Skip to main content

Table 2 Risk odds of birth defects related with maternal folic acid supplementation and based on different folic acid timing

From: Preconception folic acid supplementation for the prevention of birth defects: a prospective, population-based cohort study in mainland China

 

FA/NFA

Total couples

Case-controlled couples (1:4)

Case-controlled couples (1:10)

OR (95%CI)

P value

OR (95%CI)

P value

OR (95%CI)

P value

Folic acid supplementation*

Total birth defects

432/167

0.78 (0.66,0.95)

0.011

0.81 (0.66,0.99)

0.044

0.81 (0.67,0.98)

0.033

Congenital heart disease

110/41

0.80 (0.55,1.16)

0.237

0.88 (0.59,1.33)

0.551

0.83 (0.57,1.22)

0.342

Limb anomalies

37/15

0.95 (0.50,1.80)

0.874

0.95 (0.46,1.96)

0.882

0.84 (0.44,1.58)

0.584

Clefts

73/33

0.72 (0.47,1.11)

0.136

0.66 (0.41,1.04)

0.075

0.69 (0.44,1.06)

0.086

Digestive tract anomalies

32/12

0.69 (0.36,1.32)

0.265

1.08 (0.53,2.23)

0.827

0.93 (0.46,1.88)

0.844

Neural tube defects

82/42

0.56 (0.39,0.82)

0.003

0.56 (0.37,0.86)

0.008

0.63 (0.42,0.93)

0.019

Gastroschisis

64/19

1.03 (0.61,1.75)

0.915

1.02 (0.57,1.83)

0.953

0.96 (0.56,1.66)

0.878

Folic acid supplementation ≥ 3 months before pregnancy

 Total birth defects

163/167

0.60 (0.48,0.75)

< 0.001

0.63 (0.49,0.80)

< 0.001

0.66 (0.53,0.83)

< 0.001

 Congenital heart disease

42/41

0.63 (0.41,0.97)

0.036

0.73 (0.45,1.18)

0.197

0.73 (0.46,1.14)

0.167

 Limb anomalies

12/15

0.51 (0.24,1.12)

0.093

0.69 (0.28,1.70)

0.415

0.61 (0.27,1.35)

0.220

 Clefts

22/33

0.47 (0.27,0.82)

0.007

0.45 (0.25,0.82)

0.008

0.46 (0.26,0.80)

0.006

 Digestive tract anomalies

13/12

0.62 (0.27,1.40)

0.251

0.90 (0.38,2.09)

0.798

0.80 (0.35,1.83)

0.597

 Neural tube defects

38/42

0.55 (0.36,0.85)

0.007

0.51 (0.31,0.85)

0.009

0.61 (0.38,0.96)

0.034

 Gastroschisis

30/19

0.97 (0.54,1.73)

0.913

0.99 (0.51,1.91)

0.966

0.94 (0.81,1.73)

0.833

Folic acid supplementation < 3 months before pregnancy

 Total birth defects

97/167

0.82 (0.64,1.06)

0.134

0.89 (0.67,1.18)

0.407

0.85 (0.65,1.11)

0.337

 Congenital heart disease

24/41

0.65 (0.39,1.11)

0.115

0.88 (0.50,1.55)

0.652

0.76 (0.45,1.30)

0.321

 Limb anomalies

10/15

0.94 (0.41,2.18)

0.888

0.98 (0.38,2.52)

0.961

0.97 (0.42,2.23)

0.934

 Clefts

19/33

0.82 (0.46,1.48)

0.515

0.87 (0.45,1.67)

0.668

0.83 (0.46,1.50)

0.532

 Digestive tract anomalies

8/12

0.84 (0.32,2.21)

0.720

1.21 (0.46,3.21)

0.701

1.09 (0.42,2.79)

0.865

 Neural tube defects

16/42

0.43 (0.23,0.81)

0.008

0.56 (0.30,1.06)

0.076

0.58 (0.32,1.06)

0.075

 Gastroschisis

97/167

0.75 (0.34,1.62)

0.463

1.13 (0.51,2.50)

0.755

1.04 (0.49,2.18)

0.924

Folic acid supplementation after pregnancy

 Total birth defects

172/167

1.02 (0.82,1.27)

0.870

1.06 (0.83,1.35)

0.671

1.02 (0.82,1.29)

0.838

 Congenital heart disease

44/41

0.90 (0.58,1.39)

0.637

1.16 (0.71,1.91)

0.552

1.03 (0.66,1.63)

0.884

 Limb anomalies

15/15

1.02 (0.50,2.11)

0.949

1.18 (0.51,2.71)

0.670

1.05 (0.50,2.24)

0.893

 Clefts

32/33

0.97 (0.59,1.61)

0.909

0.84 (0.48,1.46)

0.531

0.93 (0.55,1.56)

0.782

 Digestive tract anomalies

11/12

0.92 (0.39,2.17)

0.854

1.32 (0.53,3.28)

0.546

1.02 (0.43,2.39)

0.967

 Neural tube defects

28/42

0.62 (0.38,1.01)

0.055

0.64 (0.37,1.10)

0.105

0.69 (0.42,1.15)

0.151

 Gastroschisis

21/19

1.04 (0.55,1.96)

0.910

1.00 (0.50,2.00)

0.992

0.95 (0.49,1.83)

0.870

  1. *:including folic acid supplementation ≥3 months before pregnancy, < 3 months before pregnancy and after pregnancy
  2. FA/NFA folic acid usage / non folic acid usage. OR odd ratio, CI confidence interval
  3. Matching was based upon maternal age, educational level, province, alcohol consumption and smoking behavior, and paternal alcohol consumption and smoking behavior
  4. ORs were adjusted by maternal and paternal age, education, occupation and residence