Funding for this research was provided by:
Jiangsu Commission of Health (LK2021031)
Article History
Received: 13 May 2026
Accepted: 7 August 2026
First Online: 13 August 2026
<b>Declarations</b>
Ethical approval: This study was conducted in accordance with the principles of the Declaration of Helsinki. All NHANES protocols were approved by the NCHS Research Ethics Review Board, and written informed consent was obtained from all participants.
Consent for publication: Not applicable.
Competing interests: The authors declare no competing interests.