Good Food Sources of Folate

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Here's Why:

Diet supplement article Folate, also known as folic acid, is a B vitamin that is essential for good health. Specifically, it can help reduce your risk of heart disease and stroke by lowering the level of the amino acid homocysteine in the blood. The level of homocysteine in blood increases due to age, vitamin deficiencies, and some genetic abnormalities. At high levels, homocysteine can damage coronary arteries or make it easier for blood clotting cells to clump together and form a clot. This can increase your risk of heart attack or stroke.

Taking supplemental folic acid and other B vitamins may help reduce the risk of heart attack and/or ischemic stroke by lowering homocysteine level. Although the relationship between elevated levels of homocysteine and risk for cardiovascular events have been noted in many studies, some vitamin trials failed to confirm that treatment with folic acid reduces the risk. Also, the exact and most optimal dose of folic acid supplementation is not known. For example, a recent trial (called VISP—Vitamins in Stroke Prevention) looked at the role of vitamins in prevention of stroke. More than 3600 patients participated in a trial that lasted for almost two years. Patients with a recent history of ischemic stroke and elevated levels of homocysteine were divided into two groups. One group received a low dose of folic acid, and the other group a high dose. The trial failed to show a difference in risk reduction between the groups.

Beyond this one particular study, though, folate is considered important for pregnant women. Low blood levels of folate during pregnancy can cause neural tube defects—anencephaly and spina bifida . Every woman who might get pregnant should take 400 mcg of folic acid daily. Also, deficiency of folic acid can result in anemia.

Recommended Intake

Age group (in years) Recommended Dietary Allowance
Females Males
1 - 3 150 mcg 150 mcg
4 - 8 200 mcg 200 mcg
9 - 13 300 mcg 300 mcg
14 - 18 400 mcg 400 mcg
Pregnancy, ages 14-18 600 mcg n/a
Lactation, ages 14-18 500 mcg n/a
19 - 50 400 mcg 400 mcg
Pregnancy, ages 19-50 600 mcg n/a
Lactation, ages 19-50 500 mcg n/a
51 - 69 400 mcg 400 mcg
70 + 400 mcg 400 mcg

Here's How:

Major Food Sources

Food Serving size Folate content (mcg)
Chicken liver, simmered 3.5 oz 770
Fortified breakfast cereal 3/4 cup 100-400 (check Nutrition Facts label)
Soy flour 1 cup 260
Beef liver, braised 3.5 oz 217
Chickpeas, canned 1 cup 160
Pinto beans, canned 1 cup 144
Spinach, boiled 1/2 cup 131
Lima beans, canned 1 cup 121
Papaya 1 medium 116
Avocado 1medium 113
Wheat germ, toasted 1/4 cup 102
Asparagus, boiled 4 spears 85
Orange juice, fresh 8 fl oz 75
Spinach, raw 1/2 cup 54
Whole wheat flour 1 cup 53
Green peas, boiled 1/2 cup 50
White rice, long-grain 1/2 cup 45
Orange, navel 1 medium 44
Peanuts, dry roasted 1 oz 41
Wheat flour 1 cup 40
Broccoli, boiled 1/2 cup 39
Tomatoes, sun-dried 1 cup 37
Tomato juice, canned 6 oz 35
Peanut butter, crunchy 2 T 29
Cashews, dry roasted 1 oz 20
Banana 1 medium 20
Bread, whole wheat 1 slice 15

Tips For Increasing Your Folate Intake

To help increase your intake of folate:

  • Spread a little avocado on your sandwich in place of mayonnaise.
  • Drink a glass of orange juice or tomato juice in the morning.
  • Add spinach to your scrambled eggs.
  • Slice a banana on top of your breakfast cereal.
  • Sprinkle some toasted wheat germ on top of pasta or a stir-fry.
  • Throw some chickpeas or kidney beans into a salad.
  • If you take a vitamin supplement, make sure it contains folate.

RESOURCES:

American Dietetic Association
http://www.eatright.org/Public/

Food and Nutrition
US Department of Agriculture
http://www.usda.gov/wps/portal/usdahome

References:

The Nutrition Desk Reference . Keats Publishing; 1995.

Folic acid information. WIC Learning Center website. Available at: http://www.nal.usda.gov/wicworks/Learning_Center/WICfood_folic.html . Accessed on: November 12, 2006.

Folic acid: Frequently asked questions. Center for Disease Control and Prevention website. Available at: http://www.cdc.gov/ncbddd/folicacid/faqs.htm . Accessed on: November 12, 2006.

Herrmann W. Significance of hyperhomocysteinemia. Clin Lab . 2006;52(review):367-374.

Hankey GJ. Is plasma homocysteine a modifiable risk factor for stroke? Nat Clin Pract Neurol. Jan 2006;2(review):26-33.

Toole J, Malinow R, Chambless L, et al. Lowering homocysteine in patients with ischemic stroke to prevent recurrent stroke, myocardial infarction, and death: the Vitamin Intervention for Stroke Prevention (VISP) randomized controlled trial. JAMA . Feb 4, 2004;291:565-75.




Last reviewed November 2006 by Marcin Chwistek, MD

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

Source: EBSCO
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