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. 2023 May 29;17:e20220048. doi: 10.1590/1980-5764-DN-2022-0048

Table 3. Systematic reviews.

Systematic reviews
Author, Year Type of study Sample Studies included Results Conclusion LE
Batchelor et al. 13 , 2017 Systematic reviews 101,616 One experimental study and 10 observational studies (4 cohort, 1 case-control, 1 cross-sectional, 1 case series, and 3 case reports) No meta-analysis Increased risk II
Hussain et al. 17 , 2020 Systematic review and meta-analysis 618,911 12 observational studies (8 cohort and 4 case-control) RR=1.05, 95%CI 0.96–1.15 No association I
Li et al. 12 , 2019 Systematic review and meta-analysis 106,599 6 cohort studies RR=1.23; 95%CI 0.90–1.67Follow-up < 5 years: RR=1.62, 95%CI 1.40–1.86 Follow-up > 5years: RR=0.98, 95%CI 0.75–1.27 No association I
Song et al. 47 , 2019 Systematic review and meta-analysis 642,305 10 observational studies (5 cohort, 4 case control, and 1 cross-sectional) ACD: HR=1.04, 95%CI 0.92–1.15 AD: HR 0.96, 95%CI 0.83–1.09 No association I
Zhang et al. 44 , 2020 Systematic review and meta-analysis 166,146 6 cohort studies HR=1.29, 95%CI 1.12–1.49 Increased risk I
Desai et al. 46 , 2020 Systematic review and meta-analysis 308,249 One experimental study and 5 prospective observational ACD: HR=1.16, 95%CI 0.86–1.47 No association I
Khan et al. 45 , 2020 Systematic review and meta-analysis 642,949 11 observational studies (6 cohort, 4 case control, and 1 cross-sectional) ACD: HR=1.10; OR=1.03.AD: HR=1.06; OR=0.96 No association I
Zhang et al. 48 , 2020 Systematic review and meta-analysis 371,951 10 observational studies OR=0.87; 95%CI 0.62–1.22 No association II

Abbreviations: RR: relative risk; CI: confidence interval; ACD: all-cause dementia; AD: Alzheimer's dementia; HR: hazard ratio; OR: odds ratio.