for scientific monitoring of the program. Gottsegen National Cardiovascular Center is the data controller of the program; therefore; there was no need for any administrative permissions to access the raw data used in our study. Regarding the approval, the Medical Research Council deemed that ethical approval was not necessary. Their decision was made because the research was conducted using data extracted from a program that was based on Government Decision No.1234/2017 (IV. 28.), which is exempt from requiring compulsory ethical approval. All methods were performed in accordance with relevant guidelines and regulations and the Declaration of Helsinki. Informed consent was obtained from all subjects participating in the Three Generations for Health Program.