Table 2

Summary of results for systematic reviews of observational studies

ReviewNumber studies/individualsEffect size (CI) risk ratio, random effectsHeterogeneity (I2)Significance (p value)*GRADE
Preterm birth
 Harvey14 7/1792NR; one individual study showed significance and six others not significantNR+ (n=1)†
− (n=6)
Very low
 Newberry32 2/371NR; by individual studyNR+ (n=1)†
− (n=1)
Very low
 Qin25‡‡ 10/10 098 1.19 (1.08 to 1.31) 28% + (0.004) Moderate
 Wei29 4/11111.27 (1.03 to 1.58)
(blood level 25(OH)D<50 nmol/L)
28%− (0.03)Very low
1.05 (0.98 to 1.12)
(blood level 25(OH)D<75 nmol/L)
0%− (0.17)Very low
 Zhou26 16/16 996 1.13 (1.04 to 1.23)
(<50 vs >50 nmol/L)
45% + (0.003) Moderate
15/17 1221.03 (0.98 to 1.08)
(<75 vs >75 nmol/L)
65%− (0.29)Low
Pre-eclampsia
 Chung131/11895 (1.7 to 14.1)§ NR+ (n=1)†Very low
 Harvey14 4/6420.75 (0.48 to 1.19)§ 80.8%− (0.001)Very low
 Newberry32 8/4420NR; by individual studyNR+ (n=5)
− (n=3)
Very low
 Tabesh308/24852.02 (1.26 to 3.23)53%+ (0.04)Very low
 Wei29 6/2008 1.57 (1.21 to 2.03)
(<50 nmol/L)
39% + (0.0006) Low
5/13111.21 (0.99 to 1.46)
(<75 nmol/L)
60%− (0.06)Very low
Gestational diabetes
 Harvey14 8/2668NR; by individual studyNR+ (n=3) †
− (n=5)
Very low
 Lu1520/16 5151.45 (1.15 to 1.83)§66.6%+ (0.002)Low
 Wei29 10/4126 1.12 (1.02 to 1.22)
(<50 nmol/L)
27% + (0.02) Moderate
8/3840 1.09 (1.03 to 1.15)
(<75 nmol/L)
28% + (0.002) Moderate
Small for gestational age
 Harvey14 7/5660NR; by individual studyNR+ (n=2) †
− (n=5)
Very low
 Newberry32 1/412NR; by individual studyNRNRVery low
 Wei29 6/6013 1.35 (1.18 to 1.54)
(<50 nmol/L)
15% + (0.00001) Low
5/22830.99 (0.83 to 1.18)
(<75 nmol/L)
75%− (0.92)Very low
Low birth weight
 Harvey14 3/1676NR; by individual studyNR+ (n=1)†
− (n=2)
Very low
Caesarean section
 Harvey14 6/3277NR; by individual studyNR+ (n=2) †
− (n=4)
Very low
  • *Significance indicated as positive (+) when p value≤0.05 and negative (−) if >0.05.

  • †In absence of pooled data, this indicates the number of studies with positive or negative statistical significance.

  • ‡For each outcome, the review with the highest level of evidence is presented in bold font.

  • §Reported as odds ratios as insufficient data available to convert to risk ratio.

  • 25 (OH)D, 25-hydroxy vitamin D.