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Table 2 Summary characteristics of studies included in the analysis of vitamin D deficiency and risk of dementia

From: Vitamin D deficiency as a risk factor for dementia and Alzheimer’s disease: an updated meta-analysis

 Author& Publication year

Study Type

Sex

Age (Mean)

No.Patients (totle)

Follow-up duration (year)

25(OH)D (ng/m)

OR

95% CI

Quality score

Vitamin D assessment method

Adjustment

 Karakis, 2016, US

Prospective cohort

W/M

72.4

1663

9

< 10

1.06

0.57–1.98

8

Competitive protein-binding assay and radioimmunoassay

Age, gender, smoking, HTN, DM, prevalent CVD, homocysteine, BMI, and vitamin D supplement use.

 Knekt, 2014, Finland

Prospective cohort

W/M

56.4

5010

17

< 10

1.74

0.64–3.01

8

Radioimmunoassay

Age, month of blood drawn, education, marital status, physical activity, smoking status, alcohol consumption, BMI, BP, FPG, serum TG, and serum TC.

 Licher, 2017, Netherlands

Prospective cohort

W/M

69.2

6087

13.3

< 10

10–20

1.22 1.06

0.97–1.52 0.90–1.26

9

Electrochemiluminescence binding assay

Age, sex, season of blood collection, BMI, SBP, DBP, educational level, smoking, alcohol use, calcium serum levels, ethnicity, eGFR, TC, HDL, history of DM, HF, stroke, MI, depressive symptoms, outdoor activity, and APOE-4 carrier status.

 Schneider, 2014, US

Prospective cohort

W/M

62.0

1652

16.6

< 10 10–20

1.53 1.22

0.84–2.79 0.68–2.19

8

Liquid chromatography-tandem mass spectrometry

Age, sex, education, income, physical activity, smoking, alcohol use, BMI, WC, and vitamin D supplementation.

 Feart,2017, France

Prospective cohort

W/M

73.3

916

11.4

< 10 ng/ml 10–20

2.96

1.43–6.11

8

One-step immunoassay

Gender, education, income,

      

ng/ml

2.29

1.14–4.58

  

depressive symptomatology, number of drugs per day, apolipoprotein E e4 allele, BMI, practice of physical exercise, DM, history of CVD and stroke, HTN, hypercholesterolemia, hypertriglyceridemia, smoking status, and Mediterranean diet score

 Olsson, 2017, Sweden

Prospective Cohort

M

71.0

1182

12

< 10 10–20

1.22 1.06

0.97–1.52 0.90–1.26

8

HPLC atmospheric pressure chemical ionization-mass spectrometry

Age, season of blood collection, BMI, education, physical activity, smoking, DM, HTN, hypercholesterolemia, use of vitamin D supplements, and alcohol intake.

 Littlejohns, 2014,US

Prospective Cohort

W/M

73.6

1615

5.6

< 10 10–20

2.25 1.53

1.23–4.13 1.06–2.21

9

Liquid chromatography tandemmass spectrometry (LC-MS)

Age, season of vitamin D collection, education, sex, BMI, smoking, alcohol consumption, and depressive symptoms

 Annweiler, 2011, France

Cross-sectional

W/M

86.0

288

Not report

< 10

2.57

1.05–6.27

7

Radioimmunoassay (DiaSorin, Inc.,Stillwat er, MN,USA) on fastingblood sample

Fully adjusted but without detailed information

 Nagel, 2015, Germany

Cross-sectional

M/W

75.6

1373

Not report

< 20

1.08

1.06–2.21

8

ELISA(ImmunodiagnosticSystems Inc., Fountain Hills, AZ,USA)

Adjusted for age, sex, school education, smoking status, season, alcohol consumption, BMI, and history of depression

 Buell, 2010, USA

Cross-sectional

M/W

73.5

318

Not report

< 20

2.21

1.13–4.32

7

Radioimmunoassay (DiaSorin, Inc., Stillwater, MN,USA) on fasting blood sample

Age, race, sex, body mass index, and education, kidney function, multivitamin use, season, diabetes, hypertension, plasma homocysteine, and ApoE allele status

 Nourhashemi,2018,French

Cross –sectional

M/W

76.2

1680

Not report

< 20

1.038

0.421–2.557

9

a commercially available electro-chemiluminescencecompetitive binding assay

gender, BMI, season of blood collection, educational level, and ApoE ε4 genotype