Table 1. Details of the included studies in our meta-analysis.
Author | Year | Country | Design | Source of subjects | Number of subjects | Outcome | Odds ratio (95% CI) | Adjustment for covariates | Quality of study |
---|---|---|---|---|---|---|---|---|---|
Liu, Miao43 | 2016 | China | cross-sectional | Hospital-based | 1839 | DN | 0.79 (0.67,0.87) | age, education, marital status, current smoking, current drinking, physical activity ≥0.5 h/day, BMI, hypertension, dyslipidemia, treatment and control status of diabetes | 10 |
DR | 0.30 (0.22,0.40) | age, education, marital status, current smoking, current drinking, physical activity ≥0.5 h/day, BMI, hypertension, dyslipidemia, treatment and control status of diabetes | |||||||
DAS | 0.51 (0.41,0.57) | age, education, marital status, current smoking, current drinking, physical activity ≥0.5 h/day, BMI, hypertension, dyslipidemia, treatment and control status of diabetes | |||||||
DCH | 0.59 (0.43,0.76) | age, education, marital status, current smoking, current drinking, physical activity ≥0.5 h/day, BMI, hypertension, dyslipidemia, treatment and control status of diabetes | |||||||
DIS | 0.82 (0.76,0.87) | age, education, marital status, current smoking, current drinking, physical activity ≥0.5 h/day, BMI, hypertension, dyslipidemia, treatment and control status of diabetes | |||||||
Wang, Jing19 | 2016 | China | cohort | Population-based | 2958 | DN | 0.74 (0.56,0.98) | age, gender, central obesity, education, smoking status, drinking status, physical activity, SBP, TG, HDL-C, use of medications (hypotensor, lipid-lowering), liver function (ALP, AST and ALT), FBG, use of antidiabetic, duration of diabetes, use of aspirin | 11 |
Ryuichi, Kawamoto42 | 2016 | Japan | cross-sectional | Hospital-based | 374 | DCA | 0.46 (0.23,0.93) | age, gender, BMI, smking status, SBP, DBP, Antihepertensive medication, TG, HDL-C, LDL-C, Antidyslipidemic medication, FBG, insulin therapy, eGFR, Uric acid, AST, GGT | 9 |
Jiang, Pijun24 | 2016 | China | case-control | Hospital-based | 561 | DN | 0.91 (0.83,1.00) | not list specifically | 7 |
Jaechan, Leem38 | 2015 | Korea | cross-sectional | Hospital-based | 460 | DOCAD | 0.86 (0.81,0.92) | age, gender, BMI, duration of diabetes, hypertension, SBP, DBP, current smoking, HbA1C, LDL-C, HDL-C, TG, DR, DN, eGFR, current use of insulin and a statin, AST, ALT and alcohol intake | 11 |
Zhang, Dan18 | 2015 | China | case-control | Hospital-based | 553 | DR | 0.91 (0.88,094) | age, gender, duration of diabetes, BMI, HbA1C, LDL-C, TG, SUA and SBP | 8 |
Chen, Fang26 | 2015 | China | case-control | Hospital-based | 237 | DR | 0.85 (0.78,0.94) | age, duration of diabetes, FBG, Arteriosclerosis, SBP, UAER | 8 |
Wei, Wei27 | 2015 | China | case-control | Hospital-based | 100 | DR | 0.84 (0.72,0.99) | not list specifically | 7 |
Risa, Sekioka20 | 2015 | Japan | cross-sectional | Hospital-based | 674 | DR | 0.92 (0.89,0.96) | not list specifically | 8 |
Eun Sook, Kim39 | 2015 | Korea | cross-sectional | Hospital-based | 1207 | DPN | 0.63 (0.40,0.99) | age, gender, BMI, duration of diabetes, drinking and smoking status, history of cardiovascular disease, HbA1c, SBP, ALT, hyperlipidemia, eGFR, use of insulin and antihypertensive agents, autonomic neuropathy, DR, and albuminuria | 11 |
Hamamoto S25 | 2015 | Japan | cross-sectional | Hospital-based | 523 | DR | 0.92 (0.87,0.97) | age, gender, smoking status | 10 |
DN | 0.87 (0.82,0.93) | age, gender, smoking status | |||||||
Apoorva, Dave28 | 2015 | India | case-control | Hospital-based | 80 | DR | 0.84 (0.71,0.99) | not list specifically | 7 |
Wang, Ru40 | 2015 | China | cross-sectional | Hospital-based | 5961 | DR | 0.48 (0.34,0.68) | age, gender, BMI, duration of diabetes, drinking and smoking status, HbA1C, FBG, ALT, AST, TC, TG and drug treatment | 11 |
DN | 0.38 (0.31,0.46) | age, gender, BMI, duration of diabetes, drinking and smoking status, HbA1C, FBG, ALT, AST, TC, TG and drug treatment | |||||||
DPN | 0.62 (0.53,0.73) | age, gender, BMI, duration of diabetes, drinking and smoking status, HbA1C, FBG, ALT, AST, TC, TG and drug treatment | |||||||
