Review Article

Folate Intake, MTHFR Polymorphisms, and the Risk of Colorectal Cancer: A Systematic Review and Meta-Analysis

Table 3

Subgroup analysis for the MTHFR A1298C polymorphism.

Number of studiesNumber of participants in case/control Summary effect estimate 95% CI Tests for heterogeneity
AA genotype Comparator genotype

Subgroup by location

Asian countries (%)
 AC versus AA151,727/3,047991/1,6150.990.84–1.16χ² = 26.56, df = 14 (P = 0.02)47
 CC versus AA14*1,727/3,047116/1780.720.55–0.93χ² = 14.37, df = 13 (P = 0.35)10
European countries
 AC versus AA142,971/4,1192,404/3,7461.050.97–1.14χ² = 14.78, df = 13 (P = 0.32)12
 CC versus AA142,971/4,119683/9081.141.01–1.28χ² = 13.13, df = 13 (P = 0.44)1
USA
 AC versus AA71,678/2,6941,365/2,2440.990.88–1.11χ² = 7.96, df = 6 (P = 0.24)25
 CC versus AA71,678/2,694247/5590.730.57–0.92χ² = 10.20, df = 6 (P = 0.12)41

Subgroup by control

Hospital controls
 AC versus AA121,872/2,7951,258/1,8741.05 0.95–1.16χ² = 4.42, df = 11 (P = 0.96)0
 CC versus AA121,872/2,795232/3111.120.88–1.42χ²= 13.22, df = 11 (P = 0.28)17
Healthy controls
 AC versus AA275,083/7,9393,926/6,3251.020.93–1.11χ²= 48.87, df = 26 (P = 0.004)47
 CC versus AA26*5,083/7,939912/1,4390.880.76–1.03χ²= 45.33, df = 25 (P = 0.008)45

*There was one study that had no results for this genotype.