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Authors
Cao, Wenting
Qin, Fenmei
Guan, Changrong
Shen, Ya
Zhang, Ping
Tian, Ye
Peterson, Jingdong Ding
Qiu, Lei
Wang, Cunku
Liu, Yumei
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Funding
Funding for this research was provided by:
Hainan Provincial Natural Science Foundation of China (824RC518 and 821RC583)
Academic Enhancement Support Program of Hainan Medical University (XSTS2025003)
Hainan Provincial Graduate Innovation Research Project of China (HYYB2024-S010)
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Article History
Received: 30 July 2025
Accepted: 23 January 2026
First Online: 13 February 2026
Declarations
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: This study was approved by the Ethics Committee of Hainan Medical University (Reference Number: HYLL-2023-459), and all procedures were conducted in accordance with the principles of the Declaration of Helsinki. The use of physical examination data from the national public health service system in Hainan Province was authorized under the ethical approval, with strict protection of participants’ privacy and data security.
: Not applicable.
: The authors declare no competing interests.
