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Table 2 Multivariable logistic regression analysis of the association between homocysteine and any placenta-mediated complication a (759 events b), n = 7587

From: The role of maternal homocysteine concentration in placenta-mediated complications: findings from the Ottawa and Kingston birth cohort

Variable

Odds ratio (95% CI)

p-value c

Homocysteine (linear)

  

0.0007

 5 μmol/L increase

1.629

(1.227, 2.161)

 

Age (restricted cubic spline, three knots)

  

0.0031

 34 versus 27 years

1.187

(1.063, 1.325)

 

Race

  

0.0002

 Caucasian versus others

0.644

(0.509, 0.814)

 

Education

  

0.0056

 College/University completed versus less than completed

0.763

(0.630, 0.924)

 

Nulliparous

  

< 0.0001

 Yes versus no

1.941

(1.636, 2.303)

 

Smoking

  

< 0.0001

 No

Reference

  

 Second-hand

0705

(0.392, 1.268)

 

 Med/light smoker (< 10 cigarettes per day)

1.631

(1.228, 2.166)

 

 Heavy smoker (> 10 cigarettes per day)

1.921

(1.348, 2.737)

 

Diabetes

  

0.0336

 Yes versus no

1.687

(1.041, 2.733)

 

BMI (restricted cubic spline, four knots)

  

0.0499

 27.3 versus 21.1 kg/m2

1.057

(0.883, 1.265)

 

Hormonal birth control prior to conception

  

0.3692

 No

Reference

  

 Oral

0.927

(0.784, 1.096)

 

 Injection or IUD

0.732

(0.436, 1.227)

 

Chronic hypertension

  

< 0.0001

 Yes versus no

2.750

(1.687, 4.483)

 

History of PMC (Preeclampsia, placental abruption, IUGR, stillbirth, loss)

  

0.0110

 Yes versus no

1.359

(1.073, 1.722)

 

Folic acid supplementation

  

0.7328

 Yes versus no supplementation

0.943

(0.674, 1.320)

 

Serum folate (linear)

  

0.5326

 45.1 versus 30.6 nmol/L

1.025

(0.949, 1.106)

 

Gestational age at blood work (restricted cubic spline, four knots)

  

0.0004

 13.7 versus 12.4 weeks

0.939

(0.804, 1.095)

 
  1. aAny placenta-mediated complication- composite of small for gestational age (SGA) <10th percentile, preeclampsia, placental abruption, and pregnancy loss
  2. b79 missing outcome values imputed
  3. cWald test of most meaningful hypotheses, pooled across multiple imputation datasets