An Empirical Evaluation of the Impact Scenario of Pooling Bodies of Evidence from Randomized Controlled Trials and Cohort Studies in Nutrition Research.
cohort studies
meta-analysis
nutrition
pooling
randomized controlled trials
Journal
Advances in nutrition (Bethesda, Md.)
ISSN: 2156-5376
Titre abrégé: Adv Nutr
Pays: United States
ID NLM: 101540874
Informations de publication
Date de publication:
02 10 2022
02 10 2022
Historique:
received:
19
10
2021
revised:
16
12
2021
accepted:
08
04
2022
pubmed:
14
4
2022
medline:
5
10
2022
entrez:
13
4
2022
Statut:
ppublish
Résumé
Only very few Cochrane nutrition reviews include cohort studies (CSs), but most evidence in nutrition research comes from CSs. We aimed to pool bodies of evidence (BoE) from randomized controlled trials (RCTs) derived from Cochrane reviews with matched BoE from CSs. The Cochrane Database of Systematic Reviews and MEDLINE were searched for systematic reviews (SRs) of RCTs and SRs of CSs. BoE from RCTs were pooled together with BoE from CSs using random-effects and common-effect models. Heterogeneity, 95% prediction intervals, contributed weight of BoE from RCTs to the pooled estimate, and whether integration of BoE from CSs modified the conclusion from BoE of RCTs were evaluated. Overall, 80 diet-disease outcome pairs based on 773 RCTs and 720 CSs were pooled. By pooling BoE from RCTs and CSs with a random-effects model, for 45 (56%) out of 80 diet-disease associations the 95% CI excluded no effect and showed mainly a reduced risk/inverse association. By pooling BoE from RCTs and CSs, median I2 = 46% and the median contributed weight of RCTs to the pooled estimates was 34%. The direction of effect between BoE from RCTs and pooled effect estimates was rarely opposite (n = 17; 21%). The integration of BoE from CSs modified the result (by examining the 95% CI) from BoE of RCTs in 35 (44%) of the 80 diet-disease associations. Our pooling scenario showed that the integration of BoE from CSs modified the conclusion from BoE of RCTs in nearly 50% of the associations, although the direction of effect was mainly concordant between BoE of RCTs and pooled estimates. Our findings provide insights for the potential impact of pooling both BoE in Cochrane nutrition reviews. CSs should be considered for inclusion in future Cochrane nutrition reviews, and we recommend analyzing RCTs and CSs in separate meta-analyses, or, if combined together, with a subgroup analysis.
Identifiants
pubmed: 35416239
pii: S2161-8313(23)00039-X
doi: 10.1093/advances/nmac042
pmc: PMC9526829
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1774-1786Informations de copyright
© The Author(s) 2022. Published by Oxford University Press on behalf of the American Society for Nutrition.
Références
Cochrane Database Syst Rev. 2015 Jun 30;(6):CD010037
pubmed: 26126003
Cochrane Database Syst Rev. 2014 Jan 10;(1):CD007470
pubmed: 24414552
BMJ. 2003 Sep 6;327(7414):557-60
pubmed: 12958120
Cochrane Database Syst Rev. 2012 May 16;(5):CD002137
pubmed: 22592684
Cochrane Database Syst Rev. 2015 Jun 10;(6):CD011737
