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A series of studies have demonstrated that excessive consumption of high-sugar foods disrupts the body's normal glucose metabolism, leading to metabolic diseases such as diabetes, hypertension, and obesity (108110)

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To avoid potential bias in assessing intergroup post-intervention differences, the analysis of covariance (ANCOVA) test was applied while adjusting for possible confounding factors, such as baseline values, age, changes in energy intake, physical activity, and BMI