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Updated: Jul 2, 2026

Modifying Levels of Maternal Dietary Folic Acid or Choline to Study the Impact of Deficiencies on Offspring Health Outcomes
Published on: June 28, 2024
[Folic acid fortification of bread recommendable]
M C Cornel1, D J de Smit, L T W de Jong-van den Berg
1VU Medisch Centrum, afd. Klinische Genetica, sectie Community Genetics/EMGO Instituut, Amsterdam. mc.cornel@vumc.nl
Folic acid supplementation reduced neural tube defects, but only slightly. The Dutch Health Council now considers bread fortification, despite concerns about potential side effects lacking scientific evidence.
Area of Science:
- Obstetrics and Gynecology
- Public Health Nutrition
- Developmental Pediatrics
Context:
- Folic acid supplementation was recommended in the Netherlands to prevent foetal neural tube defects.
- The recommendation resulted in only a minor decrease in the prevalence of neural tube defects.
- The Dutch Health Council is considering mandatory folic acid fortification of bread.
Purpose:
- To evaluate the effectiveness of folic acid supplementation in preventing foetal neural tube defects.
- To inform policy decisions regarding folic acid fortification in the Netherlands.
- To address uncertainties surrounding potential adverse effects of increased folic acid intake.
Summary:
- Periconceptional folic acid use demonstrated protection against foetal neural tube defects.
- The observed decrease in prevalence following supplementation recommendations was minimal.
- Scientific evidence for potential adverse effects in children remains inconclusive, complicating policy-making.
Impact:
- Highlights the need for more effective strategies to prevent neural tube defects.
- Underscores the complexities in public health policy due to incomplete scientific evidence.
- Suggests a potential shift towards food fortification as a public health intervention.
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