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Table 3 The relationship between nutrition related indicators and biliary diseases

From: The role of diet and nutrition related indicators in biliary diseases: an umbrella review of systematic review and meta-analysis

First author, year

No. of included studies

Type of study

Nutrition related indicators

Effects model

MA metric

Estimates

95%CI

Test for overall effect (p-value)

I2% (p-value)

Egger test (p-value)

Publication bias and small-study effect

Gallbladder cancer

Gu [41]

20

Total Case–control(8); Cohort(12)

Type 2 DM

random

RR

1.56

(1.36–1.79)

NA

43.5 (0.01)

 < 0.001

Exist publication bias

Gu [41]#

8

Case–control

Type 2 DM

random

RR

1.52

(1.09–2.11)

NA

38.8 (0.109)

 < 0.001

Exist publication bias

Gu [41]#

12

Cohort

Type 2 DM

random

RR

1.57

(1.35–1.83)

NA

48.7 (0.013)

 < 0.001

Exist publication bias

Li [42]

17

Total Case–control(8); Cohort(9)

Overweight

random

RR

1.17

(1.07–1.28)

NA

32.6 (0.03)

0.375

No publication bias

Li [42]#

8

Case–control

Overweight

random

RR

1.24

(1.07–1.44)

NA

0 (0.877)

0.375

No publication bias

Li [42]#

9

Cohort

Overweight

random

RR

1.15

(1.02–1.30)

NA

56.9 (0.004)

0.375

No publication bias

Li [42]

22

Total Case–control(9); Cohort(13)

Obesity

random

RR

1.62

(1.49–1.75)

NA

0 (0.524)

0.375

No publication bias

Li [42]#

9

Case–control

Obesity

random

RR

1.48

(1.26–1.74)

NA

0 (0.544)

0.375

No publication bias

Li [42]#

13

Cohort

Obesity

random

RR

1.67

(1.52–1.83)

NA

0 (0.492)

0.375

No publication bias

Biliary tract cancer

Li [42]

8(eCCA)

Total Case–control(4); Cohort(4)

Overweight

random

RR

1.26

(1.14–1.39)

NA

0 (0.452)

0.478

No publication bias

Li [42]#

4(eCCA)

Case–control

Overweight

random

RR

1.11

(0.89–1.39)

NA

10.3 (0.350)

0.478

No publication bias

Li [42]#

4(eCCA)

Cohort

Overweight

random

RR

1.31

(1.16–1.47)

NA

0 (0.596)

0.478

No publication bias

Li [42]

16(eCCA)

Total Case–control(9); Cohort(7)

Obesity

random

RR

1.48

(1.21–1.81)

NA

68 (0.000)

0.478

No publication bias

Li [42]#

9(eCCA)

Case–control

Obesity

random

RR

1.27

(1.03–1.55)

NA

53.6 (0.011)

0.478

No publication bias

Li [42]#

7(eCCA)

Cohort

Obesity

random

RR

1.81

(1.29–2.53)

NA

62.7 (0.004)

0.478

No publication bias

Petrick [24]

4(iCCA)

Total Nested case–control(3); Cohort(1)

Obesity

random

RR

1.49

(1.32–1.70)

 < 0.001

0 (0.70)

0.09

Exist publication bias

Petrick [24]#

3(iCCA)

Nested case–control

Obesity

random

RR

1.46

(1.27–1.69)

 < 0.001

0 (0.60)

0.09

Exist publication bias

Petrick [24]#

1(iCCA)

Cohort

Obesity

random

RR

1.62

(1.23–2.12)

 < 0.001

–

0.09

Exist publication bias

Petrick [24]

6(iCCA)

Total Nested case–control(4); Cohort(2)

DM

random

RR

1.53

(1.31–1.78)

 < 0.001

67.3 (0.009)

0.9

No publication bias

Petrick [24]#

4(iCCA)

Nested case–control

DM

random

RR

1.59

(1.47–1.72)

 < 0.001

0 (0.40)

0.9

No publication bias

Petrick [24]#

2(iCCA)

Cohort

DM

random

RR

1.45

(0.99–2.13)

0.06

81.1 (0.02)

0.9

No publication bias

Cholecystolithiasis/gallbladder diease

Aune [33]

10

Cohort

DM

random

RR

1.56

(1.26–1.93)

NA

99.4 (< 0.0001)

0.70

No publication bias

Barclay [25]

2

Cohort

Glycemic index rate (highest vs. lowest)

fixed

RR

1.26

(1.13–1.40)

 < 0.0001

NA

Only funnel plot (N)

No publication bias

Barclay [25]

2

Cohort

Glycemic load rate (highest vs. lowest)

fixed

RR

1.41

(1.25–1.60)

 < 0.0001

NA

Only funnel plot (N)

No publication bias

Dagfinn Aune [34]

17

Cohort

Every 5 unit increment of BMI

random

RR

1.63

(1.49–1.78)

NA

98 (< 0.0001)

0.13

No publication bias

Dagfinn Aune [34]

5

Cohort

Every 10 cm increment of waist circumference

random

RR

1.46

(1.24–1.72)

NA

98 (< 0.0001)

NA

NA

Dagfinn Aune [34]

4

Cohort

Every 0.1 unit increment in waist-to-hip ratio

random

RR

1.44

(1.26–1.64)

NA

92 (< 0.0001)

NA

NA

Daniel [26]

2

Cohort

Triglycerides

fixed

OR

1.10

(0.99–1.22)

NA

0 (NA)

NA

NA

Daniel [26]

2

Cohort

HDL cholesterol

fixed

OR

0.87

(0.62–1.23)

NA

0 (NA)

NA

NA

Daniel [26]

2

Cohort

Non-HDL cholesterol

fixed

OR

1.19

(1.07–1.32)

NA

81 (NA)

NA

NA

  1. #: Subgroup analysis of the different study design types of the corresponding study