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Is low folate a risk factor for depression? A meta-analysis and exploration of heterogeneity

Bibliographic Data

ID11179439
AuthorsSimon Gilbody (0000-0002-8236-6983), Tracy Lightfoot, Trevor Sheldon
Year2007
Volume61
Issue7
Pages631-637
Publication date2007-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Epidemiology and Community Health (JOURNAL)
Journal identifiersISSN: 0143-005X • E-ISSN: 1470-2738
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jech.2006.050385
PMID17568057
PMCIDPMC2465760
LanguageEN
Citations received16
References cited46

Low folate has been causatively linked to depression, but research is contradictory. An association may arise due to chance, bias, confounding or reverse causality. A systematic review of observational studies which examined the association between depression and folate was conducted. 11 relevant studies (15 315 participants; three case–control studies, seven population surveys and one cohort study) examining the risk of depression in the presence of low folate were found. Pooling showed a significant relationship between folate status and depression (odds ratio (OR) pooled unadjusted = 1.55; 95% CI 1.26 to 1.91). This relationship remained after adjustment for potential confounding (OR) pooled adjusted = 1.42; 95% CI 1.10 to 1.83). Folate levels were also lower in depression. There is accumulating evidence that low folate status is associated with depression. Much of this evidence comes from case–control and cross-sectional studies. Cohort studies and definitive randomised-controlled trials to test the therapeutic benefit of folate are required to confirm or refute a causal relationship

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Unique citing works16
Citations per year0.89
Citation span2008 - 2023 (16)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 16

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