Table 2.
Outcomes | Factor | Groups | Number of studies | OR and 95% CI | P value | Heterogeneity (%) | P value for heterogeneity | P value between subgroups |
---|---|---|---|---|---|---|---|---|
High versus low nitrite intake | Publication year | 2000 or after | 11 | 1.28 (1.09–1.51) | 0.003 | 67.2 | 0.001 | <0.001 |
Before 2000 | 8 | 1.18 (0.76–1.83) | 0.462 | 94.5 | <0.001 | |||
Study design | Case-control | 14 | 1.38 (1.02–1.85) | 0.034 | 92.2 | <0.001 | 0.588 | |
Cohort | 5 | 1.04 (0.89–1.21) | 0.633 | 39.8 | 0.156 | |||
Country | Europe | 12 | 1.11 (0.87–1.43) | 0.402 | 91.2 | <0.001 | <0.001 | |
Other | 7 | 1.56 (1.32–1.84) | <0.001 | 22.4 | 0.259 | |||
Percent male | ≥60.0 | 7 | 1.25 (0.78–2.02) | 0.353 | 94.8 | <0.001 | <0.001 | |
<60.0 | 9 | 1.18 (1.01–1.37) | 0.032 | 61.2 | 0.008 | |||
Assessment of exposure | FFQ | 15 | 1.18 (0.94–1.48) | 0.150 | 90.2 | <0.001 | <0.001 | |
IAQ | 4 | 1.73 (1.22–2.44) | 0.002 | 52.7 | 0.096 | |||
Adjusted extent | Fully | 13 | 1.23 (0.97–1.57) | 0.091 | 91.1 | <0.001 | <0.001 | |
Partial | 6 | 1.47 (1.20–1.79) | <0.001 | 31.9 | 0.196 | |||
Study quality | High | 15 | 1.36 (1.18–1.56) | <0.001 | 70.1 | <0.001 | <0.001 | |
Low | 4 | 0.83 (0.50–1.38) | 0.466 | 67.6 | 0.026 | |||
Moderate versus low nitrite intake | Publication year | 2000 or after | 10 | 1.14 (0.97–1.34) | 0.104 | 74.1 | <0.001 | 0.265 |
Before 2000 | 5 | 1.11 (0.99–1.23) | 0.070 | 0.0 | 0.593 | |||
Study design | Case-control | 10 | 1.23 (1.07–1.43) | 0.005 | 46.9 | 0.049 | <0.001 | |
Cohort | 5 | 0.98 (0.88–1.10) | 0.744 | 42.7 | 0.137 | |||
Country | Europe | 10 | 1.04 (0.95–1.14) | 0.375 | 43.5 | 0.068 | <0.001 | |
Other | 5 | 1.30 (1.01–1.67) | 0.045 | 53.5 | 0.072 | |||
Percent male | ≥60.0 | 4 | 1.43 (1.16–1.77) | 0.001 | 0.0 | 0.407 | <0.001 | |
<60.0 | 8 | 0.99 (0.92–1.05) | 0.672 | 7.1 | 0.376 | |||
Assessment of exposure | FFQ | 12 | 1.03 (0.95–1.12) | 0.414 | 31.6 | 0.139 | <0.001 | |
IAQ | 3 | 1.56 (1.27–1.93) | <0.001 | 14.6 | 0.310 | |||
Adjusted extent | Fully | 11 | 1.11 (0.97–1.26) | 0.127 | 69.9 | <0.001 | 0.078 | |
Partial | 4 | 1.20 (1.02–1.40) | 0.025 | 0.0 | 0.479 | |||
Study quality | High | 12 | 1.13 (1.00–1.27) | 0.044 | 70.1 | <0.001 | 0.759 | |
Low | 3 | 1.11 (0.76–1.61) | 0.583 | 0.0 | 0.375 | |||
High versus low nitrate intake | Publication year | 2000 or after | 8 | 0.89 (0.73–1.09) | 0.268 | 61.3 | 0.011 | <0.001 |
Before 2000 | 9 | 0.75 (0.60–0.93) | 0.010 | 59.1 | 0.012 | |||
Study design | Case-control | 12 | 0.79 (0.63–1.01) | 0.058 | 83.1 | <0.001 | 0.599 | |
Cohort | 5 | 0.92 (0.77–1.09) | 0.321 | 0.0 | 0.745 | |||
Country | Europe | 11 | 0.78 (0.64–0.95) | 0.015 | 59.3 | 0.006 | <0.001 | |
Other | 6 | 0.88 (0.65–1.21) | 0.444 | 82.2 | <0.001 | |||
Percent male | ≥60.0 | 7 | 0.81 (0.61–1.08) | 0.148 | 80.3 | <0.001 | 0.002 | |
<60.0 | 8 | 0.77 (0.58–1.01) | 0.055 | 68.6 | 0.002 | |||
Assessment of exposure | FFQ | 14 | 0.75 (0.64–0.88) | <0.001 | 51.3 | 0.014 | <0.001 | |
IAQ | 3 | 1.10 (1.03–1.19) | 0.008 | 0.0 | 0.633 | |||
Adjusted extent | Fully | 9 | 0.78 (0.61–1.02) | 0.065 | 68.0 | 0.002 | <0.001 | |
Partial | 8 | 0.85 (0.68–1.08) | 0.179 | 74.6 | <0.001 | |||
Study quality | High | 12 | 0.75 (0.63–0.89) | 0.001 | 58.7 | 0.005 | <0.001 | |
Low | 5 | 1.07 (0.94–1.23) | 0.304 | 6.2 | 0.371 | |||
Moderate versus low nitrate intake | Publication year | 2000 or after | 7 | 0.94 (0.84–1.05) | 0.294 | 0.0 | 0.486 | 0.003 |
Before 2000 | 8 | 0.80 (0.65–0.98) | 0.032 | 75.8 | <0.001 | |||
Study design | Case-control | 10 | 0.80 (0.66–0.96) | 0.018 | 66.8 | 0.001 | <0.001 | |
Cohort | 5 | 0.96 (0.86–1.08) | 0.512 | 0.0 | 0.517 | |||
Country | Europe | 11 | 0.81 (0.70–0.94) | 0.006 | 71.2 | <0.001 | 0.008 | |
Other | 4 | 1.13 (0.89–1.45) | 0.324 | 0.0 | 0.671 | |||
Percent male | ≥60.0 | 5 | 0.82 (0.67–1.02) | 0.069 | 10.8 | 0.344 | 0.679 | |
<60.0 | 8 | 0.86 (0.70–1.07) | 0.170 | 80.2 | <0.001 | |||
Assessment of exposure | FFQ | 13 | 0.85 (0.74–0.99) | 0.037 | 69.8 | <0.001 | 0.587 | |
IAQ | 2 | 0.95 (0.54–1.67) | 0.853 | 69.2 | 0.072 | |||
Adjusted extent | Fully | 9 | 0.91 (0.73–1.13) | 0.387 | 79.9 | <0.001 | 0.883 | |
Partial | 6 | 0.83 (0.74–0.93) | 0.002 | 0.0 | 0.632 | |||
Study quality | High | 11 | 0.86 (0.74–1.01) | 0.065 | 73.1 | <0.001 | 0.786 | |
Low | 4 | 0.85 (0.59–1.23) | 0.389 | 49.5 | 0.115 |
CI – confidence interval; FFQ – food-frequency questionnaire; IAQ – interviewer-administered questionnaire; OR – odds ratio.