Meta-Analyses of Methionine Source Concept Validation Trials in Broilers
Abstract
:Simple Summary
Abstract
1. Introduction
2. Materials and Methods
2.1. Data Collection and Screening
2.2. Data Collection
2.3. Data Analysis
3. Results and Discussion
3.1. Publication Bias
3.2. Methionine+Cysteine Specification Setting in Experimental Diets
3.3. Two MHA Products
3.4. Source of Data
3.5. Broiler Strain
3.6. Diet Type
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Rosenberg, H.R. Methionine and lysine supplementation of animal feeds. Agric. Food Chem. 1957, 5, 694–700. [Google Scholar] [CrossRef]
- Willke, T. Methionine production—A critical review. Appl. Microbiol. Biotechnol. 2014, 98, 9893–9914. [Google Scholar] [CrossRef] [PubMed]
- Monsanto Chemical Company. Production of Alpha-Hydroxy-Gamma-Mercapto-Carboxylic Acids and Salts Thereof and Compositions Containing the Same. Patent Specification 722,024, 19 January 1955.
- Nufer, H.L. Preparation of Methionine Analogues. U.S. Patent No. 3,272,860, 13 September 1966. [Google Scholar]
- Smith, R.E. The Utilization of l-Methionine, dl-Methionine and Methionine Hydroxy Analogue by the Growing Chick. Poult. Sci. 1966, 45, 571–577. [Google Scholar] [CrossRef]
- Harms, R.H.; Eldred, A.R.; Damron, B.L. The Relative Efficiency of dl-Methionine and Methionine Hydroxy Analogue-Calcium (MHAC) in Broiler Diets. Poult. Sci. 1976, 55, 1794–1797. [Google Scholar] [CrossRef]
- Bishop, R.B.; Halloran, H.R. The effect of methionine or methionine hydroxy analogue supplementation on chick response to total sulfur amino acid intake. Poult. Sci. 1977, 56, 383–385. [Google Scholar] [CrossRef] [PubMed]
- Boebel, K.P.; Baker, D.H. Efficacy of the Calcium Salt and Free Acid Forms of Methionine Hydroxy Analog for Chicks. Poult. Sci. 1982, 61, 1167–1175. [Google Scholar] [CrossRef]
- van Weerden, E.J.; Bertram, H.L.; Schutte, J.B. Comparison of DL-Methionine, DL-Methionine-Na, DL-Methionine hydroxy analogue-Ca, and DL-Methionine hydroxy analogue free acid in broilers using a crystalline amino acid diet. Poult. Sci. 1982, 61, 1125–1130. [Google Scholar] [CrossRef]
- Rhône-Poulenc—AEC. Comparison of the Nutrtional Efficacy of DL-Methionine and Its Hydroxy Analog Free Acid in Broilers; Rhône-Poulenc—AEG: Strasbourg, France, 1983; 12/Poultry 255. [Google Scholar]
- van Weerden, E.J.; Schutte, J.B.; Bertram, H.L. Utilization of the polymers of methionine hydroxy analogue free acid (MHA-FA) in roiler chicks. Arch. Geflugelkd. 1992, 56, 63–68. [Google Scholar]
- Uzu, G. Nutritional efficacy of DL-methionine, D-methionine and DL-methionine hydroxy analog acid in a corn-soyabean meal -lupin diet. In Proceedings of the 7th European Poultry Conference, Paris, France, 24–28 August 1986; pp. 612–613. [Google Scholar]
- Uzu, G. Nutritional Efficacy of Methionine Hydroxy Analog Acid Compared to Pure and Diluted DL-Methionine; Rhône-Poulenc—A.E.C. Information: Strasbourg, France, 1986; pp. 1–6. [Google Scholar]
- Lewis, A.J.; Baker, D.H. Bioavailability of D-amino acids and DL-hydroxy methionine. In Bioavailability of Nutrients for Animals: Amino Acids, Minerals, and Vitamins; Ammerman, C.B., Baker, D.H., Lewis, A.J., Eds.; Academic Press Limited: London, UK, 1995; pp. 67–81. ISBN 012-056250-2. [Google Scholar]
- Jansman, A.; Kan, C.A.; Wiebenga, J. Comparison of the Biological Efficacy of DL-Methionine and Hydroxy-4-Methylthiobutanoic Acid (HMB) in Pigs and Poultry; Centraal Veefoederbureau; Publisher Animal Sciences Group: Wageningen, The Netherlands, 2003. [Google Scholar]
- Rychen, G.; Aquilina, G.; Azimonti, G.; Bampidis, V.; de Lourdes Bastos, M.; Bories, G.; Chesson, A.; Cocconcelli, P.S.; Flachowsky, G.; Gropp, J.; et al. Safety and efficacy of hydroxy analogue of methionine and its calcium salt (ADRY+®) for all animal species. EFSA J. 2018, 16, e05198. [Google Scholar] [CrossRef]
- Lemme, A.; Naranjo, V.; de Paula Dorigam, J.C. Utilization of Methionine Sources for Growth and Met + Cys Deposition in Broilers. Animals 2020, 10, 2240. [Google Scholar] [CrossRef]
- Lemme, A. Relative Effectiveness of Methionine Hydroxy Analogue Calcium Salt in Broilers and Layers; AMINONews®: Essen, Germany, 2004; pp. 1–8. [Google Scholar]
- Hoehler, D.; Lemme, A.; Jensen, S.K.; Vieira, S.L. Relative Effectiveness of Methionine Sources in Diets for Broiler Chickens. J. Appl. Poult. Res. 2005, 14, 679–693. [Google Scholar] [CrossRef]
- Hoehler, D.; Mack, S.; Jansman, A.; de Jong, J. Regression analysis to assess the bioefficacy of different methionine sources in broiler chickens. In Proceedings of the 26th Poultry Science Symposium, Peebles, Scotland, 22–24 June 1999; p. 2. [Google Scholar]
- Littell, R.C.; Henry, P.R.; Lewis, A.J.; Ammerman, C.B. Estimation of relative bioavailability of nutrients using SAS procedures. J. Anim. Sci. 1997, 75, 2672–2683. [Google Scholar] [CrossRef] [PubMed]
- Vázquez-Añón, M.; González-Esquerra, R.; Saleh, E.; Hampton, T.; Ritcher, S.; Firman, J.; Knight, C.D. Evidence for 2-hydroxy-4(methylthio) butanoic acid and DL-methionine having different dose responses in growing broilers. Poult. Sci. 2006, 85, 1409–1420. [Google Scholar] [CrossRef] [PubMed]
- Vázquez-Añón, M.; Kratzer, D.; González-Esquerra, R.; Yi, I.G.; Knight, C.D. A multiple regression model approach to contrast the performance of 2-hydroxy-4-methylthio butanoic acid and DL-methionine supplementation tested in broiler experiments and reported in the literature. Poult. Sci. 2006, 85, 693–705. [Google Scholar] [CrossRef] [PubMed]
- Liu, Y.L.; Song, G.L.; Yi, G.F.; Hou, Y.Q.; Huang, J.W.; Vazquez-Anon, M.; Knight, C.D. Effect of supplementing 2-Hydroxy-4-(Methylthio) butanoic acid and DL-methionine in corn-soy-cotton seed meal diets on growth performance and carcass quality of broilers. Asian Australas. J. Anim. Sci. 2006, 19, 1197–1205. [Google Scholar] [CrossRef]
- Uddin, M.E.; van Lingen, H.J.; Da Silva-Pires, P.G.; Batonon-Alavo, D.I.; Rouffineau, F.; Kebreab, E. Evaluating growth response of broiler chickens fed diets supplemented with synthetic DL-methionine or DL-hydroxy methionine: A meta-analysis. Poult. Sci. 2022, 101, 101762. [Google Scholar] [CrossRef] [PubMed]
- Lemme, A.; Piepho, H.-P. Issues with a meta-analysis assessing the efficacy of different sources of methionine supplementation. Poult. Sci. 2022, 101, 102115. [Google Scholar] [CrossRef] [PubMed]
- Uddin, M.E.; Batonon-Alavo, D.I.; Rouffineau, F.; Kebreab, E. Response to Letter to the Editor titled: Issues with a meta-analysis assessing the efficacy of different sources of methionine supplementation by A. Lemme and H-P Piepho. Poult. Sci. 2022, 101, 102118. [Google Scholar] [CrossRef]
- Kratzer, D.D.; Littell, R.C. Appropriate Statistical Methods to Compare Dose Responses of Methionine Sources. Poult. Sci. 2006, 85, 947–954. [Google Scholar] [CrossRef]
- Piepho, H.P. A cautionary note on appropriate statistical methods to compare dose responses of methionine sources. Poult. Sci. 2006, 85, 1511–1512. [Google Scholar] [CrossRef]
- Sauer, N.; Emrich, K.; Piepho, H.-P.; Lemme, A.; Redshaw, M.S.; Mosenthin, R. Meta-analysis of the relative efficiency of methionine-hydroxy-analogue-free-acid compared with DL-methionine in broilers using nonlinear mixed models. Poult. Sci. 2008, 87, 2023–2031. [Google Scholar] [CrossRef] [PubMed]
- Agostini, P.S.; Dalibard, P.; Mercier, Y.; van der Aar, P.; van der Klis, J.D. Comparison of methionine sources around requirement levels using a methionine efficacy method in 0 to 28 day old broilers. Poult. Sci. 2016, 95, 560–569. [Google Scholar] [CrossRef] [PubMed]
- Batonon-Alavo, D.I.; Manceaux, C.; Wittes, J.T.; Rouffineau, F.; Mercier, Y. New statistical approach shows that hydroxy-methionine is non-inferior to DL-Methionine in 35-day old broiler chickens. Poult. Sci. 2023, 102, 102519. [Google Scholar] [CrossRef] [PubMed]
- Batonon-Alavo, D.I.; Manceaux, C.; Wittes, J.T.; Rouffineau, F.; Mercier, Y. Response to letter to the editor titled: Non-inferiority of the hydroxy analogue of methionine compared to DL-Methionine not confirmed in a broiler trial. Poult. Sci. 2023, 102, 102643. [Google Scholar] [CrossRef] [PubMed]
- Lemme, A.; Piepho, H.P. Non-inferiority of the hydroxy analogue of methionine compared to DL-methionine not confirmed in a broiler trial. Poult. Sci. 2023, 102, 102644. [Google Scholar] [CrossRef] [PubMed]
- Elwert, C.; Fernandes, E.d.A.; Lemme, A. Biological Effectiveness of Methionine Hydroxy-analogue Calcium Salt in Relation to DL-Methionine in Broiler Chickens. Asian Australas. J. Anim. Sci. 2008, 21, 1506–1515. [Google Scholar] [CrossRef]
- Dorigam, J.C.P.; Lemme, A.; Malins, H. Methionine sources in turkeys—An update. In Proceedings of the 15th Turkey Science and Production Conference, Chester, UK, 22–24 March 2023; pp. 63–70. [Google Scholar]
- Zhang, S.; Saremi, B.; Gilbert, E.R.; Wong, E.A. Physiological and biochemical aspects of methionine isomers and a methionine analogue in broilers. Poult. Sci. 2017, 96, 425–439. [Google Scholar] [CrossRef] [PubMed]
- Murakami, A.E.; de Oliveira Neto, A.R.; Ospina-Rojas, I.C.; Naranjo, V.; Arruda, N.A. Bioavailability of methionine hydroxy analog relative to DL-methionine in broilers during the starter and grower phases. Poult. Sci. 2017, 96, 102. [Google Scholar]
- Evonik Nutrition & Care GmbH. Facts & Figures 15133—A Broiler Trial from Pakistan Confirms Equivalency of DL- and L-Methionine and MHA-Ca When a Bioavailability of 65% Is Applied; Evonik: Essen, Germany, 2017. [Google Scholar]
- Evonik Nutrition & Care GmbH. Facts & Figures 15128—Nutritional Value of DL-Methionine, L-Methionine, and MHA-Ca in Broiler Chickens under Heat Stress Conditions; Evonik: Essen, Germany, 2016. [Google Scholar]
- Evonik Nutrition & Care GmbH. Facts & Figures 15123—Comparison of Methionine Sources in Broilers Diets under Common Russian Feeding Conditions; Evonik: Essen, Germany, 2016. [Google Scholar]
- Evonik Nutrition & Care GmbH. Facts & Figures 15120—Comparison of the Relative Bioefficacy of Different Methionine Sources in broilers; Evonik: Essen, Germany, 2015. [Google Scholar]
- Evonik Industries AG. Facts & Figures 15116—Integrating AMINOChick Recommendations into Least-Cost Formulation: Is Worth Feeding MHA-CA? Evonik: Essen, Germany, 2015. [Google Scholar]
- Lemme, A.; Hoehler, D.; Brennan, J.J.; Mannion, P.F. Relative effectiveness of methionine hydroxy analog compared to DL-methionine in broiler chickens. Poult. Sci. 2002, 81, 838–845. [Google Scholar] [CrossRef]
- Mandal, A.B.; Elangovan, A.V.; Johri, T.S. Comparing Bio-efficacy of Liquid DL-methionine Hydroxy Analogue Free Acid with DL-methionine in Broiler Chickens. Asian Australas. J. Anim. Sci. 2004, 17, 102–108. [Google Scholar] [CrossRef]
