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. 2023 Oct 13;15(20):4362. doi: 10.3390/nu15204362

Table 4.

Risk of bias assessment for included studies [38].

Saslow et al. (2017) [42] Chen et al. (2020) [17] Hallberg et al. (2108) [41] Athinarayanan et al. (2109) [40] Saslow et al. (2108) [43] Summers et al. (2021) [13]
Overall rating graphic file with name nutrients-15-04362-i001.jpg graphic file with name nutrients-15-04362-i001.jpg graphic file with name nutrients-15-04362-i001.jpg graphic file with name nutrients-15-04362-i001.jpg graphic file with name nutrients-15-04362-i002.jpg graphic file with name nutrients-15-04362-i002.jpg
Relevance Questions
1 Would implementing the studied intervention or procedure (if found successful) result in improved outcomes for the patients/clients/population group? (NA for some Epi studies) graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg
2 Did the authors study an outcome (dependent variable) or topic that the patients/clients/population group would care about? graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg
3 Is the focus of the intervention or procedure (independent variable) or topic of study a common issue of concern to dietetics practice? graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg
4 Is the intervention or procedure feasible? (NA for some epidemiological studies) graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg
Validity Questions
1 Was the research question clearly stated? graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg
2 Was the selection of study subjects/patients free from bias? graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg
3 Were study groups comparable? graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i004.jpg graphic file with name nutrients-15-04362-i004.jpg
4 Was method of handling withdrawals described? graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg
5 Was blinding used to prevent introduction of bias? graphic file with name nutrients-15-04362-i005.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i005.jpg graphic file with name nutrients-15-04362-i005.jpg graphic file with name nutrients-15-04362-i004.jpg graphic file with name nutrients-15-04362-i004.jpg
6 Were intervention/therapeutic regimens/exposure factor or procedure and any comparison(s) described in detail? Were intervening factors described? graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg
7 Were outcomes clearly defined and the measurements valid and reliable? graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i005.jpg graphic file with name nutrients-15-04362-i005.jpg
8 Was the statistical analysis appropriate for the study design and type of outcome indicators? graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg
9 Are conclusions supported by results with biases and limitations taken into consideration? graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg
10 Is bias due to study’s funding or sponsorship unlikely? graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i006.jpg graphic file with name nutrients-15-04362-i006.jpg graphic file with name nutrients-15-04362-i003.jpg graphic file with name nutrients-15-04362-i005.jpg

Inline graphic Overall positive Risk of Bias Score; If most of the answers to the above validity question are “Yes” (including criteria 2, 3, 6, 7 and at least one additional “Yes”). Inline graphic Neutral Risk of Bias Score; If the answers to the validity criteria question 2, 3, 6 and 7 do not indicate that the study is exceptionally strong. Negative Risk of Bias Score; If most (six or more) of the answers to the above validity question are “No”. Inline graphic Yes, Inline graphic No, Inline graphic Unclear, Inline graphic Not applicable.