Table 2. Subgroup and sensitive analyses for HBV infection on the risk of NAFLD.
Subgroup | No. of studies | RR (95%CI) | I2 value (%) | P value |
---|---|---|---|---|
All studies | 5 | 0.71 (0.53, 0.90) | 75.2 | 0.006 |
Study quality | ||||
≥ 7 | 4 | 0.70 (0.55, 0.86) | 71.3 | 0.015 |
< 7 | 1 | 3.96 (2.1, 7.48) | — | — |
Study design | ||||
Cohort | 1 | 0.83 (0.73, 0.94) | — | — |
Case control | 1 | 3.96 (2.10, 7.48) | — | — |
Cross sectional | 3 | 0.63 (0.47, 0.79) | 21.9 | 0.278 |
Adjustment for confounders | ||||
Alcohol intake | ||||
Yes | 2 | 0.66 (0.26, 0.92) | 80.4 | 0.024 |
No | 3 | 1.02 (0.23, 1.81) | 69.0 | 0.040 |
Cholesterol level | ||||
Yes | 3 | 0.63 (0.47, 0.79) | 71.3 | 0.015 |
No | 2 | 0.92 (0.81, 1.61) | 80.7 | 0.203 |
Diabetes | ||||
Yes | 3 | 0.63 (0.47, 0.79) | 21.9 | 0.278 |
No | 2 | 0.92 (0.81, 1.61) | 80.7 | 0.203 |
Diagnosis of fatty liver | ||||
Ultrasound | 4 | 0.77 (0.57, 0.97) | 77.6 | 0.004 |
H-MRS | 1 | 0.42 (0.20, 0.88) | — | — |
Sensitive analyses | ||||
High quality studies | 4 | 0.70 (0.55, 0.86) | 71.3 | 0.015 |
Excluding the study using MRS | 4 | 0.77 (0.57, 0.97) | 77.6 | 0.004 |
Fixed-effects vs random-effects model method | ||||
Fixed-effects model | 5 | 0.70 (0.65, 0.76) | 75.2 | 0.003 |
Random-effects model | 5 | 0.71 (0.53, 0.90) | 75.2 | 0.003 |
HBV, hepatitis B virus. NAFLD, nonalcoholic fatty liver disease. RR, relative risk; CI, confidence interval.