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Table 1 Characteristics of included studies

From: Association between elevated cystatin C levels and obstructive sleep apnea hypopnea syndrome: a systematic review and updated meta-analysis

Study

Year

Country

Total(n)

Case/Control

Sex male (%)

Age(years)

BMI(kg/m2)

NOS

Combined with hypertension (Yes or NO)

Study design

Detection methods

Outcome indicators

Kato K

2011

Japan

267

267

81

51 ± 14

26.3 ± 4.7

6

No

CSS

BN II nephelometer

E

Yang LT

2012

China

50

25/25

   

6

No

CCS

ELISA

A, D

Yoshihisa A

2013

Japan

50

50

90

59.9 ± 9.9

25.0 ± 4.5

5

No

CSS

The particle enhanced immunoturbidimetric assay

D

Zhang XB(Mild)

2013

China

38

15/23

100

31.93 ± 5.93

27.11 ± 4.78

7

No

CCS

BN II nephelometer

A, E

Zhang XB(Moderate)

2013

China

47

24/23

100

32.46 ± 4.28

27.29 ± 2.42

7

No

CCS

BN II nephelometer

A, E

Zhang XB(Severe)

2013

China

59

36/23

100

32.11 ± 5.80

29.69 ± 3.81

7

No

CCS

BN II nephelometer

A, E

Mutlu M

2014

Turkey

35

35

40

8.74 ± 3.33

18.17 ± 3.66

7

No

CSS

ELISA

D

Xu JM

2014

China

44

26/18

88.7

67.58 ± 9.97

23.46 ± 3.21

7

No

CCS

Automatic biochemical analyzer

A

Zhang XB

2014

China

39

39

74.4

51.2 ± 12.2

29.59 ± 5.02

8

No

CCS

BN II nephelometer

D

Chen Y(Milld)

2015

China

208

102/106

63.73

44.97 ± 10.39

27.38 ± 3.68

8

Yes

CCS

Roche C8000 automatic biochemical analyzer

A

Chen Y(Moderate)

2015

China

259

153/106

64.71

48.46 ± 10.17

27.60 ± 3.27

8

Yes

CCS

Roche C8000 automatic biochemical analyzer

A

Chen Y(Severe)

2015

China

202

96/106

78.13

47.48 ± 10.98

29.78 ± 3.53

8

Yes

CCS

Roche C8000 automatic biochemical analyzer

A

Archontogeorgis K

2016

Greece

84

64/20

81.25

51.78 ± 11.55

36.34 ± 13.18

9

No

CCS

ELISA

A

Hou TT

2016

China

100

55/45

60

57.48 ± 9.97

27.6 ± 5.4

7

Yes

CCS

Immunoturbidimetry

A, E

Jiang Q(Mild)

2016

China

90

49/41

90

43.76 ± 7.80

26.56 ± 2.81

6

No

CSS

Automatic biochemical analyzer

A, E

Jiang Q(Moderate)

2016

China

97

56/41

91

44.32 ± 7.61

26.75 ± 3.05

6

No

CSS

Automatic biochemical analyzer

A, E

Jiang Q(Severe)

2016

China

133

92/41

99

42.42 ± 8.32

29.12 ± 4.05

6

No

CSS

Automatic biochemical analyzer

A, E

Jiang QQ(Mild)

2016

China

199

97/102

64.95

44.53 ± 9.37

27.62 ± 3.60

6

Yes

CCS

Automatic biochemical analyzer

A

Jiang QQ(Moderate)

2016

China

251

149/102

64.43

48.48 ± 9.39

27.61 ± 3.25

6

Yes

CCS

Automatic biochemical analyzer

A

Jiang QQ(Severe)

2016

China

192

90/102

81.11

46.27 ± 9.96

29.84 ± 3.57

6

Yes

CCS

Automatic biochemical analyzer

A

Wei K

2016

China

120

90/30

 

46 ± 4.2

26.8 ± 3.1

6

No

CSS

Automatic biochemical analyzer

A

Mutlu M

2017

Turkey

25

25

56

46.2 ± 9.3

30.1 ± 4.4

7

No

CSS

ELISA

D

Zhang RF

2017

China

95

80/15

83.15

43.51 ± 7.69

23.01 ± 2.24

7

No

CCS

Automatic biochemical analyzer

A

Geovanini GR(Mild)

