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We rated the certainty for each comparison and outcome as high, moderate, low, or very low, taking into consideration the risk of bias [26], inconsistency [27], imprecision [28, 29], indirectness [30], and publication bias [31]

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The observational design of the study allows for potential confounding of results as it does not take into account socioeconomic status, physical activity levels, dietary quality, and health-seeking behavior from the persons evaluated, Carcas, who was not involved in this study, explained

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