Cai, Junwei29 | 2015 | China | case-control | Hospital-based | 102 | DN | 0.82 (0.69,0.99) | age, BMI, duration of diabetes, SBP, DBP, ALT, FBG, HbA1C, FIN, TG, TC, HDL-C, LDL-C | 7 |
Syeda Sadia NAJAM30 | 2014 | China | cross-sectional | Population-based | 1761 | DR | 0.55 (0.33,0.91) | age, gender, current smoking, drinking status, postprandial plasma glucose, HbA1c, DBP, TC, TG, LDL-C and GGT | 11 |
Kiwako Toya23 | 2014 | Japan | cohort | Hospital-based | 1418 | DN (microalbuminuria) | 0.96 (0.91,1.02) | age, gender, use of renin–angiotensin–aldosterone system | 11 |
DN (microalbuminuria) | 0.86 (0.77,0.95) | age, gender, use of renin–angiotensin–aldosterone system | |||||||
Tsuyoshi Mashitani31 | 2014 | Japan | cohort | Hospital-based | 957 | DN | 0.41 (0.16,1.04) | age, gender, BMI, duration of diabetes, follow-up time, SBP, drinking and smoking status, HbA1c, UACR, and use of RAS inhibitors and statins and hemoglobin levels. | 11 |
Eun Sook Kim21 | 2014 | Korea | cross-sectional | Hospital-based | 1711 | DAS | Male:1.35 (0.59,3.07) | age, BMI, duration of diabetes, drinking and smoking status, history of CVD, HbA1c, SBP, DBP, ALT, TC, TG, HDL-C, eGFR, use of insulin, ACEi/ARB, statin, retinopathy and albumin-to-creatinine ratio. | 11 |
DAS | Female:0.32 (0.16,0.65) | age, BMI, duration of diabetes, drinking and smoking status, history of CVD, HbA1c, SBP, DBP, ALT, TC, TG, HDL-C, eGFR, use of insulin, ACEi/ARB, statin, retinopathy and albumin-to-creatinine ratio. | |||||||
J. O. Chung37 | 2013 | Korea | cross-sectional | Hospital-based | 2291 | DCAN | 0.36 (0.21,0.63) | age, gender, BMI, smoking habits, AST, ALT, hypertension, hyperlipidaemia, HbA1c, diabetes duration, retinopathy and nephropathy | 11 |
K. H. Chan7 | 2013 | Australia | cohort | Hospital-based | 9795 | DA | 0.50 (0.27,0.95) | age, height, smoking status, GGT, HbA1c, and history of previous PAD, non-PAD CVD, amputation or diabetic skin ulcer, neuropathy, nephropathy and diabetic retinopathy, as well as trial treatment allocation | 11 |
Luo, Yajing32 | 2013 | China | cross-sectional | Hospital-based | 246 | DN | 091 (0.83,0.99) | duration of diabetes, SBP, HbA1C, FBG, 2hPG, TC, TG | 11 |
Lai, Jie33 | 2013 | China | cross-sectional | Hospital-based | 435 | DN | 0.78 (0.74,0.83) | duration of diabetes, SBP, FBG, SUA, Lp (a), hs-CRP, LDL-C, HbA1C | 11 |
Seong-Woo Choi41 | 2012 | Korea | cross-sectional | Population-based | 690 | HbA1c ≥6.5% | 0.40 (0.20,0.80) | age, gender, abdominal circumstance, smoking, diabetic duration, hypertension, CCVD history, HDL-C, LDL-C, TG, fasting glucose, eGFR, AST, ALT and GGT. | 11 |
Miho Yasuda36 | 2011 | Japan | cohort | Population-based | 1672 | DR* | 0.25 (0.09,0.72) | age, gender, 2hPG, SBP, TC, HDL-C, GGT, history of cardiovascular disease, smoking habits, and alcohol intake. | 11 |
DR | 0.39 (0.12,1.30) | age, gender, 2hPG, SBP, TC, HDL-C, GGT, history of cardiovascular disease, smoking habits and alcohol intake. | |||||||
Su, Zhiyan35 | 2010 | China | cross-sectional | Hospital-based | 664 | DR | 0.91 (0.88,0.94) | age, gender, duration of diabetes, BMI, WHR, HbA1C, LDL-C, TG, UA, SBP | 11 |
Jia, Yumei34 | 2010 | China | cross-sectional | Hospital-based | 1062 | DR | 0.91 (0.87,0.96) | age, gender, duration of diabetes, TC, TG, HDL-C, LDL-C | 11 |
Seung Seok Han22 | 2010 | Korea | cross-sectional | Population-based | 93909 | DN | Male:0.88 (0.64,1.19) | age, BMI, hypertension, TC, TG, HDL- C, and hepatic markers including AST, ALT, alkaline phosphatase, and GGT | 11 |
DN | Female:0.68 (0.43,1.08) | age, BMI, hypertension, TC, TG, HDL- C, and hepatic markers including AST, ALT, alkaline phosphatase, and GGT |
Note: HbA1C: hemoglobin A1c; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol; TG: triglycerides; HDL-C: high density lipoprotein-cholesterol, LDL-C: low density lipoprotein-cholesterol; SUA: serum uric acid; eGFR: estimated glomerular filtration rate; ALP: alkaline phosphatase; AST: aspartate aminotransferase; ALT: alanine aminotransferase; GGT: γ-glutamyl transpeptidase; 2hPG: 2-hour post-load plasma glucose; *DR in high blood sugar condition.