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Table 4 The subgroup analyses of studies regarding the association between maternal FA supplementation and the risk of ASD 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

15

0.828 (0.716, 0.957)

 < 0.001

86.5

Design

 Case–control

10

0.768 (0.646, 0.914)

 < 0.001

87.7

 Cohort or RCT

5

1.010 (0.789, 1.291)

0.004

74

Geographic region

 Europe or Australia

7

0.892 (0.748, 1.065)

 < 0.001

83.4

 China

4

0.564 (0.362, 0.879)

 < 0.001

90.8

 America

4

1.008 (0.766, 1.327)

0.002

79.5

Publication period

 Before 2010

1

1.200 (0.800, 1.800)

  

 2010 or after

14

0.811 (0.698, 0.941)

 < 0.001

87.1

Quality assessment

 High quality studies (scores ≥ 7)

10

0.789 (0.652, 0.954)

 < 0.001

90.0

 Low quality studies (scores < 7)

5

0.908 (0.730, 1.130)

0.009

70.2

Confounding Factors

 Age

13

0.795 (0.687, 0.919)

 < 0.001

86.8

 Maternal smoking

4

0.748 (0.512, 1.094)

 < 0.001

91.8

 Maternal alcohol

1

0.620 (0.469, 0.819)

  

 Maternal BMI

5

0.704 (0.508, 0.975)

 < 0.001

87

 Fetal sex

1

0.780 (0.617, 0.986)

  

 Family history

2

0.664 (0.245, 1.801)

 < 0.001

94.6

  1. FA folic acid, ASD atrial septal defects