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. Author manuscript; available in PMC: 2026 Jul 17.
Published in final edited form as: J Am Nutr Assoc. 2026 Apr 28;45(7):672–685. doi: 10.1080/27697061.2026.2660795

Table 5:

Newcastle-Ottawa Scale (NOS) adapted for Cross-sectional StudiesKey: Scoring Interpretation

Selection Comparability Outcome assessment
Representativeness of the Sample (Max.1) Sample Size (Max.1) Non-Respondents (Max.1) Ascertainment of Exposure (Risk Factor) (Max.1) Control for Confounding Factors (Max.2) Assessment of Outcome (Max.2) Statistical Test (Max.1) Score (Max.9) Quality score
*Gehring et al., (41) 1 1 0 0 1 2 1 6 Fair
Monserrat-Mesquida et al., (43) 0 0 0 0 0 2 1 3 Poor
Leitao et al., (44) 0 0 1 0 0 0 1 2 Poor
Sullivan et al., (24) 1 1 1 1 0 2 1 7 Poor
Chang et al., (46) 1 1 1 1 0 2 1 6 poor
*Dos Santos et al., (45) 1 1 1 0 1 2 1 7 Good

Key: Scoring Interpretation

Good Quality: 3 or 4 stars in the Selection domain AND 1 or 2 stars in the Comparability domain AND 2 or 3 stars in the Outcome domain

Fair Quality: 2 stars in the Selection domain AND 1 or 2 stars in the Comparability domain AND 1 or 2 stars in the Outcome domain

Poor Quality: 0 or 1 star in Selection domain OR 0 stars in Comparability domain OR 0 or 1 star in Outcome domain.

*

The star symbol represents studies that directly address the research question