ErfanFazel, Alireza
Semnani, Kiavash
Mohseni, Shahrzad
Khosravi, Sepehr
Pejman Sani, Mahnaz https://orcid.org/0000-0001-6708-1747
Tabatabaei-Malazy, Ozra https://orcid.org/0000-0003-0188-9721
Qorbani, Mostafa
Article History
Received: 8 July 2026
Accepted: 31 August 2026
First Online: 8 September 2026
Declarations
Ethics approval and consent to participate: This study was conducted according to the Declaration of Helsinki guidelines, and all methods were performed in accordance with institutional and national ethical standards. Written informed consent was obtained from all participants prior to their enrollment in the STEPS survey. The present study was approved by the Research Ethics Committees of Endocrine & Metabolism Research Institute at Tehran University of Medical Sciences, Tehran, Iran (IR.TUMS.SHARIATI.REC.1403.009).
Consent for publication: Not applicable.
Declaration of Generative AI use: ChatGPT (OpenAI; GPT-5.5) was used to assist with English language editing and improve the clarity and readability of the manuscript. All generated text was reviewed and edited by the authors, who take full responsibility for the final content.
Competing interests: The authors declare no competing interests.