The B vitamin folate, also called folic acid, is a water-soluble vitamin. Water-soluble vitamins are stored in the body in very limited amounts and are excreted through the urine. Therefore, it is a good idea to have them in your daily diet. Folate is considered a crucial vitamin before and during pregnancy. Research has shown that folate deficiencies during pregnancy can lead to
neural tube
birth defects in babies.
Functions
Folate's functions include:
Helping amino acid metabolism and conversion
Aiding in the conversion of
homocysteine
to methionine
Large doses of folate can cause symptoms of vitamin B12 deficiency to appear. Vitamin B12 deficiency is common in older adults. Although folate supplementation will alleviate the anemia caused by the B12 deficiency, the nervous system damage caused by the B12 deficiency will continue. This is why it is important that you talk to your doctor before you take a folate supplement. It may be necessary for you to take vitamin B12 supplements along with the folate.
There is no upper limit for ingesting folate found naturally in foods. However, there are tolerable upper intake levels for folate consumed from fortified foods and supplements:
Age
Micrograms (mcg) per day
1-3 years
300 mcg
4-8 years
400 mcg
9-13 years
600 mcg
14-18 years
800 mcg
Pregnant or nursing women up to 18 years
800 mcg
19 years and older
1,000 mcg
Pregnant or nursing women 19 years and older
1,000 mcg
Major Food Sources
There is a variety of foods that contain folate. Some foods, like cereal, rice, and flour, are fortified with folate. Here is a list of major food sources and their folate content.
Food
Serving Size
Folate Content
(mcg)
Chicken liver, simmered
3.5 ounces
770
Fortified breakfast cereal
3/4 cup
100-400
(check Nutrition Facts label)
Soy flour
1 cup
260
Beef liver, braised
3.5 ounces
217
Chickpeas, canned
1 cup
160
Pinto beans, canned
1 cup
144
Spinach, boiled
1/2 cup
131
Lima beans, canned
1 cup
121
Papaya
1 medium
116
Avocado
1 medium
113
Wheat germ, toasted
1/4 cup
102
Asparagus, boiled
4 spears
85
Orange juice, fresh
8 fluid ounces
75
Spinach, raw
1/2 cup
54
Whole wheat flour
1 cup
53
Green peas, boiled
1/2 cup
50
White rice, long-grain
1/2 cup
45
Orange, navel
1 medium
44
Peanuts, dry roasted
1 oz
41
Wheat flour
1 cup
40
Broccoli, boiled
1/2 cup
39
Tomatoes, sun-dried
1 cup
37
Tomato juice, canned
6 oz
35
Peanut butter, crunchy
2 tablespoons
29
Cashews, dry roasted
1 ounce
20
Banana
1 medium
20
Bread, whole wheat
1 slice
15
Health Implications
Populations at Risk of Folate Deficiency
The following populations may be at risk of folate deficiency and may require a supplement:
Pregnant women—Folate is critical for the production and maintenance of new cells. This is especially important during pregnancy—a period of rapid cell division.
People who consume excessive amounts of alcohol—Folate deficiency has been observed in
alcoholics. Alcohol interferes with the absorption of folate and increases excretion by the kidneys. In addition, many alcoholics tend to have diets low in essential nutrients, like folate.
People on certain medicines—Certain medicines can interfere with the body's ability to use folate. Check with your doctor about supplementation if you are on medicine that may affect your folate levels.
The elderly—Many elderly have low blood levels of folate, which can occur from low intake of the vitamin or problems with absorption.
Birth Defects
In 1991, a landmark study found a relationship between folate and birth defects. Subsequent research has supported the finding that adequate folate intake during the period before and just after conception protects against a number of neural tube defects, including
spina bifida
and anencephaly.
The crucial period is before and very early after conception—a time when most women do not know they are pregnant. Therefore, the recommendation is that all women of childbearing age make sure they have a folate intake of at least 400 mcg.
Tips for Increasing Your Folate Intake:
To help increase your intake of folate:
Spread a little avocado on your sandwich in place of mayonnaise.
Drink a glass of orange juice or tomato juice in the morning.
Add spinach to your scrambled eggs.
Slice a banana on top of your breakfast cereal.
Sprinkle some toasted wheat germ on top of pasta or a stir-fry.
Throw some chickpeas or kidney beans into a salad.
If you take a vitamin supplement, make sure it contains folate.
Duyff RL. The American Dietetic Association's Complete Food & Nutrition Guide. 3rd ed. Hoboken, NJ: John Wiley and Sons, Inc.; 2006.
Folate. Office of Dietary Supplements, National Institutes of Health website. Available at: http://ods.od.nih.gov/factsheets/Folate-HealthProfessional/. Accessed June 28, 2012.
Folate deficiency. EBSCO DynaMed website. Available at: http://ebscohost.com/dynamed. Updated December 15, 2010. Accessed June 28, 2012.
Folic acid. EBSCO DynaMed website. Available at: http://ebscohost.com/dynamed. Updated October 14, 2011. Accessed June 28, 2012.
Garrison R, Somer E.
The Nutrition Desk Reference. New Canaan, CT: Keats Publishing; 1995.
Last reviewed June 2012 by Brian Randall, MD Last Updated: 6/28/2012
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