Ethical considerations
Before the start of the study, a meeting session was held to coordinate and explain the objectives of the project and to mention the possible risks and benefits for the participants. At the end of this session, consent forms for participation in the research were signed by the subjects. The research design was approved by the Ethics Committee of the University of Kurdistan (IR.UOK.REC.1399.010), and was also reviewed and approved at the Clinical Trial Registration Center (IRCT20201121049453N1).