MTHFR and malnutrition: In addition, the use of various cohorts, to maximize sample size and increase statistical power, could interfere with the biased results as some associations may be due to heterogeneity [96]; (b) the low frequency of the MTHFR (rs1801133) T allele observed among the African populations [97], which may be influenced by folate deficiency due to malnutrition and impaired intestinal absorption of folic acid, which are common in Africa [98].