Table S2. The characteristics of included study (case-control study).
Study | Study Design | Definition of Outcomes | Measurement of Folate/Folic Acid Status | Main Findings | Study Limitations | Adjusted Factors | Quality Assessment Score |
---|---|---|---|---|---|---|---|
Haberg 201117 | Case-control study of 1,962 children (case/control: 507/1455) in Norway, carried out in 2002-2004, embedded in the MoBa study, and followed up to age 3 yr | Asthma: mother report and had used inhalant medication | Maternal blood plasma folate level | Maternal plasma folate in the second trimester of pregnancy was linearly associated with increased risk of asthma at age 3 yr | Lack of data on dietary intake, and nonassessment of folate status in early pregnancy | Maternal educational level, maternal age, parity, maternal atopy, maternal body mass index, maternal smoking in pregnancy, maternal smoking at age 3 yr, and supplement use at age 3 yr | 7 |
Farres 201118 | Case-control study of 180 adults (case/control: 120/60) in Egypt, carried out in 2009-2010 | Asthma: doctor-diagnosed, GINA 2007 Atopic: at least one positive SPT |
Serum folate level | No significant association between serum folate levels and asthma or FEV1. Among atopic asthmatics, serum folate levels were inversely associated with total IgE levels, and the number of positive SPTs. | Small sample size, nonassessment of dietary intake, and limited adjustment for potential confounding factors | Age and sex | 6 |
Bueso 201119 | Case-control study of 169 children (case/control: 93/76) aged 13-14 yr in Norway, carried out in 2005-2006, embedded in the ECA study | Asthma: doctor-diagnosed and/or symptoms and/or medication use, at least fulfilled two of the three criteria | folate consumption from foods and folic acid supplement | No significant association between dietary intake of folate and asthma | Small sample size, and limited adjustment for potential confounding factors | Age and sex | 8 |
Shaheen 201120 | Case-conrol study of 40 children (case/control: 20/20) in India, carried out in 2009-2010 | AD: physician diagnosed | Serum folic acid level | No significant association between serum folic acid level and AD | Small sample size, lack of data on dietary intake, and lack of adjustment for potential confounding factors | NA | 6 |
Oh 201021 | Case-control study of 422 children (case/control: 180/242) in Korea, carried out in 2006-2007 | AD: ISAAC | folate consumption from foods and folic acid supplement | Intake of folic acid was inversely associated with AD risk | Lack of data on folate levels, and potential selection bias | Monthly household income, parental histories of allergic diseases, and the child's age, gender, body mass index, supplement intake (ye s/no), and total energy intake | 8 |
Patel 200622 | Case-control study of 1030 adults (case/control: 515/515) in UK, carried out from 1993-1998, embedded in the EPIC-Norfolk study | Asthma: physician diagnosed | folate consumption from foods | Increased intake of folate was associated with reduced risk of asthma | Nonassessment of folate supplementation | Pack years smoked, social class, BMI, increasing level of physical activity and level of education | 8 |
Zhou 200323 | Case-control study of 1,682 adults (case/control: 433/1,249) in Japan, carried out in 2001-2002 | Asthma: NA | MTHFRC677T polymorphism | The TT genotype of MTHFRC677T was significant associated with increased risk of atopic asthma | Lack of data on folate levels, lack of clear asthma definition, and lack of adjustment for potential confounding factors | NA | 4 |
MoBa, Norwegian Mother and Child Cohort Study; GINA, Global Initiative for Asthma; SPT, Skin Prick Test; AD, Atopic dermatitis; EPIC-Norfolk, Norfolk arm of the European Prospective Investigation of Cancer; MTHFR, methylene-tetrahydrofolate reductase.