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Acknowledgments Throughout the entire research process, all the authors not only provided professional academic guidance, helping to solve the challenges in experimental design and data analysis, but also patiently offered numerous revision suggestions during the paper-writing stage

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In fact, to the best of our knowledge, there are no studies focused on PE or habitual physical activity level and vitiligo disease, although several studies with similar etiological factors have consistently identified significant associations between vitiligo (as well as its severity) with MetS (Ata and Gnl, 2017