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学科主题临床医学
Folic Acid Use and Nonsyndromic Orofacial Clefts in China A Prospective Cohort Study
Li, Song2; Chao, Ann1; Li, Zhu3; Moore, Cynthia A.1; Liu, Yinghui3; Zhu, Jianghui3; Erickson, J. David1; Hao, Ling3; Berry, Robert J.1
刊名EPIDEMIOLOGY
2012-05-01
DOI10.1097/EDE.0b013e31824d0349
23期:3页:423-432
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Public, Environmental & Occupational Health
研究领域[WOS]Public, Environmental & Occupational Health
关键词[WOS]NEURAL-TUBE DEFECTS ; LIFE-STYLE FACTORS ; ORAL CLEFTS ; BIRTH-DEFECTS ; MULTIVITAMIN SUPPLEMENTATION ; HIGH-PREVALENCE ; NORTHERN CHINA ; FOLATE STATUS ; RISK ; PREVENTION
英文摘要

Background: Questions remain about the effectiveness, dose, and timing of folic acid in preventing orofacial clefts. Case-control studies report conflicting results. There have been no cohort studies of orofacial clefts and the use of folic acid without other vitamins.

Methods: In a prospective cohort of 240,244 women enrolled between 1993 and 1995 in 1 northern and 2 southern provinces in China, we examined the risk of nonsyndromic cleft lip with or without cleft palate (CL/P) and cleft palate alone (CP) in relation to maternal use of 400 mu g of folic acid without other vitamins.

Results: Daily use of 400 mu g of folic acid without other vitamins, started before the last menstrual period (LMP), was associated with reduced risk of CL/P with adjusted rate ratio (aRR) of 0.69 (95% confidence interval = 0.55-0.87). The greatest reduction in risk was observed in the north among daily users who began taking folic acid pills before LMP (aRR = 0.21 [0.10-0.44]); in the south there was marginal reduction in risk (aRR = 0.81 [0.63-1.05]). No evidence of reduced CL/P risk was observed among women who started folic acid pills on or after their LMP. No persuasive evidence for reduction in CP risk was seen with folic acid pill use at any time.

Conclusion: Daily maternal consumption of 400 mu g of folic acid without other vitamins, started before mother′s LMP, was associated with a reduced risk of CL/P in babies born in a high-prevalence region of China.

语种英语
WOS记录号WOS:000302783700010
项目编号U11/CCU015586-02 ; U11/CCU015586-02
资助机构U.S. Centers for Disease Control and Prevention ; Peking University
引用统计
被引频次:19[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/63212
专题北京大学第三临床医学院_儿科
北京大学公共卫生学院_卫计委生育健康重点实验室
作者单位1.Ctr Dis Control & Prevent, Natl Ctr Birth Defects & Dev Disabil, Div Birth Defects & Dev Disabil, Atlanta, GA 30333 USA
2.Peking Univ, Dept Pediat, Hosp 3, Beijing 100871, Peoples R China
3.Peking Univ, Hlth Sci Ctr, Natl Ctr Maternal & Infant Hlth, Dept Hlth Care Epidemiol, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Li, Song,Chao, Ann,Li, Zhu,et al. Folic Acid Use and Nonsyndromic Orofacial Clefts in China A Prospective Cohort Study[J]. EPIDEMIOLOGY,2012,23(3):423-432.
APA Li, Song.,Chao, Ann.,Li, Zhu.,Moore, Cynthia A..,Liu, Yinghui.,...&Berry, Robert J..(2012).Folic Acid Use and Nonsyndromic Orofacial Clefts in China A Prospective Cohort Study.EPIDEMIOLOGY,23(3),423-432.
MLA Li, Song,et al."Folic Acid Use and Nonsyndromic Orofacial Clefts in China A Prospective Cohort Study".EPIDEMIOLOGY 23.3(2012):423-432.
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