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Table 1 Characteristics of included studies examining the association between β-carotene intake and risk of fractures

From: Effects of β-carotene intake on the risk of fracture: a Bayesian meta-analysis

Author, year

Study design

Sample size

Percent of Women

Fracture outcomes

Mean age

Exposure assessment

Covariate adjustmenta

Country

NOS score

Items that did not earn a NOS score

Feskanich, 2002 [24]

Cohort

72,337

100

Hip fracture

60

FFQ: Self-reported

1, 7, 8, 14, 15, 16, 17, 18, 19, 20

USA

7

- Study controls for any additional factor

- Complete follow up, all subjects accounted for

Zhang, 2006 [18]

C-C

2564

69.2

Hip fracture

75.2

FFQ: Self-reported

1, 2, 8, 9, 11, 12, 14, 18, 19, 21

USA

9

 

Sahni, 2009 [17]

Cohort

1046

61

Hip fracture

75

FFQ: Self-reported

1, 2, 8, 9, 12, 14, 19, 21, 22

USA

8

- Truly representative of the average sample in the community

Ambrosini, 2013 [19]

Cohort

2322

28.6

Any fracture

55

Medical records

1, 2, 6, 8, 14, 23

Australia

5

- Truly representative of the average sample in the community

- Independent blind assessment

- Study controls for any additional factor

- Complete follow up, all subjects accounted for

Sun, 2014 [20]

C-C

1452

NA

Hip fracture

70.5

FFQ: Self-reported

1,2, 3, 4, 5, 6, 8, 9, 10, 11, 12, 13, 14

China

7

- Consecutive or representative series of cases

- Community controls

Dai, 2014 [23]

Cohort

63,154

55.8

Hip fracture

56.3

FFQ: Self-reported

1, 3, 8, 9, 11, 12, 14, 15, 24, 25, 26, 27, 28

Singapore/China

7

- Complete follow up, all subjects accounted for

- Independent blind assessment

Jonge, 2015 [22]

Cohort

5288

58.9

Any fracture

67

FFQ: Self-reported

1, 2, 3, 5, 8, 9, 11, 14, 29

Netherland

8

- Selected an adequate follow up period for outcome of interest

Hayhoe, 2017 [37]

Cohort

40,242

55.3

Any/hip/spine fracture

60.8

7-day food diaries

1, 6, 7, 8, 9, 11, 12, 14, 15, 30, 31

UK

9

 

Cao, 2018 [21]

C-C

2140

74.1

Hip fracture

70.6

FFQ: Self-reported

1, 3, 4, 5, 6, 7, 8, 10, 11, 12, 14, 32

China

5

- Consecutive or representative series of cases

- Study controls for any additional factor

- Same method of ascertainment for cases and controls

- Same non-response rate for both groups

  1. Abbreviations: C-C case-control, FFQ food frequency questionnaire, NA not available, UK United Kingdomm, US United States,
  2. aAge (1), sex (2), educational level (3), occupation (4), household income (5), family history of fracture (6), smoking status (7), alcohol intake (8), calcium use (9), multivitamin supplement use (10), physical activity (11), daily energy intake (12), dietary intake of selected nutrients (13), body mass index (14), use of postmenopausal hormones (15), hours of leisure-time activity (16), use of thiazide diuretics (17), protein use (18), vitamin D (19), vitamin K (20), caffeine use (21), height (22), medication use (23), dialect group (24), vitamin B6 (25), soy isoflavones (26), history of diabetes and stroke (27), use of hormone replacement therapy (28), disability index (29), hormone replacement therapy (30), corticosteroid use (31), and calcium supplement use (32)