A Cross-Sectional Study

Funding Information: The authors would like to thank the directory boards of all schools involved in the study, and all participating children, adolescents, and their parents/guardians. We also would like to thank the general management of Instituto Superior Politecnico Sol Nascente (ISPSN), particularly Professor João Sousa for fundamental institutional support. Publisher Copyright: © 2025 The Author(s). Health Science Reports published by Wiley Periodicals LLC.