Table 3

Summary of key results from meta-analysis by outcome and exposure category

OutcomeExposure categorySRE
(95% IC)
Statistical precision*Sensitivity analyses†Consistency‡Strength of evidence§
SA(1) Light lifting or <12 kg0.97
(0.53 to 1.78)
±+Weak evidence of no association
(2) Lifting unspecified weight or ≥5 kg1.16
(0.90 to 1.49)
++Weak evidence of positive association
(3) Heavy lifting or ≥10 kg, ≤10x/day or rarely1.11
(0.77 to 1.58)
±Inconclusive data
(4) Heavy lifting or ≥10 kg, unspecified frequency or ≥1x/day1.16
(0.76 to 1.78)
+Inconclusive data
(5) Heavy lifting or ≥10 kg, ≥10x/day or often1.31
(1.17 to 1.47)
+++Good evidence of positive association
PTD(1) Lifting <12 kg1.02
(0.86 to 1.23)
++Weak evidence of no association
(2) Lifting unspecified weight or ≥5 kg1.04
(0.85 to 1.29)
±+Weak evidence of no association
(3) Heavy lifting or ≥10 kg, ≤10x/day or rarely0.95
(0.81 to 1.10)
±++Moderate evidence of no association
(4) Heavy lifting or ≥10 kg, unspecified frequency or ≥1x/day1.08
(0.90 to 1.29)
±±Weak evidence of positive association
(5) Heavy lifting or ≥10 kg, ≥10x/day or often1.24
(1.07 to 1.43)
+++Good evidence of positive association
SGA(1) Lifting <12 kg0.97
(0.81 to 1.15)
±+Weak evidence of no association
(2) Lifting unspecified weight or ≥5 kg0.91
(0.47 to 1.76)
±Inconclusive data
(3) Heavy lifting or ≥10 kg, ≤10x/day or rarely0.99
(0.91 to 1.08)
±+Weak evidence of no association
(4) Heavy lifting or ≥10 kg, unspecified frequency or ≥1x/day1.03
(0.71 to 1.51)
+Inconclusive data
(5) Heavy lifting or ≥10 kg, ≥10x/day or often1.03
(0.87 to 1.21)
±+Weak evidence of no association
  • *In the case of positive association (summary RE ≥1.05), statistical precision is based on the lower limit of 95% CI with the following interpretation: >1.00: good; 0.91–1.00: moderate; ≤0.90: low. In the case of no association (summary RE <1.05), statistical precision is based on the upper limit of 95% CI with the following interpretation: <1.05: good; 1.05–1.14: moderate; ≥1.15: low.

  • †Assessment of sensitivity analyses is based on the number of results similar to the summary RE with the following interpretation: 6: good; 3–5: moderate; 0–2: low.

  • ‡Consistency is considered good when I2 <30% and p-value ≥0.10, moderate when (30% ≤I2 ≤50%) and p-value ≥0.10, and low when I2 >50% or p-value <0.10.

  • §The strength of evidence is attributed as follows: good if the assessment of the three aspects is good; moderate if the assessment of two aspects is good but moderate for the third; weak if the assessment of one aspect is low; inconclusive if the assessment of more than one aspect is low.

  • +, good; -, low; ±, moderate; PTD, preterm delivery; SA, spontaneous abortion; SGA, small-for-gestational-age; SRE, summary risk estimate.