Table 4. Summary of findings including GRADE quality assessment for comparison between olive leaf extract and antihypertensive drugs.
No. of participants | Anticipated absolute effects* | |||||||
---|---|---|---|---|---|---|---|---|
Outcomes | No. of participants (studies) | Captopril 12.5–25 mg | Olive leaf extract 1000 mg per day | MD | 95% CI | P-value | Certainty of the evidence (GRADE) | Comments |
Systolic blood pressure (mmHg) | 148 (1 RCT) | 72 | 76 | 2.2 higher | −0.43 to 4.83 | 0.10 | ⊕⊕ LOWa,b | Risk of bias: not serious Inconsistency: seriousa,b; indirectness: not serious; imprecision: seriousa; |
Diastolic blood pressure (mmHg) | 148 (1 RCT) | 72 | 76 | 1.6 higher | −0.13 to 3.33 | 0.07 | ⊕⊕ LOWa,b | Risk of bias: not serious Inconsistency: seriousa,b; indirectness: not serious; imprecision: seriousa; |
Total cholesterol (mg/dl) | 148 (1 RCT) | 72 | 76 | 6.3 lower | −12.75 to 0.15 | 0.06 | ⊕⊕ LOWa,b | Risk of bias: not serious Inconsistency: seriousa,b; indirectness: not serious; imprecision: seriousa; |
LDL (mg/dl) | 148 (1 RCT) | 72 | 76 | 6 lower | −11.5 to -0.5 | 0.03 | ⊕⊕ LOWa,b | Risk of bias: not serious Inconsistency: seriousa,b; indirectness: not serious; imprecision: seriousa; |
HDL (mg/dl) | 148 (1 RCT) | 72 | 76 | 1 higher | −0.79 to 2.79 | 0.27 | ⊕⊕ LOWa,b | Risk of bias: not serious Inconsistency: seriousa,b; indirectness: not serious; imprecision: seriousa; |
TG (mg/dl) | 148 (1 RCT) | 72 | 76 | 10.6 lower | −25.04 to 3.84 | 0.15 | ⊕⊕ LOWa,b | Risk of bias: not serious Inconsistency: seriousa,b; indirectness: not serious; imprecision: seriousa; |
creatinine (mg/dl) | 148 (1 RCT) | 72 | 76 | 0.02 higher | −0.03 to 0.07 | 0.45 | ⊕⊕ LOWa,b | Risk of bias: not serious Inconsistency: seriousa,b; indirectness: not serious; imprecision: seriousa; |
ALT (U/L) | 148 (1 RCT) | 72 | 76 | 1.1 higher | −1.95 to 4.15 | 0.48 | ⊕⊕ LOWa,b | Risk of bias: not serious Inconsistency: seriousa,b; indirectness: not serious; imprecision: seriousa; |
AST (U/L) | 148 (1 RCT) | 72 | 76 | 1.9 higher | 0.2 to 3.6 | 0.03 | ⊕⊕ LOWa,b | Risk of bias: not serious Inconsistency: seriousa,b; indirectness: not serious; imprecision: seriousa; |
Notes.
The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
- CI
- Confidence interval
- MD
- Mean difference
Explanations
small population
wide CI
GRADE Working Group grades of evidence
High certainty: We are very confident that the true effect lies close to that of the estimate of the effect
Moderate certainty: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low certainty: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
Very low certainty: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect