Table 1.
Characteristics of observational studies included in the current systematic review and meta-analysis on dietary acid load and cardiometabolic risk factors
Study | Design | Country | Number of participants | Age range (years) | Gender | DAL assessment method | Dietary intake assessment tool | Outcome | Comparison | NOS score |
---|---|---|---|---|---|---|---|---|---|---|
Wright et al. (2005)(17) | Cohort | Finland | 27 096 Q5 & Q1: 5419 |
50–69 | M | NAE | 24 h urine collection | BMI | Q5 v. Q1 | 9 |
Welch et al. (2007)(31) * | Cross-sectional | UK | 6375 Q5 & Q1: 1275 |
42–82 | M | PRAL | FFQ | BMI | Q5 v. Q1 | 6 |
Welch et al. (2007)(31) * | Cross-sectional | UK | 8188 Q5: 1639 Q1: 1640 |
42–82 | F | PRAL | FFQ | BMI | Q5 v. Q1 | 6 |
Murakami et al. (2008)(12) | Cross-sectional | Japan | 1136 Q5 & Q1: 227 |
18–22 | F | PRAL | DHQ | BMI, WC, SBP, DBP, TC, HDL-C, LDL-C, TAG, FBS, HbA1c | Q5 v. Q1 | 5 |
Wynn et al. (2008)(32) | Cross-sectional | Switzerland | 256 T3: 86 T1: 92 |
≥70 | F | NEAP | FFQ | BMI | T3 v. T1 | 5 |
Zhang et al. (2009)(18) | Cohort | USA | 87 293 D10 & D1: 8729 |
32–40 | F | NEAP | FFQ | BMI | D10 v. D1 | 7 |
Scialla et al. (2011)(33) | Cross-sectional | USA | 462 Q4: 86 Q1: 85 |
50–72 | M | NEAP | 24 h urine collection | BMI | Q4 v. Q1 | 7 |
Berg et al. (2012)(34) | Cross-sectional | Netherlands | 707 T3 & T1: 236 |
≥18 | Both | NAE | 24 h urine collection | SBP, DBP, TC, HDL-C, TAG, HbA1c | T3 v. T1 | 7 |
Engberink et al. (2012)(6) | Cohort | Netherlands | 2241 T3 & T1: 747 |
≥55 | Both | PRAL | FFQ | BMI, SBP, DBP, TC, HDL-C | T3 v. T1 | 7 |
Scialla et al. (2012)(19) | Cohort | USA | 632 Q4 & Q1: 185 |
22–70 | Both | NEAP | 24 h urine collection | BMI | Q4 v. Q1 | 6 |
Amodu and Abramowitz (2013)(35) | Cross-sectional | USA | 9781 Q4: 2490 Q1: 2477 |
≥20 | Both | NEAP | 24 h recall | BMI | Q4 v. Q1 | 7 |
Krupp et al. (2013)(36) | Cross-sectional | Germany | 267 T3 & T1: 89 |
4–14 | Both | PRAL | 3 d dietary record | SBP | T3 v. T1 | 7 |
Krupp et al. (2013)(20) | Cohort | Germany | 257 | 4–10 | Both | PRAL, NAE | 7 d dietary record | SBP, DBP | T3 v. T1 | 7 |
Bahadoran et al. (2015)(37) | Cross-sectional | Iran | 5620 Q4 & Q1: 351 |
20–70 | Both | PRAL | FFQ | BMI, weight, WC, SBP, DBP, TAG, FBS | Q4 v. Q1 | 7 |
Fagherazzi et al. (2014)(21) | Cohort | France | 66 485 Q4: 16 621 Q1: 16 622 |
44–59 | F | PRAL | DHQ | BMI | Q4 v. Q1 | 6 |
Xu et al. (2014)(13) | Cohort | Sweden | 911 T3: 304 T1: 303 |
70–71 | M | PRAL | 7 d dietary record | BMI,FBS | T3 v. T1 | 7 |
Akter et al. (2015)(38) | Cross-sectional | Japan | 2028 T3 & T1: 676 |
18–70 | Both | PRAL | DHQ | BMI | T3 v. T1 | 9 |
Chan et al. (2015)(22) | Cohort | China | 3122 Q4: 780 Q1: 779 |
≥65 | Both | NEAP | FFQ | BMI | Q4 v. Q1 | 8 |
Garcia et al. (2015)(23) * | Cohort | Netherlands | 2850 T3 & T1: 950 |
27–36 | F | PRAL | FFQ | BMI | T3 v. T1 | 8 |
Garcia et al. (2015)(23) * | Cohort | Netherlands | 2850 T3 & T1: 950 |
1–6 | Both | PRAL | FFQ | BMI | T3 v. T1 | 8 |
Haghighatdoost et al. (2015)(11) | Cross-sectional | Iran | 547 High: 274 Low: 273 |
