Table 4.
The overall effect of vitamin D supplement on the HDL and LDL 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 | |||||
HDL | Overall SMD | 30 (38) | 0.13 (0.04–0.29) | 79.33% | ≤0.001 | 179.01 | — | — | −0.22 | 1.084 | 0.840 | |
Continent | Europe | 7 (13) | 0.07 (0.01–0.13) | 0.00% | 0.51 | 11.23 | 5.21 | 0.07 | ||||
Asia | 22 (23) | 0.16 (0.11–0.42) | 84.00% | ≤0.001 | 137.51 | |||||||
America | 1 (2) | 0.59 (0.12–1.30) | 87.39% | ≤0.001 | 7.93 | |||||||
Age | <60 | 18 (20) | 0.10 (0.04–0.17) | 71.68% | ≤0.001 | 67.09 | 7.86 | 0.01 | ||||
>60 | 12 (18) | 0.37 (0.12–0.61) | 78.09% | ≤0.001 | 77.58 | |||||||
BMI | <30 | 19 (24) | 0.19 (0.02–0.41) | 77.81% | ≤0.001 | 103.64 | 0.94 | 0.33 | ||||
>30 | 10 (13) | 0.01 (−0.30 to 0.31) | 84.06% | ≤0.001 | 75.29 | |||||||
Disease duration | <10 | 10 (12) | 0.12 (−0.22 to 0.46) | 83.85% | ≤0.001 | 68.12 | — | — | ||||
Intervention | <50,000 | 15 (21) | 0.15 (0.09–0.39) | 81.19% | ≤0.001 | 106.32 | 0.10 | 0.95 | ||||
50,000–100,000 | 14 (16) | 0.10 (0.03–0.35) | 79.28% | ≤0.001 | 72.40 | |||||||
>100,000 | 1 (1) | 0.12 (0.06–0.44) | — | — | — | |||||||
Follow-up duration | 8 weeks | 6 (6) | 0.10 (0.03–0.30) | 0.00% | 0.46 | 4.65 | 8.54 | 0.13 | ||||
12 weeks | 11 (11) | 0.11 (0.05–0.28) | 19.17% | 0.26 | 12.37 | |||||||
16 weeks | 5 (5) | 0.53 (0.33–1.19) | 87.65% | ≤0.001 | 32.40 | |||||||
24 weeks | 12 (12) | 0.31 (0.04–0.67) | 84.86% | ≤0.001 | 72.67 | |||||||
36 weeks | 1 (1) | 0.32 (0.40–1.04) | — | — | — | |||||||
48 weeks | 3 (3) | 0.43 (0.25–1.11) | 78.71% | 0.01 | 9.39 | |||||||
| ||||||||||||
LDL | Overall SMD | 27 (34) | −0.11 (−0.28 to −0.05) | 73.66% | ≤0.001 | 125.15 | — | — | −2.68 | 1.015 | 0.008 | |
Continent | Europe | 20 (21) | 0.00 (−0.20 to 0.20) | 37.04% | 0.10 | 15.88 | 1.08 | 0.58 | ||||
Asia | 6 (11) | −0.16 (−0.38 to 0.07) | 76.85% | ≤0.001 | 86.41 | |||||||
America | 1 (2) | 0.01 (−1.11 to 1.12) | 94.92% | ≤0.001 | 19.68 | |||||||
Age | <60 | 16 (17) | −0.07 (−0.21 to 0.07) | 28.81% | 0.13 | 22.48 | 0.38 | 0.54 | ||||
>60 | 11 (17) | −0.17 (−0.47 to 0.13) | 84.43% | ≤0.001 | 102.79 | |||||||
BMI | <30 | 17 (21) | −0.16 (−0.41 to 0.09) | 77.04% | ≤0.001 | 87.11 | 0.37 | 0.54 | ||||
>30 | 9 (12) | −0.05 (−0.28 to 0.17) | 68.88% | ≤0.001 | 35.35 | |||||||
Disease duration | <10 | 9 (11) | −0.32 (−0.72 to 0.09) | 87.60% | ≤0.001 | 80.62 | — | — | ||||
Intervention | <50,000 | 14 (19) | −0.23 (−0.52 to −0.06) | 82.19% | ≤0.001 | 101.09 | 2.10 | 0.15 | ||||
50,000–100,000 | 13 (15) | 0.01 (−0.13 to 0.15) | 30.75% | 0.12 | 20.22 | |||||||
Follow-up duration | 8 weeks | 5 (5) | −0.02 (−0.27 to 0.24) | 32.52% | 0.20 | 5.93 | 9.48 | 0.09 | ||||
12 weeks | 11 (11) | −0.17 (−0.40, −0.07) | 56.46% | 0.01 | 22.97 | |||||||
16 weeks | 3 (3) | 0.18 (−0.13, 0.49) | 0.00% | 0.62 | 0.95 | |||||||
24 weeks | 11 (11) | −0.26 (−0.64, −0.13) | 86.61% | ≤0.001 | 74.67 | |||||||
36 weeks | 1 (1) | −0.04 (−0.76, −0.67) | — | — | — | |||||||
48 weeks | 3 (3) | 0.37 (0.03–0.71) | 23.83% | 0.27 | 2.63 |