- Payne, R.L.; Lemme, A.; Seko, H.; Hashimoto, Y.; Fujisaki, H.; Koreleski, J.; Swiatkewicz, S.; Szczurek, W.; Rostagno, H.S. Bioavailability of methionine hydroxy analog-free acid relative to DL-methionine in broilers. Anim. Sci. J. 2006, 77, 427–439. [Google Scholar] [CrossRef]
- Pagliari Sangali, C.; Bruno, L.D.G.; Nunes, R.V.; de Oliveira Neto, R.; Pozza, P.C.; de Oliveira, T.M.M.; Frank, R.; Schoene, R.A. Bioavailability of different methionine sources for growing broilers. Rev. Bras. Zootech. 2014, 43, 140–145. [Google Scholar] [CrossRef]
- Li, Z.; Dorigam, J.C.P.; Afsar, A.; Lemme, A.; Da Silva Viana, G.; Musharbash, E. Evaluation of methionine sources on performance and carcass traits of broilers at different dietary sulfur amino acid levels under northern European and middle Eastern conditions. Poult. Sci. Meet. Book Abstr. 2023; in press. [Google Scholar]
- Evonik Industries AG. Facts & Figures 15101—A Trial at Bangladesh Agricultural University Confirms That 65 Units of MetAMINO Can Replace 100 Units of MHA-Ca in Broiler Diets; Evonik: Essen, Germany, 2012. [Google Scholar]
- Santos Viana, M.d.; Albino, L.F.; Rostagno, H.S.; Barreto, S.L.T.; de Oliveira Carvalho, D.C.; Gomes, P.C. Methionine sources and levels in broiler chick diets. Rev. Bras. Zootech. 2009, 38, 1751–1756. [Google Scholar]
- Goes, E.; Iuspa, M.A.; Naranjo, V.; Almeida, L.; Oliveira, A.; Maiorka, A. The effects of replacing methionine hydroxy-analogue calcium salt with 65% Dl-methionine on growth performance and carcass quality of broilers from 21 to 42 days of age. Poult. Sci. 2017, 96, 102. [Google Scholar]
- Boontarue, D.; Castro, F.L.; Wen, J.; Poholsky, C.; Liebross, B.; Boney, J.W. Effects of methionine supplement sources and crude protein on Ross 708 male broiler performance. Poult. Sci. 2023, 102, 62. [Google Scholar]
- Foutz, J.C. How Does Age and Dietary Methionine Affect the Transcriptome of Broiler Chickens Reared under Thermoneutral and Heat Stress Conditions? Ph.D. Thesis, University of Georgia, Athens, GA, USA, 2021. [Google Scholar]
- Sangali, C.P.; Bruno, L.D.G.; Nunes, R.V.; Neto, A.R.D.O.; Pozza, P.C.; Henz, J.R.; Giacobbo, F.C.N.; Berwanger, E. Bioavailability of different methionine sources for broilers from 1 to 21 days old. Cienc. Investig. Agrar. 2015, 42, 7–8. [Google Scholar] [CrossRef]
- Gernat, A.; Mendoza, C.; Martinez, S.; Murillo, G.; Naranjo, V.; Helmbrecht, A. Effects of replacing MHA-Ca salt with 65% DL-Methionine on growth performance and carcass traits of broilers. Poult. Sci. 2013, 92, 255–256. [Google Scholar]
- Fernandez, F.; Morao, L.; Naranjo, V.; Helmbrecht, A. Comparison of methionine sources in diets for broilers from 0 to 28 days of age. Poult. Sci. 2017, 96, 152–153. [Google Scholar]
- Barekatain, R.; Kluenemann, M. Intestinal permeability, microbiota composition, and expression of genes related to intestinal barrier function of broiler chickens fed different methionine sources supplemented at varying concentrations. Poult. Sci. 2023, 102, 102656. [Google Scholar] [CrossRef]
- Li, Z.; Dorigam, J.C.P.; Lemme, A.; Da Silva Viana, G.; Soares, L. Supplementation of DL-methionine at 65% of MHA-FA supports similar performance in broilers irrespective of dietary crude protein and methionine + cysteine levels. In Proceedings of the PSA Annual Meeting, Louisville, KY, USA, 12–15 July 2024. [Google Scholar]
- Acutis, M.; Tadiello, T.; Perego, A.; Di Guardo, A.; Schillaci, C.; Valkama, E. EX-TRACT: An excel tool for the estimation of standard deviations from published articles. Environ. Model. Softw. 2022, 147, 105236. [Google Scholar] [CrossRef]
- Andreas Lemme. AMINOChick® 3.0—Updated Amino Acid Recommendation Tool for Broilers with Additional Features; AMINONews®: Essen, Germany, 2021; pp. 1–11. [Google Scholar]
- Suurmond, R.; van Rhee, H.; Hak, T. Introduction, comparison, and validation of Meta-Essentials: A free and simple tool for meta-analysis. Res. Synth. Methods 2017, 8, 537–553. [Google Scholar] [CrossRef] [PubMed]
- Hedges, L.V.; Olkin, I. Statistical Methods for Meta-Analysis; Academic Press: San Diego, CA, USA, 1985. [Google Scholar]
- Cohen, J. Statistical Power Analysis for the Behavioral Sciences, 2nd ed.; Lawrence Erlbaum Associates: Hillside, NJ, USA, 1988. [Google Scholar]
- Higgins, J.P.T.; Thompson, S.G. Quantifying heterogeneity in a meta-analysis. Stat. Med. 2002, 21, 1539–1558. [Google Scholar] [CrossRef] [PubMed]
- Viechtbauer, W.; Cheung, M.W.-L. Outlier and influence diagnostics for meta-analysis. Res. Synth. Methods 2010, 1, 112–125. [Google Scholar] [CrossRef] [PubMed]
- Duval, S.; Tweedie, R. A Nonparametric “Trim and Fill” Method of Accounting for Publication Bias in Meta-Analysis. J. Am. Stat. Assoc. 2000, 95, 89–98. [Google Scholar] [CrossRef]
- Begg, C.B.; Mazumdar, M. Operating characteristics of a rank correlation test for publication bias. Biometrics 1994, 50, 1088–1101. [Google Scholar] [CrossRef] [PubMed]
- Egger, M.; Davey Smith, G.; Schneider, M.; Minder, C. Bias in meta-analysis detected by a simple, graphical test. BMJ 1997, 315, 629–634. [Google Scholar] [CrossRef]
- van Weerden, E.J.; Schutte, J.B.; Bertram, H.L. DL-Methionine and DL-Methionine hydroxy analogue free acid in broiler diets. Poult. Sci. 1983, 62, 1269–1274. [Google Scholar] [CrossRef]
- Rodehutscord, M.; Pack, M. Estimates of essential amino acid requirements from dose-response studies with rainbow trout and broiler chicken: Effect of mathematical model. Arch. Anim. Nutr. 1999, 52, 223–244. [Google Scholar] [CrossRef] [PubMed]
- Elwert, C.; Lemme, A.; Redshaw, M. Modelling complete dose-response curves for methionine in broilers. In Proceedings of the 17th European Symposium on Poultry Nutrition, Edinburgh, Scotland, 23–27 August 2009; p. 254. [Google Scholar]
- Zeitz, J.O.; Fleischmann, A.; Ehbrecht, T.; Most, E.; Friedrichs, S.; Whelan, R.; Gessner, D.K.; Failing, K.; Lütjohann, D.; Eder, K. Effects of supplementation of DL-methionine on tissue and plasma antioxidant status during heat-induced oxidative stress in broilers. Poult. Sci. 2020, 99, 6837–6847. [Google Scholar] [CrossRef]
- Magnuson, A.D.; Liu, G.; Sun, T.; Tolba, S.A.; Xi, L.; Whelan, R.; Lei, X.G. Supplemental methionine and stocking density affect antioxidant status, fatty acid profiles, and growth performance of broiler chickens. J. Anim. Sci. 2020, 98, skaa092. [Google Scholar] [CrossRef]
- Dong, C.-L.; Wu, T.; Dong, Y.; Qu, Q.-W.; Chen, X.-Y.; Li, Y.-H. Exogenous methionine contributes to reversing the resistance of Streptococcus suis to macrolides. Microbiol. Spectr. 2024, 12, e0280323. [Google Scholar] [CrossRef] [PubMed]
- Mercier, Y.; Batonon-Alavo, D.I.; Mahmood, T. DL-Methionine and OH-Methionine exhibited equal perforamnce in one million broilers chickens. In Proceedings of the 26th World’s Poultry Congress, Paris, France, 7–11 August 2022; p. 479. [Google Scholar]
- Agostini, P.S.; van der Aar, P.; Naranjo, V.D.; Lemme, A. Effect of methionine source at marginal and adequate methionine levels in turkeys. In Proceedings of the 21st European Symposium on Poultry Nutrition, Salou, Spain, 8–11 May 2017. [Google Scholar]
- Martin-Venegas, R.; Geraert, P.A.; Ferrer, R. HMB is efficientyl hydrolysed, absorbed and ververted in the intestine. In Proceedings of the 22th World Poultry Congress, Istanbul, Turkey, 8–13 June 2004; p. 4. [Google Scholar]
- Koban, H.G.; Koberstein, E. Kinetics of hydrolysis of dimeric and trimeric methionine hydroxy analog free acid under physiological conditions of pH and temperature. J. Agric. Food Chem. 1984, 32, 393–396. [Google Scholar] [CrossRef]
- Martín-Venegas, R.; Soriano-García, J.F.; Vinardell, M.P.; Geraert, P.A.; Ferrer, R. Oligomers Are Not the Limiting Factor in the Absorption of DL-2-Hydroxy-4-(methylthio)butanoic Acid in the Chicken Small Intestine. Poult. Sci. 2006, 85, 56–63. [Google Scholar] [CrossRef] [PubMed]
- Mitchell, M.A.; Lemme, A. Examination of the composition of the luminal fluid in the small intestine of broilers and absorption of amino acids under various ambient temperatures measured In vivo. Int. J. Poult. Sci. 2008, 7, 223–233. [Google Scholar]
- Esteve-Garcia, E.; Austic, R.E. Intestinal absorption and renal excretion of dietary methionine sources by growing chicken. J. Nutr. Biochem. 1993, 4, 576–587. [Google Scholar] [CrossRef]
- Lingens, G.; Molnar, S. Studies on metabolism of broilers by using 14C-labelled DL-methionine and DL-methionine hydroxy analogue calcium salt. Arch. Anim. Nutr. 1996, 49, 113–124. [Google Scholar]
- Maenz, D.D.; Engele-Schaan, C.M. Methionine and 2-hydroxy-4-methylthiobutanoic acid are transported by distinct Na+-dependent and H+-dependent systems in the brush boarder membrane of chick intestinal epithelium. J. Nutr. 1996, 126, 529–536. [Google Scholar] [CrossRef] [PubMed]
- Maenz, D.D.; Engele-Schaan, C.M. Methionine and 2-Hydroxy-4-Methylthiobutanoic Acid Are Partially Converted to Nonabsorbed Compounds during Passage through the Small Intestine and Heat Exposure Does Not Affect Small Intestinal Absorption of Methionine Sources in Broiler Chicks. J. Nutr. 1996, 126, 1438–1444. [Google Scholar] [CrossRef]
- Malik, G.; Hoehler, D.; Rademacher, M.; Drew, M.D.; van Kessel, A.G. Apparent absorption of methionine and 2-hydroxy-4-methylthiobutanoic acid from gastrointestinal tract of conventional and gnotobiotic pigs. Animal 2009, 3, 1378–1386. [Google Scholar] [CrossRef]
- Drew, M.D.; van Kessel, A.G.; Maenz, D.D. Absorption of methionine and 2-hydroxy-4-methylthiobutoanic acid in conventional and germ-free chickens. Poult. Sci. 2003, 82, 1149–1153. [Google Scholar] [CrossRef]
- Rosen, G.D. Holo-analysis. Poult. Sci. 2006, 85, 957–959. [Google Scholar] [CrossRef] [PubMed]
- Rosen, G.D. Optimizing the replacement of pronutrient antibiotics in poultry nutrition. In Proceedings of the Alltech’s 20th International Symposium; Lyons, T.P., Jacques, K.A., Eds.; Nottingham University Press: Thrumpton, UK, 2004; pp. 93–101. [Google Scholar]
- de La Cruz, C.; Lemme, A.; Naatjes, M.; Baumaister, T.; Tallen, F.; Westendarp, H. Effec of methionine-hydroxy analogue (MHA-FA) and DL-methionine at a quantitative ratio of 100:65 in layers in aviary production system. Poult. Sci. 2018, 97, 61. [Google Scholar]
- Vázquez-Añón, M.; Bertin, G.; Mercier, Y.; Reznik, G.; Roberton, J.-L. Review of the chemistry, metabolism, and dose response of two supplemental methionine sources and the implications in their relative bioefficacy. World’s Poult. Sci. J. 2017, 73, 725–736. [Google Scholar] [CrossRef]
- Souza, V.C.; Remus, A.; Batonon-Alavo, D.I.; Rouffineau, F.; Mercier, Y.; Pomar, C.; Kebreab, E. Systematic review and meta-analysis of the methionine utilization efficiency in piglets receiving different methionine sources. Animal 2023, 17 (Suppl. 5), 100894. [Google Scholar] [CrossRef] [PubMed]
