Folic Acid Health Article

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Definition

Folic acid is a water-soluble vitamin belonging to the B-complex group of vitamins. These vitamins help the body break down complex carbohydrates into simple sugars to be used for energy. Excess B vitamins are excreted from the body rather than stored for later use. This is why sufficient daily intake of folic acid is necessary.

Description

Folic acid is also known as folate or folacin. It is one of the nutrients most often found to be deficient in the Western diet. There is evidence that folate deficiency is a worldwide problem. Folic acid is found in leafy green vegetables, beans, peas and lentils, liver, beets, brussel sprouts, poultry, nutritional yeast, tuna, wheat germ, mushrooms, oranges, asparagus, broccoli, spinach, bananas, strawberries, and cantaloupes. In 1998, the U.S. Food and Drug Administration (FDA) required food manufacturers to add folic acid to enriched bread and grain products to boost intake. Pregnant women whose diets are deficient in folic acid have a greater chance of having a baby with neural tube defects (NTD), such as spina bifida.

General use

Folic acid works together with vitamin B12 and vitamin C to metabolize protein in the body. It is important for the formation of red and white blood cells. It is also necessary for the proper differentiation and growth of cells in fetal development. It is also used to form the nucleic acid of DNA and RNA. It increases the appetite and stimulates the production of stomach acid for digestion, and it aids in maintaining a healthy liver. A deficiency of folic acid may lead to anemia, in which there is decreased production of red blood cells. This situation reduces the amounts of oxygen and nutrients that are able to get to the tissues. Symptoms may include fatigue, reduced secretion of digestive acids, confusion, and forgetfulness. During pregnancy, a folic acid deficiency may lead to preeclampsia, premature birth, and increased bleeding after birth.

Pregnant women have an increased need for folic acid, both for themselves and their unborn child. Folic acid is necessary for the proper growth and development of the fetus. Adequate intake of folic acid is vital for the prevention of several types of birth defects, particularly NTDs. The neural tube of the embryo develops into the brain, spinal cord, spinal column, and the skull. If this tube forms incompletely during the first few months of pregnancy, a serious, and often fatal, defect results in spina bifida or anencephaly (formation of the head without the brain). Folic acid, taken from one year to one month before conception through the first four months of pregnancy, can reduce the risk of NTDs by 50 to 70 percent. It also helps prevent cleft lip and palate.

Research shows that folic acid can be used to successfully treat cervical dysplasia. This condition is considered to be a possible precursor to cervical cancer and is diagnosed as an abnormal Pap smear. Daily consumption of 1,000 mcg of folic acid for three or more months has resulted in improved cervical cells upon repeat Pap smears.

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Author Info: L. Fleming Fallon Jr., MD, DrPH, Thomson Gale, Gale, Detroit, Gale Encyclopedia of Children's Health, 2006
 
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