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Table 4 GRADE profile of CLA supplementation for glycemic control, adipokine, cytokine, malondialdehyde and liver function enzymes in subjects with metabolic disorders

From: The effects of conjugated linoleic acid supplementation on glycemic control, adipokines, cytokines, malondialdehyde and liver function enzymes in patients at risk of cardiovascular disease: a GRADE-assessed systematic review and dose–response meta-analysis

Outcomes

Risk of bias

Inconsistency

Indirectness

Imprecision

Publication Bias

Quality of evidence

FBG

No serious limitation

Very serious limitation a

No serious limitation

No serious limitation

serious limitation

Very low

Insulin

No serious limitation

No serious limitation

No serious limitation

Serious limitation c

No serious limitation

     Moderate

HbA1c

No serious limitation

Serious limitation b

No serious limitation

Serious limitation c

No serious limitation

   Low

HOMA

No serious limitation

Very serious limitation a

No serious limitation

Serious limitation c

No serious limitation

Very low

CRP

No serious limitation

No serious limitation

No serious limitation

Serious limitation c

No serious limitation

     Moderate

IL-6

No serious limitation

Serious limitation b

No serious limitation

No serious limitation

No serious limitation

     Moderate

TNF-α

No serious limitation

Serious limitation b

No serious limitation

Serious limitation c

Serious limitation d

Very low

Adiponectin

No serious limitation

Very serious limitation a

No serious limitation

Serious limitation c

No serious limitation

Very low

Leptin

No serious limitation

No serious limitation

No serious limitation

No serious limitation

No serious limitation

        High

MDA

No serious limitation

Very serious limitation a

No serious limitation

Serious limitation c

No serious limitation

Very low

ALT

No serious limitation

Very serious limitation a

No serious limitation

Serious limitation c

No serious limitation

Very low

AST

No serious limitation

Serious limitation b

No serious limitation

No serious limitation

No serious limitation

     Moderate

  1. aThere is high heterogeneity (I2 > 75) for FBG, HOMA-IR, adiponectin, MDA and ALT
  2. bThere is moderate heterogeneity (I2 > 40) for HbA1c, IL-6, TNF-α, and AST
  3. cThere is no evidence of significant effects of CLA supplementation on insulin, HbA1c, HOMA-IR, CRP, TNF-α, adiponectin, MDA and ALT
  4. dThere is a significant publication bias based on egger regression test for TNF-α (P = 0.04)