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Acknowledgements This work was supported by the Polycarp-Leporin-Program (Medical faculty University Magdeburg, PLP23/5, to PM), the DZPG (German Center for Mental Health, to PM), the DIKAP project (European Regional Development Fund EFRE, ZS/2024/02/184014 to PM, SS and RBD) and the cardiovascular prevention and sports medicine project (European Regional Development Fund EFRE, ZS/2024/05/187256 to PM)