Review Article

Zinc, Copper, and Iron in Oral Submucous Fibrosis: A Meta-Analysis

Table 1

Characteristics and moderators of studies included in the meta-analysis investigating differences in levels of zinc, copper, and iron between healthy controls and subjects with oral submucous fibrosis.

Author, year (reference)BiomarkerAgeMen (%)Sample size (n)Effect size
PatientControlZincCopperIron

Gupta et al., 1987 [12]Serum356540100.1121.264b
Varghese et al., 1987 [50]Serum38.85165050−3.800−6.541b
Rajendran et al., 1992 [49]Serumaa5050bb−30.170
Anuradha and Devi, 1995 [27]Plasmaaa2222−5.436−5.730−8.461
Luqumun et al., 2003 [50]Serum17–40671515b1.846−0.349
Pillai and Burde, 2005 [32]Serum23.40a4031b−0.427b
Khanna and Karjodkar, 2006 [52]Serum25–70833030b0.862−3.156
Nayak et al., 2010 [65]Serum22–60952020−0.345−0.404b
Balpande and Sathawane, 2010 [23]Serumaa3030−2.3864.572−8.975
Shettar, 2010 [31]Serum29.60803030−1.8060.975b
Tadakamadla et al., 2011 [33]Serum18–70905050b1.145−0.579
Ayinamudi and Narsimhan, 2012 [63]Serum23–62671560.9591.683b
Shetty et al., 2012 [53]Serumaa6521bb−0.452
Shetty et al., 2012 [53]Salivaaa6521bb−0.399
Hegde et al., 2012 [66]Serum26.85851560bb−3.501
Neethi et al., 2013 [55]Serum36.53733030−0.5210.758b
Khanna et al., 2013 [34]Serum36.85a30300.2160.809b
Kode and Karjodkar, 2013 [28]Serumaa30151.4240.205−0.642
Kode and Karjodkar, 2013 [28]Salivaaa30150.4970.512−0.517
Kapoora et al., 2013 [24]Serum15–55845050−17.94383.349−37.786
Shetty et al., 2013 [54]Seruma945050−4.932b−9.023
Hosthor et al., 2014 [29]Serumaa3030−4.6126.336−4.729
Gurprasad et al., 2014 [56]Serum32.5905035bb−2.853
Shetty et al., 2015 [30]Salivaaa5050−2.48510.989−14.582
Yadav et al., 2015 [35]Saliva28.6845050−1.1121.644b
Okade et al., 2015 [36]Saliva24.3973030b0.291−1.862
Hafeez et al., 2015 [57]Serum4988.88989bb−0.601
Saurabh et al., 2015 [58]Serum18–4583.33030bb−3.901
Srilekha, 2015 [37]Serum30–50602222−0.2232.545b
Mohammed et al., 2016 [61]Saliva32.73903030b1.772b
Kallalli et al., 2016 [59]Serum20–60783010bb−7.002
Tiwari et al., 2016 [38]Serum41.1754030b2.349−2.074
More and Patel, 2016 [26]Serum32.43733030−10.5763.015b
Kumar et al., 2016 [64]Serum42.6893535b0.927−0.508
Bhardwaj et al., 2016 [62]Serum16–65834040bb−2.085
Thakur and Guttikonda, 2017 [60]Serumaa4040bb−1.966

aNot reported in the primary study. bNot measured in the primary study.