Folic acid fortification and public health: report on threshold doses above which unmetabolised folic acid appear in serum.
AffiliationDepartment of Clinical Medicine, Trinity College, Dublin, Ireland. firstname.lastname@example.org
Vitamin B Complex
MetadataShow full item record
CitationFolic acid fortification and public health: report on threshold doses above which unmetabolised folic acid appear in serum. 2007, 7:41 BMC Public Health
JournalBMC public health
AbstractBACKGROUND: All flour in the USA is fortified with folic acid at a level of 140 microg/100 g which is estimated to supply an extra 100 microg daily to the average diet. Some researchers have advocated that this be increased to double and even four times this amount. Based on previous research these higher levels are likely to lead to the appearance of unmetabolised vitamin in the circulation, which may have safety implications for sub-groups of the population. The UK and the Republic of Ireland will likely introduce mandatory fortification also in the next year or so. The aim of this study was to capture the short-term effect of folic acid fortification on unmetabolised folic acid in serum after chronic consumption of folic acid. METHODS: After pre-saturation with 400 microg folic acid supplements daily for 14-weeks, healthy folate replete adults (n = 20) consumed folic acid fortified bread, at three different levels (400 microg, 200 microg, 100 microg) over a period of one week each. The dose was administered in two-equal sized slices consumed at 09.00 hrs and 13.00 hrs. Serum samples for total folate and folic acid were collected at baseline, after 14-weeks of supplementation, and pre and post (at 1, 2, 3 and 4 hours) each dose tested. RESULTS: Unmetabolised folic acid was detected after the 14-week supplementation period. Folic acid was not detected in either the 200 microg or 100 microg (current US regime) doses tested but was present at the highest level (400 microg) tested. CONCLUSION: Our findings suggest that persons exposed to the current US fortification programme supplying an average of 100 microg per day or less are unlikely to have unmetabolised folic acid in serum. It also seems that daily consumption of the higher level of 200 microg or less is unlikely to be problematic. Increasing the level however to 400 microg on the other hand is likely to lead to unmetabolised folic acid appearance.
- Study of wheat breakfast rolls fortified with folic acid. The effect on folate status in women during a 3-month intervention.
- Authors: Johansson M, Witthöft CM, Bruce A, Jägerstad M
- Issue date: 2002 Dec
- Efficacy of flour fortification with folic acid in women of childbearing age in Iran.
- Authors: Abdollahi Z, Elmadfa I, Djazayery A, Golalipour MJ, Sadighi J, Salehi F, Sadeghian Sharif S
- Issue date: 2011
- Folate, vitamin B12 and homocysteine status in women of childbearing age: baseline data of folic acid wheat flour fortification in Iran.
- Authors: Abdollahi Z, Elmadfa I, Djazayeri A, Sadeghian S, Freisling H, Mazandarani FS, Mohamed K
- Issue date: 2008
- Estimated folic acid intakes from simulated fortification of the New Zealand food supply.
- Authors: Green T, Newton R, Bourn D
- Issue date: 2003 Jan 24
- Persistent circulating unmetabolised folic acid in a setting of liberal voluntary folic acid fortification. Implications for further mandatory fortification?
- Authors: Sweeney MR, Staines A, Daly L, Traynor A, Daly S, Bailey SW, Alverson PB, Ayling JE, Scott JM
- Issue date: 2009 Aug 18