Table 2.
The overall effect of vitamin D supplement on the HbA1C and FBS in patients with diabetes based on continent, age, BMI, diabetes duration, dose of intervention, and follow-up duration.
Variables | Category | No. study | Pooled MSD (95% CI) | Heterogeneity assessment between studies | Heterogeneity assessment between subgroup | Publication bias assessments | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
I 2 | p value | Q | Q | p value | β | SE | p value | |||||
HbA1C | Overall SMD | 45 (61) | −0.15 (−0.29, −0.2) | 79.76% | ≤0.001 | 296.37 | — | — | −1.48 | 0.806 | 0.065 | |
Continent | Europe | 12 (22) | −0.08 (−0.17, 0.02) | 5.45% | 0.39 | 22.21 | 7.08 | 0.03 | ||||
Asia | 30 (33) | −0.32 (−0.53, −0.11) | 84.18% | ≤0.001 | 102.27 | |||||||
America | 3 (6) | 0.30 (−0.19, 0.79) | 88.08% | ≤0.001 | 41.94 | |||||||
Age | <60 | 28 (30) | −0.35 (−0.56, −0.13) | 84.56% | ≤0.001 | 187.79 | 8.44 | ≤0.001 | ||||
>60 | 13 (25) | 0.05 (−0.11, 0.22) | 66.83% | ≤0.001 | 72.36 | |||||||
BMI | <30 | 22 (28) | −0.32 (−0.52, −0.11) | 80.92% | ≤0.001 | 141.48 | 6.63 | 0.01 | ||||
>30 | 12 (20) | 0.06 (−0.15, 0.26) | 75.76% | ≤0.001 | 78.38 | |||||||
Disease duration | <10 | 14 (16) | −0.18 (−0.49, −0.13) | 86.44% | ≤0.001 | 110.64 | 0.62 | 0.43 | ||||
>10 | 3 (4) | −0.49 (−1.19, 0.21) | 88.49% | ≤0.001 | 26.07 | |||||||
Intervention | <50,000 | 20 (29) | −0.22 (−0.46, 0.02) | 86.38% | ≤0.001 | 205.55 | 0.78 | 0.68 | ||||
50,000–100,000 | 22 (25) | −0.15 (−0.31, −0.02) | 72.25% | ≤0.001 | 86.50 | |||||||
>100,000 | 5 (7) | −0.08 (−0.28, 0.12) | 0.00 | 0.84 | 2.76 | |||||||
Follow-up duration | 8 weeks | 10 (11) | −0.38 (−0.88, 0.12) | 90.30% | ≤0.001 | 103.08 | 30.53 | ≤0.001 | ||||
12 weeks | 19 (19) | −0.29 (−0.51, −0.06) | 75.25% | ≤0.001 | 72.73 | |||||||
14 weeks | 1 (1) | −1.63 (−2.28, −1.01) | — | — | — | |||||||
16 weeks | 5 (7) | −0.02 (−0.17, 0.12) | 0.00% | 0.76 | 3.38 | |||||||
24 weeks | 18 (18) | −0.03 (−0.13, 0.07) | 0.00% | 0.68 | 13.87 | |||||||
36 weeks | 2 (2) | 0.62 (−1.01, 2.26) | 93.69% | ≤0.001 | 15.85 | |||||||
48 weeks | 3 (3) | −0.07 (−0.36, −0.21) | 3.63% | 0.35 | 2.08 | |||||||
| ||||||||||||
FBS | Overall SMD | 40 (50) | −0.28 (−0.40, −0.15) | 70.13% | ≤0.001 | 164.07 | — | — | −2.50 | 0.812 | 0.002 | |
Continent | Europe | 8 (13) | −0.19 (−0.31, −0.07) | 0.00% | 0.83 | 7.42 | 1.12 | 0.57 | ||||
Asia | 31 (36) | −0.30 (−0.47, −0.12) | 77.56% | ≤0.001 | 155.97 | |||||||
America | 1 (1) | −0.14 (−0.61, 0.33) | — | — | — | |||||||
Age | <60 | 26 (29) | −0.19 (−0.34, −0.04) | 63.01% | ≤0.001 | 75.70 | 0.00 | 1.00 | ||||
>60 | 12 (17) | −0.19 (−0.30, −0.08) | 0.00% | 0.60 | 13.96 | |||||||
BMI | <30 | 22 (28) | −0.24 (−0.38, −0.09) | 54.51% | ≤0.001 | 59.35 | 0.96 | 0.33 | ||||
>30 | 12 (14) | −0.14 (−0.26, −0.02) | 2.92% | 0.42 | 13.39 | |||||||
Disease duration | <10 | 16 (18) | −0.14 (−0.34, 0.06) | 71.02% | ≤0.001 | 58.65 | 0.26 | 0.61 | ||||
>10 | 1 (1) | 0.00 (−0.50, 0.50) | — | — | — | |||||||
Intervention | <50,000 | 17 (24) | −0.44 (−0.69, −0.2) | 78.84% | ≤0.001 | 108.70 | 5.23 | 0.07 | ||||
50,000–100,000 | 19 (22) | −0.21 (−0.34, −0.08) | 45.65% | 0.01 | 38.64 | |||||||
>100,000 | 4 (4) | 0.12 (−0.34, 0.57) | 67.71% | 0.03 | 9.29 | |||||||
Follow-up duration | 8 weeks | 9 (9) | −0.25 (−0.58, 0.08) | 76.01% | ≤0.001 | 33.35 | 1.34 | 0.97 | ||||
12 weeks | 18 (19) | −0.25 (−0.43, −0.06) | 60.43% | ≤0.001 | 45.49 | |||||||
10 weeks | 1 (1) | −0.19 (−0.66, 0.28) | — | — | — | |||||||
16 weeks | 2 (2) | −0.15 (−0.57, 0.28) | 14.88% | 0.28 | 1.17 | |||||||
24 weeks | 16 (16) | −0.38 (−0.64, −0.12) | 81.61% | ≤0.001 | 81.58 | |||||||
36 weeks | 1 (1) | −0.40 (−1.12, 0.33) | — | — | — | |||||||
48 weeks | 2 (2) | −0.19 (−0.83, 0.45) | 47.51% | 0.17 | 1.91 |