Folic Acid Flashcards

(31 cards)

1
Q

What is the difference between natural folates and folic acid?

A

Natural folates are reduced molecules, whereas folic acid is fully oxidised

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2
Q

Explain folates

A

In the diet, folates exist as polyglutamates and need to be enzymatically converted into folate monoglutamates by folate reductase in the jejunal mucosa in order to be absorbed

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3
Q

How dos food folates can be expected during food processing?

A

In vegetables, up to 40% of folates can be destroyed by cooking and in grains/cereals, up to 70% of folates can be destroyed by milling and baking

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4
Q

Folate vitamins group is composed of three major subunits:

A

pteridine, p-aminobenzoic acid, and glutamic acid.

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5
Q

How does polyglutamates form?

A

Glutamate residues bind the molecule by peptide linkages to form the polyglutamates

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6
Q

The term “Folic Acid” is used to indicate the parent compound:

A

pteroyglutamic acid

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7
Q

Folate is used generically to indicate one or a mixture of:

A

pteroylglutamates

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8
Q

Explain folic acid

A

is a B9 Vitamin. It s called folate when it is found in foods (leafy green vegetables) in its natural form

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9
Q

Explain “Folic Acid”

A

It is the synthetic form used in supplements or added to food

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10
Q

Name some folate-riched foods:

A

Chicken liver
Fortified breakfast cereal
Soy flour
Beef liver
Chickpeas
Pinto beans
Spinach (boiled)
Lima beans
Papaya
Avocado

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11
Q

What is the RDA for Vitamins B?

A
  • B9 400ug
  • B6 200ug
  • B12 6ug
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12
Q

What is the RNI for folate for adults and children >11 years old?

A

0.2mg/day

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13
Q

What is the RMI for folate during pregnancy and lactation?

A

-Pregnancy increment of 0.1 mg/day (0.3mg/day)
-Lactation increment of 0.06 mg/day (0.26mg/day)

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14
Q

What is the recommendation of folic acid intake for women who could become pregnant?

A

0.4 mg/day in addition to normal dietary folate intake, and until 12th week of pregnancy

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15
Q

What is the recommendation of folic acid intake for women at risk of a neural tube defect (NTD)-affected pregnancy?

A

An additional dose of 5mg/day

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16
Q

Explain the 2 types of “Neural Tube Defects”

A
  • Spina bifida: paralysis, learning disabilities
  • Anencephaly: die shortly after birth
17
Q

Where is the main storage site of folate?

A

Liver, containing approximately half of the total (5-10 mg) body folate

18
Q

Within the cells, folate is retained in the ______ by polyglutamation

19
Q

The majority of plasma folate is present as:

A

5-methyl-THR-monoglutamate

20
Q

What is a short-term indicator of folate status?

A

Serum folate, within the range of 5-16 ng/mL

21
Q

What reflects a long term of folate intake?

A

Red blood cells, levels <140ng/mL indicate reduced body stores

22
Q

What are the consequences of folate deficiency?

A

Reduced de novo DNA biosynthesis and thus, impairment of cell replication. The condition causes megaloblastic and macrocytic anaemia (cells are unable to divide)

23
Q

Which other deficiency causes macrocytic megaloblastic anaemia?

24
Q

What is required for the formation of healthy normal red blood cells?

25
Explain the function of folate in the methylation cycle?
Folate functions with the methyl transferases in methylation reactions. These methyl groups are transferred to proteins, phospholipids and DNA.
26
Can you name some health outcomes associated to Folate deficiency?
- NTD's and other birth defects - Cardiovascular disease - Cognition and dementia - Cancer - Acceleration of cancerous growth - Masking of vitamin B12 deficiency - Immunity + epigenetic changes
27
What is the main concern regarding ingestion of excess folic acid?
Masking of vitamin B12 deficiency
28
What is the maximum intake of folic acid from food?
0.49mg/day
29
What are the general symptoms of B12 deficiency anaemia?
- extreme tiredness - lack of energy - breathlessness - feeling faint - headaches - pale skin - noticeable heartbeats - loss of appetite and weight loss
30
Name three [3] nutrients that can help reduce the plasma homocysteine level. Briefly explain the reactions involved.
Folate, Vitamin B12, and Vitamin B6. Folate is crucial in homocysteine metabolism, helping convert homocysteine back into methione. This process also requires Vitamin B12. Vitamin B6 helps to convert homocysteine to cysteine.
31