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Table 1 Main characteristic of the included studies

From: Prognostic value of adiponectin level in patients with coronary artery disease: a systematic review and meta-analysis

Author/year

Region

Study design

Patients

(% male)

Mean age (years)

Outcome definition

Adiponectin cutoff

Follow-up (years)

Outcome measures

HR or RR(95% CI)

Adjustment for variables

Pilz 2006 [7]

Germany

P

CAD; 2473 (75)

64 ± 10

Quartile 4 vs. 1; ≥14.77 vs. < 6.96 μg/ml

5.45

Total death:76;

2.04 (1.53–2.71);

CV death:95

2.14 (1.52–3.02)

Age, gender, BMI, metabolic syndrome/type 2 DM, hypertension, smoking, LDL-C, HDL-C, TG, CRP, fibrinogen, eGFR, homocysteine, and NT-pro-BNP

Shioji 2007 [8]

Japan

P

Angina pectoris or acute MI; 184 (69.0)

66.2 ± 9.5

Death, re-infarction, revascularization, HF hospitalization, and CI

> 4.5 vs. ≤ 4.5 μg/ml

2.3

MACE:78;

0.35 (0.14–0.90) a

Age, gender, BMI, fasting glucose, hemoglobin A1c, final reference diameter, DM, and medications

Piestrzeniewicz 2008 [9]

Poland

P

STEMI;77 (100)

54.3 ± 6.8

CV death, nonfatal MI, angina/HF hospitalization

≥4.23 vs. < 4.23 μg/ml

1.0

MACE:9;

5.08 (1.11–23.2)

DM, multivessel disease, LVEF CRP, history of CV events, lipids, creatinine, eGFR, hypertension, LVEF, and Duke Prognostic Index score

Maiolino 2008 [12]

Italy

P

CAD; 712 (72.5)

6.5 ± 10.1

CV death, nonfatal MI, ACS, stroke, and

vascular surgery

> 6.38 vs. ≤ 6.38 μg/ml

3.8

CV death:45

1.37 (0.86–2.17)

MACE:119;

1.00 (0.77–1.31)

Age, gender, LVEF, HD-C, LDL-C, BMI, creatinine, homocysteine, smoking, and TG

Huang 2010 [10]

Taiwan

P

AMI; 102 (85)

62 ± 11

CV death, nonfatal MI, PCI/CABG, IS, rehospitalization

≥6.46 vs. < 6.46 μg/ml

3.6

MACE:30;

1.22 (1.03–1.45)

Age, DM, hypertension, smoking, HDL-C, LDL-C, BMI and medication

Wilson 2011 [13]

Multi-coumtries

P

ACS;3931 (78.4)

48–70

Death, MI, stroke, unstable angina, CHF, revascularization

> 4.477 vs. ≤ 4.477 μg/ml

2.0

Total death:118;

1.57 (0.95–2.58);

MACE:951;

1.20 (1.03–1.40)

Age, gender, race, ACS type, DM, smoking, TG, blood pressure, BMI, eGFR, treatment group, BNP, and CRP

Beatty 2012 [14]

USA

P

Stable CAD; 981 (81.5)

66.7 ± 11.0

MI, heart failure, or death

Quartile 4 vs. 1; > 35.6 vs. < 12.6 μg/ml

7.1

Total death:375;

1.77 (1.12–2.67);

MACE:440;

1.43 (0.98–2.09)

Age, gender, race, DM, eGFR, beta-blocker, aspirin, statin, BMI, hemogloblin A1c, insulin, glucose, non-HDL-C, HDL-C, TG, LVEF, diastolic dysfunction, inducible ischemia, CRP, and NT-proBNP

Li 2012 [11]

China

P

CAD; 449 (68)

65.5 ± 10.9

Death, TVR, ACS, HF, and TIA/stroke

≥5.0 vs. < 5.0 μg/ml

1.6

MACE:109;

0.41 (0.23–0.73) a

Age, gender, type 2 DM, hypertension, dyslipidemia, smoke, weight index, hsCRP, LVEF, creatinine clearance, TC, TG, HDL-C, LDL-C, fasting glucose, and coronary score

Lindberg 2012 [19]

Denmark

P

STEMI;735 (73.9)

63.0 ± 12.5

Quartile 4 vs. 1–3

2.3

Total death:99;

2.70 (1.30–5.6);

CV death:50

2.57 (1.46–4.50)

Age, gender, smoking, hypercholesterolemia, DM, hypertension, BMI, CRP, peak troponin I, eGFR, multivessel disease, LVEF, and left anterior descending lesion (for CV death)

Delhaye 2013 [20]

France

P

Stable angina, NSTE-ACS; 477 (83.6)

62.5 ± 11

Death, MI or stroke

Tertile 3 vs. 1–2; > 20.1 vs. ≤ 20.1 μg/ml

3.7

MACE:82;

2.16 (1.35–3.46)

Age, DM, BMI, prior CAD, LVEF, creatinine, LDL-C, HDL-C, BNP, hs-CRP, and multivessel disease

Hascoet 2013 [21]

France

P

Stable CAD; 715 (100)

60.2 ± 8.0

≥7.3 vs. < 7.3 μg/ml

8.1

Total death:148;

1.71 (1.16–2.52);

CV death:95

1.86 (1.11–3.13)

Age, smoking, waist, treatment for DM, GGT, apolipoprotein A1, resting heart rate, hsCRP, eGFR or history of kidney failure, BMI, fasting glucose, ankle–arm index, and case–control design

Pratesi 2016 [22]

Italy

P

Stable CAD; 138 (82)

59.4 ± 8.1

> 13.2 vs. ≤13.2 ng/ml

3.8

Total death:26;

6.5 (2.40–17.7)

Age, gender, previous PTCA, AF, PAD, NYHA class, Index of Disease Severity score, LVEF, eGFR, hemoglobin

  1. Abbreviations: HR Hazard ratio, RR Risk ratio, CI Confidence intervals, P Prospective, CV Cardiovascular, MI Myocardial infarction; STEMI ST-segment elevation myocardial infarction, ACS Acute coronary syndrome, IS Ischemic stroke, CI Cerebral infarction, TIA Transient ischemic attack, LVEF Left ventricular ejection fraction, HF Heart failure, PAD Peripheral vascular disease, CAD Coronary artery disease, HF Heart failure, CHF Chronic heart failure, PCI Percutaneous coronary intervention, CABG Coronary artery bypass grafting, TVR Targeted vascular revascularization, NYHA New York Heart Association, AF Atrial fibrillation, BNP B-type natriuretic peptide, NT-pro-BNP N-terminal pro-B-type natriuretic peptide, BMI Body mass index, eGFR Estimated glomerular filtration rate, LDL-C Low density lipoprotein cholesterol, HDL-C High-density lipoprotein cholesterol, TG Triglycerides, DM Diabetes mellitus, hsCRP High sensitive C-reactive protein
  2. aResults are calculated from the lowest versus the highest adiponectin level