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Table 2 characteristics of the selected studies (case–control, cross-sectional, cross-sectional with control and cross-sectional cohort)

From: An investigation into the relationship between nutritional status, dietary intake, symptoms and health-related quality of life in children and young people with juvenile idiopathic arthritis: a systematic review and meta-analysis

Author/ year

Number of participants

Study method

primary outcome(findings)

Shevchenko N., Khadzhynova Y. 2019 [25]

Total:69

Case–control

No correlation between vitamin D status and activity of disease (r-0.11; P > 0. 05)

No correlation between vitamin D status and number of active joints( r-0.05; P > 0.05)

No correlation between vitamin D status and number of injured joints (r-0. 14; P > 0.05)

Haugen et al. 1992 [26]

Total:32

JCA:15

Control:17

Case–control

Significantly lower weight in PA group than the healthy controls (p = 0.01) and pauci-A (p = 0.02)

Iron and zinc in the PA group compared to Pauci-A (p = 0.02) and healthy controls (both p < 0.01)

Significantly higher disease activity and ESR in the PA group with the pauci-A (p = 0.02 and p < 0.01 respectively)

Positive correlation seen between ESR and the disease activity t (r = 0.54, p < 0.01)

Lofthose et al. 2002 [27]

Total:44

JIA:22

Control:22

Case–control

Significantly lower body fat percentage seen in Pauci-A than in controls (P = 0.027)

Honkanen et al. 1990 [28]

Total:137

Control:12

JCA:125

Case–control

chol correlated with the markers of disease activity by ESR and Hb (r = -.193,p = 0.002 and r = 0.208,p = 0.02)

Possessive correlation between serum zinc and chol(r = 0.227,p = 0.002)

Significant correlation between Zinc and Vit A in serum( p < 0.001)

Harper et al. 2000 [29]

Total:78

JRA:44

Control:34

Case–control

JRA Children with TMD

reported significantly greater jaw pain, impaired ability to chew,

and impaired quality of life before chewing(P < 0.05, P < 0.001)and after(P < 0.05) than did either JRA or control children

Gorczyca et al. 2017 [30]

Total:108

JIA:66

Control:42

Case–control

Negative correlation between n-3 and n-6 PUFAs with CRP and ESR (p < 0.05)

Positive correlation between n-3 and n-6 PUFAs and platelet count (p < 0.05)

Bacon et al. 1990 [31]

Total:43

JIA:34

Control: 9

Case–control

A significant abnormality was seen in nutritional status in systemic and PA JRA

•Zin( p ≤ 05)

•Vit A, C and copper: (p ≤ .O1)

No significant correlation between diet, nutritional status and growth in any of the three types of JRA

Bouaddi et al. 2014 [10]

Total:40

Cross-sectional

Serum 25(OH) D were associated with DAS28 (p = 0.04, β: − 3.87, CI: (− 7.67,-0.07)

serum 25(OH)D levels were associated with the following disease activity components:

ESR (p = 0.05, β: − 0.14, CI: (− 0.28,0.004)),

Tender joints (p = 0.02, β: − 0.79, CI (− 1.47,-0.10))

Patient global health (p = 0.04, β: − 0.17, CI: (− 0.35,-0.004)

Grönlund et al. 2014 [32]

Total:80

JIA:40

Control:40

Cross-sectional cohort

Positive correlation between CHAQ and number of active joints with the proportion of body fat (R 0.48, p 0.002 and R 0.34, p 0.034, respectively)

Gonçalves et al. 2007 [33]

Total:103

JIA:51

Control: 52

Cross-sectional with control group

Average serum Hcy concentration was 9.3 ± 3.16 μmol/L in JIA patients and 8.9 ± 2.42 μmol/L in healthy controls (p = 0.615)

Vitamin B12 concentration was normal in patients and controls (p < 0.001)

Henderson and Lovell. 1989 [34]

Total:28

Cross-sectional

36% of the patients have PEM

36% were considered not at nutritional risk

28% had some nutritional abnormalities

Amancio et al. 2003 [35]

Total:64

JRA:41

Control:23

cross-sectional with control group

Higher copper levels in male JRA than male in the control group: (p = 0.004)

Significant relationships between disease activity and the number of inflamed joints with copper levels (p = 0.012 and p = 0.001, respectively)

Mortensen et al. 1990 [36]

Total:38

cross-sectional

Mean energy intakes were significantly below the RDI in the systemic (P = 0.01) and PA(P = 0.001) groups

Mean intakes of calcium and zinc were below the RDI of 100% in the PA group(P = 0.001)

The mean intakes for iron, thiamine, niacin equivalents, riboflavin, Vitamins C and A were all above the RDI in each group

Dağdeviren-Çakır et al. 2016 [37]

Total:217

JIA in active disease: 64

JIA in remission: 53

Healthy controls: 100

cross-sectional case–control

Significantly higher levels of Serum 25(OH) vitamin D in healthy subjects compared to the patients (p < 0.01)

No statistically significant correlation between vitamin D levels and the number of joints with active arthritis (r = 0.1, p = 0.4) and physician and family VAS assessments (r = 0.03/p = 0.77, r = 0.03/p = 0.78 respectively)

Çomak et al. 2014 [38]

Total:47

Retrospective study

A significant negative correlation between 25(OH) D levels and physician VAS, parent VAS and joint count (p = 0.001, p = 0.001, p = 0.02, respectively)

A significant negative correlation between 25(OH)D levels and disease activity(p = 0.01, r = -0.37)

Caetano et al. 2012 [39]

Total:77

JIA:42

Control:35

Cross-section with controlled group

A significantly greater percentage of total body fat (p = 0.001) truncal fat (p = 0.011) in JIA girls compared with controls

Pelajo et al. 2012 [9]

Total: 154

Cross-section

No association between 25(OH)D levels and JADAS-27 (p = 0.97)

Significant associations between JADAS-27 and JIA subtype (p = 0.003), and ethnicity (p = 0.006)