- Kim, B.G.; Lindemann, M.D.; Rademacher, M.; Brennan, J.J.; Cromwell, G.L. Efficacy of dl-methionine hydroxy analog free acid and dl-methionine as methionine sources for pigs. J. Anim. Sci. 2006, 84, 104–111. [Google Scholar] [CrossRef] [PubMed]
- Wang, M.Q.; La Huyen, T.T.; Lee, J.W.; Ramos, S.H.; Htoo, J.K.; La Kinh, V.; Lindemann, M.D. Bioavailability of the calcium salt of dl-methionine hydroxy analog compared with dl-methionine for nitrogen retention and the preference of nursery pigs for diets based on the 2 forms of methionine. J. Anim. Sci. 2020, 98, skaa349. [Google Scholar] [CrossRef] [PubMed]
- Opapeju, F.O.; Htoo, J.K.; Dapoza, C.; Nyachoti, C.M. Bioavailability of methionine hydroxy analog-calcium salt relative to DL-methionine to support nitrogen retention and growth in starter pigs. Animal 2012, 6, 1750–1756. [Google Scholar] [CrossRef] [PubMed]
- Zimmermann, B.; Mosenthin, R.; Rademacher, M.; Lynch, P.; Esteve-Garcia, E. Comparative studies on relative efficacy of DL-methionine and liquid methionine hydroxy analogue in growing pigs. Asian Australas. J. Anim. Sci 2005, 18, 1003–1010. [Google Scholar] [CrossRef]
- Chrystal, P.V.; Greenhalgh, S.; McInerney, B.V.; McQuade, L.R.; Akter, Y.; de Paula Dorigam, J.C.; Selle, P.H.; Liu, S.Y. Maize-based diets are more conducive to crude protein reductions than wheat-based diets for broiler chickens. Anim. Feed Sci. Technol. 2021, 275, 114867. [Google Scholar] [CrossRef]
- Ghayour-Najafabadi, P.; Khosravinia, H.; Gheisari, A.; Azarfar, A.; Khanahmadi, M. Productive performance, nutrient digestibility and intestinal morphometry in broiler chickens fed corn or wheat-based diets supplemented with bacterial- or fungal-originated xylanase. Italian J. Anim. Sci. 2018, 17, 165–174. [Google Scholar] [CrossRef]
- Wang, J.; Cao, H.; Bao, C.; Liu, Y.; Dong, B.; Wang, C.; Shang, Z.; Cao, Y.; Liu, S. Effects of Xylanase in Corn- or Wheat-Based Diets on Cecal Microbiota of Broilers. Front. Microbiol. 2021, 12, 757066. [Google Scholar] [CrossRef] [PubMed]
- Mathlouthi, N.; Mallet, S.; Saulnier, L.; Quemener, B.; Larbier, M. Effects of xylanase and $\beta$-glucanase addition on performance, nutrient digestibility, and physico-chemical conditions in the small intestine contents and caecal microflora of broiler chickens fed a wheat and barley-based diet. Anim. Res. 2002, 51, 395–406. [Google Scholar] [CrossRef]
- Gong, L.; Mahmood, T.; Mercier, Y.; Xu, H.; Zhang, X.; Zhao, Y.; Luo, Y.; Guo, Y. Dietary methionine sources and levels modulate the intestinal health status of broiler chickens. Anim. Nutr. 2023, 15, 242–255. [Google Scholar] [CrossRef] [PubMed]
Paper | n° Birds Used per Treatment | Sex | Breed | Diet Type 5 | Period (d) | MHA Used | Avg. Basal Met+Cys Level (%) | Supplementation Level, % | |
---|---|---|---|---|---|---|---|---|---|
65 DLM 1 | MHA 2 | ||||||||
Zhang et al. (2017) 4 [37] | 60 | Male | Cobb500 | Wheat SBM | 10–26 | MHA-FA | 0.648 | 0.220 | 0.340 |
[38] | 168 | Male | Cobb500 | Corn SBM | 0–21 | MHA-Ca | 0.580 | 0.074 | 0.114 |
[38] | 168 | Male | Cobb500 | Corn SBM | 0–21 | MHA-Ca | 0.580 | 0.148 | 0.228 |
[38] | 168 | Male | Cobb500 | Corn SBM | 0–21 | MHA-Ca | 0.580 | 0.222 | 0.342 |
[38] | 168 | Male | Cobb500 | Corn SBM | 0–21 | MHA-Ca | 0.580 | 0.296 | 0.456 |
[38] | 168 | Male | Cobb500 | Corn SBM | 0–21 | MHA-Ca | 0.580 | 0.370 | 0.570 |
[38] | 154 | Male | Cobb500 | Corn SBM | 22–42 | MHA-Ca | 0.520 | 0.062 | 0.095 |
[38] | 154 | Male | Cobb500 | Corn SBM | 22–42 | MHA-Ca | 0.520 | 0.124 | 0.190 |
[38] | 154 | Male | Cobb500 | Corn SBM | 22–42 | MHA-Ca | 0.520 | 0.186 | 0.286 |
[38] | 154 | Male | Cobb500 | Corn SBM | 22–42 | MHA-Ca | 0.520 | 0.248 | 0.381 |
[38] | 154 | Male | Cobb500 | Corn SBM | 22–42 | MHA-Ca | 0.520 | 0.310 | 0.476 |
[39] | 60 | Mixed | Ross308 | Corn SBM | 0–35 | MHA-Ca | 0.592 | 0.236 | 0.364 |
[40] | 220 | Male | Cobb400 | Corn SBM | 0–42 | MHA-Ca | 0.580 | 0.255 | 0.390 |
[41] 3 | 150 | Mixed | Cobb500 | Wheat Corn SBM | 0–36 | MHA-Ca | 0.591 | 0.238 | 0.366 |
[42] | 144 | Male | Ross308 | Wheat Corn SBM | 0–42 | MHA-Ca | 0.566 | 0.255 | 0.393 |
[43] | 200 | Mixed | Cobb400 | Corn SBM | 0–42 | MHA-Ca | 0.555 | 0.223 | 0.341 |
[35] | 120 | Male | Ross308 | Wheat Corn SBM | 0–38 | MHA-Ca | 0.568 | 0.020 | 0.030 |
[35] | 120 | Male | Ross308 | Wheat Corn SBM | 0–38 | MHA-Ca | 0.568 | 0.039 | 0.060 |
[35] | 120 | Male | Ross308 | Wheat Corn SBM | 0–38 | MHA-Ca | 0.568 | 0.065 | 0.100 |
[35] | 120 | Male | Ross308 | Wheat Corn SBM | 0–38 | MHA-Ca | 0.568 | 0.098 | 0.150 |
[35] | 120 | Male | Ross308 | Wheat Corn SBM | 0–38 | MHA-Ca | 0.568 | 0.137 | 0.210 |
[19] | 180 | Male | Ross208 | Wheat SBM | 0–42 | MHA-FA | 0.555 | 0.026 | 0.040 |
[19] | 180 | Male | Ross208 | Wheat SBM | 0–42 | MHA-FA | 0.555 | 0.052 | 0.080 |
[19] | 180 | Male | Ross208 | Wheat SBM | 0–42 | MHA-FA | 0.555 | 0.078 | 0.120 |
[19] | 180 | Male | Ross208 | Wheat SBM | 0–42 | MHA-FA | 0.555 | 0.104 | 0.160 |
[19] | 180 | Male | Ross208 | Wheat SBM | 0–42 | MHA-FA | 0.555 | 0.130 | 0.200 |
[19] | 360 | Male | Hybro | Sorghum SBM | 0–42 | MHA-FA | 0.505 | 0.039 | 0.060 |
[19] | 360 | Male | Hybro | Sorghum SBM | 0–42 | MHA-FA | 0.505 | 0.078 | 0.120 |
[19] | 360 | Male | Hybro | Sorghum SBM | 0–42 | MHA-FA | 0.505 | 0.117 | 0.180 |
[19] | 360 | Male | Hybro | Sorghum SBM | 0–42 | MHA-FA | 0.505 | 0.156 | 0.240 |
[19] 4 | 36 | Male | Ross308 | Corn SBM | 7–35 | MHA-FA | 0.533 | 0.020 | 0.030 |
[19] 4 | 36 | Male | Ross308 | Corn SBM | 7–35 | MHA-FA | 0.533 | 0.039 | 0.060 |
[19] 4 | 36 | Male | Ross308 | Corn SBM | 7–35 | MHA-FA | 0.533 | 0.059 | 0.090 |
[19] 4 | 36 | Male | Ross308 | Corn SBM | 7–35 | MHA-FA | 0.533 | 0.078 | 0.120 |
[19] 4 | 36 | Male | Ross308 | Corn SBM | 7–35 | MHA-FA | 0.533 | 0.098 | 0.150 |
[17] | 120 | Male | Ross308 | Wheat Corn SBM | 0–35 | MHA-FA | 0.559 | 0.026 | 0.040 |
[17] | 120 | Male | Ross308 | Wheat Corn SBM | 0–35 | MHA-FA | 0.559 | 0.052 | 0.080 |
[17] | 120 | Male | Ross308 | Wheat Corn SBM | 0–35 | MHA-FA | 0.559 | 0.078 | 0.120 |
[17] | 120 | Male | Ross308 | Wheat Corn SBM | 0–35 | MHA-FA | 0.559 | 0.137 | 0.210 |
[17] | 120 | Male | Ross308 | Wheat Corn SBM | 0–35 | MHA-FA | 0.559 | 0.195 | 0.300 |
[44] 4 | 200 | Male | Ross×Ross | Sorghum Wheat SBM | 0–42 | MHA-FA | 0.537 | 0.039 | 0.060 |
[44] 4 | 200 | Male | Ross×Ross | Sorghum Wheat SBM | 0–42 | MHA-FA | 0.537 | 0.078 | 0.120 |
[44] 4 | 200 | Male | Ross×Ross | Sorghum Wheat SBM | 0–42 | MHA-FA | 0.537 | 0.117 | 0.180 |
[44] 4 | 200 | Male | Ross×Ross | Sorghum Wheat SBM | 0–42 | MHA-FA | 0.537 | 0.156 | 0.240 |
[45] 4 | 100 | Mixed | Hubbard | Corn SBM | 0–42 | MHA-FA | 0.641 | 0.180 | 0.278 |
[46] | 176 | Male | Ross308 | Corn SBM | 0–47 | MHA-FA | 0.577 | 0.092 | 0.136 |
[46] | 176 | Male | Ross308 | Corn SBM | 0–47 | MHA-FA | 0.577 | 0.176 | 0.279 |
[46] | 176 | Male | Ross308 | Corn SBM | 0–47 | MHA-FA | 0.577 | 0.269 | 0.415 |
[47] | 90 | Male | Cobb500 | Corn SBM | 22–42 | MHA-FA | 0.540 | 0.093 | 0.143 |
[47] | 90 | Male | Cobb500 | Corn SBM | 22–42 | MHA-FA | 0.540 | 0.186 | 0.286 |
[47] | 90 | Male | Cobb500 | Corn SBM | 22–42 | MHA-FA | 0.540 | 0.279 | 0.429 |
[48] | 144 | Male | Ross308 | Wheat SBM | 0–35 | MHA-FA | 0.543 | 0.086 | 0.133 |
[48] | 144 | Male | Ross308 | Wheat SBM | 0–35 | MHA-FA | 0.543 | 0.249 | 0.383 |
[48] | 500 | Mixed | Ross308 | Corn SBM | 0–32 | MHA-FA | 0.545 | 0.085 | 0.131 |
[48] | 500 | Mixed | Ross308 | Corn SBM | 0–32 | MHA-FA | 0.545 | 0.302 | 0.464 |
[49] | 128 | Mixed | Cobb500 | Corn SBM | 0–32 | MHA-Ca | 0.566 | 0.303 | 0.466 |
[50] 4 | 176 | Male | Ross308 | Corn SBM | 0–47 | MHA-FA | 0.582 | 0.091 | 0.139 |
[50] 4 | 176 | Male | Ross308 | Corn SBM | 0–47 | MHA-FA | 0.582 | 0.179 | 0.276 |
[50] 4 | 176 | Male | Ross308 | Corn SBM | 0–47 | MHA-FA | 0.582 | 0.270 | 0.415 |
[51] | 216 | Male | Cobb500 | Corn SBM | 21–42 | MHA-Ca | 0.540 | 0.056 | 0.086 |
[51] | 216 | Male | Cobb500 | Corn SBM | 21–42 | MHA-Ca | 0.540 | 0.112 | 0.172 |
[51] | 216 | Male | Cobb500 | Corn SBM | 21–42 | MHA-Ca | 0.540 | 0.167 | 0.258 |
[51] | 216 | Male | Cobb500 | Corn SBM | 21–42 | MHA-Ca | 0.540 | 0.223 | 0.343 |
[51] | 216 | Male | Cobb500 | Corn SBM | 21–42 | MHA-Ca | 0.540 | 0.279 | 0.429 |
[52] | 512 | Male | Ross 708 | Corn SBM | 0–42 | MHA-Ca | 0.548 | 0.141 | 0.218 |
[52] | 512 | Male | Ross 708 | Corn SBM | 0–42 | MHA-Ca | 0.500 | 0.179 | 0.275 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.315 | 0.486 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.315 | 0.486 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.315 | 0.486 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.315 | 0.486 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.315 | 0.486 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.315 | 0.486 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.440 | 0.676 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.440 | 0.676 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.440 | 0.676 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.440 | 0.676 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.440 | 0.676 |
[53] 4 | 120 | Male | Cobb500 | Corn SBM | 0–35 | MHA-FA | 0.502 | 0.440 | 0.676 |
[54] | 110 | Mixed | Cobb500 | Corn SBM | 0–21 | MHA-FA | 0.570 | 0.111 | 0.170 |
[54] | 110 | Mixed | Cobb500 | Corn SBM | 0–21 | MHA-FA | 0.570 | 0.221 | 0.340 |
[54] | 110 | Mixed | Cobb500 | Corn SBM | 0–21 | MHA-FA | 0.570 | 0.332 | 0.511 |
[55] | 448 | Male | Cobb500 | Corn SBM | 0–42 | MHA-Ca | 0.575 | 0.110 | 0.165 |
[55] | 448 | Male | Cobb500 | Corn SBM | 0–42 | MHA-Ca | 0.575 | 0.210 | 0.320 |
[55] | 448 | Male | Cobb500 | Corn SBM | 0–42 | MHA-Ca | 0.575 | 0.320 | 0.485 |
[56] 4 | 75 | Male | Cobb500 | Corn SBM | 0–28 | MHA-FA | 0.503 | 0.051 | 0.078 |
[56] 4 | 75 | Male | Cobb500 | Corn SBM | 0–28 | MHA-FA | 0.503 | 0.101 | 0.156 |
[56] 4 | 75 | Male | Cobb500 | Corn SBM | 0–28 | MHA-FA | 0.503 | 0.169 | 0.260 |
[56] 4 | 75 | Male | Cobb500 | Corn SBM | 0–28 | MHA-FA | 0.503 | 0.287 | 0.441 |
[57] | 90 | Male | Ross308 | Wheat Corn SBM | 0–35 | MHA-FA | 0.544 | 0.142 | 0.219 |
[57] | 90 | Male | Ross308 | Wheat Corn SBM | 0–35 | MHA-FA | 0.544 | 0.285 | 0.437 |
[57] | 90 | Male | Ross308 | Wheat Corn SBM | 0–35 | MHA-FA | 0.544 | 0.427 | 0.656 |
[58] | 144 | Male | Ross308 | Corn SBM | 0–35 | MHA-FA | 0.513 | 0.096 | 0.147 |
[58] | 144 | Male | Ross308 | Corn SBM | 0–35 | MHA-FA | 0.513 | 0.239 | 0.367 |
[58] | 144 | Male | Ross308 | Corn SBM | 0–35 | MHA-FA | 0.513 | 0.096 | 0.147 |
[58] | 144 | Male | Ross308 | Corn SBM | 0–35 | MHA-FA | 0.513 | 0.239 | 0.367 |
Meta-Analysis | Begg and Mazumdar’s Rank Correlation Test | Egger Regression | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
Weight Gain Data | Feed Conversion Ratio Data | Weight Gain Data | Feed Conversion Ratio Data | |||||||
Kendall’s Tau | p-Value | Kendall’s Tau | p-Value | Inter-cept | Lower to Upper CI Limit | p-Value | Inter-cept | Lower to Upper CI Limit | p-Value | |
