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Article History

Received: 26 February 2025

Accepted: 25 April 2025

First Online: 3 July 2025

Declarations

:

: The ethics review board of the National Center for Health Statistics approved all NHANES protocols, and written informed consent was obtained from all participants or their proxies for those under 18 years of age. The study was conducted in accordance with the ethical standards outlined in the 1964 Declaration of Helsinki and its subsequent amendments.

: Not applicable.

: The authors declare no competing interests.