Evidence map›Paper›PMID 30239016›Full record

SynthesisAnnals of the New York Academy of Sciences2018

Global folate status in women of reproductive age: a systematic review with emphasis on methodological issues.

Lisa M Rogers, Amy M Cordero, Christine M Pfeiffer, Dorothy B Hausman, Becky L Tsang, Luz María De-Regil, Jorge Rosenthal, Hilda Razzaghi, Eugene C Wong, Aliki P Weakland and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Annals of the New York Academy of Sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 8 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  8. Maternal Dietary Factors and the Risk of Autism Spectrum Disorders: A Systematic Review of Existing Evidence.Autism research : official journal of the International Society for Autism Research · 2020
    Pooled it
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  18. International journal of molecular medicine · 2026
    Review
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25 more citing papers are in PubMed but not listed here.

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

11 authors.

Lisa M RogersEvidence and Programme Guidance, Department of Nutrition for Health and Development, World Health Organization, Geneva, Switzerland.
Amy M CorderoNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.
Christine M PfeifferNational Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Dorothy B HausmanFoods and Nutrition Department, University of Georgia, Athens, Georgia.
Becky L TsangFood Fortification Initiative, Atlanta, Georgia.
Luz María De-RegilGlobal Technical Services, Nutrition International, Ottawa, Ontario, Canada.
Jorge RosenthalNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.
Hilda RazzaghiNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.
Eugene C WongNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.
Aliki P WeaklandCore Engagement LLC, Fort Collins, Colorado.
Lynn B BaileyFoods and Nutrition Department, University of Georgia, Athens, Georgia.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Inadequate folate status in women of reproductive age (WRA) can lead to adverse health consequences of public health significance, such as megaloblastic anemia (folate deficiency) and an increased risk of neural tube defect (NTD)-affected pregnancies (folate insufficiency). Our review aims to evaluate current data on folate status of WRA. We queried eight databases and the World Health Organization Micronutrients Database, identifying 45 relevant surveys conducted between 2000 and 2014 in 39 countries. Several types of folate assays were used in the analysis of blood folate, and many surveys used folate cutoffs not matched to the assay. To allow better comparisons across surveys, we attempted to account for these differences. The prevalence of folate deficiency was >20% in many countries with lower income economies but was typically <5% in countries with higher income economies. Only 11 surveys reported the prevalence of folate insufficiency, which was >40% in most countries. Overall, folate status data for WRA globally are limited and must be carefully interpreted due to methodological issues. Future surveys would benefit from using the microbiologic assay to assess folate status, along with assay-matched cutoffs to improve monitoring and evaluation of folic acid interventions, thus informing global efforts to prevent NTDs.

Indexed as

Blood Specimen CollectionFemaleFolic AcidFolic Acid DeficiencyHumansNeural Tube DefectsPrevalenceReproductionFolic Acidfolateglobalmethodological issuesstatuswomen

Identifiers

PMID30239016
PMCPMC6282622

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.