Dietary Met+Cys levels | 0.03 | 0.362 | 0.11 | 0.062 | 0.02 | −1.40 to 1.45 | 0.973 | 0.86 | −0.66 to 2.38 | 0.264 |
MHA-products | 0.02 | 0.383 | 0.10 | 0.082 | 0.01 | −1.43 to 1.45 | 0.987 | 0.76 | −0.73 to 2.25 | 0.314 |
Publication type | 0.02 | 0.383 | 0.10 | 0.082 | 0.01 | −1.43 to 1.45 | 0.987 | 0.76 | −0.73 to 2.25 | 0.314 |
Diet type | 0.09 | 0.123 | 0.06 | 0.209 | 0.31 | −1.23 to 1.85 | 0.686 | 0.50 | −1.08 to 2.09 | 0.529 |
Broiler strains | 0.10 | 0.117 | 0.02 | 0.412 | 0.91 | −1.25 to 3.07 | 0.404 | −0.42 | −2.44 to 1.59 | 0.676 |
Avg. Basal Met+Cys, % | Supplementation, % | ||||||
Study Name/Subgroup Name | 65 DLM 1 | MHA 2 | Effect Size | CI LL | CI UL | ||
[37] 4 | 0.648 | 0.220 | 0.340 | −0.17 | −1.65 | 1.32 | |
[38] | 0.580 | 0.370 | 0.570 | 0.38 | −0.94 | 1.70 | |
[38] | 0.520 | 0.310 | 0.476 | −0.09 | −1.40 | 1.22 | |
[47] | 0.540 | 0.279 | 0.429 | −0.03 | −1.79 | 1.73 | |
[50] 4 | 0.589 | 0.270 | 0.415 | 0.37 | −0.82 | 1.56 | |
[51] | 0.540 | 0.279 | 0.429 | 0.03 | −1.06 | 1.12 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 1.01 | −0.56 | 2.59 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −1.09 | −2.68 | 0.50 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.03 | −1.45 | 1.51 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.62 | −0.90 | 2.14 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −0.09 | −1.58 | 1.39 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.68 | −0.84 | 2.21 | |
[57] | 0.544 | 0.427 | 0.656 | 1.31 | 0.11 | 2.51 | |
Above requirement 3 (I2 = 9.7% PQ = 0.348) | 0.25 | −0.11 | 0.60 | ||||
[38] | 0.580 | 0.296 | 0.456 | 0.15 | −1.16 | 1.46 | |
[38] | 0.520 | 0.248 | 0.381 | 0.34 | −0.98 | 1.66 | |
[39] | 0.592 | 0.236 | 0.364 | 0.08 | −1.68 | 1.84 | |
[40] | 0.591 | 0.238 | 0.366 | −0.24 | −1.73 | 1.25 | |
[42] | 0.566 | 0.255 | 0.393 | 0.67 | −0.86 | 2.19 | |
[43] | 0.555 | 0.223 | 0.341 | −0.16 | −1.34 | 1.02 | |
[45] 4 | 0.648 | 0.180 | 0.278 | 0.74 | −0.30 | 1.79 | |
[46] | 0.577 | 0.269 | 0.415 | 0.43 | −0.77 | 1.63 | |
[48] | 0.543 | 0.249 | 0.383 | 0.19 | −0.90 | 1.28 | |
[48] | 0.545 | 0.302 | 0.464 | 0.65 | −0.39 | 1.68 | |
[50] 4 | 0.589 | 0.179 | 0.276 | 0.17 | −1.02 | 1.35 | |
[51] | 0.540 | 0.223 | 0.343 | −0.24 | −1.33 | 0.85 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.13 | −1.35 | 1.62 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.03 | −1.45 | 1.52 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.39 | −1.11 | 1.88 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −0.68 | −2.21 | 0.85 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.31 | −1.18 | 1.81 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 1.60 | −0.11 | 3.30 | |
[54] | 0.570 | 0.332 | 0.511 | 1.08 | −0.80 | 2.96 | |
[55] | 0.575 | 0.210 | 0.320 | 0.03 | −1.15 | 1.21 | |
[56] 4 | 0.527 | 0.287 | 0.441 | 0.11 | −1.65 | 1.86 | |
[57] | 0.544 | 0.285 | 0.437 | 0.73 | −0.39 | 1.85 | |
At requirement 3 (I2 = 0.0% PQ = 0.840) | 0.28 | 0.08 | 0.48 | ||||
[38] | 0.580 | 0.074 | 0.114 | 0.12 | −1.19 | 1.43 | |
[38] | 0.580 | 0.148 | 0.228 | −0.41 | −1.74 | 0.91 | |
[38] | 0.580 | 0.222 | 0.342 | 0.00 | −1.31 | 1.31 | |
[38] | 0.520 | 0.062 | 0.095 | 0.05 | −1.26 | 1.35 | |
[38] | 0.520 | 0.124 | 0.190 | −0.03 | −1.34 | 1.28 | |
[38] | 0.520 | 0.186 | 0.286 | −0.19 | −1.50 | 1.13 | |
[35] | 0.568 | 0.020 | 0.030 | −0.07 | −1.55 | 1.41 | |
[35] | 0.568 | 0.039 | 0.060 | −0.51 | −2.02 | 1.00 | |
[35] | 0.568 | 0.065 | 0.100 | −0.15 | −1.64 | 1.34 | |
[35] | 0.568 | 0.098 | 0.150 | −0.33 | −1.82 | 1.17 | |
[35] | 0.568 | 0.137 | 0.210 | −0.07 | −1.56 | 1.41 | |
[19] | 0.555 | 0.026 | 0.040 | −0.10 | −1.58 | 1.39 | |
[19] | 0.555 | 0.052 | 0.080 | −0.21 | −1.70 | 1.27 | |
[19] | 0.555 | 0.078 | 0.120 | 0.78 | −0.76 | 2.32 | |
[19] | 0.555 | 0.104 | 0.160 | 0.92 | −0.64 | 2.48 | |
[19] | 0.555 | 0.130 | 0.200 | 0.02 | −1.47 | 1.50 | |
[19] | 0.505 | 0.039 | 0.060 | −0.24 | −2.00 | 1.53 | |
[19] | 0.505 | 0.078 | 0.120 | 1.31 | −0.63 | 3.25 | |
[19] | 0.505 | 0.117 | 0.180 | −0.08 | −1.83 | 1.68 | |
[19] | 0.505 | 0.156 | 0.240 | 0.10 | −1.66 | 1.86 | |
[19] 4 | 0.539 | 0.020 | 0.030 | 0.32 | −1.17 | 1.82 | |
[19] 4 | 0.539 | 0.039 | 0.060 | 0.92 | −0.64 | 2.48 | |
[19] 4 | 0.539 | 0.059 | 0.090 | −0.02 | −1.50 | 1.47 | |
[19] 4 | 0.539 | 0.078 | 0.120 | 0.05 | −1.44 | 1.53 | |
[19] 4 | 0.539 | 0.098 | 0.150 | −0.50 | −2.00 | 1.01 | |
[17] | 0.559 | 0.026 | 0.040 | −1.48 | −3.16 | 0.19 | |
[17] | 0.559 | 0.052 | 0.080 | 0.50 | −1.01 | 2.01 | |
[17] | 0.559 | 0.078 | 0.120 | −0.28 | −1.77 | 1.22 | |
[17] | 0.559 | 0.137 | 0.210 | 0.13 | −1.36 | 1.61 | |
[17] | 0.559 | 0.195 | 0.300 | 0.35 | −1.15 | 1.85 | |
[44] 4 | 0.544 | 0.039 | 0.060 | −0.57 | −2.36 | 1.22 | |
[44] 4 | 0.544 | 0.078 | 0.120 | −0.27 | −2.03 | 1.49 | |
[44] 4 | 0.544 | 0.117 | 0.180 | −0.75 | −2.57 | 1.07 | |
[44] 4 | 0.544 | 0.156 | 0.240 | −0.70 | −2.51 | 1.11 | |
[46] | 0.577 | 0.092 | 0.136 | −0.34 | −1.53 | 0.85 | |
[46] | 0.577 | 0.176 | 0.279 | 0.17 | −1.01 | 1.36 | |
[47] | 0.540 | 0.093 | 0.143 | 0.24 | −1.52 | 2.00 | |
[47] | 0.540 | 0.186 | 0.286 | −0.09 | −1.85 | 1.66 | |
[48] | 0.543 | 0.086 | 0.133 | −0.27 | −1.37 | 0.82 | |
[48] | 0.545 | 0.085 | 0.131 | 0.03 | −0.99 | 1.04 | |
[50] 4 | 0.589 | 0.091 | 0.139 | −0.37 | −1.56 | 0.82 | |
[51] | 0.540 | 0.112 | 0.172 | 0.32 | −0.77 | 1.42 | |
[51] | 0.540 | 0.167 | 0.258 | 0.06 | −1.02 | 1.15 | |
[52] | 0.548 | 0.141 | 0.218 | 0.42 | −0.34 | 1.18 | |
[52] | 0.500 | 0.179 | 0.275 | 0.00 | −0.75 | 0.75 | |
[54] | 0.570 | 0.111 | 0.170 | 0.99 | −0.87 | 2.85 | |
[54] | 0.570 | 0.221 | 0.340 | 0.86 | −0.98 | 2.70 | |
[55] | 0.575 | 0.110 | 0.165 | −0.69 | −1.91 | 0.52 | |
[56] 4 | 0.527 | 0.051 | 0.078 | −0.02 | −1.78 | 1.73 | |
[56] 4 | 0.527 | 0.101 | 0.156 | 0.34 | −1.43 | 2.11 | |
[56] 4 | 0.527 | 0.169 | 0.260 | 0.22 | −1.55 | 1.98 | |
[57] | 0.544 | 0.142 | 0.219 | 0.58 | −0.53 | 1.68 | |
[58] | 0.513 | 0.096 | 0.147 | −0.97 | −2.12 | 0.18 | |
[58] | 0.513 | 0.239 | 0.367 | −0.15 | −1.23 | 0.94 | |
[58] | 0.513 | 0.096 | 0.147 | −0.99 | −2.14 | 0.16 | |
[58] | 0.513 | 0.239 | 0.367 | 0.56 | −0.54 | 1.67 | |
Below requirement 3 (I2 = 0.0% PQ = 0.873) | −0.01 | −0.14 | 0.12 | ||||
Combined effect size (I2 = 0.0% PQ = 0.835) | 0.15 | −0.04 | 0.35 |
Study Name/Subgroup Name | Avg. Basal Met+Cys, % | Supplementation, % | |||||
65 DLM 1 | MHA 2 | Effect Size | CI LL | CI UL | |||
[37] 4 | 0.648 | 0.220 | 0.340 | 0.38 | −1.12 | 1.87 | |
[38] | 0.580 | 0.370 | 0.570 | −0.57 | −1.90 | 0.77 | |
[38] | 0.520 | 0.310 | 0.476 | −0.39 | −1.71 | 0.93 | |
[47] | 0.540 | 0.279 | 0.429 | −0.58 | −2.37 | 1.21 | |
[50] 4 | 0.589 | 0.270 | 0.415 | −0.11 | −1.29 | 1.07 | |
[51] | 0.540 | 0.279 | 0.429 | 0.51 | −0.60 | 1.61 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −0.76 | −2.29 | 0.78 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.17 | −1.31 | 1.66 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −0.28 | −1.77 | 1.21 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.07 | −1.41 | 1.56 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.69 | −0.84 | 2.22 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.46 | −1.04 | 1.96 | |
[55] | 0.575 | 0.320 | 0.485 | 0.75 | −0.47 | 1.97 | |
[57] | 0.544 | 0.427 | 0.656 | −0.32 | −1.41 | 0.78 | |
Above requirement 3 (I2 = 0.0% PQ = 0.658) | 0.02 | −0.27 | 0.30 | ||||
[38] | 0.580 | 0.296 | 0.456 | −0.75 | −2.10 | 0.61 | |
[38] | 0.520 | 0.248 | 0.381 | 0.11 | −1.20 | 1.42 | |
[39] | 0.592 | 0.236 | 0.364 | 0.13 | −1.62 | 1.89 | |
[40] | 0.591 | 0.238 | 0.366 | 0.24 | −1.25 | 1.73 | |
[42] | 0.566 | 0.255 | 0.393 | −0.48 | −1.98 | 1.03 | |
[43] | 0.555 | 0.223 | 0.341 | −0.33 | −1.52 | 0.86 | |
[45] 4 | 0.648 | 0.180 | 0.278 | −0.45 | −1.48 | 0.57 | |
[46] | 0.577 | 0.269 | 0.415 | −0.11 | −1.29 | 1.08 | |
[48] | 0.543 | 0.249 | 0.383 | 0.21 | −0.88 | 1.30 | |
[48] | 0.545 | 0.302 | 0.464 | 0.25 | −0.76 | 1.27 | |
[50] 4 | 0.589 | 0.179 | 0.276 | 0.07 | −1.11 | 1.25 | |
[51] | 0.540 | 0.223 | 0.343 | −0.07 | −1.16 | 1.02 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.55 | −0.96 | 2.07 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.18 | −1.31 | 1.66 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −0.08 | −1.57 | 1.40 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.85 | −0.70 | 2.39 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −0.87 | −2.43 | 0.68 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −1.09 | −2.68 | 0.50 | |
[54] | 0.570 | 0.332 | 0.511 | −0.54 | −2.33 | 1.25 | |
[55] | 0.575 | 0.210 | 0.320 | 0.56 | −0.65 | 1.76 | |
[56] 4 | 0.527 | 0.301 | 0.462 | 0.35 | −1.42 | 2.12 | |
[57] | 0.544 | 0.285 | 0.437 | −0.63 | −1.75 | 0.48 | |
At requirement 3 (I2 = 0.0% PQ = 0.748) | −0.08 | −0.29 | 0.13 | ||||
[38] | 0.580 | 0.074 | 0.114 | −0.21 | −1.52 | 1.10 | |
[38] | 0.580 | 0.148 | 0.228 | −0.50 | −1.82 | 0.83 | |
[38] | 0.580 | 0.222 | 0.342 | 0.11 | −1.20 | 1.42 | |
[38] | 0.520 | 0.062 | 0.095 | 0.04 | −1.27 | 1.34 | |
[38] | 0.520 | 0.124 | 0.190 | −0.67 | −2.02 | 0.67 | |
[38] | 0.520 | 0.186 | 0.286 | −0.35 | −1.67 | 0.96 | |
[35] | 0.568 | 0.020 | 0.030 | −0.45 | −1.95 | 1.06 | |
[35] | 0.568 | 0.039 | 0.060 | 0.51 | −0.99 | 2.02 | |
[35] | 0.568 | 0.065 | 0.100 | 0.56 | −0.95 | 2.08 | |
[35] | 0.568 | 0.098 | 0.150 | −0.10 | −1.58 | 1.39 | |
[35] | 0.568 | 0.137 | 0.210 | −0.14 | −1.62 | 1.35 | |
[19] | 0.555 | 0.026 | 0.040 | 0.91 | −0.65 | 2.47 | |
[19] | 0.555 | 0.052 | 0.080 | 0.96 | −0.61 | 2.52 | |
[19] | 0.555 | 0.078 | 0.120 | −0.64 | −2.17 | 0.88 | |
[19] | 0.555 | 0.104 | 0.160 | 0.11 | −1.37 | 1.60 | |
[19] | 0.555 | 0.130 | 0.200 | −0.07 | −1.55 | 1.42 | |
[19] | 0.505 | 0.039 | 0.060 | 0.15 | −1.61 | 1.91 | |
[19] | 0.505 | 0.078 | 0.120 | −1.14 | −3.04 | 0.75 | |
[19] | 0.505 | 0.117 | 0.180 | 0.17 | −1.59 | 1.92 | |
[19] | 0.505 | 0.156 | 0.240 | 0.92 | −0.93 | 2.77 | |
[19] 4 | 0.539 | 0.020 | 0.030 | 0.14 | −1.35 | 1.63 | |
[19] 4 | 0.539 | 0.039 | 0.060 | 0.09 | −1.40 | 1.57 | |
[19] 4 | 0.539 | 0.059 | 0.090 | −0.41 | −1.90 | 1.09 | |
[19] 4 | 0.539 | 0.078 | 0.120 | 0.00 | −1.48 | 1.48 | |
[19] 4 | 0.539 | 0.098 | 0.150 | 0.57 | −0.94 | 2.09 | |
[17] | 0.559 | 0.052 | 0.080 | 0.90 | −0.66 | 2.45 | |
[17] | 0.559 | 0.078 | 0.120 | 0.97 | −0.60 | 2.54 | |
[17] | 0.559 | 0.137 | 0.210 | 0.02 | −1.46 | 1.51 | |
[17] | 0.559 | 0.195 | 0.300 | −0.32 | −1.82 | 1.17 | |
[44] 4 | 0.544 | 0.039 | 0.060 | 0.10 | −1.66 | 1.85 | |
[44] 4 | 0.544 | 0.078 | 0.120 | 1.23 | −0.68 | 3.15 | |
[44] 4 | 0.544 | 0.117 | 0.180 | 0.40 | −1.37 | 2.18 | |
[44] 4 | 0.544 | 0.156 | 0.240 | 1.13 | −0.76 | 3.02 | |
[46] | 0.577 | 0.092 | 0.136 | −0.71 | −1.93 | 0.51 | |
[46] | 0.577 | 0.176 | 0.279 | 0.07 | −1.11 | 1.25 | |
[47] | 0.540 | 0.093 | 0.143 | 0.00 | −1.76 | 1.76 | |
[47] | 0.540 | 0.186 | 0.286 | −0.14 | −1.90 | 1.61 | |