pubmed: 26068959
Eur J Clin Nutr. 2019 Jul;73(7):969-978
pubmed: 30097650
Lancet. 2018 Nov 10;392(10159):1736-1788
pubmed: 30496103
J Am Coll Cardiol. 2011 Mar 15;57(11):1299-313
pubmed: 21392646
Adv Nutr. 2019 Mar 1;10(2):205-218
pubmed: 30801613
Stat Med. 2002 Jun 15;21(11):1539-58
pubmed: 12111919
BMJ. 2011 Nov 10;343:d6617
pubmed: 22074852
Ann Intern Med. 2016 Sep 6;165(5):334-44
pubmed: 27272666
J Clin Epidemiol. 2020 Feb;118:18-28
pubmed: 31698062
Nutrients. 2019 May 08;11(5):
pubmed: 31071930
Cell Physiol Biochem. 2015;36(1):299-305
pubmed: 25967968
Cochrane Database Syst Rev. 2018 Oct 01;10:CD001059
pubmed: 30277579
Clin Nutr ESPEN. 2019 Apr;30:170-184
pubmed: 30904218
Am J Clin Nutr. 2016 Feb;103(2):330-40
pubmed: 26718417
BMJ. 2021 Sep 15;374:n1864
pubmed: 34526355
Int J Epidemiol. 2012 Jun;41(3):818-27
pubmed: 22461129
Lancet. 2019 May 11;393(10184):1958-1972
pubmed: 30954305
BMJ. 2014 Oct 24;349:g6269
pubmed: 25954988
Sci Rep. 2015 Feb 17;5:8506
pubmed: 25687545
Biol Trace Elem Res. 2020 May;195(1):55-62
pubmed: 31368032
Lipids Health Dis. 2019 Apr 6;18(1):91
pubmed: 30954077
Cochrane Database Syst Rev. 2018 Dec 17;12:CD011906
pubmed: 30556597
Cell Metab. 2018 Mar 6;27(3):489-496
pubmed: 29514062
J Clin Epidemiol. 2021 Jul;135:54-69
pubmed: 33588024
Cochrane Database Syst Rev. 2014 Apr 29;(4):MR000034
pubmed: 24782322
Eur J Nutr. 2019 Feb;58(1):173-191
pubmed: 29177567
Cochrane Database Syst Rev. 2012 Aug 15;(8):CD009350
pubmed: 22895989
BMJ. 2014 Apr 01;348:g1903
pubmed: 24690623
Cochrane Database Syst Rev. 2018 Jan 29;1:CD005195
pubmed: 29376219
Eur J Clin Nutr. 2020 Jan;74(1):36-53
pubmed: 30683894
Cochrane Database Syst Rev. 2013 Jan 31;(1):CD009671
pubmed: 23440843
J Acad Nutr Diet. 2018 Jan;118(1):74-100.e11
pubmed: 29111090
J Clin Epidemiol. 2022 Feb;142:200-208
pubmed: 34800676
Cochrane Database Syst Rev. 2016 Jan 07;(1):CD011472
pubmed: 26758499
Am J Obstet Gynecol. 2017 Oct;217(4):404.e1-404.e30
pubmed: 28377269
Cochrane Database Syst Rev. 2012 Jun 13;(6):CD004567
pubmed: 22696344
Cell Physiol Biochem. 2018;45(1):291-300
pubmed: 29402818
Hypertension. 2012 Nov;60(5):1131-7
pubmed: 22987924
JAMA. 2010 Mar 24;303(12):1180-7
pubmed: 20332404
Nutrients. 2018 May 30;10(6):
pubmed: 29849003
Cochrane Database Syst Rev. 2017 Aug 24;8:CD005051
pubmed: 28836672
Ann Intern Med. 2014 Mar 18;160(6):398-406
pubmed: 24723079
Cochrane Database Syst Rev. 2014 Apr 14;(4):CD000227
pubmed: 24729336
Br J Nutr. 2018 Jan;119(1):83-89
pubmed: 29355094
Cochrane Database Syst Rev. 2015 Dec 14;(12):CD007950
pubmed: 26662928
Cochrane Database Syst Rev. 2012 Mar 14;(3):CD007176
pubmed: 22419320
Eur J Epidemiol. 2019 Aug;34(8):765-775
pubmed: 31030306
J Am Geriatr Soc. 2017 Oct;65(10):2161-2168
pubmed: 28758188
Cochrane Database Syst Rev. 2019 Oct 03;10:CD013446
pubmed: 31581312
Gastroenterology. 2014 Mar;146(3):689-699.e6
pubmed: 24216326
J Clin Epidemiol. 2018 Jun;98:33-40
pubmed: 29452221
Am J Clin Nutr. 2020 Jul 1;112(1):150-167
pubmed: 32020162
Adv Nutr. 2018 Nov 1;9(6):701-716
pubmed: 30239557
