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Community
Preventive Services -
Reducing Specific Diseases, Injuries and
Impairments-
ATTENTION
Although the research on which this
statement was based is out of date, the
position/recommendations contained in
this policy were reaffirmed by the ACPM
Board of Regents on 1/31/2005 until the
evidence can be reevaluated. For
the latest evidence review and
recommendations, visit
U.S. Preventive Services Task Force
Improving
Pregnancy Outcomes/
Infant Mortality and Health
ACPM
Recommendations:
Folic
Acid Fortification of Grain Products in
the U.S. to Prevent Neural Tube Defects
ACPM supports a
fortification policy of enriched foods
with folic acid to reduce the occurrence
of NTDs. At this time, a level of at
least 350 micrograms appears to be the
most appropriate fortification level to
maximize the prevention of NTDs, while
protecting the health of the general
population. The fortification program
should be complete with surveillance
measures of effectiveness and adverse
outcomes. Increasing evidence regarding
positive and negative effects of folate
supplementation obtained from
surveillance data, as well as increased
scientific evidence regarding other
health benefits of folate consumption,
may affect ACPM’s recommendation in
the future.
- See the entire ACPM
recommendation at:
Folic
Acid Fortification of Grain Products in
the U.S. to Prevent Neural Tube Defects.
Jennifer Bentley, MD, MPH, Rebecca
Ferrini, MD, MPH, and Linda Hill, MD,
MPH., San Diego, California. Am J Prev
Med. April 1999.
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