THE VALUE OF FOLATES FOR CHILD HEALTH AND DEVELOPMENT


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The literature review describes a modern view on the metabolism of folates and folic acid in the human body and their role in the development of a child. It presents studies used to diagnose folate deficiency. The authors discuss the sequelae of folate deficiency and folic acid excess in pregnant women and newborn infants. They analyze data on the folate status of premature babies. Existing studies show that there is no risk of folate deficiency in premature infants receiving the current feeding regimens, and uncontrolled additional prescription of folic acid can lead to its excessive intake and excessive blood concentrations in premature infants.

Full Text

Restricted Access

About the authors

Marina Viktorovna Narogan

Academician V. I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: m_narogan@oparina4.ru
MD, Leading Researcher, Department of Pathology of Newborn and Premature Infants; Professor, Department of Neonatology 4, Academician Oparin St., Moscow 117997, Russia; 8, Trubetskaya St., Build. 2, Moscow 119991

Valentina Vladimirovna Lazareva

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: l_tifl@mail.ru
Postgraduate Student, Department of Neonatology 8, Trubetskaya St., Build. 2, Moscow 119991

Irina Ivanovna Ryumina

Academician V. I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: i_ryumina@oparina4.ru
MD, Head, Department of Pathology of Newborn and Premature Infants 4, Academician Oparin St., Moscow 117997, Russia

Irina Aleksandrovna Vedikhina

Academician V. I. Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: i_vedikhina@oparina4.ru
Biologist, Clinical Diagnostic Laboratory 4, Academician Oparin St., Moscow 117997, Russia