Adv Nutr. 2016 Nov 15;7(6):994-1004
pubmed: 28140319
Cochrane Database Syst Rev. 2018 Jul 18;7:CD003177
pubmed: 30019766
Eur J Clin Nutr. 2016 Feb;70(2):162-9
pubmed: 25990689
Nutrients. 2019 Sep 26;11(10):
pubmed: 31561503
Cochrane Database Syst Rev. 2019 Mar 14;3:CD004905
pubmed: 30873598
Int J Epidemiol. 2018 Dec 1;47(6):1796-1810
pubmed: 29955869
BMJ Open. 2018 Feb 8;8(2):e018449
pubmed: 29439068
Adv Nutr. 2017 Nov 15;8(6):793-803
pubmed: 29141965
Adv Nutr. 2014 Jan 01;5(1):7-15
pubmed: 24425715
PLoS One. 2013;8(1):e55030
pubmed: 23372809
Am J Clin Nutr. 2012 Dec;96(6):1262-73
pubmed: 23076616
J Clin Epidemiol. 2013 Jun;66(6):599-607
pubmed: 23510555
Cochrane Database Syst Rev. 2013 Dec 06;(12):CD002128
pubmed: 24318424
Eur J Nutr. 2021 Sep;60(6):2893-2903
pubmed: 33377996
Eur J Clin Nutr. 2005 Aug;59 Suppl 1:S150-4; discussion S195-6
pubmed: 16052203
J Nutr. 2012 Jul;142(7):1304-13
pubmed: 22649266
Cochrane Database Syst Rev. 2012 Apr 18;(4):CD008118
pubmed: 22513955
Evid Based Med. 2017 Aug;22(4):139-142
pubmed: 28701372
BMJ. 2015 Aug 11;351:h3978
pubmed: 26268692
BMC Med Res Methodol. 2018 May 21;18(1):44
pubmed: 29783954
Cochrane Database Syst Rev. 2017 Jan 08;1:CD003430
pubmed: 28064440
Adv Nutr. 2019 Nov 1;10(6):1029-1039
pubmed: 31111871
Adv Nutr. 2022 Feb 1;13(1):48-65
pubmed: 34308960
BMJ. 2010 Jun 11;340:c2332
pubmed: 20543010
Cochrane Database Syst Rev. 2014 Dec 18;(12):CD009217
pubmed: 25519688
Cochrane Database Syst Rev. 2017 Jan 03;1:CD006674
pubmed: 28046205
Am J Clin Nutr. 2018 Nov 1;108(5):1069-1091
pubmed: 30475962
Cochrane Database Syst Rev. 2018 Jul 18;7:CD012345
pubmed: 30019767
Epidemiol Rev. 2013;35:2-21
pubmed: 23221971
Lancet Public Health. 2018 Sep;3(9):e419-e428
pubmed: 30122560
BMJ. 2011 Feb 10;342:d549
pubmed: 21310794
BMJ. 2019 Jan 07;364:k5120
pubmed: 30617123
Cochrane Database Syst Rev. 2018 Jul 18;7:CD011094
pubmed: 30019765
Asia Pac J Clin Nutr. 2017;26(5):939-956
pubmed: 28802305
Cochrane Database Syst Rev. 2012 Jun 13;(6):CD005379
pubmed: 22696350
Adv Nutr. 2019 Jul 1;10(4):685-695
pubmed: 31041446
J Matern Fetal Neonatal Med. 2021 May;34(10):1576-1585
pubmed: 31284795
Res Synth Methods. 2015 Mar;6(1):45-62
pubmed: 26035469
Nutr J. 2017 Apr 7;16(1):22
pubmed: 28388919
Cochrane Database Syst Rev. 2017 Mar 16;3:CD011114
pubmed: 28301692
Cochrane Database Syst Rev. 2015 May 28;(5):CD005525
pubmed: 26020622
Cochrane Database Syst Rev. 2015 Aug 07;(8):CD011834
pubmed: 26250104
Int J Epidemiol. 2010 Apr;39 Suppl 1:i110-21
pubmed: 20348114
Evid Rep Technol Assess (Full Rep). 2014 Sep;(217):1-929
pubmed: 30313003
BMJ. 2013 Apr 03;346:f1326
pubmed: 23558163
Cochrane Database Syst Rev. 2017 Dec 04;12:CD003054
pubmed: 29205264
BMJ Evid Based Med. 2022 Apr;27(2):109-119
pubmed: 33298465
Cochrane Database Syst Rev. 2019 Mar 13;3:CD009825
pubmed: 30864165
Osteoporos Int. 2017 May;28(5):1641-1652
pubmed: 28220196
Am J Clin Nutr. 2019 Jan 1;109(1):43-54
pubmed: 30624584
Cochrane Database Syst Rev. 2014 Jun 23;(6):CD007469
pubmed: 24953955
Cochrane Database Syst Rev. 2013 Jun 04;(6):CD009874
pubmed: 23736950