a significant trendp = 0.037
However, women with BMI ≥ 25.0 kg/m 2 demonstrated the strongest associations, with the second lowest MAR quartile showing the highest risk (OR = 4.20, 95% CI: 1.30–13.50), followed by the lowest quartile (OR = 3.17) and third quartile (OR = 2.64), with a significant trend ( p = 0.037).