Meanwhile, EHDS also decreased ho meostasis model assessment-insulin resistance (HOMA-IR) (MD: − 0.74; 95% CI: − 1.45 to − 0.04) and C-reactive protein (CRP) (MD: − 18.99; 95% CI − 21.60 to − 16.38), and EHDS was also better than LDS (MD: − 18.47; 95% CI − 20.66 to − 16.28) and MDS (MD: − 19.69; 95% CI − 22.17 to − 17.21) in decreasing CRP. This evidence concerns the gene CRP and Insulin resistance.