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These participant covariates included age, sex, body mass index calculated from measured height and weighed height for age and sex adjustment, education level, sleep quality evaluated through questionnaire using the Pittsburgh Sleep Quality Index 19 , eating habits assessed via a valid food frequency questionnaire, and environmental exposure history such as secondhand smoke exposure and occupational respiratory hazard

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Acetyl propionyl, also known as 2,3-pentanedione, often used as a substitute for diacetyl, has similar health risks

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