The March of Dimes restated its longtime position in response to two articles published today in Pediatrics.
"It's so rare that we get the opportunity to save thousands of babies from being born with a disabling or fatal birth defect with such a simple, low-tech means as folic acid fortification," says Dr. Jennifer L. Howse, president of the March of Dimes. "Studies have shown that adequate daily folic acid intake beginning before pregnancy can reduce the incidence of these tragic birth defects by up to 70 percent, and we should not settle for anything less than maximum prevention."
Since 1996, the March of Dimes has recommended that the U.S. Food and Drug Administration set the level of folic acid required in enriched grain foods at 350 micrograms per 100 grams of grain to prevent as many neural tube defects (NTDs) as possible, said Dr. Howse.
A team of researchers led by Laura J. Williams, M.P.H., of the National Center on Birth Defects and Developmental Disabilities at the U.S. Centers for Disease Control and Prevention (CDC) reported that folic acid fortification accounted for a 36 percent decline in NTDs in the Hispanic population and a 34 percent drop among the white, non-Hispanic population between 1995 and 2002. The prevalence of NTDs in the black, non-Hispanic population did not decrease significantly, the CDC researchers said.
In an accompanying editorial, Robert L. Brent, M.D., Ph.D., and Godfrey P. Oakley, Jr., M.D., MSPM, call on FDA to at least double the amount of folic acid required in enriched grain foods (currently set at 140 micrograms of folic acid per 100 grams of grain). They also urged FD
Contact: Elizabeth Lynch
March of Dimes Birth Defects Foundation