Evidence map›Paper›PMID 24004895›Full record

SynthesisThe American journal of clinical nutrition2013

Prenatal folic acid and risk of asthma in children: a systematic review and meta-analysis.

Krista S Crider, Amy M Cordero, Yan Ping Qi, Joseph Mulinare, Nicole F Dowling, Robert J Berry

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The American journal of clinical nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03269110 (Folic Acid Clinical Trial), which is not on this map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03269110 completednot on this mapstarted 2017, after this paper: background citation

Folic Acid Clinical Trial: Follow up of Children (FACT 4 Child)

TypeobservationalSponsorOttawa Hospital Research InstituteRan2017 to 2023Enrolled664ConditionsAutism Spectrum Disorder, Asthma, Executive Dysfunction, Emotional ProblemArmsSRS 2, CBCL, BRIEF-P
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Dietary factors during pregnancy and atopic outcomes in childhood: A systematic review from the European Academy of Allergy and Clinical Immunology.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2020
    Pooled it
  2. Pooled it
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  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Review
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  13. Scientific opinion on the tolerable upper intake level for folate.EFSA journal. European Food Safety Authority · 2023
    Article
  14. Review
  15. Review
  16. Article
  17. Periconceptional folic acid supplementation and child asthma: aThe journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2022
    Article
  18. Article
  19. Review
  20. S3 guideline Allergy Prevention.Allergologie select · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Krista S CriderNational Center on Birth Defects and Developmental Disabilities, CDC, Atlanta, GA (KSC, AMC, YPQ, NFD, and RJB), and Carter Consulting Inc, Atlanta, GA (JM).
Amy M Cordero
Yan Ping Qi
Joseph Mulinare
Nicole F Dowling
Robert J Berry

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundChildhood asthma has become a critical public health problem because of its high morbidity and increasing prevalence. The impact of nutrition and other exposures during pregnancy on long-term health and development of children has been of increasing interest.

objectiveWe performed a systematic review and meta-analysis of the association of folate and folic acid intake during pregnancy and risk of asthma and other allergic outcomes in children.

designWe performed a systematic search of 8 electronic databases for articles that examined the association between prenatal folate or folic acid exposure and risk of asthma and other allergic outcomes (eg, allergy, eczema, and atopic dermatitis) in childhood. We performed a meta-analysis by using a random-effects model to derive a summary risk estimate of studies with similar exposure timing, exposure assessment, and outcomes.

resultsOur meta-analysis provided no evidence of an association between maternal folic acid supplement use (compared with no use) in the prepregnancy period through the first trimester and asthma in childhood (summary risk estimate: 1.01; 95% CI: 0.78, 1.30). Because of substantial heterogeneity in exposures and outcomes, it was not possible to generate summary measures for other folate indicators (eg, blood folate concentrations) and asthma or allergy-related outcomes; however, the preponderance of primary risk estimates was not elevated.

conclusionsOur findings do not support an association between periconceptional folic acid supplementation and increased risk of asthma in children. However, because of the limited number and types of studies in the literature, additional research is needed.

Indexed as

Prenatal Exposure Delayed EffectsAsthmaChildDatabases, FactualDermatitis, AtopicDietary SupplementsEczemaFemaleFolic AcidHumansHypersensitivityPregnancyPregnancy TrimestersRandomized Controlled Trials as TopicRisk FactorsFolic Acid

Identifiers

PMID24004895
PMCPMC5369603

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.