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Folic acid for the prevention of neural tube defects.

Abstract:
The editorial by Mitchell welcomed the USPSTF recommendation that women of child-bearing age in USA should take a daily supplement containing 400-800 μg of folic acid to prevent neural tube defects (NTDs). But the rationale for the recommendation is puzzling. The recommendation makes sense for countries without mandatory folic acid fortification. However, as Mitchell says, two case-control studies in the USA after fortification have failed to show an additional benefit of folic acid supplementation in the prevention of NTDs. Mitchell suggests that folic acid fortification may be preventing nearly all cases of folic acid–related NTDs. Her suggestion is consistent with a ‘floor-effect’ for folate-sensitive NTDs
Publication status:
Published
Peer review status:
Reviewed (other)

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Publisher copy:
10.1001/jamapediatrics.2017.0866

Authors


More by this author
Institution:
University of Oxford
Division:
MSD
Department:
Pharmacology
Role:
Author


Publisher:
American Medical Association
Journal:
JAMA Pediatrics More from this journal
Volume:
171
Issue:
7
Pages:
710-711
Publication date:
2017-05-30
Acceptance date:
2017-04-26
DOI:
EISSN:
2168-6211
ISSN:
2168-6203
Pmid:
28558107


Language:
English
Keywords:
Pubs id:
pubs:698124
UUID:
uuid:e3548e82-5404-4bd7-a045-8d9e3e82b102
Local pid:
pubs:698124
Source identifiers:
698124
Deposit date:
2018-02-20

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