[48] | 0.543 | 0.086 | 0.133 | −0.24 | −1.33 | 0.85 | |
[48] | 0.545 | 0.085 | 0.131 | −0.35 | −1.37 | 0.67 | |
[50] 4 | 0.589 | 0.091 | 0.139 | −0.68 | −1.90 | 0.53 | |
[51] | 0.540 | 0.112 | 0.172 | −0.28 | −1.37 | 0.81 | |
[51] | 0.540 | 0.167 | 0.258 | 0.00 | −1.09 | 1.09 | |
[52] | 0.548 | 0.141 | 0.218 | −0.66 | −1.44 | 0.11 | |
[52] | 0.500 | 0.179 | 0.275 | 0.07 | −0.69 | 0.82 | |
[54] | 0.570 | 0.111 | 0.170 | −1.05 | −2.92 | 0.82 | |
[54] | 0.570 | 0.221 | 0.340 | −1.34 | −3.29 | 0.60 | |
[55] | 0.575 | 0.110 | 0.165 | −0.12 | −1.31 | 1.06 | |
[56] 4 | 0.527 | 0.053 | 0.082 | −1.03 | −2.90 | 0.84 | |
[56] 4 | 0.527 | 0.107 | 0.164 | 0.59 | −1.20 | 2.39 | |
[56] 4 | 0.527 | 0.177 | 0.272 | 0.35 | −1.42 | 2.12 | |
[57] | 0.544 | 0.142 | 0.219 | 1.32 | 0.12 | 2.52 | |
[58] | 0.513 | 0.096 | 0.147 | 0.58 | −0.53 | 1.69 | |
[58] | 0.513 | 0.239 | 0.367 | −0.40 | −1.50 | 0.70 | |
[58] | 0.513 | 0.096 | 0.147 | 1.35 | 0.14 | 2.55 | |
[58] | 0.513 | 0.239 | 0.367 | 0.00 | −1.09 | 1.09 | |
Below requirement 3 (I2 = 13.3% PQ = 0.205) | 0.01 | −0.15 | 0.17 | ||||
Combined effect size (I2 = 0.0% PQ = 0.491) | −0.02 | −0.08 | 0.05 |
Avg. Basal Met+Cys, % | Supplementation, % | ||||||
Study Name/Subgroup Name | 65 DLM 1 | MHA 2 | Effect Size | CI LL | CI UL | ||
[38] | 0.580 | 0.074 | 0.114 | 0.12 | −1.19 | 1.43 | |
[38] | 0.580 | 0.148 | 0.228 | −0.41 | −1.74 | 0.91 | |
[38] | 0.580 | 0.222 | 0.342 | 0.00 | −1.31 | 1.31 | |
[38] | 0.580 | 0.296 | 0.456 | 0.15 | −1.16 | 1.46 | |
[38] | 0.580 | 0.370 | 0.570 | 0.38 | −0.94 | 1.70 | |
[38] | 0.520 | 0.062 | 0.095 | 0.05 | −1.26 | 1.35 | |
[38] | 0.520 | 0.124 | 0.190 | −0.03 | −1.34 | 1.28 | |
[38] | 0.520 | 0.186 | 0.286 | −0.19 | −1.50 | 1.13 | |
[38] | 0.520 | 0.248 | 0.381 | 0.34 | −0.98 | 1.66 | |
[38] | 0.520 | 0.310 | 0.476 | −0.09 | −1.40 | 1.22 | |
[39] | 0.592 | 0.236 | 0.364 | 0.08 | −1.68 | 1.84 | |
[40] 3 | 0.591 | 0.238 | 0.366 | −0.24 | −1.73 | 1.25 | |
[42] | 0.566 | 0.255 | 0.393 | 0.67 | −0.86 | 2.19 | |
[43] | 0.555 | 0.223 | 0.341 | −0.16 | −1.34 | 1.02 | |
[35] | 0.568 | 0.020 | 0.030 | −0.07 | −1.55 | 1.41 | |
[35] | 0.568 | 0.039 | 0.060 | −0.51 | −2.02 | 1.00 | |
[35] | 0.568 | 0.065 | 0.100 | −0.15 | −1.64 | 1.34 | |
[35] | 0.568 | 0.098 | 0.150 | −0.33 | −1.82 | 1.17 | |
[35] | 0.568 | 0.137 | 0.210 | −0.07 | −1.56 | 1.41 | |
[51] | 0.540 | 0.112 | 0.172 | 0.32 | −0.77 | 1.42 | |
[51] | 0.540 | 0.167 | 0.258 | 0.06 | −1.02 | 1.15 | |
[51] | 0.540 | 0.223 | 0.343 | −0.24 | −1.33 | 0.85 | |
[51] | 0.540 | 0.279 | 0.429 | 0.03 | −1.06 | 1.12 | |
[52] | 0.548 | 0.141 | 0.218 | 0.42 | −0.34 | 1.18 | |
[52] | 0.500 | 0.179 | 0.275 | 0.00 | −0.75 | 0.75 | |
[55] | 0.575 | 0.110 | 0.165 | −0.69 | −1.91 | 0.52 | |
[55] | 0.575 | 0.210 | 0.320 | 0.03 | −1.15 | 1.21 | |
MHA-Ca (I2 = 0.0% PQ = 1.000) | 0.00 | −0.11 | 0.12 | ||||
[37] 3 | 0.648 | 0.220 | 0.340 | −0.17 | −1.65 | 1.32 | |
[19] | 0.555 | 0.026 | 0.040 | −0.10 | −1.58 | 1.39 | |
[19] | 0.555 | 0.052 | 0.080 | −0.21 | −1.70 | 1.27 | |
[19] | 0.555 | 0.078 | 0.120 | 0.78 | −0.76 | 2.32 | |
[19] | 0.555 | 0.104 | 0.160 | 0.92 | −0.64 | 2.48 | |
[19] | 0.555 | 0.130 | 0.200 | 0.02 | −1.47 | 1.50 | |
[19] | 0.505 | 0.039 | 0.060 | −0.24 | −2.00 | 1.53 | |
[19] | 0.505 | 0.078 | 0.120 | 1.31 | −0.63 | 3.25 | |
[19] | 0.505 | 0.117 | 0.180 | −0.08 | −1.83 | 1.68 | |
[19] | 0.505 | 0.156 | 0.240 | 0.10 | −1.66 | 1.86 | |
[19] 3 | 0.539 | 0.020 | 0.030 | 0.32 | −1.17 | 1.82 | |
[19] 3 | 0.539 | 0.039 | 0.060 | 0.92 | −0.64 | 2.48 | |
[19] 3 | 0.539 | 0.059 | 0.090 | −0.02 | −1.50 | 1.47 | |
[19] 3 | 0.539 | 0.078 | 0.120 | 0.05 | −1.44 | 1.53 | |
[19] 3 | 0.539 | 0.098 | 0.150 | −0.50 | −2.00 | 1.01 | |
[17] | 0.559 | 0.026 | 0.040 | −1.48 | −3.16 | 0.19 | |
[17] | 0.559 | 0.052 | 0.080 | 0.50 | −1.01 | 2.01 | |
[17] | 0.559 | 0.078 | 0.120 | −0.28 | −1.77 | 1.22 | |
[17] | 0.559 | 0.137 | 0.210 | 0.13 | −1.36 | 1.61 | |
[17] | 0.559 | 0.195 | 0.300 | 0.35 | −1.15 | 1.85 | |
[44] 3 | 0.544 | 0.039 | 0.060 | −0.57 | −2.36 | 1.22 | |
[44] 3 | 0.544 | 0.078 | 0.120 | −0.27 | −2.03 | 1.49 | |
[44] 3 | 0.544 | 0.117 | 0.180 | −0.75 | −2.57 | 1.07 | |
[44] 3 | 0.544 | 0.156 | 0.240 | −0.70 | −2.51 | 1.11 | |
[45] 3 | 0.648 | 0.180 | 0.278 | 0.74 | −0.30 | 1.79 | |
[46] | 0.577 | 0.092 | 0.136 | −0.34 | −1.53 | 0.85 | |
[46] | 0.577 | 0.176 | 0.279 | 0.17 | −1.01 | 1.36 | |
[46] | 0.577 | 0.269 | 0.415 | 0.43 | −0.77 | 1.63 | |
[47] | 0.540 | 0.093 | 0.143 | 0.24 | −1.52 | 2.00 | |
[47] | 0.540 | 0.186 | 0.286 | −0.09 | −1.85 | 1.66 | |
[47] | 0.540 | 0.279 | 0.429 | −0.03 | −1.79 | 1.73 | |
[48] | 0.543 | 0.086 | 0.133 | −0.27 | −1.37 | 0.82 | |
[48] | 0.543 | 0.249 | 0.383 | 0.19 | −0.90 | 1.28 | |
[48] | 0.545 | 0.085 | 0.131 | 0.03 | −0.99 | 1.04 | |
[48] | 0.545 | 0.302 | 0.464 | 0.65 | −0.39 | 1.68 | |
[50] 3 | 0.589 | 0.091 | 0.139 | −0.37 | −1.56 | 0.82 | |
[50] 3 | 0.589 | 0.179 | 0.276 | 0.17 | −1.02 | 1.35 | |
[50] 3 | 0.589 | 0.270 | 0.415 | 0.37 | −0.82 | 1.56 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 0.13 | −1.35 | 1.62 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 0.03 | −1.45 | 1.52 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 0.39 | −1.11 | 1.88 | |
[53] 3 | 0.507 | 0.315 | 0.486 | −0.68 | −2.21 | 0.85 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 0.31 | −1.18 | 1.81 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 1.60 | −0.11 | 3.30 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 1.01 | −0.56 | 2.59 | |
[53] 3 | 0.507 | 0.440 | 0.676 | −1.09 | −2.68 | 0.50 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 0.03 | −1.45 | 1.51 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 0.62 | −0.90 | 2.14 | |
[53] 3 | 0.507 | 0.440 | 0.676 | −0.09 | −1.58 | 1.39 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 0.68 | −0.84 | 2.21 | |
[54] | 0.570 | 0.111 | 0.170 | 0.99 | −0.87 | 2.85 | |
[54] | 0.570 | 0.221 | 0.340 | 0.86 | −0.98 | 2.70 | |
[54] | 0.570 | 0.332 | 0.511 | 1.08 | −0.80 | 2.96 | |
[56] 3 | 0.527 | 0.053 | 0.082 | −0.02 | −1.78 | 1.73 | |
[56] 3 | 0.527 | 0.107 | 0.164 | 0.34 | −1.43 | 2.11 | |
[56] 3 | 0.527 | 0.177 | 0.272 | 0.22 | −1.55 | 1.98 | |
[56] 3 | 0.527 | 0.301 | 0.462 | 0.11 | −1.65 | 1.86 | |
[57] | 0.544 | 0.142 | 0.219 | 0.58 | −0.53 | 1.68 | |
[57] | 0.544 | 0.285 | 0.437 | 0.73 | −0.39 | 1.85 | |
[57] | 0.544 | 0.427 | 0.656 | 1.31 | 0.11 | 2.51 | |
[58] | 0.513 | 0.096 | 0.147 | −1.04 | −2.19 | 0.12 | |
[58] | 0.513 | 0.239 | 0.367 | −0.16 | −1.24 | 0.93 | |
[58] | 0.513 | 0.096 | 0.147 | −1.06 | −2.22 | 0.10 | |
[58] | 0.513 | 0.239 | 0.367 | 0.60 | −0.51 | 1.71 | |
MHA-FA (I2 = 7.7% PQ = 0.303) | 0.14 | 0.00 | 0.29 | ||||
Combined effect size (I2 = 0.0% PQ = 0.809) | 0.06 | −0.08 | 0.21 |
Avg. Basal Met+Cys, % | Supplementation, % | ||||||
Study Name/Subgroup Name | 65 DLM 1 | MHA 2 | Effect Size | CI LL | CI UL | ||
[38] | 0.580 | 0.074 | 0.114 | −0.21 | −1.52 | 1.10 | |
[38] | 0.580 | 0.148 | 0.228 | −0.50 | −1.82 | 0.83 | |
[38] | 0.580 | 0.222 | 0.342 | 0.11 | −1.20 | 1.42 | |
[38] | 0.580 | 0.296 | 0.456 | −0.75 | −2.10 | 0.61 | |
[38] | 0.580 | 0.370 | 0.570 | −0.57 | −1.90 | 0.77 | |
[38] | 0.520 | 0.062 | 0.095 | 0.04 | −1.27 | 1.34 | |
[38] | 0.520 | 0.124 | 0.190 | −0.67 | −2.02 | 0.67 | |
[38] | 0.520 | 0.186 | 0.286 | −0.35 | −1.67 | 0.96 | |
[38] | 0.520 | 0.248 | 0.381 | 0.11 | −1.20 | 1.42 | |
[38] | 0.520 | 0.310 | 0.476 | −0.39 | −1.71 | 0.93 | |
[39] | 0.592 | 0.236 | 0.364 | 0.13 | −1.62 | 1.89 | |
[40] 3 | 0.591 | 0.238 | 0.366 | 0.24 | −1.25 | 1.73 | |
[42] | 0.566 | 0.255 | 0.393 | −0.48 | −1.98 | 1.03 | |
[43] | 0.555 | 0.223 | 0.341 | −0.33 | −1.52 | 0.86 | |
[35] | 0.568 | 0.020 | 0.030 | −0.45 | −1.95 | 1.06 | |
[35] | 0.568 | 0.039 | 0.060 | 0.51 | −0.99 | 2.02 | |
[35] | 0.568 | 0.065 | 0.100 | 0.56 | −0.95 | 2.08 | |
[35] | 0.568 | 0.098 | 0.150 | −0.10 | −1.58 | 1.39 | |
[35] | 0.568 | 0.137 | 0.210 | −0.14 | −1.62 | 1.35 | |
[51] | 0.540 | 0.112 | 0.172 | −0.28 | −1.37 | 0.81 | |
[51] | 0.540 | 0.167 | 0.258 | 0.00 | −1.09 | 1.09 | |
[51] | 0.540 | 0.223 | 0.343 | −0.07 | −1.16 | 1.02 | |
[51] | 0.540 | 0.279 | 0.429 | 0.51 | −0.60 | 1.61 | |
[52] | 0.548 | 0.141 | 0.218 | −0.66 | −1.44 | 0.11 | |
[52] | 0.500 | 0.179 | 0.275 | 0.07 | −0.69 | 0.82 | |
[55] | 0.575 | 0.110 | 0.165 | −0.12 | −1.31 | 1.06 | |
[55] | 0.575 | 0.210 | 0.320 | 0.56 | −0.65 | 1.76 | |
[55] | 0.575 | 0.320 | 0.485 | 0.75 | −0.47 | 1.97 | |
MHA-Ca (I2 = 0.0% PQ = 0.924) | −0.10 | −0.26 | 0.06 | ||||
[37] 4 | 0.648 | 0.220 | 0.340 | 0.38 | −1.12 | 1.87 | |
[19] | 0.555 | 0.026 | 0.040 | 0.91 | −0.65 | 2.47 | |
[19] | 0.555 | 0.052 | 0.080 | 0.96 | −0.61 | 2.52 | |
[19] | 0.555 | 0.078 | 0.120 | −0.64 | −2.17 | 0.88 | |
[19] | 0.555 | 0.104 | 0.160 | 0.11 | −1.37 | 1.60 | |
[19] | 0.555 | 0.130 | 0.200 | −0.07 | −1.55 | 1.42 | |
[19] | 0.505 | 0.039 | 0.060 | 0.15 | −1.61 | 1.91 | |
[19] | 0.505 | 0.078 | 0.120 | −1.14 | −3.04 | 0.75 | |
[19] | 0.505 | 0.117 | 0.180 | 0.17 | −1.59 | 1.92 | |
[19] | 0.505 | 0.156 | 0.240 | 0.92 | −0.93 | 2.77 | |
[19] 4 | 0.539 | 0.020 | 0.030 | 0.14 | −1.35 | 1.63 | |
[19] 4 | 0.539 | 0.039 | 0.060 | 0.09 | −1.40 | 1.57 | |
[19] 4 | 0.539 | 0.059 | 0.090 | −0.41 | −1.90 | 1.09 | |
[19] 4 | 0.539 | 0.078 | 0.120 | 0.00 | −1.48 | 1.48 | |
[19] 4 | 0.539 | 0.098 | 0.150 | 0.57 | −0.94 | 2.09 | |
[17] | 0.559 | 0.052 | 0.080 | 0.90 | −0.66 | 2.45 | |
[17] | 0.559 | 0.078 | 0.120 | 0.97 | −0.60 | 2.54 | |
[17] | 0.559 | 0.137 | 0.210 | 0.02 | −1.46 | 1.51 | |
[17] | 0.559 | 0.195 | 0.300 | −0.32 | −1.82 | 1.17 | |
[44] 4 | 0.544 | 0.039 | 0.060 | 0.10 | −1.66 | 1.85 | |
[44] 4 | 0.544 | 0.117 | 0.180 | 0.40 | −1.37 | 2.18 | |
[44] 4 | 0.544 | 0.156 | 0.240 | 1.13 | −0.76 | 3.02 | |
[45] 4 | 0.648 | 0.180 | 0.278 | −0.45 | −1.48 | 0.57 | |
[46] | 0.577 | 0.092 | 0.136 | −0.71 | −1.93 | 0.51 | |
[46] | 0.577 | 0.176 | 0.279 | 0.07 | −1.11 | 1.25 | |
[46] | 0.577 | 0.269 | 0.415 | −0.11 | −1.29 | 1.08 | |
[47] | 0.540 | 0.093 | 0.143 | 0.00 | −1.76 | 1.76 | |
[47] | 0.540 | 0.186 | 0.286 | −0.14 | −1.90 | 1.61 | |
[47] | 0.540 | 0.279 | 0.429 | −0.58 | −2.37 | 1.21 | |
[48] | 0.543 | 0.086 | 0.133 | −0.24 | −1.33 | 0.85 | |
[48] | 0.543 | 0.249 | 0.383 | 0.21 | −0.88 | 1.30 | |
[48] | 0.545 | 0.085 | 0.131 | −0.35 | −1.37 | 0.67 | |
[48] | 0.545 | 0.302 | 0.464 | 0.25 | −0.76 | 1.27 | |
[50] 4 | 0.589 | 0.091 | 0.139 | −0.68 | −1.90 | 0.53 | |
[50] 4 | 0.589 | 0.179 | 0.276 | 0.07 | −1.11 | 1.25 | |
