Background: Methylenetetrahydrofolate reductase (MTHFR) is often associated with the incidence of
orofacial clefts. Folic acid deficiency has gained considerable attention because of its promising role in
modulating diverse clinical condition such as cleft. The objective of the study is to describe the association
of MTHFR A1298C polymorphism and maternal folate intake with an orofacial cleft in Sasak Population.
Method: This study used control case design, the number of the subjects were 148 who were divided into
case groups and their mother (70 issues) and control groups and their mother (78 items). The detection of
Polymorphism MTHFR A1298C used PCR-RFLP and sequencing for confirmation. The information on the
dietary pattern and folic acid intake used FFQ (Food Frequency Questionnaire).
Results: MTHFR A1298C polymorphism was associated with maternal folic acid intake in Sasak (p =
0,001), OR = 14,7 CI 95% (2,49-85,53) for cases and (p= 0,041), OR = 4,4 CI 95%(0,9-19,16) for control
group. Maternal folic acid intake was associated with cleft (p=0,037) OR= 2,7 CI 95% (1,06-6,94) in Sasak
Population.
Conclusion: Maternal folic acid was as the risk factor cleft lip/palate in Sasak population and association
with MTHFR A1298C Polymorphism