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Despite accounting for various lifestyle- and health-related confounders, residual confounding may still exist. Future studies incorporating broader age ranges and diverse cohorts are needed to validate these findings and explore potential age-related differences. This study focused on young to middle-aged adults (aged 20–59 years) in the United States, as the NHANES dataset does not include individuals outside this age range in the DXA scans examination. Aging diminishes the number and function of alpha motor neurons, [nauticauruguay.com](https://nauticauruguay.com/kerriwillie320) leading to fewer muscle fibers being activated during contraction. Here the median log2-transformed [testosterone shop](https://gitea.belanjaparts.com/finnlinderman2) was defined as the reference standard. This association persisted after adjusting for sociodemographic and dietary variables, total physical activity, smoking status, alcohol consumption status, and comorbidities (Model 3).
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