A blood test could help prevent neural tube birth defects
OBGYN & Reproduction Week
It is well known that taking folic acid before and during early pregnancy reduces the risk of neural tube defects like spina bifida. The current recommended dose is 400 ig (micrograms) a day, but it is still not clear exactly how much daily folic acid is needed to prevent neural tube defects.
A previous study carried out in
So an international team of researchers set out to determine an optimal red blood cell folate concentration for the prevention of neural tube defects.
They used data from two population based studies in
The estimated risk of a neural tube defect was highest at lower red blood cell folate concentrations (neural tube defect risk of 25.4 per 10,000 births at a red blood cell folate concentration of 500 nmol/L).
But the estimated risk was substantially attenuated at red blood cell folate concentrations above 1,000 nmol/L. For example, estimated neural tube defect risk was 6 per 10,000 births at a red blood cell folate concentration of 1,180 nmol/L.
"Our results indicate that a red blood cell folate concentration of roughly 1,000 to 1,300 nmol/L might achieve optimal prevention of folate sensitive neural tube defects, with a resulting overall risk of neural tube defect of about 6 per 10,000," say the authors.
This range seems to be applicable to women in different countries and could be useful in the development and monitoring of folic acid fortification programs, they add.
They point out that it is not known how much natural food folate and/or folic acid intake is necessary to achieve red blood cell folate concentrations in the 1,000 to 1,300 nmol/L range in any given person or population and say this should be the focus of future research.
Setting "optimal" or target population red blood cell folate concentration cutoffs "will be useful in assessing the need for and monitoring the success of programs for the prevention of folate sensitive neural tube defects," they conclude.
In an accompanying editorial, researchers from the
Keywords for this news article include: Pregnancy, Obstetrics, Blood Cells,
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