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Table 3 The subgroup analyses of studies concerning the association between maternal FA supplementation and the risk of CHD in offspring

From: Evaluation of the association between maternal folic acid supplementation and the risk of congenital heart disease: a systematic review and meta-analysis

Subgroup

No. of studies

OR (95% CI)

P-value

I2(%)

Summary pooled estimate

18

0.821 (0.720, 0.936)

 < 0.001

92.7

Design

 Case–control

12

0.801 (0.648, 0.991)

 < 0.001

94.7

 Cohort or RCT

6

0.936 (0.837, 1.047)

0.003

72.2

Geographic region

 Europe or Australia

7

0.955 (0.840, 1.086)

0.001

72.1

 China

4

0.580 (0.433, 0.776)

 < 0.001

89.6

 America

7

0.921 (0.874, 0.971)

0.358

9.3

Publication period

 Before 2010

5

0.927 (0.737, 0.936)

0.253

25.2

 2010 or after

13

0.800 (0.690, 0.928)

 < 0.001

94.7

Quality assessment

 High quality studies (scores ≥ 7)

11

0.803 (0.641, 1.007)

 < 0.001

95.5

 Low quality studies (scores < 7)

7

0.898 (0.832, 0.969)

0.120

40.6

Confounding Factors

 Age

14

0.821 (0.720, 0.936)

 < 0.001

94.2

 Maternal smoking

5

0.751 (0.562, 1.005)

 < 0.001

94.9

 Maternal alcohol

2

0.801 (0.677, 0.948)

0.512

0

 Maternal BMI

5

0.829 (0.676, 1.016)

 < 0.001

83

 Fetal sex

2

0.806 (0.654, 0.992)

0.471

0

 Family history

2

0.726 (0.324, 1.623)

 < 0.001

93.8

  1. FA folic acid, CHD congenital heart disease