Posts Tagged ‘fortification’

Folic acid fortification saves millions of dollars and reduces neural tube defects

Friday, January 15th, 2016

grainSince the U.S. started requiring that folic acid be added to certain foods (known as fortification), there has been a 28% reduction in cases of babies born with neural tube defects (NTDs). In addition, a recent study has found that fortification also saves hundreds of millions of dollars each year in medical and associated costs.

In 1998, to help women of child-bearing age get more folic acid, the US Food and Drug Administration mandated that grains, such as bread, pasta, and breakfast cereal be fortified with folic acid. Getting the right amount of folic acid before pregnancy helps to prevent birth defects of the brain and spinal cord, called neural tube defects (NTDs). Neural tube defects include anencephaly and spina bifida.

A study published this week, estimates how much money has been saved by fortifying grain products with folic acid. The study suggests that each year, folic acid fortification saves about $603 million dollars more than the cost of fortification. The estimated lifetime cost for medical care, special education, and caregiver time for a child born with spina bifida is approximately $791,900. Since fortification prevents about 767 cases of spina bifida each year, the annual cost savings are substantial. The authors of the study conclude that “Fortification with folic acid is effective in preventing NTDs and saves hundreds of millions of dollars each year.”

The March of Dimes supports fortifying corn masa flour with folic acid. By targeting food made with corn masa for folic acid fortification, it would be possible to lower the rate of NTDs among the Hispanic population as well.

Keep in mind that even if you eat a well-balanced diet that includes fortified foods, fruits and vegetables, it can still be hard to get enough folic acid. So make sure you take a multivitamin with 400 micrograms of folic acid every day.

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Folic acid is in many cereals

Monday, January 11th, 2016

Bowl of cerealGetting enough folic acid before pregnancy doesn’t have to be a chore. Taking a multivitamin that contains folic acid is an easy way to get the amount you need. In addition, many breakfast cereals contain folic acid because it has been added to them – this is called fortification. You can check to see if your favorite cereal is fortified by reading the nutritional label on the box.

Here is information from the CDC along with a list of cereals fortified with folic acid.  Be sure to read the label to see the amount of folic acid in a single serving.

But remember…

Although cereal fortification is a good thing, it can still be hard to get enough folic acid every day. This is why taking a multi-vitamin that contains at least 400 micrograms of folic acid is recommended. But, be sure to check with your health care provider to see if you may need higher amounts of folic acid.

Once you’re pregnant, your folic acid needs will increase to at least 600 micrograms per day. Some women, like those who’ve had a pregnancy affected by NTDs (neural tube defects) or women with sickle cell disease, may need more.

Bottom line

Read labels, take your multivitamin with folic acid, and talk to your provider to make sure you are getting the right amount of folic acid every day, before you become pregnant, as well as during pregnancy.