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Updated: Jun 12, 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
Marginal folate inadequacy observed in a group of young children in Kwangju, Korea
Young-Nam Kim1, Ji-Young Lee, Judy A Driskell
1Department of Nutrition and Health Sciences, University of Nebraska, Lincoln, NE 68583-0806, USA.
Insights
Young children in Korea may have inadequate folate status, with over half consuming less than recommended amounts. This highlights a potential public health concern for children's nutrition and development.
Area of Science:
- Nutrition Science
- Public Health
- Pediatrics
Background:
- Folate is essential for critical metabolic processes including nucleic acid synthesis and cell division.
- Folate deficiency is linked to serious health issues like neural tube defects, dementia, and cardiovascular diseases.
Purpose of the Study:
- To assess folate intake and plasma concentrations in young children residing in Kwangju, Korea.
- To identify potential risks associated with folate status in this pediatric population.
Main Methods:
- Utilized three consecutive 24-hour food recalls to estimate dietary folate intake.
- Collected fasting blood samples to measure plasma folate concentrations.
- Included 54 children (24 boys, 30 girls) aged 2-6 years.
Main Results:
- Mean daily folate intake was 146.7 +/- 73.6 microg DFE, with over half consuming below Korean Estimated Average Requirements.
- Younger children (2-3 years) had significantly lower folate intake than older children (5-6 years).
- Mean plasma folate was 19.2 +/- 8.7 nmol/L; 1.9% showed deficiency (<6.8 nmol/L) and 24% had marginal status (6.8-13.4 nmol/L).
Conclusions:
- A significant proportion of young children in Korea may not meet adequate folate intake levels.
- While overt deficiency was low, marginal folate status was observed in nearly a quarter of participants.
- Findings suggest a need for monitoring and potential interventions to improve folate status in Korean children.
Abstract:
Folate is important for multiple metabolic processes such as nucleic acid synthesis and interconversions, and cell division. Folate deficiency may be a risk factor for several pathologies, such as neural tube birth defects, dementia, and cardiovascular diseases. The objectives of this study were to estimate folate intakes and plasma concentrations of young children living in Kwangju, Korea. Three consecutive 24-h food recalls and fasting blood samples were obtained from 24 boys and 30 girls, aged 2-6 y, living in Kwangju, Korea. The daily folate intake (mean +/- SD) of the children was 146.7 +/- 73.6 microg dietary folate equivalents. No differences in folate intakes were observed by gender (p>/=0.05). The mean folate intakes of the 2 and 3 y old groups were significantly lower (p<0.05) than those of 5 and 6 y old groups. Over half of subjects consumed
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