References

  1. Керкешко Г.О., Арутюнян А.В., Аржанова О.Н., Милютина Ю.П. Оптимизация терапии фолатами при осложнениях беременности. Журнал акушерства и женских болезней. 2013; 62(6): 25-36.
  2. Пустотина О.А. Достижения и риски применения фолатов вне и во время беременности. Медицинский совет. 2015; 9: 92-9.
  3. Thaler C.J. Folate metabolism and human reproduction. Geburtsh. Frauenheilkd. 2014; 74(9): 845-85.
  4. Saubade F., Hemery Y.M., Guyot J.-P., Humblot C. Lactic acid fermentation as a tool for increasing the folate content of foods. Crit. Rev. Food Sci. Nutr. 2017; 57(18): 3894-910. https://doi.org/10.1080/10408398.2016.1192986.
  5. Visentin M., Diop-Bove N., Zhao R., Goldman I.D. The intestinal absorption of folates. Annu. Rev. Physiol. 2014; 76: 251-74. https://doi.org/10.1146/annurev-physiol-020911-153251.
  6. Revakova T., Revak O., Vasilenkova A., Behulova D., Brucknerova I. Amount of folic acid in different types of nutrition used in the neonatal period. Bratisl. Lek. Listy. 2015; 116(6): 349-53.
  7. Rogers L.M., Cordero A.M., Pfeiffer C.M., Hausman D.B., Tsang B.L., De-Regil L.M. et al. Global folate status in women of reproductive age: a systematic review with emphasis on methodological issues. Ann. N. Y. Acad. Sci. 2018; 1431(1): 35-57. https://doi.org/10.1111/nyas.13963.
  8. Bailey L.B., Hausman D.B. Folate status in women of reproductive age as basis of neural tube defect risk assessment. Ann. N. Y. Acad. Sci. 2018; 1414(1): 82-95. https://doi.org/10.1111/nyas.13511.
  9. Pfeiffer C.M., Sternberg M.R., Hamner H.C., Crider K.S., Lacher D.A., Rogers L.M. et al. Applying inappropriate cutoffs leads to misinterpretation of folate status in the US population. Am. J. Clin. Nutr. 2016; 104(6): 1607-15.
  10. Пустотина О.А., Ахмедова А.Э. Роль фолатов в развитии осложнений беременности. Эффективная терапия в акушерстве и гинекологии. 2014; 3: 66-74.
  11. Patel K.R., Sobczynska-Malefora A. The adverse effects of an excessive folic acid intake. Eur. J. Clin. Nutr. 2017; 71(2): 159-63. https://doi.org/10.1038/ ejcn.2016.
  12. BodnarL.M., HimesK.P., VenkataramananR., Chen J.Y., EvansR.W., Meyer J.L., Simhan H.N. Maternal serum folate species in early pregnancy and risk of preterm birth. Am. J. Clin. Nutr. 2010; 92(4): 864-71. https://doi.org/10.3945/ ajcn.2010.29675.
  13. Келли П., МакПартлин Дж., Гоггинз М., Вайр Д.Г., Скотт Дж.М. Неметаболизированная фолиевая кислота в сыворотке: исследования непосредственных эффектов вещества у людей, употребляющих обогащенные продукты питания и добавки. Эффективная фармакотерапия. 2014; 1: 22-31.
  14. Page R., Robichaud A., Arbuckle T.E., Fraser W.D., MacFarlane A.J. Total folate and unmetabolized folic acid in the breast milk of a cross-section of Canadian women. Am. J. Clin. Nutr. 2017; 105(5): 1101-9. https://doi.org/10.3945/ ajcn.116.137968.
  15. Громова О.А., Торшин И.Ю., Тетруашвили Н.К., Лиманова О.А. Активные формы фолатов в акушерстве. Акушерство и гинекология. 2013; 8: 97-102.
  16. Шеманаева Т.В., Воеводин С.М. Роль фолиевой кислоты в профилактике заболеваний нервной системы у плода. Российский вестник акушерагинеколога. 2015; 15(5): 25-31.
  17. Цейцель Э.И. Первичная профилактика врожденных дефектов: поливитамины или фолиевая кислота? РМЖ. Мать и дитя. 2012; 20(21): 1122-32.
  18. Sweeney M.R., McPartlin J., Weir D.G., Daly S., Pentieva K., Daly L., Scott J.M. Evidence of unmetabolised folic acid in cord blood of newborn and serum of 4-day-old infants. Br. J. Nutr. 2005; 94(5): 727-30. https://doi.org/10.1079/ BJN20051572.
  19. McStay C.L., Prescott S.L., Bower C., Palmer D.J. Maternal folic acid supplementation during pregnancy and childhood allergic disease outcomes: a question of timing? Nutrients. 2017; 9(2). pii: E123. https://doi.org/10.3390/ nu9020123.
  20. Colapinto C.K., O’Connor D.L., Sampson M., Williams B., Tremblay M.S. Systematic review of adverse health outcomes associated with high serum or red blood cell folate concentrations. J. Public Health (Oxf.). 2016; 38(2): e84-97. https://doi.org/10.1093/pubmed/fdv087.
