Folate promotion in Western Australia and the prevention of neural tube defects

Abstract Objectives: We conducted a case‐control study to investigate the effectiveness of efforts to increase folate intake in Western Australia (WA) for the prevention of neural tube defects (NTD). Methods:Case (36) and control (578) mothers completed questionnaires, from which their intake of fol...

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Main Authors: Carol Bower, Margaret Miller, Jan Payne, Peta Serna, Nicholas deKlerk, Fiona J. Stanley
Format: Article
Language:English
Published: Elsevier 2004-10-01
Series:Australian and New Zealand Journal of Public Health
Online Access:https://doi.org/10.1111/j.1467-842X.2004.tb00028.x
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author Carol Bower
Margaret Miller
Jan Payne
Peta Serna
Nicholas deKlerk
Fiona J. Stanley
author_facet Carol Bower
Margaret Miller
Jan Payne
Peta Serna
Nicholas deKlerk
Fiona J. Stanley
author_sort Carol Bower
collection DOAJ
description Abstract Objectives: We conducted a case‐control study to investigate the effectiveness of efforts to increase folate intake in Western Australia (WA) for the prevention of neural tube defects (NTD). Methods:Case (36) and control (578) mothers completed questionnaires, from which their intake of folate from supplements and food (including fortified foods) was estimated. Results:Almost one‐third of women took folic acid supplements periconceptionally. Supplement use was associated with a non‐significant 4% reduction in risk. For women not taking supplements, dietary sources of folate were protective, and most women obtained at least some folate from fortified food. Conclusions: For the two‐thirds of WA women not taking supplements, fortified food is an important source of folate for the prevention of NTD. Implications: Greater promotion of foods currently allowed to be fortified with folate, or mandatory fortification, is needed to maximise prevention of NTD in Australia.
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spelling doaj.art-102bc4a9d4854e3bb3891013d69b95f02023-09-02T02:48:16ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052004-10-0128545846410.1111/j.1467-842X.2004.tb00028.xFolate promotion in Western Australia and the prevention of neural tube defectsCarol Bower0Margaret Miller1Jan Payne2Peta Serna3Nicholas deKlerk4Fiona J. Stanley5Centre for Child Health Research, University of Western Australia Telethon Institute for Child Health Research, and Birth Defects Registry of Western Australia, Women's and Children's Health Services, Western AustraliaCentre for Child Health Research, University of Western Australia Telethon Institute for Child Health Research, Western AustraliaCentre for Child Health Research, University of Western Australia Telethon Institute for Child Health Research, Western AustraliaCentre for Child Health Research, University of Western Australia Telethon Institute for Child Health Research, Western AustraliaCentre for Child Health Research, University of Western Australia Telethon Institute for Child Health Research, Western AustraliaCentre for Child Health Research, University of Western Australia Telethon Institute for Child Health Research, Western AustraliaAbstract Objectives: We conducted a case‐control study to investigate the effectiveness of efforts to increase folate intake in Western Australia (WA) for the prevention of neural tube defects (NTD). Methods:Case (36) and control (578) mothers completed questionnaires, from which their intake of folate from supplements and food (including fortified foods) was estimated. Results:Almost one‐third of women took folic acid supplements periconceptionally. Supplement use was associated with a non‐significant 4% reduction in risk. For women not taking supplements, dietary sources of folate were protective, and most women obtained at least some folate from fortified food. Conclusions: For the two‐thirds of WA women not taking supplements, fortified food is an important source of folate for the prevention of NTD. Implications: Greater promotion of foods currently allowed to be fortified with folate, or mandatory fortification, is needed to maximise prevention of NTD in Australia.https://doi.org/10.1111/j.1467-842X.2004.tb00028.x
spellingShingle Carol Bower
Margaret Miller
Jan Payne
Peta Serna
Nicholas deKlerk
Fiona J. Stanley
Folate promotion in Western Australia and the prevention of neural tube defects
Australian and New Zealand Journal of Public Health
title Folate promotion in Western Australia and the prevention of neural tube defects
title_full Folate promotion in Western Australia and the prevention of neural tube defects
title_fullStr Folate promotion in Western Australia and the prevention of neural tube defects
title_full_unstemmed Folate promotion in Western Australia and the prevention of neural tube defects
title_short Folate promotion in Western Australia and the prevention of neural tube defects
title_sort folate promotion in western australia and the prevention of neural tube defects
url https://doi.org/10.1111/j.1467-842X.2004.tb00028.x
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AT nicholasdeklerk folatepromotioninwesternaustraliaandthepreventionofneuraltubedefects
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