Zhang, Zhiqiang https://orcid.org/0000-0001-7410-5049
He, Shujing https://orcid.org/0009-0007-4368-1773
Ding, Taoli https://orcid.org/0000-0003-2028-7312
Liang, Xiaoyan https://orcid.org/0000-0002-9701-3865
Fang, Cong https://orcid.org/0000-0001-8835-0694
Zeng, Haitao https://orcid.org/0000-0003-3571-0195
Xu, Linan https://orcid.org/0009-0008-2377-3803
Li, Xiaolan https://orcid.org/0000-0001-7426-9983
Jia, Lei https://orcid.org/0000-0002-4876-7417
Zhang, Shihui https://orcid.org/0009-0003-0669-3143
Su, Wenlong https://orcid.org/0009-0002-0110-1754
Sun, Peng https://orcid.org/0009-0004-4709-3045
Yang, Ji https://orcid.org/0009-0000-6853-4381
Ren, Jun https://orcid.org/0009-0005-5125-7062
Lu, Sijia https://orcid.org/0000-0003-2469-1996
Funding for this research was provided by:
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Key Research and Development Program of China (2021YFC2700503)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
National Natural Science Foundation of China (82271651)
Article History
Received: 30 July 2025
Accepted: 27 November 2025
First Online: 8 December 2025
Declarations
:
: The procedures performed in this study and data collection were approved by the ethics committee of the Sixth Affiliated Hospital of Sun Yat-Sen University (Program No.2023ZSLYFEC-002). Complete informed consent was obtained from all of the participating couples.
: Not applicable.
: The authors declare no competing interests.