2018

USA

919

449/470

48

70 ± 9

29 ± 5

9

Yes

CSS

BN II nephelometer with a particle-enhanced immunonephelometric assay

A

Geovanini GR(Moderate)

2018

USA

704

234/470

53

68 ± 9

31 ± 5

9

Yes

CSS

BN II nephelometer with a particle-enhanced immunonephelometric assay

A

Geovanini GR(Severe)

2018

USA

661

191/470

68

68 ± 9

32 ± 5

9

Yes

CSS

BN II nephelometer with a particle-enhanced immunonephelometric assay

A

Voulgaris A

2018

Greece

96

64/32

84.38

51.00 ± 12.20

35.90 ± 13.10

8

No

CCS

ELISA

A, E

Wang SQ

2018

China

264

174/90

62

53.28 ± 11.27

26.55 ± 3.92

7

No

CCS

Immunoturbidimetry

A

Chen DD(Moderate)

2019

China

49

34/15

100

43.32 ± 11.95

25.35 ± 2.07

7

No

CCS

NR

A

Chen DD(Severe)

2019

China

50

35/15

100

42.06 ± 11.75

26.12 ± 3.49

7

No

CCS

NR

A

Chuang LP(Mild)

2019

Taiwan

32

24//8

87.5

43.8 ± 3.0

25.5 ± 0.8

7

No

CCS

ELISA

E

Chuang LP(Moderate)

2019

Taiwan

29

21//8

90.48

41.4 ± 2.2

25.3 ± 1.6

7

No

CCS

ELISA

E

Chuang LP(Severe)

2019

Taiwan

30

22//8

90.91

43.5 ± 2.0

26.4 ± 0.6

7

No

CCS

ELISA

E

Song F(Mild)

2019

China

118

64/54

78.1

42.95 ± 14.03

26.22 ± 3.43

6

Yes

CCS

NR

A

Song F(Moderate)

2019

China

131

77/54

81.8

43.73 ± 12.96

27.19 ± 3.64

6

Yes

CCS

NR

A

Song F(Severe)

2019

China

162

108/54

91.7

40.47 ± 10.90

27.33 ± 3.88

6

Yes

CCS

NR

A

Nowicki M(Mild)

2020

Poland

45

45

100

41.90 ± 11.80

32.50 ± 5.40

6

No

CSS

ELISA

B, D, E

Nowicki M(Severe)

2020

Poland

41

41

100

47.50 ± 8.50

36.70 ± 6.10

6

No

CSS

ELISA

B, D, E

Nowiński A

2020

Poland

240

240

77

56.8 ± 9.9

 

7

No

CSS

NR

E

Duan YY

2021

China

102

52/50

63.7

60.1 ± 11.3

27.2 ± 1.9

7

No

CCS

ELISA

A

Su X

2021

China

932

932

60.6

66(60–96)

 

7

No

CCS

Latex immunoturbidimetric assays

C

Li JH

2022

China

1107

1107

60.7

66(60–96)

 

8

No

CCS

NR

C, E

Lee S(Mild)

2024

USA

12

12

83.33

43.7 ± 15.8

24.9 ± 2.3

8

No

CSS

NR

B, E

Lee S(Moderate)

2024

USA

12

12

66.67

48.5 ± 11.9

25.3 ± 3.4

8

No

CSS

NR

B, E

Lee S(Severe)

2024

USA

26

26

84.46

47.2 ± 12.3

29.2 ± 4.8

8

No

CSS

NR

B, E

  1. CSS: Cross-sectional study; CCS: Case -control study; NR: Not reported; ELISA: Enzyme linked immunosorbent assay
  2. A: Differences in cystatin C concentrations between patients with OSAHS and controls
  3. B: Circadian variation in cystatin C levels
  4. C: Association of cystatin C levels with stroke, MACEs, and all-cause mortality risk
  5. D: Comparison of serum/plasma cystatin C concentrations in patients with OSAHS before and after treatment with surgery or CPAP
  6. E: Association of cystatin C levels with PSG indexes