Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

780 questions · 834 findings · 76 reviews

No studies found 187 · 22.4%GRADE not reported 164 · 19.7%Very low 144 · 17.3%Low 172 · 20.6%Moderate 105 · 12.6%High 62 · 7.4%

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Spina bifida · health: non‐randomised studies

It is very uncertain whether wheat flour or wheat flour products fortified with folic acid plus… changes spina bifida compared with unfortified wheat flours or wheat flour products (not containing… (very low certainty).

1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Encephalocoele · health: non‐randomised studies

It is very uncertain whether wheat flour or wheat flour products fortified with folic acid plus… changes encephalocoele compared with unfortified wheat flours or wheat flour products (not containing… (very low certainty).

1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Fatal anencephaly · health: non‐randomised studies

It is very uncertain whether wheat flour or wheat flour products fortified with folic acid plus… changes fatal anencephaly compared with unfortified wheat flours or wheat flour products (not containing… (very low certainty).

1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Folate concentration Serum folate levels, measured between 6 and 12 months after entry to the study · health: non‐randomised studies
1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Anaemia · health: non‐randomised studies

It is very uncertain whether wheat flour or wheat flour products fortified with folic acid plus… changes anaemia compared with unfortified wheat flours or wheat flour products (not containing… (very low certainty).

1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Anaemia · health outcomes

Wheat flour or wheat flour products fortified with folic acid plus… showed no clear difference in anaemia compared with unfortified wheat flours or wheat flour products (not containing… (low certainty).

1 finding from 1 review

Wheat flour or wheat flour products fortified with folic acid plus other vitamins and minerals vs unfortified wheat flours or wheat flour products (not containing folic acid nor any other vitamins and minerals)

Neural tube defects (All) · health: non‐randomised studies

It is very uncertain whether wheat flour or wheat flour products fortified with folic acid plus… changes neural tube defects (spina bifida, encephalocoele, anencephaly‐fatal… compared with unfortified wheat flours or wheat flour products (not containing… (very low certainty).

1 finding from 1 review

Vitamin E (capsules 2000 IU/day in two divided doses) vs placebo

Number of participants experiencing any serious adverse events · people with Alzheimer's disease

Vitamin E (capsules 2000 IU/day in two divided doses) showed no clear difference in adverse events Number of participants reporting ≥ 1 serious adverse… compared with placebo (moderate certainty).

1 finding from 1 review

Vitamin E (capsules 2000 IU/day in two divided doses) vs placebo

Progression to Alzheimer's disease Number of people progressing to AD · MCI

Vitamin E (capsules 2000 IU/day in two divided doses) showed no clear difference in progression to Alzheimer's disease Number of people progressing to AD compared with placebo (moderate certainty).

1 finding from 1 review

High-dose vitamin D3 supplementation during pregnancy (2400 IU/day from pregnancy week 24 to 1 week postpartum, in addition to the recommended 400 IU/day) vs Low-dose (standard) vitamin D supplementation as recommended in national pregnancy guidelines

Caries presence in primary teeth · For interventions, pregnant women, mothers or other caregivers of infants in the first year of life; for outcomes, children up to 6 years…

It is very uncertain whether high-dose vitamin D3 supplementation during pregnancy (2400 IU/day… changes caries presence in primary teeth compared with low-dose (standard) vitamin D supplementation as recommended in… (very low certainty).

1 finding from 1 review