Table 2. Main results for metabolites in different brain regions.
Study | OSA | Control | Weight% | >MD [95%CI] | p | I2% | p | PBegg | PEgger |
---|---|---|---|---|---|---|---|---|---|
NAA/Cr in hippocampus | |||||||||
Algin et al.33 | 1.16 ± 0.1 | 1.24 ± 0.1 | 61.0 | −0.08 [−0.16, −0.00] | |||||
Bartlett et al.31 | 1.73 ± 1.46 | 1.25 ± 0.56 | 0.3 | 0.48 [−0.64, 0.60] | |||||
Halbower et al.26 | 1.22 ± 0.38 | 1.21 ± 0.23 | 2.8 | 0.01 [−0.35, 0.37] | |||||
Kizilgoz et al.34 | 2.00 ± 0.95 | 2.40 ± 0.53 | 1.8 | −0.40 [−0.84, 0.04] | |||||
O’Donoghue et al.32 | 1.58 ± 0.23 | 1.66 ± 0.15 | 34.0 | −0.08 [−0.18, 0.02] | |||||
Pooled | 100 | −0.08 [−0.14, −0.02] | 0.52 | 0 | <0.01 | 0.81 | 0.28 | ||
NAA/Cho in hippocampus | |||||||||
Algin et al.33 | 1.07 ± 0.1 | 1.11 ± 0.2 | 32.0 | −0.04 [−0.18, 0.10] | |||||
Halbower et al.26 | 0.91 ± 0.05 | 1.29 ± 0.21 | 30.1 | −0.38 [−0.55, −0.21] | |||||
Kizilgoz et al.34 | 2.06 ± 0.99 | 2.25 ± 0.67 | 13.1 | −0.19 [−0.71, 0.33] | |||||
O’Donoghue et al.32 | 4.15 ± 0.52 | 4.04 ± 0.45 | 24.9 | 0.11 [−0.15, 0.37] | |||||
Pooled | 100 | −0.12 [−0.36, 0.11] | <0.01 | 77 | 0.30 | 0.09 | 0.01 | ||
Cho/Cr in hippocampus | |||||||||
Algin et al.33 | 1.09 ± 0.1 | 1.15 ± 0.1 | 38.7 | −0.06 [−0.14, 0.02] | |||||
Halbower et al.26 | 1.37 ± 0.41 | 0.94 ± 0.05 | 6.5 | −0.03 [−0.05, −0.01] | |||||
Kizilgoz et al.34 | 1.18 ± 0.92 | 1.25 ± 0.78 | 2.4 | −0.07 [−0.63, 0.49] | |||||
O’Donoghue et al.32 | 0.38 ± 0.04 | 0.41 ± 0.04 | 52.3 | 0.43 [0.10, 0.76] | |||||
Pooled | 100 | −0.01 [−0.10, 0.08] | 0.05 | 63 | 0.78 | 0.31 | 0.11 | ||
NAA/Cr in frontal lobe | |||||||||
Alchanatis et al.35 | 1.58 ± 0.14 | 1.66 ± 0.17 | 23.5 | −0.08 [−0.17, 0.01] | |||||
Algin et al.33 | 1.61 ± 0.64 | 1.98 ± 0.2 | 22.4 | −0.37 [−0.57, −0.17] | |||||
Gharraf et al.36 | 1.33 ± 0.13 | 2.08 ± 0.15 | 23.3 | −0.95 [−1.06, −0.84] | |||||
Halbower et al.26 | 3.1 ± 1.7 | 2.7 ± 0.6 | 6.7 | 0.40 [−0.95, 1.75] | |||||
O’Donoghue et al.32 | 1.59 ± 0.13 | 1.65 ± 0.18 | 23.5 | −0.06 [−0.15, 0.03] | |||||
Sarchielli et al.29 | 138.09 ± 6.9 | 147.09 ± 11 | 0.5 | −9.00 [−14.69, −3.31] | |||||
Pooled | 100 | −0.36 [−0.77, 0.06] | <0.01 | 97 | 0.09 | 0.45 | 0.15 | ||
NAA/Cho in frontal lobe | |||||||||
Alchanatis et al.35 | 1.89 ± 0.43 | 1.78 ± 0.42 | 26.4 | 0.11 [−0.11, 0.33] | |||||
Algin et al.33 | 1.48 ± 0.08 | 1.99 ± 0.36 | 28.0 | −0.51 [−0.68, −0.34] | |||||
Halbower et al.26 | 1.6 ± 0.4 | 2.2 ± 0.4 | 19.3 | −0.60 [−1.04, −0.16] | |||||
O’Donoghue et al.32 | 4.56 ± 0.41 | 4.92 ± 0.44 | 26.2 | −0.36 [−0.59, −0.13] | |||||
Pooled | 100 | −0.32 [−0.64, −0.01] | <0.01 | 86 | 0.05 | 0.31 | 0.50 | ||
Cho/Cr in frontal lobe | |||||||||
Alchanatis et al.35 | 0.88 ± 0.19 | 0.99 ± 0.43 | 0.4 | −0.11 [−0.31, 0.09] | |||||
Algin et al.33 | 1.23 ± 0.14 | 1.03 ± 0.08 | 5.8 | 0.09 [0.04, 0.14] | |||||
Gharraf et al.36 | 0.99 ± 0.08 | 1.17 ± 0.03 | 8.6 | −0.18 [−0.22, −0.14] | |||||
Halbower et al.26 | 1.9 ± 1.1 | 1.3 ± 0.3 | 0.0 | 0.60 [−0.25, 1.45] | |||||
O’Donoghue et al.32 | 0.35 ± 0.02 | 0.33 ± 0.03 | 85.1 | 0.02 [0.01, 0.03] | |||||
Sarchielli et al.29 | 96.99 ± 12.7 | 94.88 ± 5.19 | 0.0 | 2.11 [−3.90, 8.12] | |||||
Pooled | 100 | −0.02 [−0.14, 0.09] | <0.01 | 94 | 0.68 | 0.99 | 0.35 |
Abbreviations: NAA, N-acetylaspartate; Cho, choline; Cr, creatine; OSA, Obstructive sleep apnea; MD, Mean difference; CI, Confidence Interval; PBegg, p-value for Begg’s test; PEgger, p-value for Egger test.