
Contributions of Total Daily Intake of Folic Acid to Serum Folate Concentrations
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To the Editor: Recent literature has associated potential adverse effects with daily use of folic acid supplements (1000 µg),1 high concentrations of serum folate (26.5 ng/mL or greater [to convert to nmol/L, multiply by 2.266]),2 or high folic acid intake,3 but researchers have not adequately considered the source of folic acid. We examined the relative contribution of different sources of folic acid to serum folate concentrations among US adults.
Methods
Data were obtained from a single 24-hour dietary recall from the National Health and Nutrition Examination Survey (NHANES) 2001 through 2004 for 8655 nonpregnant participants aged 19 years and older who also had serum folate concentrations measured. The 24-hour dietary recall in NHANES underestimates energy intake by 11% among adults.4 Daily folic acid intake from individual fortified foods was calculated.5 Average daily intake of folic acid from supplements over the prior 30 days was calculated.6 The 3 main sources of dietary . . . [Full Text of this Article]
Lorraine Yeung, MD, MPH
Division of Birth Defects and Developmental Disabilities National Center on Birth Defects and Developmental Disabilities
Quanhe Yang, PhD
National Office of Public Health Genomics
R. J. Berry, MD, MPHTM
rjberry@cdc.gov Division of Birth Defects and Developmental Disabilities National Center on Birth Defects and Developmental Disabilities Centers for Disease Control and Prevention Atlanta, Georgia
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