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Governments committing "public health malpractice" over flour fortification
June 05, 2002The failure of European governments, including the United Kingdom, to fortify flour with folic acid has allowed a continuing epidemic of preventable human illness, according to an editorial in this week's BMJ.
Fortification could save as many lives as are lost each year in vehicle crashes, writes Professor Godfrey Oakley of Emory University in the United States. Yet in Europe, fortification has been delayed because of erroneous speculation of possible harm for elderly people.
Recent evidence indicates that fortification improves the lives of adults, including elderly people, and that it is safe. In 1998 - the year in which fortification was made mandatory in the United States - deaths from stroke and heart attack declined by 3.4%.
Although fortification of flour is long overdue in the United Kingdom and the remainder of Europe, the UK board of the Food Standards Agency recently decided against mandatory folic acid fortification.
Ministers should not accept this recommendation, argues the author. Rather, they should follow the advice of the Department of Health committee on medical aspects of food and nutrition policy and require universal fortification of flour with folic acid. This prudent action would improve the health of children and adults.
Rare is the opportunity to implement a sustainable, inexpensive, and effective intervention to prevent major human diseases, says the author. Folic acid fortification of flour is one of those rare opportunities. Governments that do not ensure that flour is fortified with folic acid are committing public health malpractice, he concludes.
British Medical Journal (BMJ)
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Folic acid, B vitamins do not appear to affect cancer risk
A daily supplementation combination that included folic acid and vitamin B6 and B12 had no significant effect on the overall risk of cancer, including breast cancer, among women at high risk of cardiovascular disease, according to a study in the November 5 issue of JAMA.
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A study initiated by researchers at Columbia University Mailman School of Public Health and the Leiden University Medical Center in the Netherlands suggests that prenatal exposure to famine can lead to epigenetic changes that may affect a person's health into midlife.
Vitamin B does not slow cognitive decline in Alzheimer's
A clinical trial led by Paul S. Aisen, M.D., professor of neurosciences at the University of California, San Diego School of Medicine, showed that high-dose vitamin B supplements did not slow the rate of cognitive decline in patients with mild to moderate Alzheimer disease.
New lymphoma therapies targets diverse and difficult cancer
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Levels of folate in men's diets is linked to chromosomal abnormalities in their sperm
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Study links dietary folate intake to genetic abnormalities in sperm
Healthy men who report lower levels of the nutrient folate in their diets have higher rates of chromosomal abnormalities in their sperm, according to a new study by researchers at the University of California, Berkeley, and the Lawrence Berkeley National Laboratory.
New study shows low-fat diets more likely to reduce risk of heart disease than low-carb diets
Low-fat diets are more effective in preserving and promoting a healthy cardiovascular system than low-carbohydrate, Atkins'-like diets, according to a new study by researchers at the Medical College of Wisconsin in Milwaukee.
New folic acid seal helps women choose enriched grain foods to help prevent birth defects
Not enough American women understand that consuming the B vitamin folic acid every day can help prevent serious birth defects, and only 40 percent are taking daily multivitamin supplements containing this essential nutrient beginning before pregnancy, two recent surveys show.
Vitamin B12 function may be diminished by excessive folate
In a study of adults aged 20 and over, researchers at Tufts University showed that homocysteine and methylmalonic acid are at much higher levels in individuals who have a combination of vitamin B12 deficiency and high blood folate levels than in individuals who are also vitamin B12 deficient but have normal folate levels.
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