Obesity

Maternal folic acid supplementation during pregnancy in association with childhood overweight or obesity

Obesity (Silver Spring)Published Population-based cohort study

Main finding · Childhood OWOResult — go to the resultAdjusted odds ratio 0.70 95% CI 0.50–0.99

Authors' conclusion

This study provides novel evidence that maternal FAS during pregnancy was significantly associated with a decreased risk of childhood OWO and adiposity, particularly among children with no breastfeeding and lower parental educational level.

Study context

Population
Children in a population-based cohort; BMI and body fat percentages measured at mean age 6.4 years
Participants
1,479 children
Exposure
Maternal folic acid supplementation (FAS) during pregnancy vs no FAS
Outcome
Childhood overweight or obesity (OWO) or adiposity
Follow-up
Mean age 6.4 years
Methodological detailsretrospective assessment of exposure by questionnaire
  • Retrospective assessment of exposure by questionnaire

Main finding

Childhood OWO

Adjusted odds ratio

0.70

95% CI 0.50–0.99

FASvs No FAS
aOR 0.70 (95% CI 0.50–0.99)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeEstimate
Adiposity measures · mean age 6.4 yearsFAS vs No FASβ, BMI z score −0.22 (95% CI −0.39 to −0.05)
Adiposity measures · mean age 6.4 yearsFAS vs No FASβ, whole body fat percentage −1.28 (95% CI −2.27 to −0.30)
Adiposity measures · mean age 6.4 yearsFAS vs No FASβ, trunk fat percentage −1.41 (95% CI −2.78 to −0.04)
Adiposity measures · mean age 6.4 yearsFAS vs No FASβ, limb fat percentage −1.31 (95% CI −2.32 to −0.30)

Stratified analyses (breastfeeding, parental education)

Inverse associations of FAS with OWO, BMI z score and body fat percentages predominantly among children without breastfeeding and whose parents had below-tertiary education

Original publication

Maternal folic acid supplementation during pregnancy in association with childhood overweight or obesity. Obesity (Silver Spring). Published 4 April 2024. doi:10.1002/oby.24012

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