Determining bioavailability of food folates in a controlled intervention study

The concept of dietary folate equivalents (DFEs) in the United States recognizes the differences in bioavailability between natural food folates and the synthetic vitamin, folic acid. However, many published reports on folate bioavailability are problematic because of several confounding factors. We...

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Veröffentlicht in:The American journal of clinical nutrition 2004-10, Vol.80 (4), p.911-918
Hauptverfasser: HANNON-FLETCHER, Mary P, ARMSTRONG, Nicola C, MCNULTY, Helene, SCOTT, John M, PENTIEVA, Kristina, BRADBURY, Ian, WARD, Mary, STRAIN, J. J, DUNN, Adele A, MOLLOY, Anne M, KERR, Maeve A
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container_end_page 918
container_issue 4
container_start_page 911
container_title The American journal of clinical nutrition
container_volume 80
creator HANNON-FLETCHER, Mary P
ARMSTRONG, Nicola C
MCNULTY, Helene
SCOTT, John M
PENTIEVA, Kristina
BRADBURY, Ian
WARD, Mary
STRAIN, J. J
DUNN, Adele A
MOLLOY, Anne M
KERR, Maeve A
description The concept of dietary folate equivalents (DFEs) in the United States recognizes the differences in bioavailability between natural food folates and the synthetic vitamin, folic acid. However, many published reports on folate bioavailability are problematic because of several confounding factors. We compared the bioavailability of food folates with that of folic acid under controlled conditions. To broadly represent the extent to which natural folates are conjugated in foods, we used 2 natural sources of folate, spinach (50% polyglutamyl folate) and yeast (100% polyglutamyl folate). Ninety-six men were randomly assigned according to their screening plasma homocysteine (tHcy) concentration to 1 of 4 treatment groups for an intervention period of 30 d. Each subject received (daily under supervision) either a folate-depleted "carrier" meal or a drink plus 1) placebo tablet, 2) 200 microg folic acid in a tablet, 3) 200 microg natural folate provided as spinach, or 4) 200 microg natural folate provided as yeast. Among the subjects who completed the intervention, responses (increase in serum folate, lowering of tHcy) relative to those in the placebo group (n = 18) were significant in the folic acid group (n = 18) but not in the yeast folate (n = 19) or the spinach folate (n = 18) groups. Both natural sources of folate were significantly less bioavailable than was folic acid. Overall estimations of folate bioavailability relative to that of folic acid were found to be between 30% (spinach) and 59% (yeast). Relative bioavailability estimates were consistent with the estimates from the metabolic study that were used as a basis to derive the US DFE value.
doi_str_mv 10.1093/ajcn/80.4.911
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ispartof The American journal of clinical nutrition, 2004-10, Vol.80 (4), p.911-918
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Administration, Oral
Adolescent
Adult
Biological and medical sciences
Biological Availability
Cross-Over Studies
Dietary Supplements
Double-Blind Method
Feeding. Feeding behavior
Folic Acid - administration & dosage
Folic Acid - blood
Folic Acid - pharmacokinetics
Fundamental and applied biological sciences. Psychology
Homocysteine - blood
Humans
Male
Metabolism
Middle Aged
Spinacia oleracea - chemistry
Tablets
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vitamin B
Yeast
Yeasts
title Determining bioavailability of food folates in a controlled intervention study
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