a decreasing trendp < 0.001
Among individuals with high physical activity (MET ≥ 3000, n = 4189, 34.2% of the sample), a decreasing trend in NDs risk was observed across intake quartiles, with a significant protective effect in the highest quartile (Q4; OR: 0.16; 95% CI: 0.08–0.33; p < 0.001).