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Article History

Received: 3 October 2025

Accepted: 19 January 2026

First Online: 30 January 2026

Declarations

:

: The study was conducted in accordance with the principles of the Declaration of Helsinki and Ethical Guidelines for Medical Research Involving Human Subjects in Japan. The research protocol was reviewed and approved by the Ethics Committee of Juntendo University (approval number: E23-0431). Written informed consent was obtained from all participants at the time of their health checkup.

: Not applicable.

: The authors declare no competing interests.