[50] 4 | 0.589 | 0.270 | 0.415 | −0.11 | −1.29 | 1.07 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.55 | −0.96 | 2.07 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.18 | −1.31 | 1.66 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −0.08 | −1.57 | 1.40 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.85 | −0.70 | 2.39 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −0.87 | −2.43 | 0.68 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −1.09 | −2.68 | 0.50 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −0.76 | −2.29 | 0.78 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.17 | −1.31 | 1.66 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −0.28 | −1.77 | 1.21 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.07 | −1.41 | 1.56 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.69 | −0.84 | 2.22 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.46 | −1.04 | 1.96 | |
[54] | 0.570 | 0.111 | 0.170 | −1.05 | −2.92 | 0.82 | |
[54] | 0.570 | 0.221 | 0.340 | −1.34 | −3.29 | 0.60 | |
[54] | 0.570 | 0.332 | 0.511 | −0.54 | −2.33 | 1.25 | |
[56] 4 | 0.527 | 0.053 | 0.082 | −1.03 | −2.90 | 0.84 | |
[56] 4 | 0.527 | 0.107 | 0.164 | 0.59 | −1.20 | 2.39 | |
[56] 4 | 0.527 | 0.177 | 0.272 | 0.35 | −1.42 | 2.12 | |
[56] 4 | 0.527 | 0.301 | 0.462 | 0.35 | −1.42 | 2.12 | |
[57] | 0.544 | 0.285 | 0.437 | −0.63 | −1.75 | 0.48 | |
[57] | 0.544 | 0.427 | 0.656 | −0.32 | −1.41 | 0.78 | |
[58] | 0.513 | 0.096 | 0.147 | 0.63 | −0.48 | 1.75 | |
[58] | 0.513 | 0.239 | 0.367 | −0.43 | −1.53 | 0.67 | |
[58] | 0.513 | 0.096 | 0.147 | 1.53 | 0.29 | 2.77 | |
[58] | 0.513 | 0.239 | 0.367 | 0.00 | −1.09 | 1.09 | |
MHA-FA (I2 = 5.5% PQ = 0.354) | 0.00 | −0.15 | 0.15 | ||||
Combined effect size (I2 = 0.0% PQ = 0.674) | −0.05 | −0.15 | 0.05 |
Avg. Basal Met+Cys, % | Supplementation, % | ||||||
Study Name/Subgroup Name | 65 DLM 1 | MHA 2 | Effect Size | CI LL | CI UL | ||
[38] | 0.580 | 0.074 | 0.114 | 0.12 | −1.19 | 1.43 | |
[38] | 0.580 | 0.148 | 0.228 | −0.41 | −1.74 | 0.91 | |
[38] | 0.580 | 0.222 | 0.342 | 0.00 | −1.31 | 1.31 | |
[38] | 0.580 | 0.296 | 0.456 | 0.15 | −1.16 | 1.46 | |
[38] | 0.580 | 0.370 | 0.570 | 0.38 | −0.94 | 1.70 | |
[38] | 0.520 | 0.062 | 0.095 | 0.05 | −1.26 | 1.35 | |
[38] | 0.520 | 0.124 | 0.190 | −0.03 | −1.34 | 1.28 | |
[38] | 0.520 | 0.186 | 0.286 | −0.19 | −1.50 | 1.13 | |
[38] | 0.520 | 0.248 | 0.381 | 0.34 | −0.98 | 1.66 | |
[38] | 0.520 | 0.310 | 0.476 | −0.09 | −1.40 | 1.22 | |
[39] | 0.592 | 0.236 | 0.364 | 0.08 | −1.68 | 1.84 | |
[40] 3 | 0.591 | 0.238 | 0.366 | −0.24 | −1.73 | 1.25 | |
[42] | 0.566 | 0.255 | 0.393 | 0.67 | −0.86 | 2.19 | |
[43] | 0.555 | 0.223 | 0.341 | −0.16 | −1.34 | 1.02 | |
[48] | 0.543 | 0.086 | 0.133 | −0.27 | −1.37 | 0.82 | |
[48] | 0.543 | 0.249 | 0.383 | 0.19 | −0.90 | 1.28 | |
[48] | 0.545 | 0.085 | 0.131 | 0.03 | −0.99 | 1.04 | |
[48] | 0.545 | 0.302 | 0.464 | 0.65 | −0.39 | 1.68 | |
[51] | 0.540 | 0.112 | 0.172 | 0.32 | −0.77 | 1.42 | |
[51] | 0.540 | 0.167 | 0.258 | 0.06 | −1.02 | 1.15 | |
[51] | 0.540 | 0.223 | 0.343 | −0.24 | −1.33 | 0.85 | |
[51] | 0.540 | 0.279 | 0.429 | 0.03 | −1.06 | 1.12 | |
[52] | 0.548 | 0.141 | 0.218 | 0.42 | −0.34 | 1.18 | |
[52] | 0.500 | 0.179 | 0.275 | 0.00 | −0.75 | 0.75 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.13 | −1.35 | 1.62 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.03 | −1.45 | 1.52 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.39 | −1.11 | 1.88 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −0.68 | −2.21 | 0.85 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.31 | −1.18 | 1.81 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 1.60 | −0.11 | 3.30 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 1.01 | −0.56 | 2.59 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −1.09 | −2.68 | 0.50 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.03 | −1.45 | 1.51 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.62 | −0.90 | 2.14 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −0.09 | −1.58 | 1.39 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.68 | −0.84 | 2.21 | |
[55] | 0.575 | 0.110 | 0.165 | −0.69 | −1.91 | 0.52 | |
[55] | 0.575 | 0.210 | 0.320 | 0.03 | −1.15 | 1.21 | |
[56] 4 | 0.527 | 0.053 | 0.082 | −0.02 | −1.78 | 1.73 | |
[56] 4 | 0.527 | 0.107 | 0.164 | 0.34 | −1.43 | 2.11 | |
[56] 4 | 0.527 | 0.177 | 0.272 | 0.22 | −1.55 | 1.98 | |
[56] 4 | 0.527 | 0.301 | 0.462 | 0.11 | −1.65 | 1.86 | |
[58] | 0.513 | 0.096 | 0.147 | −1.04 | −2.19 | 0.12 | |
[58] | 0.513 | 0.239 | 0.367 | −0.16 | −1.24 | 0.93 | |
[58] | 0.513 | 0.096 | 0.147 | −1.06 | −2.22 | 0.10 | |
[58] | 0.513 | 0.239 | 0.367 | 0.60 | −0.51 | 1.71 | |
In-house (I2 = 0.0% PQ = 0.821) | 0.05 | −0.09 | 0.19 | ||||
[37] 4 | 0.648 | 0.220 | 0.340 | −0.17 | −1.65 | 1.32 | |
[35] | 0.568 | 0.020 | 0.030 | −0.07 | −1.55 | 1.41 | |
[35] | 0.568 | 0.039 | 0.060 | −0.51 | −2.02 | 1.00 | |
[35] | 0.568 | 0.065 | 0.100 | −0.15 | −1.64 | 1.34 | |
[35] | 0.568 | 0.098 | 0.150 | −0.33 | −1.82 | 1.17 | |
[35] | 0.568 | 0.137 | 0.210 | −0.07 | −1.56 | 1.41 | |
[19] | 0.555 | 0.026 | 0.040 | −0.10 | −1.58 | 1.39 | |
[19] | 0.555 | 0.052 | 0.080 | −0.21 | −1.70 | 1.27 | |
[19] | 0.555 | 0.078 | 0.120 | 0.78 | −0.76 | 2.32 | |
[19] | 0.555 | 0.104 | 0.160 | 0.92 | −0.64 | 2.48 | |
[19] | 0.555 | 0.130 | 0.200 | 0.02 | −1.47 | 1.50 | |
[19] | 0.505 | 0.039 | 0.060 | −0.24 | −2.00 | 1.53 | |
[19] | 0.505 | 0.078 | 0.120 | 1.31 | −0.63 | 3.25 | |
[19] | 0.505 | 0.117 | 0.180 | −0.08 | −1.83 | 1.68 | |
[19] | 0.505 | 0.156 | 0.240 | 0.10 | −1.66 | 1.86 | |
[19] 4 | 0.539 | 0.020 | 0.030 | 0.32 | −1.17 | 1.82 | |
[19] 4 | 0.539 | 0.039 | 0.060 | 0.92 | −0.64 | 2.48 | |
[19] 4 | 0.539 | 0.059 | 0.090 | −0.02 | −1.50 | 1.47 | |
[19] 4 | 0.539 | 0.078 | 0.120 | 0.05 | −1.44 | 1.53 | |
[19] 4 | 0.539 | 0.098 | 0.150 | −0.50 | −2.00 | 1.01 | |
[17] | 0.559 | 0.026 | 0.040 | −1.48 | −3.16 | 0.19 | |
[17] | 0.559 | 0.052 | 0.080 | 0.50 | −1.01 | 2.01 | |
[17] | 0.559 | 0.078 | 0.120 | −0.28 | −1.77 | 1.22 | |
[17] | 0.559 | 0.137 | 0.210 | 0.13 | −1.36 | 1.61 | |
[17] | 0.559 | 0.195 | 0.300 | 0.35 | −1.15 | 1.85 | |
[44] 4 | 0.544 | 0.039 | 0.060 | −0.57 | −2.36 | 1.22 | |
[44] 4 | 0.544 | 0.078 | 0.120 | −0.27 | −2.03 | 1.49 | |
[44] 4 | 0.544 | 0.117 | 0.180 | −0.75 | −2.57 | 1.07 | |
[44] 4 | 0.544 | 0.156 | 0.240 | −0.70 | −2.51 | 1.11 | |
[45] 4 | 0.648 | 0.180 | 0.278 | 0.74 | −0.30 | 1.79 | |
[46] | 0.577 | 0.092 | 0.136 | −0.34 | −1.53 | 0.85 | |
[46] | 0.577 | 0.176 | 0.279 | 0.17 | −1.01 | 1.36 | |
[46] | 0.577 | 0.269 | 0.415 | 0.43 | −0.77 | 1.63 | |
[47] | 0.54 | 0.093 | 0.143 | 0.24 | −1.52 | 2.00 | |
[47] | 0.54 | 0.186 | 0.286 | −0.09 | −1.85 | 1.66 | |
[47] | 0.54 | 0.279 | 0.429 | −0.03 | −1.79 | 1.73 | |
[50] 4 | 0.589 | 0.091 | 0.139 | −0.37 | −1.56 | 0.82 | |
[50] 4 | 0.589 | 0.179 | 0.276 | 0.17 | −1.02 | 1.35 | |
[50] 4 | 0.589 | 0.270 | 0.415 | 0.37 | −0.82 | 1.56 | |
[54] | 0.570 | 0.111 | 0.170 | 0.99 | −0.87 | 2.85 | |
[54] | 0.570 | 0.221 | 0.340 | 0.86 | −0.98 | 2.70 | |
[54] | 0.570 | 0.332 | 0.511 | 1.08 | −0.80 | 2.96 | |
[57] | 0.544 | 0.142 | 0.219 | 0.58 | −0.53 | 1.68 | |
[57] | 0.544 | 0.285 | 0.437 | 0.73 | −0.39 | 1.85 | |
[57] | 0.544 | 0.427 | 0.656 | 1.31 | 0.11 | 2.51 | |
Peer-reviewed Paper (I2 = 0.0% PQ = 0.590) | 0.15 | −0.02 | 0.31 | ||||
Combined effect size (I2 = 0.0% PQ = 0.809) | 0.09 | 0.00 | 0.18 |
Avg. Basal Met+Cys, % | Supplementation, % | ||||||
Study Name/Subgroup Name | 65 DLM 1 | MHA 2 | Effect Size | CI LL | CI UL | ||
[38] | 0.580 | 0.074 | 0.114 | −0.21 | −1.52 | 1.10 | |
[38] | 0.580 | 0.148 | 0.228 | −0.50 | −1.82 | 0.83 | |
[38] | 0.580 | 0.222 | 0.342 | 0.11 | −1.20 | 1.42 | |
[38] | 0.580 | 0.296 | 0.456 | −0.75 | −2.10 | 0.61 | |
[38] | 0.580 | 0.370 | 0.570 | −0.57 | −1.90 | 0.77 | |
[38] | 0.520 | 0.062 | 0.095 | 0.04 | −1.27 | 1.34 | |
[38] | 0.520 | 0.124 | 0.190 | −0.67 | −2.02 | 0.67 | |
[38] | 0.520 | 0.186 | 0.286 | −0.35 | −1.67 | 0.96 | |
[38] | 0.520 | 0.248 | 0.381 | 0.11 | −1.20 | 1.42 | |
[38] | 0.520 | 0.310 | 0.476 | −0.39 | −1.71 | 0.93 | |
[39] | 0.592 | 0.236 | 0.364 | 0.13 | −1.62 | 1.89 | |
[40] 3 | 0.591 | 0.238 | 0.366 | 0.24 | −1.25 | 1.73 | |
[42] | 0.566 | 0.255 | 0.393 | −0.48 | −1.98 | 1.03 | |
[43] | 0.555 | 0.223 | 0.341 | −0.33 | −1.52 | 0.86 | |
[48] | 0.543 | 0.086 | 0.133 | −0.24 | −1.33 | 0.85 | |
[48] | 0.543 | 0.249 | 0.383 | 0.21 | −0.88 | 1.30 | |
[48] | 0.545 | 0.085 | 0.131 | −0.35 | −1.37 | 0.67 | |
[48] | 0.545 | 0.302 | 0.464 | 0.25 | −0.76 | 1.27 | |
[51] | 0.540 | 0.112 | 0.172 | −0.28 | −1.37 | 0.81 | |
[51] | 0.540 | 0.167 | 0.258 | 0.00 | −1.09 | 1.09 | |
[51] | 0.540 | 0.223 | 0.343 | −0.07 | −1.16 | 1.02 | |
[51] | 0.540 | 0.279 | 0.429 | 0.51 | −0.60 | 1.61 | |
[52] | 0.548 | 0.141 | 0.218 | −0.66 | −1.44 | 0.11 | |
[52] | 0.500 | 0.179 | 0.275 | 0.07 | −0.69 | 0.82 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.55 | −0.96 | 2.07 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.18 | −1.31 | 1.66 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −0.08 | −1.57 | 1.40 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.85 | −0.70 | 2.39 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −0.87 | −2.43 | 0.68 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −1.09 | −2.68 | 0.50 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −0.76 | −2.29 | 0.78 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.17 | −1.31 | 1.66 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −0.28 | −1.77 | 1.21 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.07 | −1.41 | 1.56 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.69 | −0.84 | 2.22 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.46 | −1.04 | 1.96 | |
[55] | 0.575 | 0.110 | 0.165 | −0.12 | −1.31 | 1.06 | |
[55] | 0.575 | 0.210 | 0.320 | 0.56 | −0.65 | 1.76 | |
[55] | 0.575 | 0.320 | 0.485 | 0.75 | −0.47 | 1.97 | |
[56] 4 | 0.527 | 0.053 | 0.082 | −1.03 | −2.90 | 0.84 | |
[56] 4 | 0.527 | 0.107 | 0.164 | 0.59 | −1.20 | 2.39 | |
[56] 4 | 0.527 | 0.177 | 0.272 | 0.35 | −1.42 | 2.12 | |
[56] 4 | 0.527 | 0.301 | 0.462 | 0.35 | −1.42 | 2.12 | |
[58] | 0.513 | 0.096 | 0.147 | 0.63 | −0.48 | 1.75 | |
[58] | 0.513 | 0.239 | 0.367 | −0.43 | −1.53 | 0.67 | |
[58] | 0.513 | 0.096 | 0.147 | 1.53 | 0.29 | 2.77 | |
[58] | 0.513 | 0.239 | 0.367 | 0.00 | −1.09 | 1.09 | |
In-house (I2 = 0.0% PQ = 0.567) | −0.03 | −0.18 | 0.12 | ||||
[37] 4 | 0.648 | 0.220 | 0.340 | 0.38 | −1.12 | 1.87 | |
[35] | 0.568 | 0.020 | 0.030 | −0.45 | −1.95 | 1.06 | |
[35] | 0.568 | 0.039 | 0.060 | 0.51 | −0.99 | 2.02 | |
[35] | 0.568 | 0.065 | 0.100 | 0.56 | −0.95 | 2.08 | |
[35] | 0.568 | 0.098 | 0.150 | −0.10 | −1.58 | 1.39 | |
[35] | 0.568 | 0.137 | 0.210 | −0.14 | −1.62 | 1.35 | |
[19] | 0.555 | 0.026 | 0.040 | 0.91 | −0.65 | 2.47 | |
[19] | 0.555 | 0.052 | 0.080 | 0.96 | −0.61 | 2.52 | |
[19] | 0.555 | 0.078 | 0.120 | −0.64 | −2.17 | 0.88 | |
[19] | 0.555 | 0.104 | 0.160 | 0.11 | −1.37 | 1.60 | |
[19] | 0.555 | 0.130 | 0.200 | −0.07 | −1.55 | 1.42 | |
[19] | 0.505 | 0.039 | 0.060 | 0.15 | −1.61 | 1.91 | |
[19] | 0.505 | 0.078 | 0.120 | −1.14 | −3.04 | 0.75 | |
[19] | 0.505 | 0.117 | 0.180 | 0.17 | −1.59 | 1.92 | |
[19] | 0.505 | 0.156 | 0.240 | 0.92 | −0.93 | 2.77 | |