  21. Barua S., Chadman K.K., Kuizon S., Buenaventura D., Stapley N.W., Ruocco F. et al. Increasing maternal or post-weaning folic acid alters gene expression and moderately changes behavior in the offspring. PLoS One. 2014; 9: e101674.
  22. Barua S., Kuizon S., Brown W.T., Junaid M.A. High gestational folic acid supplementation alters expression of imprinted and candidate autism susceptibility genes in a sex-specific manner in mouse offspring. J. Mol. Neurosci. 2016; 58(2): 277-86. https://doi.org/10.1007/ s12031-015-0673-8.
  23. LyA. Maternal folic acid supplementation modulates DNA methylation and gene expression in the rat offspring in a gestation period-dependent and organ-specific manner. J. Nutr. Biochem. 2016l; 33: 103-10. https://doi.org/10.1016/j. jnutbio.2016.03.018.
  24. Ly L., Chan D., Aarabi M., Landry M., Behan N.A., MacFarlane A.J., Trasler J. Intergenerational impact of paternal lifetime exposures to both folic acid deficiency and supplementation on reproductive outcomes and imprinted genemethylation. Mol. Hum. Reprod. 2017; 23(7): 461-77. https://doi. org/10.1093/molehr/gax029.
  25. Kiefte-de Jong J.C., Timmermans S., Jaddoe V.W., Hof man A., Tiemeier H., Steegers E.A. et al. High circulating folate and vitamin B-12 concentrations in women during pregnancy are associated with increased prevalence of atopic dermatitis in their offspring. J. Nutr. 2012; 142(4): 731-8.
  26. van Uitert E.M., van Ginkel S., Willemsen S.P., Lindemans J., Koning A.H., Eilers.PH. et al. An optimal periconception maternal folate status for embryonic size: the Rotterdam predict study. BJOG. 2014; 121(7): 821-9.
  27. Krishnaveni G.V., Veena S.R., Karat S.C., Yajnik C.S., Fall C.H.D. Association between maternal folate concentrations during pregnancy and insulin resistance in Indian children. Diabetologia. 2014; 57(1): 110-21. https://doi.org/10.1007/ s00125-013-3086-7.
  28. Houghton L.A., Yang J., O’Connor D.L. Unmetabolized folic acid and total folate concentrations in breast milk are unaffected by low-dose folate supplements. Am. J. Clin. Nutr. 2009; 89(1): 216-20. https://doi.org/10.3945/ajcn.2008.26564.
  29. Zikavska T., Brucknerova I. Extremely high concentration of folates in premature newborns. Bratisl. Lek. Listy. 2014; 115(2): 103-6.
  30. Oncel M.Y., Calisici E., Ozdemir R., Yurttutan S., Erdeve O., Karahan S., Dilmen U. Is folic acid supplementation really necessary in preterm infants № 32 weeks of gestation? J. Pediatr. Gastroenterol. Nutr. 2014; 58(2): 188-92. https:// doi.org/10.1097/MPG.0000000000000181.
  31. Jyothi S., Misra I., Morris G., Benton A., Griffin D., Allen S. Red cell folate and plasma homocysteine in preterm infants. Neonatology. 2007; 92(4): 264-8.
  32. Fatma Qakmak Qelik, Canan Aygun, Sedat Gtilten, Abdulkerim Bedir, Erhan Qetinoglu, §ukru Kugukoduk, YUksel Bek. Assessment of different folic acid supplementation doses for low-birth-weight infants. Turk. Pediatri Ars. 2016; 51(4): 210-6. https://doi.org/10.5152/TurkPediatriArs.2016.4235.
  33. Glader B. Anemias of inadequate production. In: Kliegman R.M., ed. Nelson textbook of pediatrics. Philadelphia: Elsevier; 2007: 2006-17.
  34. Tamura T., Yoshimura Y., Arakawa T. Human milk folate and folate status in lactating mothers and their infants. Am. J. Clin. Nutr. 1980; 33(2): 193-7.
  35. Fuller N.J., Bates C.J., Cole T.J., Lucas A. Plasma folate levels in preterm infants, with and without a 1 mg daily folate supplement. Eur. J. Pediatr. 1992; 151: 48-50. https://doi.org/10.1007/BF02073891.
  36. Agostoni C., Buonocore G., Carnielli V.P., De Curtis M., Darmaun D., Decsi T. et al. Enteral nutrient supply forpreterm infants: commentary from the European Society of Paediatric Gastroenterology, Hepatology, and Nutrition Committee on Nutrition. J. Pediatr. Gastroenterol. Nutr. 2013; 50(1): 85-91.
  37. Gomella T.L., ed. Neonatology: management, procedures, on-call problems, diseases, and drugs. 7th ed. Medical Publishing Division; 2013. 1113 p.
  38. Uauy R., ed. Proceedings of the Global Neonatal Consensus Symposium: Feeding the preterm infant. October 13-15, 2010, Chicago, Illinois. J. Pediatr. 2013; 162(3, Suppl.): S1-116.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies