Horie, Kayo https://orcid.org/0000-0003-4983-3153
Nanashima, Naoki https://orcid.org/0000-0002-4729-3432
In, Naoya https://orcid.org/0000-0001-8653-0069
Tomisawa, Toshiko https://orcid.org/0000-0002-3428-6719
Article History
Received: 23 June 2025
Accepted: 16 September 2025
First Online: 28 October 2025
Declarations
:
: This study was approved by the ethics committee of Hirosaki University Graduate School of Health Sciences (Reference No. 2023-010). In addition, all procedures were conducted per the ethical standards of the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Before the commencement of the study, the purpose and protocol were explained to all participants; all participants provided written informed consent before enrollment.
: Not applicable.
: The authors declare no competing interests.