[19] 4 | 0.539 | 0.020 | 0.030 | 0.14 | −1.35 | 1.63 | |
[19] 4 | 0.539 | 0.039 | 0.060 | 0.09 | −1.40 | 1.57 | |
[19] 4 | 0.539 | 0.059 | 0.090 | −0.41 | −1.90 | 1.09 | |
[19] 4 | 0.539 | 0.078 | 0.120 | 0.00 | −1.48 | 1.48 | |
[19] 4 | 0.539 | 0.098 | 0.150 | 0.57 | −0.94 | 2.09 | |
[17] | 0.559 | 0.052 | 0.080 | 0.90 | −0.66 | 2.45 | |
[17] | 0.559 | 0.078 | 0.120 | 0.97 | −0.60 | 2.54 | |
[17] | 0.559 | 0.137 | 0.210 | 0.02 | −1.46 | 1.51 | |
[17] | 0.559 | 0.195 | 0.300 | −0.32 | −1.82 | 1.17 | |
[44] 4 | 0.544 | 0.039 | 0.060 | 0.10 | −1.66 | 1.85 | |
[44] 4 | 0.544 | 0.117 | 0.180 | 0.40 | −1.37 | 2.18 | |
[44] 4 | 0.544 | 0.156 | 0.240 | 1.13 | −0.76 | 3.02 | |
[45] 4 | 0.648 | 0.180 | 0.278 | −0.45 | −1.48 | 0.57 | |
[46] | 0.577 | 0.092 | 0.136 | −0.71 | −1.93 | 0.51 | |
[46] | 0.577 | 0.176 | 0.279 | 0.07 | −1.11 | 1.25 | |
[46] | 0.577 | 0.269 | 0.415 | −0.11 | −1.29 | 1.08 | |
[47] | 0.54 | 0.093 | 0.143 | 0.00 | −1.76 | 1.76 | |
[47] | 0.54 | 0.186 | 0.286 | −0.14 | −1.90 | 1.61 | |
[47] | 0.54 | 0.279 | 0.429 | −0.58 | −2.37 | 1.21 | |
[50] 4 | 0.589 | 0.091 | 0.139 | −0.68 | −1.90 | 0.53 | |
[50] 4 | 0.589 | 0.179 | 0.276 | 0.07 | −1.11 | 1.25 | |
[50] 4 | 0.589 | 0.270 | 0.415 | −0.11 | −1.29 | 1.07 | |
[54] | 0.570 | 0.111 | 0.170 | −1.05 | −2.92 | 0.82 | |
[54] | 0.570 | 0.221 | 0.340 | −1.34 | −3.29 | 0.60 | |
[54] | 0.570 | 0.332 | 0.511 | −0.54 | −2.33 | 1.25 | |
[57] | 0.544 | 0.285 | 0.437 | −0.63 | −1.75 | 0.48 | |
[57] | 0.544 | 0.427 | 0.656 | −0.32 | −1.41 | 0.78 | |
Peer-reviewed Paper (I2 = 0.0% PQ = 0.617) | −0.04 | −0.21 | 0.13 | ||||
Combined effect size (I2 = 0.0% PQ = 0.674) | −0.03 | −0.04 | −0.03 |
Avg. Basal Met+Cys, % | Supplementation, % | ||||||
Study Name/Subgroup Name | 65 DLM 1 | MHA 2 | Effect Size | CI LL | CI UL | ||
[37] 3 | 0.648 | 0.220 | 0.340 | −0.17 | −1.65 | 1.32 | |
[38] | 0.580 | 0.074 | 0.114 | 0.12 | −1.19 | 1.43 | |
[38] | 0.580 | 0.148 | 0.228 | −0.41 | −1.74 | 0.91 | |
[38] | 0.580 | 0.222 | 0.342 | 0.00 | −1.31 | 1.31 | |
[38] | 0.580 | 0.296 | 0.456 | 0.15 | −1.16 | 1.46 | |
[38] | 0.580 | 0.370 | 0.570 | 0.38 | −0.94 | 1.70 | |
[38] | 0.520 | 0.062 | 0.095 | 0.05 | −1.26 | 1.35 | |
[38] | 0.520 | 0.124 | 0.190 | −0.03 | −1.34 | 1.28 | |
[38] | 0.520 | 0.186 | 0.286 | −0.19 | −1.50 | 1.13 | |
[38] | 0.520 | 0.248 | 0.381 | 0.34 | −0.98 | 1.66 | |
[38] | 0.520 | 0.310 | 0.476 | −0.09 | −1.40 | 1.22 | |
[40] | 0.591 | 0.238 | 0.366 | −0.24 | −1.73 | 1.25 | |
[47] | 0.540 | 0.093 | 0.143 | 0.24 | −1.52 | 2.00 | |
[47] | 0.540 | 0.186 | 0.286 | −0.09 | −1.85 | 1.66 | |
[47] | 0.540 | 0.279 | 0.429 | −0.03 | −1.79 | 1.73 | |
[51] | 0.540 | 0.056 | 0.086 | −1.52 | −2.76 | −0.29 | |
[51] | 0.540 | 0.112 | 0.172 | 0.32 | −0.77 | 1.42 | |
[51] | 0.540 | 0.167 | 0.258 | 0.06 | −1.02 | 1.15 | |
[51] | 0.540 | 0.223 | 0.343 | −0.24 | −1.33 | 0.85 | |
[51] | 0.540 | 0.279 | 0.429 | 0.03 | −1.06 | 1.12 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 0.13 | −1.35 | 1.62 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 0.03 | −1.45 | 1.52 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 0.39 | −1.11 | 1.88 | |
[53] 3 | 0.507 | 0.315 | 0.486 | −0.68 | −2.21 | 0.85 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 0.31 | −1.18 | 1.81 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 1.60 | −0.11 | 3.30 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 1.01 | −0.56 | 2.59 | |
[53] 3 | 0.507 | 0.440 | 0.676 | −1.09 | −2.68 | 0.50 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 0.03 | −1.45 | 1.51 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 0.62 | −0.90 | 2.14 | |
[53] 3 | 0.507 | 0.440 | 0.676 | −0.09 | −1.58 | 1.39 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 0.68 | −0.84 | 2.21 | |
[54] | 0.570 | 0.111 | 0.170 | 0.99 | −0.87 | 2.85 | |
[54] | 0.570 | 0.221 | 0.340 | 0.86 | −0.98 | 2.70 | |
[54] | 0.570 | 0.332 | 0.511 | 1.08 | −0.80 | 2.96 | |
[56] 3 | 0.527 | 0.053 | 0.082 | −0.02 | −1.78 | 1.73 | |
[56] 3 | 0.527 | 0.107 | 0.164 | 0.34 | −1.43 | 2.11 | |
[56] 3 | 0.527 | 0.177 | 0.272 | 0.22 | −1.55 | 1.98 | |
[56] 3 | 0.527 | 0.301 | 0.462 | 0.11 | −1.65 | 1.86 | |
Cobb500 (I2 = 0.0% PQ = 0.701) | 0.09 | −0.08 | 0.27 | ||||
[39] | 0.592 | 0.236 | 0.364 | 0.08 | −1.68 | 1.84 | |
[42] | 0.566 | 0.255 | 0.393 | 0.67 | −0.86 | 2.19 | |
[35] | 0.568 | 0.020 | 0.030 | −0.07 | −1.55 | 1.41 | |
[35] | 0.568 | 0.039 | 0.060 | −0.51 | −2.02 | 1.00 | |
[35] | 0.568 | 0.065 | 0.100 | −0.15 | −1.64 | 1.34 | |
[35] | 0.568 | 0.098 | 0.150 | −0.33 | −1.82 | 1.17 | |
[35] | 0.568 | 0.137 | 0.210 | −0.07 | −1.56 | 1.41 | |
[19] 3 | 0.539 | 0.020 | 0.030 | 0.32 | −1.17 | 1.82 | |
[19] 3 | 0.539 | 0.039 | 0.060 | 0.92 | −0.64 | 2.48 | |
[19] 3 | 0.539 | 0.059 | 0.090 | −0.02 | −1.50 | 1.47 | |
[19] 3 | 0.539 | 0.078 | 0.120 | 0.05 | −1.44 | 1.53 | |
[19] 3 | 0.539 | 0.098 | 0.150 | −0.50 | −2.00 | 1.01 | |
[17] | 0.559 | 0.026 | 0.040 | −1.48 | −3.16 | 0.19 | |
[17] | 0.559 | 0.052 | 0.080 | 0.50 | −1.01 | 2.01 | |
[17] | 0.559 | 0.078 | 0.120 | −0.28 | −1.77 | 1.22 | |
[17] | 0.559 | 0.137 | 0.210 | 0.13 | −1.36 | 1.61 | |
[17] | 0.559 | 0.195 | 0.300 | 0.35 | −1.15 | 1.85 | |
[46] | 0.577 | 0.092 | 0.136 | −0.34 | −1.53 | 0.85 | |
[46] | 0.577 | 0.176 | 0.279 | 0.17 | −1.01 | 1.36 | |
[46] | 0.577 | 0.269 | 0.415 | 0.43 | −0.77 | 1.63 | |
[48] | 0.543 | 0.086 | 0.133 | −0.27 | −1.37 | 0.82 | |
[48] | 0.543 | 0.249 | 0.383 | 0.19 | −0.90 | 1.28 | |
[48] | 0.545 | 0.085 | 0.131 | 0.03 | −0.99 | 1.04 | |
[48] | 0.545 | 0.302 | 0.464 | 0.65 | −0.39 | 1.68 | |
[50] 3 | 0.589 | 0.091 | 0.139 | −0.37 | −1.56 | 0.82 | |
[50] 3 | 0.589 | 0.179 | 0.276 | 0.17 | −1.02 | 1.35 | |
[50] 3 | 0.589 | 0.270 | 0.415 | 0.37 | −0.82 | 1.56 | |
[57] | 0.544 | 0.142 | 0.219 | 0.58 | −0.53 | 1.68 | |
[57] | 0.544 | 0.285 | 0.437 | 0.73 | −0.39 | 1.85 | |
[57] | 0.544 | 0.427 | 0.656 | 1.31 | 0.11 | 2.51 | |
[58] | 0.513 | 0.096 | 0.147 | −0.97 | −2.12 | 0.18 | |
[58] | 0.513 | 0.239 | 0.367 | −0.15 | −1.23 | 0.94 | |
[58] | 0.513 | 0.096 | 0.147 | −0.99 | −2.14 | 0.16 | |
[58] | 0.513 | 0.239 | 0.367 | 0.56 | −0.54 | 1.67 | |
Ross308 (I2 = 8.3% PQ = 0.330) | 0.07 | −0.12 | 0.26 | ||||
Combined effect size (I2 = 0.0% PQ = 0.578) | 0.08 | 0.06 | 0.11 |
Avg. Basal Met+Cys, % | Supplementation, % | ||||||
Study Name/Subgroup Name | 65 DLM 1 | MHA 2 | Effect Size | CI LL | CI UL | ||
[37] 3 | 0.648 | 0.220 | 0.340 | 0.38 | −1.12 | 1.87 | |
[38] | 0.580 | 0.074 | 0.114 | −0.21 | −1.52 | 1.10 | |
[38] | 0.580 | 0.148 | 0.228 | −0.50 | −1.82 | 0.83 | |
[38] | 0.580 | 0.222 | 0.342 | 0.11 | −1.20 | 1.42 | |
[38] | 0.580 | 0.296 | 0.456 | −0.75 | −2.10 | 0.61 | |
[38] | 0.580 | 0.370 | 0.570 | −0.57 | −1.90 | 0.77 | |
[38] | 0.520 | 0.062 | 0.095 | 0.04 | −1.27 | 1.34 | |
[38] | 0.520 | 0.124 | 0.190 | −0.67 | −2.02 | 0.67 | |
[38] | 0.520 | 0.186 | 0.286 | −0.35 | −1.67 | 0.96 | |
[38] | 0.520 | 0.248 | 0.381 | 0.11 | −1.20 | 1.42 | |
[38] | 0.520 | 0.310 | 0.476 | −0.39 | −1.71 | 0.93 | |
[40] | 0.591 | 0.238 | 0.366 | 0.24 | −1.25 | 1.73 | |
[47] | 0.540 | 0.093 | 0.143 | 0.00 | −1.76 | 1.76 | |
[47] | 0.540 | 0.186 | 0.286 | −0.14 | −1.90 | 1.61 | |
[47] | 0.540 | 0.279 | 0.429 | −0.58 | −2.37 | 1.21 | |
[51] | 0.540 | 0.112 | 0.172 | −0.28 | −1.37 | 0.81 | |
[51] | 0.540 | 0.167 | 0.258 | 0.00 | −1.09 | 1.09 | |
[51] | 0.540 | 0.223 | 0.343 | −0.07 | −1.16 | 1.02 | |
[51] | 0.540 | 0.279 | 0.429 | 0.51 | −0.60 | 1.61 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 0.55 | −0.96 | 2.07 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 0.18 | −1.31 | 1.66 | |
[53] 3 | 0.507 | 0.315 | 0.486 | −0.08 | −1.57 | 1.40 | |
[53] 3 | 0.507 | 0.315 | 0.486 | 0.85 | −0.70 | 2.39 | |
[53] 3 | 0.507 | 0.315 | 0.486 | −0.87 | −2.43 | 0.68 | |
[53] 3 | 0.507 | 0.315 | 0.486 | −1.09 | −2.68 | 0.50 | |
[53] 3 | 0.507 | 0.440 | 0.676 | −0.76 | −2.29 | 0.78 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 0.17 | −1.31 | 1.66 | |
[53] 3 | 0.507 | 0.440 | 0.676 | −0.28 | −1.77 | 1.21 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 0.07 | −1.41 | 1.56 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 0.69 | −0.84 | 2.22 | |
[53] 3 | 0.507 | 0.440 | 0.676 | 0.46 | −1.04 | 1.96 | |
[54] | 0.570 | 0.111 | 0.170 | −1.05 | −2.92 | 0.82 | |
[54] | 0.570 | 0.221 | 0.340 | −1.34 | −3.29 | 0.60 | |
[54] | 0.570 | 0.332 | 0.511 | −0.54 | −2.33 | 1.25 | |
[56] 3 | 0.527 | 0.053 | 0.082 | −1.03 | −2.90 | 0.84 | |
[56] 3 | 0.527 | 0.107 | 0.164 | 0.59 | −1.20 | 2.39 | |
[56] 3 | 0.527 | 0.177 | 0.272 | 0.35 | −1.42 | 2.12 | |
[56] 3 | 0.527 | 0.301 | 0.462 | 0.35 | −1.42 | 2.12 | |
Cobb500 (I2 = 0.0% PQ = 0.787) | −0.13 | −0.30 | 0.04 | ||||
[39] | 0.592 | 0.236 | 0.364 | 0.13 | −1.62 | 1.89 | |
[42] | 0.566 | 0.255 | 0.393 | −0.48 | −1.98 | 1.03 | |
[35] | 0.568 | 0.020 | 0.030 | −0.45 | −1.95 | 1.06 | |
[35] | 0.568 | 0.039 | 0.060 | 0.51 | −0.99 | 2.02 | |
[35] | 0.568 | 0.065 | 0.100 | 0.56 | −0.95 | 2.08 | |
[35] | 0.568 | 0.098 | 0.150 | −0.10 | −1.58 | 1.39 | |
[35] | 0.568 | 0.137 | 0.210 | −0.14 | −1.62 | 1.35 | |
[19] 3 | 0.539 | 0.020 | 0.030 | 0.14 | −1.35 | 1.63 | |
[19] 3 | 0.539 | 0.039 | 0.060 | 0.09 | −1.40 | 1.57 | |
[19] 3 | 0.539 | 0.059 | 0.090 | −0.41 | −1.90 | 1.09 | |
[19] 3 | 0.539 | 0.078 | 0.120 | 0.00 | −1.48 | 1.48 | |
[19] 3 | 0.539 | 0.098 | 0.150 | 0.57 | −0.94 | 2.09 | |
[17] | 0.559 | 0.052 | 0.080 | 0.90 | −0.66 | 2.45 | |
[17] | 0.559 | 0.078 | 0.120 | 0.97 | −0.60 | 2.54 | |
[17] | 0.559 | 0.137 | 0.210 | 0.02 | −1.46 | 1.51 | |
[17] | 0.559 | 0.195 | 0.300 | −0.32 | −1.82 | 1.17 | |
[46] | 0.577 | 0.092 | 0.136 | −0.71 | −1.93 | 0.51 | |
[46] | 0.577 | 0.176 | 0.279 | 0.07 | −1.11 | 1.25 | |
[46] | 0.577 | 0.269 | 0.415 | −0.11 | −1.29 | 1.08 | |
[48] | 0.543 | 0.086 | 0.133 | −0.24 | −1.33 | 0.85 | |
[48] | 0.543 | 0.249 | 0.383 | 0.21 | −0.88 | 1.30 | |
[48] | 0.545 | 0.085 | 0.131 | −0.35 | −1.37 | 0.67 | |
[48] | 0.545 | 0.302 | 0.464 | 0.25 | −0.76 | 1.27 | |
[50] 3 | 0.589 | 0.091 | 0.139 | −0.68 | −1.90 | 0.53 | |
[50] 3 | 0.589 | 0.179 | 0.276 | 0.07 | −1.11 | 1.25 | |
[50] 3 | 0.589 | 0.270 | 0.415 | −0.11 | −1.29 | 1.07 | |
[57] | 0.544 | 0.285 | 0.437 | −0.63 | −1.75 | 0.48 | |
[57] | 0.544 | 0.427 | 0.656 | −0.32 | −1.41 | 0.78 | |
[58] | 0.513 | 0.096 | 0.147 | 0.58 | −0.53 | 1.69 | |
[58] | 0.513 | 0.239 | 0.367 | −0.40 | −1.50 | 0.70 | |
[58] | 0.513 | 0.096 | 0.147 | 1.35 | 0.14 | 2.55 | |
[58] | 0.513 | 0.239 | 0.367 | 0.00 | −1.09 | 1.09 | |
Ross308 (I2 = 0.0% PQ = 0.730) | 0.01 | −0.17 | 0.18 | ||||
Combined effect size (I2 = 0.0% PQ = 0.850) | −0.06 | −0.20 | 0.08 |
Avg. Basal Met+Cys, % | Supplementation, % | ||||||
Study Name/Subgroup Name | 65 DLM 1 | MHA 2 | Effect Size | CI LL | CI UL | ||
[38] | 0.580 | 0.074 | 0.114 | 0.12 | −1.19 | 1.43 | |
[38] | 0.580 | 0.148 | 0.228 | −0.41 | −1.74 | 0.91 | |
[38] | 0.580 | 0.222 | 0.342 | 0.00 | −1.31 | 1.31 | |
