Cochrane · systematic review · CD013556

Effects of a gluten‐reduced or gluten‐free diet for the primary prevention of cardiovascular disease

Schmucker, C, Eisele-Metzger, A, Meerpohl, JJ, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

HeartAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
15
current version
GRADE rated
5
No studies
10
Included studies
NR
No studies 10 · 66.7%Ungraded 0 · 0%Very low 2 · 13.3%Low 3 · 20%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Summary of findings (NRSIs)

Population: health professionals from the USA and participants (“healthy volunteers from the Biobank cohort”) from the UK
8 questions
OutcomeEffectEvidenceStatus / GRADE
Outcomes (
no estimate extractedNRNo studies
Cardiovascular mortality (11.1 to 26 y)
HR 1 [0.95, 1.06]203063 participantsLow
Downgraded: risk of bias
All‐cause mortality (11.1 y)
HR 1 [0.99, 1.01]159265 participantsVery low
Downgraded: risk of bias, indirectness
Non‐fatal MI (26 y)
HR 0.99 [0.89, 1.1]43798 participantsLow
Downgraded: risk of bias
Stroke
no estimate extractedNRNo studies
Peripheral artery disease
no estimate extractedNRNo studies
Systolic blood pressure
no estimate extractedNRNo studies
Type 2 diabetes (28 y)
HR 1.14 [1.07, 1.22]71766 participantsLow
Downgraded: risk of bias

Summary of findings (RCTs)

Population: healthy normal weighted participants recruited through leaflets from Italy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Cardiovascular mortality
no estimate extractedNRNo studies
All‐cause mortality
no estimate extractedNRNo studies
Non‐fatal MI
no estimate extractedNRNo studies
Stroke
no estimate extractedNRNo studies
Peripheral artery disease
no estimate extractedNRNo studies
Systolic blood pressure (6 months)
no estimate extracted1 study · 60 participantsVery low
Downgraded: risk of bias
Type 2 diabetes
no estimate extractedNRNo studies