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Folate
and Pregnancy
What is folate ?
Folate (or folic acid) is a vitamin essential
for growth and good health. The body cannot make
folate, so it must be obtained from foods and
supplements.
Folate is the proper term for the vitamin as it
is found naturally in foods. However, the term
"folic acid", which is the term for
the vitamin as it is found in supplements, is
more familiar.
Why is fotale important
?
Folate is necessary for the formation and development
of new and normal tissue. New tissus forms at
a rapid pace during pregnancy, and the body's
need for folate nearly doubles.
Folate can help protect an unborn baby against
birth defects of the neural tube. When the neural
tube, which develops into the spinal cord, fails
to close at the top, the baby is born without
a brain. This is known as anencephaly, and the
baby dies soon after birth. If the neural tube
does not close further down, the delicate nerves
of the spinal cord are left exposed and paralysis
may result. This is called spina bifida.
How much folate do
I need ?
Because as many as 50% of pregnancies are unplanned,
it is recommended that all women of childbearing
age have an adequate daily intake of folate.
The 1989 Recommended Dietary Allowances (RDA)
set folate intake levels of 180 micrograms daily
for the adult woman, 200 micrograms for the
adult man, and 400 micrograms during pregnancy.
Since then, research established the connection
between babies born with neural tube defects
and an inadequate concentration of folate in
the mother's blood at or around the time of
conception.
The 1997-98 Dietary Reference Intakes (DRI),
developped to expand the Reccomended Dietary
Allowances, have set folate intake of 400 micrograms
for adult women. Further, in view of the evidence
linking folate with neural tube defects, it
is recommended that all women capable of becoming
pregnant consume 400 micrograms of synthetic
acid from supplements and/or fortified foods
in addition to the intake of food folate from
a variety diet.
Milligrams (mg) and micrograms (mcg) are the
most common units of measurement. Four tenths
(0.4) mg equals 400 mcg.
Can I consume too
much folate or folic acid ?
There is no evidence of toxicity from dietary
sources of folate. In other words, eating foods
rich in folate on a daily basis has no known
harmful effects. Care should be taken, however,
to keep total daily folic acid (supplements)
consumption under 1 milligram because the effects
of high intake are not well known and may complicate
the diagnosis of vitamin B 12 deficiency.
Can folate be destroyed?
Some nutrients are more prone than others to
loss or destruction. As much as 50% of folate
may be destroyed during preparation, food processing,
and storage. Canned pinto beans, for example,
contain one-half the folate of boiled pinto
beans.
For best retention of folate and other nutrients,
follow these simple guidelines of food preparation:
· Avoid cutting foods into small pieces
prioir to cooking
· Avoid overcooking
· Steam, boil, or simmer using the minimum
amount of water
This practice will help preserve not only folate,
but all water-soluble nutrients which are likely
to be discarded in the cooking water.
· Serve fruits and vegetables raw whenever
possible.
Hyperhomocysteinemia:
What you are NOT eating could hurt you.
Heart disease is the number one killer in this
country, claiming 500,000 lives every year.
Factors such as cigarette smoking, high blood
pressure and cholesterol, physical inactivity,
age, stress, hereditary factors, diabetes and
being a male contribute to an increased risk
of heart disease. However, many heart attacks
occur in people without any of these riks factors.
Recent studies point to a new risk factor.
Homocysteine, an amino acid and a basic unit
of protein, appears to be implicated in 10 to
15 percent of heart disease cases. A 1992 study
of over 14,000 male physicians found that those
with the highest levels of homocysteine had
more than three times the risk of heart disease.
Homocysteine, like cholesterol, has an important
role in forming and maintaining tissues, but
abnormally high levels of it in the blood can
injure blood vessels.
Foods rich in folate, B 12 and B 6 help keep
homocysteine at safe levels. In other words,
when B-vitamins are provided, the homocysteine
levels may decrease. Conversely, low levels
of blood folate are consistently related to
high levels of homocysteine. Folate (also known
as folic acid) seems to have a greater clearing
effect on homocysteine levels than B 6, B 12
or both vitamins combined. Some people may be
more prone to homocysteine buildup and may consequently
need more B-Vitamins.
Although we cannot yet conclude that folate
(or all 3 B-vitamins) will definitely prevent
heart disease, we can conclude based on the
present evidence that it is advisable to increase
your intake of B-vitamins, and especially of
folate.
How much folate do
I need?
The 1989 Recommended Dietary Allowances (RDA)
set daily folate intake levels of 180 micrograms
for the adult woman, 200 micrograms for the
adults man, and 400 micrograms during pregnancy.
The 1997-98 Dietary Reference Intakes or DRI
(developed to expand the Recommended Dietary
Allowances) sets folate intake at 400 micrograms
for adult men and women.
Why should I be concerned
with increasing folate intake?
The highest concentrations of folate are found
in plant food sources such as lentils, beans
and chickpeas, followed by some green leafy
vegetables and fruits. Under Food and Drug Administration
(FDA) rules, effective January 1, 1998, grain
products such as breads, macaroni, rice, corn
meal, and enriched flours are required to be
fortified with folic acid. According to one
estimate, six daily servings of enriched grains
foods will total around 320 micrograms of folate.
FOLATE IN COMMON FOODS
Legumes Folate
(1/2 cup, boiled) (micrograms)
lentils 179
pinto beans 147
chickpeas (garbanzo beans) 141
kidney beans 115
pinto beans, canned 72
split beans 64
kidney beans, canned 63
Leafy green vegetables
(1/2 cup)
spinach, frozen, boiled 102
romaine lettuce, raw, shredded 38
Other vegetables
(boiled)
asparagus, 6 spears 88
medium artichoke 61
cauliflower pieces, frozen boiled, ½
cup 37
Meats
(3 ounces)
extra lean ground beef, baked 8
½ chicken breast, boneless, roasted 3
Fruits
orange juice from concentrate, 6 oz 82
avocado, 1/2 (3 oz) 57
orange, large 56
blackberries, unsweetened, frozen, ½
cup 26
banana, one medium 23
cantaloupe, medium, 1/8 12
pineapple chuncks, ½ cup 6
Whole grain products
General Mills Total, ¾ cup (30 g) 400
Kellog's All-Bran, ½ cup (3 0g) 90
Toasted wheat germ, ¼ cup (30 g) 100
Fortified instant oats, 1/3 cup dry
(30 g) or ¾ cup cooked 90
whole wheat bread, 1 slice 14
Source: SDA Nutrient Database for Standard Reference,
Release 13 (November 1999)
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