[38] | 0.580 | 0.296 | 0.456 | 0.15 | −1.16 | 1.46 | |
[38] | 0.580 | 0.370 | 0.570 | 0.38 | −0.94 | 1.70 | |
[38] | 0.520 | 0.062 | 0.095 | 0.05 | −1.26 | 1.35 | |
[38] | 0.520 | 0.124 | 0.190 | −0.03 | −1.34 | 1.28 | |
[38] | 0.520 | 0.186 | 0.286 | −0.19 | −1.50 | 1.13 | |
[38] | 0.520 | 0.248 | 0.381 | 0.34 | −0.98 | 1.66 | |
[38] | 0.520 | 0.310 | 0.476 | −0.09 | −1.40 | 1.22 | |
[39] | 0.592 | 0.236 | 0.364 | 0.08 | −1.68 | 1.84 | |
[43] | 0.555 | 0.223 | 0.341 | −0.16 | −1.34 | 1.02 | |
[19] 4 | 0.539 | 0.020 | 0.030 | 0.32 | −1.17 | 1.82 | |
[19] 4 | 0.539 | 0.039 | 0.060 | 0.92 | −0.64 | 2.48 | |
[19] 4 | 0.539 | 0.059 | 0.090 | −0.02 | −1.50 | 1.47 | |
[19] 4 | 0.539 | 0.078 | 0.120 | 0.05 | −1.44 | 1.53 | |
[19] 4 | 0.539 | 0.098 | 0.150 | −0.50 | −2.00 | 1.01 | |
[45] 4 | 0.648 | 0.180 | 0.278 | 0.74 | −0.30 | 1.79 | |
[46] | 0.577 | 0.092 | 0.136 | −0.34 | −1.53 | 0.85 | |
[46] | 0.577 | 0.176 | 0.279 | 0.17 | −1.01 | 1.36 | |
[46] | 0.577 | 0.269 | 0.415 | 0.43 | −0.77 | 1.63 | |
[47] | 0.540 | 0.093 | 0.143 | 0.24 | −1.52 | 2.00 | |
[47] | 0.540 | 0.186 | 0.286 | −0.09 | −1.85 | 1.66 | |
[47] | 0.540 | 0.279 | 0.429 | −0.03 | −1.79 | 1.73 | |
[48] | 0.545 | 0.085 | 0.131 | 0.03 | −0.99 | 1.04 | |
[48] | 0.545 | 0.302 | 0.464 | 0.65 | −0.39 | 1.68 | |
[50] 4 | 0.589 | 0.091 | 0.139 | −0.37 | −1.56 | 0.82 | |
[50] 4 | 0.589 | 0.179 | 0.276 | 0.17 | −1.02 | 1.35 | |
[50] 4 | 0.589 | 0.270 | 0.415 | 0.37 | −0.82 | 1.56 | |
[51] | 0.540 | 0.112 | 0.172 | 0.32 | −0.77 | 1.42 | |
[51] | 0.540 | 0.167 | 0.258 | 0.06 | −1.02 | 1.15 | |
[51] | 0.540 | 0.223 | 0.343 | −0.24 | −1.33 | 0.85 | |
[51] | 0.540 | 0.279 | 0.429 | 0.03 | −1.06 | 1.12 | |
[52] | 0.548 | 0.141 | 0.218 | 0.42 | −0.34 | 1.18 | |
[52] | 0.500 | 0.179 | 0.275 | 0.00 | −0.75 | 0.75 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.13 | −1.35 | 1.62 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.03 | −1.45 | 1.52 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.39 | −1.11 | 1.88 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −0.68 | −2.21 | 0.85 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.31 | −1.18 | 1.81 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 1.60 | −0.11 | 3.30 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 1.01 | −0.56 | 2.59 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −1.09 | −2.68 | 0.50 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.03 | −1.45 | 1.51 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.62 | −0.90 | 2.14 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −0.09 | −1.58 | 1.39 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.68 | −0.84 | 2.21 | |
[54] | 0.570 | 0.111 | 0.170 | 0.99 | −0.87 | 2.85 | |
[54] | 0.570 | 0.221 | 0.340 | 0.86 | −0.98 | 2.70 | |
[54] | 0.570 | 0.332 | 0.511 | 1.08 | −0.80 | 2.96 | |
[55] | 0.575 | 0.110 | 0.165 | −0.69 | −1.91 | 0.52 | |
[55] | 0.575 | 0.210 | 0.320 | 0.03 | −1.15 | 1.21 | |
[56] 4 | 0.527 | 0.053 | 0.082 | −0.02 | −1.78 | 1.73 | |
[56] 4 | 0.527 | 0.107 | 0.164 | 0.34 | −1.43 | 2.11 | |
[56] 4 | 0.527 | 0.177 | 0.272 | 0.22 | −1.55 | 1.98 | |
[56] 4 | 0.527 | 0.301 | 0.462 | 0.11 | −1.65 | 1.86 | |
[58] | 0.513 | 0.096 | 0.147 | −1.04 | −2.19 | 0.12 | |
[58] | 0.513 | 0.239 | 0.367 | −0.16 | −1.24 | 0.93 | |
[58] | 0.513 | 0.096 | 0.147 | −1.06 | −2.22 | 0.10 | |
[58] | 0.513 | 0.239 | 0.367 | 0.60 | −0.51 | 1.71 | |
Corn SBM (I2 = 0.0% PQ = 0.861) | 0.11 | −0.02 | 0.23 | ||||
[40] 3 | 0.591 | 0.238 | 0.366 | −0.24 | −1.73 | 1.25 | |
[42] | 0.566 | 0.255 | 0.393 | 0.67 | −0.86 | 2.19 | |
[35] | 0.568 | 0.020 | 0.030 | −0.07 | −1.55 | 1.41 | |
[35] | 0.568 | 0.039 | 0.060 | −0.51 | −2.02 | 1.00 | |
[35] | 0.568 | 0.065 | 0.100 | −0.15 | −1.64 | 1.34 | |
[35] | 0.568 | 0.098 | 0.150 | −0.33 | −1.82 | 1.17 | |
[35] | 0.568 | 0.137 | 0.210 | −0.07 | −1.56 | 1.41 | |
[17] | 0.559 | 0.026 | 0.040 | −1.48 | −3.16 | 0.19 | |
[17] | 0.559 | 0.052 | 0.080 | 0.50 | −1.01 | 2.01 | |
[17] | 0.559 | 0.078 | 0.120 | −0.28 | −1.77 | 1.22 | |
[17] | 0.559 | 0.137 | 0.210 | 0.13 | −1.36 | 1.61 | |
[17] | 0.559 | 0.195 | 0.300 | 0.35 | −1.15 | 1.85 | |
[57] | 0.544 | 0.142 | 0.219 | 0.58 | −0.53 | 1.68 | |
[57] | 0.544 | 0.285 | 0.437 | 0.73 | −0.39 | 1.85 | |
[57] | 0.544 | 0.427 | 0.656 | 1.31 | 0.11 | 2.51 | |
Wheat Corn SBM (I2 = 23.2% PQ = 0.197) | 0.14 | −0.21 | 0.50 | ||||
[37] 4 | 0.648 | 0.220 | 0.340 | −0.17 | −1.65 | 1.32 | |
[19] | 0.555 | 0.026 | 0.040 | −0.10 | −1.58 | 1.39 | |
[19] | 0.555 | 0.052 | 0.080 | −0.21 | −1.70 | 1.27 | |
[19] | 0.555 | 0.078 | 0.120 | 0.78 | −0.76 | 2.32 | |
[19] | 0.555 | 0.104 | 0.160 | 0.92 | −0.64 | 2.48 | |
[19] | 0.555 | 0.130 | 0.200 | 0.02 | −1.47 | 1.50 | |
[48] | 0.543 | 0.086 | 0.133 | −0.27 | −1.37 | 0.82 | |
[48] | 0.543 | 0.249 | 0.383 | 0.19 | −0.90 | 1.28 | |
Wheat SBM (I2 = 0.0% PQ = 0.731) | 0.11 | −0.26 | 0.48 | ||||
Combined effect size (I2 = 0.0% PQ = 0.823) | 0.11 | 0.09 | 0.13 |
Avg. Basal Met+Cys, % | Supplementation, % | ||||||
Study Name/Subgroup Name | 65 DLM 1 | MHA 2 | Effect Size | CI LL | CI UL | ||
[38] | 0.580 | 0.074 | 0.114 | −0.21 | −1.52 | 1.10 | |
[38] | 0.580 | 0.148 | 0.228 | −0.50 | −1.82 | 0.83 | |
[38] | 0.580 | 0.222 | 0.342 | 0.11 | −1.20 | 1.42 | |
[38] | 0.580 | 0.296 | 0.456 | −0.75 | −2.10 | 0.61 | |
[38] | 0.580 | 0.370 | 0.570 | −0.57 | −1.90 | 0.77 | |
[38] | 0.520 | 0.062 | 0.095 | 0.04 | −1.27 | 1.34 | |
[38] | 0.520 | 0.124 | 0.190 | −0.67 | −2.02 | 0.67 | |
[38] | 0.520 | 0.186 | 0.286 | −0.35 | −1.67 | 0.96 | |
[38] | 0.520 | 0.248 | 0.381 | 0.11 | −1.20 | 1.42 | |
[38] | 0.520 | 0.310 | 0.476 | −0.39 | −1.71 | 0.93 | |
[39] | 0.592 | 0.236 | 0.364 | 0.13 | −1.62 | 1.89 | |
[43] | 0.555 | 0.223 | 0.341 | −0.33 | −1.52 | 0.86 | |
[19] 4 | 0.539 | 0.020 | 0.030 | 0.14 | −1.35 | 1.63 | |
[19] 4 | 0.539 | 0.039 | 0.060 | 0.09 | −1.40 | 1.57 | |
[19] 4 | 0.539 | 0.059 | 0.090 | −0.41 | −1.90 | 1.09 | |
[19] 4 | 0.539 | 0.078 | 0.120 | 0.00 | −1.48 | 1.48 | |
[19] 4 | 0.539 | 0.098 | 0.150 | 0.57 | −0.94 | 2.09 | |
[45] 4 | 0.648 | 0.180 | 0.278 | −0.45 | −1.48 | 0.57 | |
[46] | 0.577 | 0.092 | 0.136 | −0.71 | −1.93 | 0.51 | |
[46] | 0.577 | 0.176 | 0.279 | 0.07 | −1.11 | 1.25 | |
[46] | 0.577 | 0.269 | 0.415 | −0.11 | −1.29 | 1.08 | |
[47] | 0.540 | 0.093 | 0.143 | 0.00 | −1.76 | 1.76 | |
[47] | 0.540 | 0.186 | 0.286 | −0.14 | −1.90 | 1.61 | |
[47] | 0.540 | 0.279 | 0.429 | −0.58 | −2.37 | 1.21 | |
[48] | 0.545 | 0.085 | 0.131 | −0.35 | −1.37 | 0.67 | |
[48] | 0.545 | 0.302 | 0.464 | 0.25 | −0.76 | 1.27 | |
[50] 4 | 0.589 | 0.091 | 0.139 | −0.68 | −1.90 | 0.53 | |
[50] 4 | 0.589 | 0.179 | 0.276 | 0.07 | −1.11 | 1.25 | |
[50] 4 | 0.589 | 0.270 | 0.415 | −0.11 | −1.29 | 1.07 | |
[51] | 0.540 | 0.112 | 0.172 | −0.28 | −1.37 | 0.81 | |
[51] | 0.540 | 0.167 | 0.258 | 0.00 | −1.09 | 1.09 | |
[51] | 0.540 | 0.223 | 0.343 | −0.07 | −1.16 | 1.02 | |
[51] | 0.540 | 0.279 | 0.429 | 0.51 | −0.60 | 1.61 | |
[52] | 0.548 | 0.141 | 0.218 | −0.66 | −1.44 | 0.11 | |
[52] | 0.500 | 0.179 | 0.275 | 0.07 | −0.69 | 0.82 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.55 | −0.96 | 2.07 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.18 | −1.31 | 1.66 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −0.08 | −1.57 | 1.40 | |
[53] 4 | 0.507 | 0.315 | 0.486 | 0.85 | −0.70 | 2.39 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −0.87 | −2.43 | 0.68 | |
[53] 4 | 0.507 | 0.315 | 0.486 | −1.09 | −2.68 | 0.50 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −0.76 | −2.29 | 0.78 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.17 | −1.31 | 1.66 | |
[53] 4 | 0.507 | 0.440 | 0.676 | −0.28 | −1.77 | 1.21 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.07 | −1.41 | 1.56 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.69 | −0.84 | 2.22 | |
[53] 4 | 0.507 | 0.440 | 0.676 | 0.46 | −1.04 | 1.96 | |
[54] | 0.570 | 0.111 | 0.170 | −1.05 | −2.92 | 0.82 | |
[54] | 0.570 | 0.221 | 0.340 | −1.34 | −3.29 | 0.60 | |
[54] | 0.570 | 0.332 | 0.511 | −0.54 | −2.33 | 1.25 | |
[55] | 0.575 | 0.110 | 0.165 | −0.12 | −1.31 | 1.06 | |
[55] | 0.575 | 0.210 | 0.320 | 0.56 | −0.65 | 1.76 | |
[55] | 0.575 | 0.320 | 0.485 | 0.75 | −0.47 | 1.97 | |
[56] 4 | 0.527 | 0.053 | 0.082 | −1.03 | −2.90 | 0.84 | |
[56] 4 | 0.527 | 0.107 | 0.164 | 0.59 | −1.20 | 2.39 | |
[56] 4 | 0.527 | 0.177 | 0.272 | 0.35 | −1.42 | 2.12 | |
[56] 4 | 0.527 | 0.301 | 0.462 | 0.35 | −1.42 | 2.12 | |
[58] | 0.513 | 0.096 | 0.147 | 0.63 | −0.48 | 1.75 | |
[58] | 0.513 | 0.239 | 0.367 | −0.43 | −1.53 | 0.67 | |
[58] | 0.513 | 0.096 | 0.147 | 1.53 | 0.29 | 2.77 | |
[58] | 0.513 | 0.239 | 0.367 | 0.00 | −1.09 | 1.09 | |
Corn SBM (I2 = 0.0% PQ = 0.662) | −0.09 | −0.22 | 0.04 | ||||
[40] 3 | 0.591 | 0.238 | 0.366 | 0.24 | −1.25 | 1.73 | |
[42] | 0.566 | 0.255 | 0.393 | −0.48 | −1.98 | 1.03 | |
[35] | 0.568 | 0.020 | 0.030 | −0.45 | −1.95 | 1.06 | |
[35] | 0.568 | 0.039 | 0.060 | 0.51 | −0.99 | 2.02 | |
[35] | 0.568 | 0.065 | 0.100 | 0.56 | −0.95 | 2.08 | |
[35] | 0.568 | 0.098 | 0.150 | −0.10 | −1.58 | 1.39 | |
[35] | 0.568 | 0.137 | 0.210 | −0.14 | −1.62 | 1.35 | |
[17] | 0.559 | 0.052 | 0.080 | 0.90 | −0.66 | 2.45 | |
[17] | 0.559 | 0.078 | 0.120 | 0.97 | −0.60 | 2.54 | |
[17] | 0.559 | 0.137 | 0.210 | 0.02 | −1.46 | 1.51 | |
[17] | 0.559 | 0.195 | 0.300 | −0.32 | −1.82 | 1.17 | |
[57] | 0.544 | 0.285 | 0.437 | −0.63 | −1.75 | 0.48 | |
[57] | 0.544 | 0.427 | 0.656 | −0.32 | −1.41 | 0.78 | |
Wheat Corn SBM (I2 = 0.0% PQ = 0.581) | 0.01 | −0.31 | 0.33 | ||||
[37] 4 | 0.648 | 0.220 | 0.340 | 0.38 | −1.12 | 1.87 | |
[19] | 0.555 | 0.026 | 0.040 | 0.91 | −0.65 | 2.47 | |
[19] | 0.555 | 0.052 | 0.080 | 0.96 | −0.61 | 2.52 | |
[19] | 0.555 | 0.078 | 0.120 | −0.64 | −2.17 | 0.88 | |
[19] | 0.555 | 0.104 | 0.160 | 0.11 | −1.37 | 1.60 | |
[19] | 0.555 | 0.130 | 0.200 | −0.07 | −1.55 | 1.42 | |
[48] | 0.543 | 0.086 | 0.133 | −0.24 | −1.33 | 0.85 | |
[48] | 0.543 | 0.249 | 0.383 | 0.21 | −0.88 | 1.30 | |
Wheat SBM (I2 = 0.0% PQ = 0.527) | 0.17 | −0.27 | 0.60 | ||||
Combined effect size (I2 = 0.0% PQ = 0.722) | −0.05 | −0.16 | 0.06 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Lemme, A.; Li, Z.; Dorigam, J. Meta-Analyses of Methionine Source Concept Validation Trials in Broilers. Animals 2024, 14, 1771. https://doi.org/10.3390/ani14121771
Lemme A, Li Z, Dorigam J. Meta-Analyses of Methionine Source Concept Validation Trials in Broilers. Animals. 2024; 14(12):1771. https://doi.org/10.3390/ani14121771
Chicago/Turabian StyleLemme, Andreas, Zeyang Li, and Juliano Dorigam. 2024. "Meta-Analyses of Methionine Source Concept Validation Trials in Broilers" Animals 14, no. 12: 1771. https://doi.org/10.3390/ani14121771
APA StyleLemme, A., Li, Z., & Dorigam, J. (2024). Meta-Analyses of Methionine Source Concept Validation Trials in Broilers. Animals, 14(12), 1771. https://doi.org/10.3390/ani14121771