Prevalence of folic acid deficiency and the reproductive potential of the youth in the Republic of Bashkortostan
K.N. MINGAREEVA, A.G. YASHCHUK, K.N. YASHCHUK
Bashkir State Medical University, Ufa
Contact details:
Mingareeva K.N. — PhD. (medicine), Associate Professor of the Department of Obstetrics and Gynecology No. 2
Address: 3 Lenin St., 450008 Ufa, Russian Federation, tel.: +7-917-37-15-999, e-mail: mkn1805@mail.ru
Folic acid deficiency is the most common vitamin deficiency in the world. Since folates are involved in the synthesis of nucleic acids and amino acids and are crucial for cell growth and differentiation, the need for vitamin B9 increases during pregnancy due to fetal / placental growth and uterine enlargement. Folic acid deficiency during the gestational period leads to severe adverse consequences for the fetus, including birth defects of the neural tube, heart and urinary tract defects, insufficient birth weight, and high blood pressure.
The purpose — to study the prevalence of folic acid deficiency in students of the Republic of Bashkortostan.
Material and methods. A comprehensive study of the lifestyle and reproductive potential of adolescents aged 15–19 years was carried out. Blood serum was analyzed for folic acid on the automated modular Roche Cobas 8000 platform with the e801 immunochemical module. Statistical processing was carried out with the Statistica software.
Results. Folic acid deficiency in the studied sample of students was detected in 55% of cases in males and in 61% of cases in females. In females all indicators were statistically significantly worse than in males. This dictates the need for regular monitoring of folate levels in the blood.
Key words: folates, folic acid, reproductive health, folate deficiency.
REFERENCES
- Xu X., Zhang Z., Lin Y. et al. Risk of excess maternal folic acid supplementation in offspring. Nutrients, 2024, vol. 16 (5), p. 755. DOI: 10.3390/nu16050755
- World Health Organization. Serum and red blood cell folate concentrations for assessing folate status in populations. World Health Organization; Geneva, Switzerland, 2015.
- Rogers L.M., Cordero A.M., Pfeiffer C.M. et al. Global folate status in women of reproductive age: a systematic review with emphasis on methodological issues. Ann. NY Acad. Sci, 2018, vol. 1431 (1), pp. 35–57. DOI: 10.1111/nyas.13963
- Yila T.A., Araki A., Sasaki S. et al. Predictors of folate status among pregnant Japanese women: the Hokkaido study on environment and children’s health, 2002–2012. Br. J. Nutr, 2016, vol. 115 (12), pp. 2227–2235. DOI: 10.1017/S0007114516001628
- Ferrazzi E., Tiso G., Di Martino D. Folic acid versus 5- methyl tetrahydrofolate supplementation in pregnancy. Eur. J. Obstet. Gynecol. Reprod. Biol, 2020, vol. 253, pp. 312–319. DOI: 10.1016/j.ejogrb.2020.06.012
- Miraglia N., Dehay E. Folate supplementation in fertility and pregnancy: the advantages of (6S)5-methyltetrahydrofolate. Altern. Ther. Health Med, 2022, vol. 28 (4), pp. 12–17.
- De Wals P., Tairou F., van Allen M.I. et al. Reduction in neural-tube defects after folic acid fortification in Canada. N. Engl. J. Med, 2007, vol. 357 (2), pp. 135–142. DOI: 10.1056/NEJMoa067103.
- Hure A.J., Collins C.E., Smith R. A longitudinal study of maternal folate and vitamin B12 status in pregnancy and postpartum, with the same infant markers at 6 months of age. Matern. Child Health J, 2012, vol. 16 (4), pp. 792–801. DOI: 10.1007/s10995-011-0782-0
- Vinaykumar N., Kumar A., Quadros L.S. et al. Determining the effect of folate diets during pregnancy and lactation on neurobehavioural changes in the adult life of offspring. J. Taibah. Univ. Med. Sci, 2019, vol. 14 (6), pp. 523–530. DOI: 10.1016/j.jtumed.2019.09.009
- Dai C., Fei Y., Li J. et al. A novel review of homocysteine and pregnancy complications. Biomed. Res. Int, 2021, vol. 2021. 6652231. DOI: 10.1155/2021/6652231
- Wang H., Mueller N.T., Li J. et al. Association of maternal plasma folate and cardiometabolic risk factors in pregnancy with elevated blood pressure of offspring in childhood. Am. J. Hypertens, 2017, vol. 30 (5), pp. 532–540. DOI: 10.1093/ajh/hpx003
- Shulpekova Y., Nechaev V., Kardasheva S. et al. The concept of folic acid in health and disease. Molecules, 2021, vol. 26 (12), p. 3731. DOI: 10.3390/molecules26123731
- Metz J. Appropriate use of tests for folate and vitamin B12 deficiency. Aust. Prescr, 1999, vol. 22, pp. 16–18.
- Ali M.A., Hafez H.A., Kamel M.A. et al. Dietary vitamin b complex: orchestration in human nutrition throughout life with sex differences. Nutrients, 2022, vol. 14 (19), p. 3940. DOI: 10.3390/nu14193940
- Mishra J., Tomar A., Puri M. et al. Trends of folate, vitamin B12, and homocysteine levels in different trimesters of pregnancy and pregnancy outcomes. Am. J. Hum. Biol, 2020, vol. 32 (5), p. e23388. DOI: 10.1002/ajhb.23388
- Hay G., Johnston C., Whitelaw A. et al. Folate and cobalamin status in relation to breastfeeding and weaning in healthy infants. Am. J. Clin. Nutr, 2008, vol. 88 (1), pp. 105–14. DOI: 10.1093/ajcn/88.1.105
- Shulpekova Y., Nechaev V., Kardasheva S. et al. The concept of folic acid in health and disease. Molecules, 2021, vol. 26 (12), p. 3731. DOI: 10.3390/molecules26123731
- McNulty H., Ward M., Hoey L. et al. Addressing optimal folate and related B-vitamin status through the lifecycle: health impacts and challenges. Proc. Nutr. Soc, 2019, vol. 78 (3), pp. 449–462. DOI: 10.1017/S0029665119000661
- Murray S.L., Holton K.F. Effects of a diet low in excitotoxins on PTSD symptoms and related biomarkers. Nutr. Neurosci, 2024, vol. 27 (1), pp. 1–11. DOI: 10.1080/1028415X.2022.2152932
- Pei P., Cheng X., Yu J. et al. Folate deficiency induced H2A ubiquitination to lead to downregulated expression of genes involved in neural tube defects. Epigen. Chromatin, 2019, vol. 12 (1), p. 69.
- van Gool J.D., Hirche H., Lax H. et al. Folic acid and primary prevention of neural tube defects: A review. Reprod. Toxicol, 2018, vol. 80, pp. 73–84.