Table 4.
Associations of folate acid supplementation and dietary folate intake with the risk of term-LBW and preterm-LBW.
Folic acid/folate intake duration |
NBW (n= 8581) |
Term-LBW (37≥weeks) | Preterm-LBW (<37 weeks) | ||
---|---|---|---|---|---|
Cases (n= 153) | ORb (95% CI) | Cases (n= 497) | ORb (95% CI) | ||
Folic acid supplement | |||||
Nonusers | 1859 | 60 | 1.00 | 179 | 1.00 |
Users | 6722 | 93 | 0.59 (0.41~0.85) | 318 | 0.90 (0.72~1.12) |
≤ 12 weeks | 3500 | 60 | 0.65 (0.44~0.96) | 202 | 0.92 (0.73~1.16) |
>12 weeks | 3222 | 33 | 0.71 (0.55~0.90) | 116 | 0.90 (0.78~1.04) |
P for trend | <0.001 | <0.001 | |||
Before conception and during pregnancy | 2542 | 23 | 0.40 (0.23~0.70) | 106 | 0.96 (0.71~1.30) |
<24 weeks | 1179 | 15 | 0.54 (0.29~1.01) | 60 | 0.99 (0.69~1.41) |
≥24 weeks | 1363 | 8 | 0.26 (0.11~0.59) | 46 | 0.92 (0.75~1.13) |
P for trend | <0.001 | 0.002 | |||
Before conception only | 326 | 6 | 0.71 (0.29~1.70) | 13 | 0.70 (0.38~1.30) |
During pregnancy only | 3854 | 64 | 0.67 (0.45~0.98) | 199 | 0.87 (0.69~1.11) |
<12 weeks | 1656 | 29 | 0.65 (0.41~1.03) | 109 | 0.91 (0.69~1.20) |
≥12 weeks | 2198 | 35 | 0.81 (0.64~1.02) | 90 | 0.88 (0.76~1.02) |
P for trend | 0.013 | 0.001 | |||
Dietary folate intake (μg/day) | |||||
Before pregnancy | |||||
Q1 <116.01 | 2090 | 48 | 1.00 | 170 | 1.00 |
Q2 116.01–158.54 | 2186 | 23 | 0.61 (0.36~1.03) | 103 | 0.72 (0.54~0.99) |
Q3 158.54–220.88 | 2134 | 41 | 1.08 (0.86~1.36) | 127 | 1.00 (0.87~1.15) |
Q4 ≥220.88 | 2171 | 41 | 1.07 (0.89~1.29) | 97 | 0.91 (0.81~1.03) |
P for trend | 0.352 | 0.049 | |||
During pregnancy | |||||
Q1 <149.81 | 2086 | 46 | 1.00 | 178 | 1.00 |
Q2 149.81–197.59 | 2125 | 29 | 0.88 (0.53~1.47) | 122 | 1.03 (0.78~1.36) |
Q3 197.59–263.67 | 2144 | 37 | 1.18 (0.92~1.51) | 101 | 0.88 (0.75~1.04) |
Q4 ≥263.67 | 2226 | 41 | 1.14 (0.92~1.42) | 96 | 0.97 (0.84~1.12) |
P for trend | 0.170 | 0.009 |
adjusted for maternal age, monthly income per capita, maternal education level, smoking, maternal employ, weight gain during pregnancy, preeclampsia, cesarean section, total energy intake, dietary folate intake, or folic acid supplement.