This study employed a causal-comparative design. The statistical population consisted of all men and women aged 18 to 75 years residing in Chaharmahal and Bakhtiari province during 2022 - 2023. According to the latest census, this population included approximately 600,446 individuals. Based on official data from the Provincial Department of Sports and Youth, about 35,000 individuals were registered as organized athletes. The minimum sample size was estimated using Cochran’s formula, indicating a requirement of at least 384 participants. Additionally, a power analysis was performed to ensure sufficient statistical power for between-group comparisons (athletes vs. non-athletes) using an independent samples
t-test. Assuming a small effect size (Cohen’s d = 0.25), a significance level of α = 0.05, and a statistical power of 0.80, the required sample size was approximately 306 participants per group (total ≈ 612), calculated using the pwr package in R (
36). To enhance representativeness, 620 questionnaires were distributed, and after excluding 10 with more than 20% missing responses, data from 610 participants were included in the final analyses.
A stratified proportional cluster sampling method was employed, with clusters corresponding to the six county centers of the province. Participants were recruited from sports clubs, public areas (e.g., parks, markets), mosques, and residential neighborhoods. Inclusion criteria were: (A) residency in Chaharmahal and Bakhtiari province; (B) willingness to participate; (C) sufficient literacy to complete the questionnaire; and (D) age of 18 years or older, as approved by the Provincial Sports and Youth Department’s Planning Council. Participants with more than 20% incomplete responses were excluded.
All ethical considerations were observed. Participants were informed about the study objectives and procedures, their right to withdraw at any time, and the confidentiality of their data. Questionnaires were administered only after obtaining written informed consent. Data analysis was conducted using multivariate analysis of variance (MANOVA) in SPSS version 26.