Table 3. GRADE evidence profiles for the meta-analysis of the effects of vitamin C and vitamin D on blood pressure in patients with type 2 diabetes.
Vitamin C | ||||||||||
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Quality assessment |
Summary of Findings |
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Participants (studies) Follow-up | Risk of bias | Inconsistency | Indirectness | Imprecision | Publication bias | Overall quality of evidence | Study event rates (%) |
Relative effect (95% CI) | Anticipated absolute effects | |
Intervention | Control | |||||||||
Systolic Blood Pressure (IMPORTANT OUTCOME; Better indicated by lower values) | ||||||||||
65 (2 studies) 3.5 weeks | Serious1 | Serious2 | not serious | Serious3 | undetected | VERY LOW due to risk of bias, inconsistency, imprecision | 32 | 33 | — | The mean systolic blood pressure in the intervention group was 3.93 lower (14.78 lower to 6.92 higher) |
Diastolic Blood Pressure (IMPORTANT OUTCOME; Better indicated by lower values) | ||||||||||
65 (2 studies) 6.35 weeks | serious1 | serious2 | no serious indirectness | no serious imprecision | undetected | LOW1,2 due to risk of bias, inconsistency | 32 | 33 | — | The mean diastolic blood pressure in the intervention group was 2.88 lower (2.88 to 0.46 lower) |
Vitamin D | ||||||||||
Systolic Blood Pressure (Better indicated by lower values) | ||||||||||
542 (7 studies) 3–52 weeks | no serious risk of bias | Serious2 | no serious indirectness | no serious imprecision | undetected | MODERATE due to inconsistency | 272 | 270 | — | The mean systolic blood pressure in the intervention group was 4.558 lower (7.65 to 1.465 lower) |
Diastolic Blood Pressure (IMPORTANT OUTCOME; Better indicated by lower values) | ||||||||||
542 (7 studies) 3–52 weeks | no serious risk of bias | no serious inconsistency | no serious indirectness | no serious imprecision | undetected | HIGH | 272 | 270 | — | The mean diastolic blood pressure in the intervention group was 2.437 lower (3.487 to 1.387 lower) |
1Most of the information concerning randomization and blinding was unclear in the analyses of the individual trials.
2High heterogeneity.
3Few patients analysed.