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...
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
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Elsevier
2004-10-01
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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. |
first_indexed | 2024-03-12T11:11:17Z |
format | Article |
id | doaj.art-102bc4a9d4854e3bb3891013d69b95f0 |
institution | Directory Open Access Journal |
issn | 1326-0200 1753-6405 |
language | English |
last_indexed | 2024-03-12T11:11:17Z |
publishDate | 2004-10-01 |
publisher | Elsevier |
record_format | Article |
series | Australian and New Zealand Journal of Public Health |
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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