failed to reach significancep = 0.134
Stratified analyses based on diagnostic criteria and female proportion revealed significantly elevated CSF YKL-40 levels in AD patients compared to those with MCI (all p < 0.05) ( Table 4 ), whereas the overall meta-analysis incorporating all studies failed to reach significance ( p = 0.134) ( Figure 5 ), suggesting that different diagnostic criteria and imbalanced gender distribution may serve as confounding factors contributing to the high heterogeneity observed in this study. 3.4.