50–70 | Both | PRAL | FFQ | BMI, WC, SBP, TC, LDL-C, TAG, FBS, HbA1c, HOMA-IR, insulin | High v. Low group | 7 |
Huston et al. (2015)(39) | Cross-sectional | USA | 16 906 Q4: 4616 Q1: 3804 |
≥17 | Both | NEAP | 24 h recall | BMI | Q4 v. Q1 | 7 |
Iwase et al. (2015)(40) | Cross-sectional | Japan | 149 High: 75 Low: 74 |
≥50 | Both | PRAL | DHQ | BMI, SBP, LDL-C, TAG, HbA1c | High v. Low group | 4 |
Jia et al. (2015)(24) | Cohort | Sweden | 861 Q4 & Q1: 215 |
70 | Both | NEAP | 7 d FFQ | BMI | Q4 v. Q1 | 6 |
Luis et al. (2015)(43) | Cross-sectional | Sweden | 673 T3 & T1: 224 |
70–71 | M | PRAL | 7 d dietary record | BMI, SBP, DBP | T3 v. T1 | 8 |
Akter et al. (2016)(1) | Cross-sectional | Japan | 1732 Q4 & Q1: 433 |
19–69 | Both | PRAL | DHQ | BMI, FBS, HbA1c, insulin, HOMA-IR | Q4 v. Q1 | 7 |
Akter et al. (2016)(25) * | Cohort | Japan | 27 809 Q4: 6952 Q1: 6953 |
45–75 | M | PRAL | FFQ | BMI | Q4 v. Q1 | 8 |
Akter et al. (2016)(25) * | Cohort | Japan | 36 851 Q4: 9212 Q1: 9213 |
45–75 | Female | PRAL | FFQ | BMI | Q4 v. Q1 | 8 |
Esche et al. (2016)(26) | Cohort | Germany | 200 High & Low: 100 |
6–10 | Both | NAE | 24 h urine collection | BMI, weight | High v. Low group | 8 |
Han et al. (2016)(41) | Cross-sectional | Korea | 11 601 T3: 4202 T1: 3859 |
40–79 | Both | PRAL | 24 h recall | BMI, WC, SBP, DBP, TC, HDL-C, LDL-C, TAG, FBS | T3 v. T1 | 7 |
Ikizler et al. (2016)(42) | Cross-sectional | USA | 63 T3 & T1: 21 |
45–75 | Both | NEAP | 3 d prospective food dairies | BMI, SBP, DBP, FBS, insulin | T3 v. T1 | 3 |
Moghadam et al. (2016)(27) | Cohort | Iran | 925 Q4 & Q1: 231 |
22–80 | Both | PRAL | FFQ | Weight, SBP, DBP, HDL-C, LDL-C, TAG, FBS, HOMA-IR, insulin | Q4 v. Q1 | 8 |
Scialla et al. (2016)(28) | Cohort | USA | 980 Q4: 246 Q1: 245 |
45–75 | Both | NAE | 24 h urine collection | BMI | Q4 v. Q1 | 6 |
Xu et al. (2016)(29) * | Cohort | Sweden | 44 957 Q5: 9038 Q1: 8974 |
45–84 | M | PRAL | FFQ | BMI | Q5 v. Q1 | 8 |
Xu et al. (2016)(29) * | Cohort | Sweden | 36 740 Q5 & Q1: 7294 |
45–84 | F | PRAL | FFQ | BMI | Q5 v. Q1 | 8 |
Akter et al. (2017)(30) | Cohort | Japan | 92 478 Q4: 23 119 Q1: 23 120 |
45–75 | Both | PRAL | FFQ | BMI | Q4 v. Q1 | 7 |
Shea et al. (2017)(44) * | Cross-sectional | USA | 162 T3: 13 T1: 19 |
50–58 | Both | NAE | FFQ | BMI | T3 v. T1 | 6 |
Shea et al. (2017)(44) * | Cross-sectional | USA | 232 T3: 25 T1: 84 |
60–58 | Both | NAE | 24 h recall | BMI | T3 v. T1 | 6 |
DAL, dietary acid load; NOS, Newcastle–Ottawa Scale; Q, quintile or quartile; T, tertile; D, decile; M, male; F, female; NAE, net acid excretion; PRAL, potential renal net acid load; NEAP, net endogenous acid production; DHQ, diet history questionnaire; WC, waist circumference; SBP, systolic blood pressure; DBP, diastolic blood pressure; TC, total cholesterol; HDL-C, HDL-cholesterol; LDL-C, LDL-cholesterol; FBS, fasting blood sugar; HbA1c, glycated Hb; HOMA-IR, homeostatic model assessment of insulin resistance.
indicates consecutive studies by the same authors that come from just one article but with different situations, such as difference in gender or type of outcome assessed.