Changes from baseline to 3 and 6 months in anxiety and depression levels among the CON, ILR, and IHR groups according to the sex.

Means with different superscripts indicate significant differences in changes in GAD-7 (A and B) and PHQ-9 (C and D) scores among the groups, assessed with one-way ANOVA and Kruskal-Wallis tests followed by Bonferroni tests for multiple comparisons. The asterisk indicates significant difference (*: p<0.05) in GAD-7 and PHQ-9 scores compared to the baseline. CON, control; ILR, intervention-low risk; IHR, intervention-high risk; GAD-7, Generalized Anxiety Disorder 7-item scale; PHQ-9, Patient Health Questionnaire 9-item scale.