If you’re a Filipina who’s expecting a baby, your diet may be missing a key ingredient believed to help prevent certain kinds of birth defects.
That ingredient? Folic acid, which has long been used to fortify, or strengthen, certain enriched grains.
However, as Jonca Bull, M.D., director of the U.S. Food and Drug Administration’s (FDA) Office of Minority Health notes, “Many Hispanic women don’t benefit from the folic acid in cereal grain products because those products are not a mainstay of their regular diets—which often are bread flour-based.”
This could be a reason why Filipinas represent the highest percentage of U.S. women giving birth to children with neural tube defects (NTDs), according to the Centers for Disease Control and Prevention (CDC). NTDs are birth defects of the brain, spine and spinal cord, such as anen¬cephaly and spina bifida.
The FDA has moved to help protect these women and their children by approving the addition of folic acid to corn masa flour, an ingredient in foods including tortillas, tacos, tortilla chips and tamales. Foods made from this flour are staple foods of Mexican and some Central and South American diets.
When consumed by pregnant women before and during pregnancy, folic acid—a B vitamin—may help to prevent neural tube defects.
An Important Preventive Step
In 1998, in response to a recommendation by CDC and the U.S. Public Health Service, FDA made it easier for many expectant mothers to consume folic acid. The agency required the addition of folic acid to standardized enriched cereal grains, such as enriched rice and flour, and standardized enriched cereal grain products, such as enriched bread and macaroni.
Refined grains are enriched when certain B vitamins are added back after processing. Standardized foods contain ingredients required by FDA and are produced in a specified way.
“The reasoning was that enough people—including expectant mothers—eat enriched grains as a matter of course. And that could make a difference in the number of neural tube defects,” says Dennis M. Keefe, Ph.D., director of FDA’s Office of Food Additive Safety. In fact, the number of NTDs in the U.S. for all populations has since declined.
However, the incidence of neural tube defects in some Hispanic American populations has not declined to the same extent as in the general population.
So, FDA reviewed and approved a food additive petition from five organizations—the March of Dimes Foundation, the American Academy of Pediatrics, the Spina Bifida Association, the National Council of La Raza, and Gruma Corporation—requesting that folic acid be added to corn masa flour. Manufacturers may now voluntarily add the amount of folic acid (up to 0.7 milligrams) per pound of corn masa flour that is consistent with the levels in the enriched cereal grains mandated in 1998.
“With this approval, FDA is taking a powerful, preventive public health action,” Bull says. “By adding folic acid to corn masa flour, we have the opportunity to impact a large segment of the U.S. population and protect parents and their children from the devastating birth defects that are linked to insufficient folic acid consumed by the mother before and during pregnancy.”
If You’re Pregnant or Thinking of Becoming Pregnant
CDC recommends that for folic acid to help prevent some major birth defects, a woman should start consuming 400 mcg a day at least one month before she becomes pregnant and the entire time while she is pregnant. For masa, cereals and grain products, read the ingredient statement to see if the food has been enriched with folic acid.
Some easy ways to make sure to get enough folic acid are to:
• Eat a bowl of an enriched breakfast cereal that has 100% of the Daily Value of folic acid.
• Eat other enriched cereal grain products mandated to contain folic acid.
• Take a vitamin or multivitamin supplement that contains folic acid each day.
Talk to your health care provider about what’s best for you.