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Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (1998)
Institute of Medicine (IOM)

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. "8 Folate." Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington, DC: The National Academies Press, 1998.

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DRI Dietary Reference Intakes: For Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline

Folate Dose (mg/d)

Adverse Effects Observed

Methods for Assessing Associations and Adverse Effects

4

None

NRa

1

None

NR

0.4–1b

Pregnancy complications, fetal distressc

Statistical association between 12 indices of nutrient status and 7 poorly defined categories of complications

5

None

NR

4

None

Medical exams performedb

0.8

None

NR

1

Frequency of developmental anomalies not greater than expectede

NR

0.36

None

NR

0.8

13.4% fetal death rate in supplemented group compared with 11.5% fetal death rate on controlsf

Documentation for all pregnancy outcomes was collected. Statistical evaluation based on two-tailed chi-square test.

e The frequency of developmental anomalies was not greater than expected but parental reports of worries, fearfulness, and fussiness in the children were greater than expected.

f This may be a chance finding resulting from multiple comparisons. It has been reported that prenatal multivitamin supplementation (which includes folic acid) can reduce preterm deliveries, causing an apparent increase in recognized abortions as the duration of all pregnancies increases (Scholl et al., 1997).

  • in most cases throughout the dose range, folate supplementation maintained the patients in hematological remission over a considerable time span; and

  • the background intake of folate from food was not specified, but all except for three cases (those reported by Allen and coworkers [1990]) occurred before the fortification of breakfast cereal with added folate.

Uncertainty Assessment. An uncertainty factor (UF) of 5 was selected. Compared with the UFs used to date for other nutrients for

Page
279
Front Matter (R1-R24)
Summary (1-16)
1 Introduction to Dietary Reference Intakes (17-26)
2 The B Vitamins and Choline: Overview and Methods (27-40)
3 A Model for the Development of Tolerable Upper Intake Levels (41-57)
4 Thiamin (58-86)
5 Riboflavin (87-122)
6 Niacin (123-149)
7 Vitamin B6 (150-195)
8 Folate (196-305)
9 Vitamin B12 (306-356)
10 Pantothenic Acid (357-373)
11 Biotin (374-389)
12 Choline (390-422)
13 Uses of Dietary Reference Intakes (423-436)
14 A Research Agenda (437-442)
A Origin and Framework of the Development of Dietary Reference Intakes (443-447)
B Acknowledgments (448-450)
C Système International d'Unités (451-452)
D Search Strategies (453-455)
E Methodological Problems Associated with Laboratory Values and Food Composition Data for B Vitamins (456-459)
F Dietary Intake Data from the Boston Nutritional Status Survey, 1981–1984 (460-465)
G Dietary Intake Data from the Continuing Survey of Food Intakes by Individuals (CSFII), 1994–1995 (466-477)
H Dietary Intake Data from the Third National Health and Nutrition Examination Survey (NHANES III), 1988–1994 (478-501)
I Daily Intakes of B Vitamins by Canadian Men and Women, 1990, 1993 (502-506)
J Options for Dealing with Uncertainties in Developing Tolerable Upper Intake Levels (507-511)
K Blood Concentrations of Folate and Vitamin B12 from the Third National Health and Nutrition Examination Survey (NHANES III), 1988–1994 (512-519)
L Methylenetetrahydrofolate Reductase (520-522)
M Evidence from Animal Studies on the Etiology of Neural Tube Defects (523-526)
N Estimation of the Period Covered by Vitamin B12 Stores (527-530)
O Biographical Sketches (531-536)
P Glossary and Abbreviations (537-540)
Index (541-567)