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. 2017 May 19;2017(5):CD011598. doi: 10.1002/14651858.CD011598.pub2

Comparison 32. BMI ‐ maximum follow‐up.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 BMI ‐ overall 20 1528 Mean Difference (IV, Random, 95% CI) 0.40 [‐0.02, 0.83]
2 BMI ‐ bias 20 1528 Mean Difference (IV, Random, 95% CI) 0.44 [0.02, 0.87]
2.1 High risk of bias 20 1528 Mean Difference (IV, Random, 95% CI) 0.44 [0.02, 0.87]
2.2 Low risk of bias 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
3 BMI ‐ mode of delivery 20 1528 Mean Difference (IV, Random, 95% CI) 0.44 [0.02, 0.87]
3.1 General nutrition support 2 196 Mean Difference (IV, Random, 95% CI) 0.92 [0.26, 1.57]
3.2 Fortified nutrition 1 146 Mean Difference (IV, Random, 95% CI) 1.10 [‐0.24, 2.44]
3.3 Oral nutrition support 8 588 Mean Difference (IV, Random, 95% CI) 0.43 [‐0.16, 1.02]
3.4 Enteral nutrition 8 519 Mean Difference (IV, Random, 95% CI) 0.17 [‐0.60, 0.93]
3.5 Parenteral nutrition 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
3.6 Mixed nutrition support 1 79 Mean Difference (IV, Random, 95% CI) 1.12 [‐0.15, 2.39]
4 BMI ‐ by medical speciality 20 1528 Mean Difference (IV, Random, 95% CI) 0.44 [0.02, 0.87]
4.1 Cardiology 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.2 Medical gastroenterology and hepatology 3 201 Mean Difference (IV, Random, 95% CI) 1.02 [0.13, 1.90]
4.3 Geriatrics 4 452 Mean Difference (IV, Random, 95% CI) 0.47 [‐0.24, 1.17]
4.4 Pulmonary disease 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.5 Endocrinology 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.6 Infectious diseases 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.7 Rheumatology 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.8 Haematology 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.9 Nephrology 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.10 Gastroenterologic surgery 6 346 Mean Difference (IV, Random, 95% CI) ‐0.52 [‐2.16, 1.11]
4.11 Trauma surgery 2 184 Mean Difference (IV, Random, 95% CI) 0.64 [0.10, 1.18]
4.12 Ortopaedics 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.13 Plastic, reconstructive, and aesthetic surgery 1 37 Mean Difference (IV, Random, 95% CI) 1.30 [0.04, 2.56]
4.14 Vascular surgery 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.15 Transplant surgery 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.16 Urology 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.17 Thoracic surgery 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.18 Neurological surgery 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.19 Oro‐maxillo‐facial surgery 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.20 Anaesthesiology 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.21 Emergency medicine 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.22 Psychiatry 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.23 Neurology 2 112 Mean Difference (IV, Random, 95% CI) 0.91 [0.24, 1.58]
4.24 Oncology 1 64 Mean Difference (IV, Random, 95% CI) 0.40 [‐1.40, 2.20]
4.25 Dermatology 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.26 Gynaecology 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
4.27 Mixed 1 132 Mean Difference (IV, Random, 95% CI) 1.0 [‐0.67, 2.67]
5 BMI ‐ based on adequacy of the amount of calories 20 1528 Mean Difference (IV, Random, 95% CI) 0.40 [‐0.02, 0.83]
5.1 Clearly adequate in intervention and clearly inadequate in control 9 686 Mean Difference (IV, Random, 95% CI) 0.54 [0.33, 0.74]
5.2 Inadequate in the experimental or adequate in the control 2 101 Mean Difference (IV, Random, 95% CI) 1.00 [0.38, 1.61]
5.3 Experimental group is overfed 1 46 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
5.4 Unclear intake in control or experimental 8 695 Mean Difference (IV, Random, 95% CI) ‐0.04 [‐1.11, 1.03]
6 BMI ‐ different screening tools 20 1528 Mean Difference (IV, Random, 95% CI) 0.44 [0.02, 0.87]
6.1 NRS 2002 2 211 Mean Difference (IV, Random, 95% CI) 1.08 [0.06, 2.09]
6.2 MUST 1 64 Mean Difference (IV, Random, 95% CI) 0.90 [0.19, 1.61]
6.3 MNA 1 35 Mean Difference (IV, Random, 95% CI) 0.60 [‐0.78, 1.98]
6.4 SGA 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
6.5 Other means 16 1218 Mean Difference (IV, Random, 95% CI) 0.30 [‐0.22, 0.83]
7 BMI ‐ participants characterised as 'at nutritional risk' due to one of the following conditions 20 1528 Mean Difference (IV, Random, 95% CI) 0.44 [0.02, 0.87]
7.1 Major surgery 7 383 Mean Difference (IV, Random, 95% CI) ‐0.23 [‐1.55, 1.09]
7.2 Stroke 2 112 Mean Difference (IV, Random, 95% CI) 0.91 [0.24, 1.58]
7.3 ICU participants including trauma 1 64 Mean Difference (IV, Random, 95% CI) 0.40 [‐1.22, 2.02]
7.4 Frail elderly participants with less severe conditions known to increase protein requirements 2 199 Mean Difference (IV, Random, 95% CI) 0.75 [0.22, 1.27]
7.5 Participants do not fall into one of the categories above 8 770 Mean Difference (IV, Random, 95% CI) 0.65 [0.22, 1.09]
8 BMI ‐ participants characterised as 'at nutritional risk' due to one of the following criteria 20 1528 Mean Difference (IV, Random, 95% CI) 0.44 [0.02, 0.87]
8.1 BMI less than 20.5 kg/m2 3 229 Mean Difference (IV, Random, 95% CI) 1.21 [0.29, 2.12]
8.2 Weight loss of at least 5% during the last three months 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
8.3 Weight loss of at least 10% during the last six months 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
8.4 Insufficient food intake during the last week (50% of requirements or less) 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
8.5 Participants characterised as 'at nutritional risk' by other means 17 1299 Mean Difference (IV, Random, 95% CI) 0.35 [‐0.11, 0.81]
9 BMI ‐ participants characterised as 'at nutritional risk' due to biomarkers or anthropometrics 20 1528 Mean Difference (IV, Random, 95% CI) 0.44 [0.02, 0.87]
9.1 Biomarkers 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
9.2 Anthropometric measures 3 229 Mean Difference (IV, Random, 95% CI) 1.21 [0.29, 2.12]
9.3 Characterised by other means 17 1299 Mean Difference (IV, Random, 95% CI) 0.35 [‐0.11, 0.81]
10 BMI ‐ randomisation year 20 1528 Mean Difference (IV, Random, 95% CI) 0.44 [0.02, 0.87]
10.1 Before 1960 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
10.2 1960 to 1979 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]
10.3 1980 to 1999 5 249 Mean Difference (IV, Random, 95% CI) 0.02 [‐2.62, 2.67]
10.4 After 1999 15 1279 Mean Difference (IV, Random, 95% CI) 0.57 [0.39, 0.75]
11 BMI ‐ trials where the intervention lasts fewer than three days compared with trials where the intervention lasts three days or more 20 1528 Mean Difference (IV, Random, 95% CI) 0.44 [0.02, 0.87]
11.1 Three days or more 20 1528 Mean Difference (IV, Random, 95% CI) 0.44 [0.02, 0.87]
11.2 Less than three days 0 0 Mean Difference (IV, Random, 95% CI) 0.0 [0.0, 0.0]