TABLE 2.
Outcome | Summary of findings | Certainty of evidence | ||||||
---|---|---|---|---|---|---|---|---|
No. of participants (no. of trials) | Mean difference (95% CI) | Risk of bias a | Publication bias b | Imprecision c | Inconsistency d | Certainty of evidence (GRADE score) | ||
Body weight (kg) | 697 (10) | −4.1 kg (−5.9 to −2.4) | □ | □ | □ | ■ | ⊕ ⊕ ⊕ ◯ | Moderate |
BMI (kg/m2) | 780 (10) | −1.38 kg/m2 (−1.96 to −0.80) | □ | □ | □ | ■ | ⊕ ⊕ ⊕ ◯ | Moderate |
HbA1c (%) | 687 (9) | −0.18 percentage points (−0.29 to −0.07) | □ | □ | ■ | □ | ⊕ ⊕ ⊕ ◯ | Moderate |
Systolic blood pressure (mmHg) | 466 (8) | 1.28 mmHg (−1.54 to 4.11) | □ | □ | ■ | □ | ⊕ ⊕ ⊕ ◯ | Moderate |
Diastolic blood pressure (mmHg) | 466 (8) | 0.54 mmHg (−1.21 to 2.29) | □ | □ | ■ | □ | ⊕ ⊕ ⊕ ◯ | Moderate |
Total cholesterol (mmol/L) | 605 (8) | −0.30 mmol/mol (−0.52 to −0.08) | □ | □ | ■ | ■ | ⊕ ⊕ ◯ ◯ | Low |
LDL‐C (mmol/L) | 684 (8) | −0.24 mmol/mol (−0.40 to −0.07) | □ | □ | ■ | ■ | ⊕ ⊕ ◯ ◯ | Low |
HDL‐C (mmol/L) | 698 (9) | −0.06 mmol/mol (−0.12 to 0.01) | □ | □ | ■ | ■ | ⊕ ⊕ ◯ ◯ | Low |
Triglycerides (mmol/L) | 698 (9) | 0.11 mmol/mol (−0.08 to 0.29) | □ | □ | ■ | ■ | ⊕ ⊕ ◯ ◯ | Low |
Note: See further explanation in Supporting Information file 2.
Abbreviations: BMI, body mass index; CI, confidence interval; GRADE, Grading of Recommendations, Assessment, Development and Evaluations; HbA1c, glycated hemoglobin; HDL‐C, high‐density lipoprotein cholesterol; LDL‐C, low‐density lipoprotein cholesterol.
Downgraded by one level if >25% of participants were from studies at high risk of bias.
Downgraded by one level if a funnel plot suggested the presence of publication bias, or if more than 25% of participants were from small studies.
Downgraded by one level if very wide confidence intervals or if small effect, no effect, or small worsening were observed.
Downgraded by one level if dissimilarity in point estimates and confidence intervals were observed and heterogeneity (I 2) > 50%.