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Postprandial serum folic acid response to multiple doses of folic acid in fortified bread

Published online by Cambridge University Press:  08 March 2007

Mary R. Sweeney*
Affiliation:
University of Dublin, Trinity College, Department of Clinical Medicine, Dublin, Ireland University College Dublin, Department of Public Health Medicineand Epidemiology, Earlsfort Terrace, Dublin 2, Ireland
Joseph McPartlin
Affiliation:
University of Dublin, Trinity College, Department of Clinical Medicine, Dublin, Ireland
Donald G. Weir
Affiliation:
University of Dublin, Trinity College, Department of Clinical Medicine, Dublin, Ireland
Leslie Daly
Affiliation:
University College Dublin, Department of Public Health Medicineand Epidemiology, Earlsfort Terrace, Dublin 2, Ireland
John M. Scott
Affiliation:
University of Dublin, Trinity College, Department of Biochemistry, Dublin, Ireland
*
*Corresponding author: Department of Public Health Medicine and Epidemiology, University College Dublin, fax +353 1 7167407, email [email protected]
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Abstract

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The benefit of the introduction of mandatory folic acid fortification of all flour products in the USA in 1998 has been amply demonstrated in a reduction of neural tube defect births. Doubt has been cast on the actual level of fortification and recent calculations have shown that the level of folic acid fortification is likely to have been over twice the amount mandated. The implication of this is that a greater proportion of the population are likely to have consumed folic acid at >1mg/d, the Food and Drug Administration safe upper level of intake. Using the criteria of appearance of synthetic folic acid in serum, the objective of this pilot study was to investigate the consequences of consumption of baked bread preparations containing 1mg folic acid. Four healthy adult volunteers undertook each dosing schedule 2 weeks apart. This consisted of a single dose of 1000μg, two doses of 500μg, three doses of 333μg, five doses of 200μg and, finally, ten doses of 100μg. Serum was collected pre- and postprandially and analysed for synthetic folic acid by a combined HPLC–microbiological assay for folic acid. Folic acid appeared in all subjects at all test doses, with the effect more pronounced as the standard dose was administered in smaller amounts over the test period. Approaches to optimise folic acid intake in target populations as part of a universal fortification strategy should take into consideration the potential hazard of over-exposure in groups consuming high amounts of flour-based products.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2006

References

Charles, D, Ness, AR, Campbell, D, Smith, GD & Hall, MHTaking folate in pregnancy and risk of maternal cancer. Br Med J (2004) 329 13751376CrossRefGoogle Scholar
Committee on Medical Aspects of Food and Nutrition Policy Folic Acid and the Prevention of Disease LondonThe Stationary Office (2000)Google Scholar
Crane, NT,Wilson, DB, Cook, DA, Lewis, CJYetley, EA & Rader, JLEvaluating food fortification options, general principles revisited with folic acid. Am J Public Health (1995) 85 660666CrossRefGoogle ScholarPubMed
Fairfield, KM & Fletcher, RHVitamins for chronic disease prevention in adults: scientific review. JAMA (2002) 287 31163126CrossRefGoogle ScholarPubMed
Food and Drug Administration (FDA) Food labeling: health claims and food label statements; folate and neural tube defects Fed Reg (1996) 61 (44) 87528807Google Scholar
Honein, MA, Paulozzi, LJMathews, TJ, Erickson, JD & Wong, LYImpact of folic acid fortification of the US food supply on the occurrence of neural tube defects. JAMA (2001) 285 29812986CrossRefGoogle ScholarPubMed
Johns, DG, Sperti, S & Burgen, ASThe metabolism of tritiated folic acid in man. J Clin Invest (1961) 40 16841695CrossRefGoogle Scholar
Kelly, P, McPartlin, J& Scott, JMA combined high-performance liquid chromatographic microbiological assay for serum unmetabolised folic acid. Anal Biochem (1996) 238 179183CrossRefGoogle Scholar
Kelly, P, McPartlin, J, Goggins, M, Weir, DG & Scott, JMUnmetabolised folic acid in serum: acute studies in subjects consuming fortified food and supplements. Am J Clin Nutr (1997) 65 17901795CrossRefGoogle Scholar
Kim, Y-IWill mandatory folic acid fortification prevent or promote cancer. Am J Clin Nutr (2004) 80 11231128CrossRefGoogle ScholarPubMed
Ministry of Agriculture Fisheries and Food and Department of Health The Dietary and Nutritional Survey of Adults, London: H.M. Stationery Office. (1994) 3946Google Scholar
Molloy, A & Scott, JMMicrobiological assay for serum, plasma and red cell folate using cryopreserved microtitre plate method. Methods Enzymol (1997) 281 4353CrossRefGoogle Scholar
National Academy of Sciences Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. A Report of the Standing Committee on the Scientific Evaluation of Dietary Reference Intakes and its Panel on Folate, Other B Vitamins, and Choline and Subcommittee on Upper Reference Levels of Nutrients, Food and Nutrition Board, Institute of Medicine. (1998) books.nap.edu/catalog/6015.htmlGoogle Scholar
Quinlivan, EP & Gregory, JFEffect of food fortification on folic acid intake in the United States. Am J Clin Nutr (2003) 77 221225CrossRefGoogle ScholarPubMed
Savage, DG & Lindenbaum, JBailey, LBFolate—cobalamin interactions In Folates in Health and Disease New York: Marcel Dekker. (1995) 237285Google Scholar
Sweeney, MR, McPartlin, JWeir, DG & Scott, JMMeasurements of subnanomolar concentrations of unmetabolised folic acid in serum. J Chromotogr B (2003) 788 187191CrossRefGoogle ScholarPubMed