Consommation d'un supplément d'acide folique en période périconceptionnelle: évaluation d'une campagne de promotion

2003 ◽  
Vol 64 (4) ◽  
pp. 189-194 ◽  
Author(s):  
Marie-Claude R. Bélanger ◽  
Jean Grégoire

Periconceptional folic acid intake: evaluation of a promotional program This study evaluates the efficacy of a regional program promoting periconceptional folic acid intake. Data were collected through a self-administrated questionnaire among 721 (405 for phase I; 316 for phase II) primiparous women. For phase I, 26.1% (CI [Confidence Interval] 95%: 21.9% – 30.4%) of respondents took an adequate periconceptional folic acid supplement, whereas this proportion was 31.6% (CI 95%: 26.5% – 36.7%) for phase II (p > 0.05). For phase I, 62.0% (CI 95%: 57.3% – 66.7%) of women recognized the role of folic acid. For phase II, this proportion significantly rose to 70.9% (CI 95%: 65.9% – 75.9%). Regional activities promoting periconceptional folic acid intake, if maintained, should be modified to significantly increase the proportion of women taking an adequate amount of folic acid.

2018 ◽  
Vol 25 (07) ◽  
pp. 1102-1107
Author(s):  
Aamira Hashmi1 ◽  
Qandeel Tahir ◽  
Muhammad Imran ◽  
Naila Azam ◽  
Rukhsana Roshan ◽  
...  

Objectives: Study objectives were devised to assess perceptions of womenregarding importance of folic acid intake, to evaluate role of healthcare providers in counselingof women for folic acid intake, to find out association between perceptions of women withfolic acid intake practices and with counseling of healthcare providers. Study Design: A crosssectional survey. Setting: Gynecology and Obstetrics Wards and OPDs of Tertiary Care andTeaching Hospitals of District Rawalpindi. Period: July-December 2016. Methodology: Studyparticipants were approached by using convenient sampling technique and sample size was of271 women of reproductive age. attending gynecology and obstetrics wards and OPDs of tertiarycare and teaching hospitals of district Rawalpindi. After obtaining consent from institutionalreview board, an interview-based questionnaire was used as data collection tool. Results:Out of 271 women of childbearing age, 60% perceived the importance of folic acid intake indiet. The highest counseling contribution was from doctors (57.6%) while evaluation of role ofhealthcare providers was done regarding counseling. Those who had perceived importanceof folic acid had a significant better intake (p = 0.03). There was a significant associationbetween role of healthcare providers and perceptions (p = 0.02). Conclusion: Majority ofwomen perceived importance of folic acid intake and doctors were playing a significant role incounseling of women regarding folic acid intake during pregnancy. Folic acid intake practiceswere significantly influenced by women’s own perceptions and role of healthcare providers wasa very important factor to direct perceptions of women.


2011 ◽  
Vol 14 (11) ◽  
pp. 2022-2028 ◽  
Author(s):  
Jonne J Sikkens ◽  
Manon van Eijsden ◽  
Gouke J Bonsel ◽  
Martina C Cornel

AbstractObjectiveTo assess folic acid supplementation rates and validate the self-reporting of folic acid supplement use among pregnant women in a multiethnic cohort.DesignSecondary analysis of a prospective cohort study.SettingSelf-reported folic acid supplement use in the Amsterdam Born Children and their Development study cohort was compared with serum folate concentrations using non-parametric trend analysis and linear and logistic regression.SubjectsA total of 4234 pregnant women of various ethnic backgrounds.ResultsSerum folate levels showed a significant positive linear trend as reported use of folic acid increased (P < 0·001), which was supported by linear regression (r = 0·49). Odds of having low serum folate concentration decreased with reported early start of folic acid intake. Young, multiparous or non-Western women reported less pre-conception folic acid intake. Non-Western women showed lower serum folate concentrations. The overall rate of over-reporting, i.e. serum folate concentrations ≤20 nmol/l while reporting the use of folic acid supplements, was 20·7 %. Women of Surinamese and Moroccan ancestry had higher odds of over-reporting (OR = 2·3; 95 % CI 1·5, 3·5 and OR = 2·3; 95 % CI 1·3, 4·0, respectively). The odds for Surinamese women remained significant after adjusting for the onset of supplement use, parity and age (OR = 1·7; 95 % CI 1·1, 2·6).ConclusionsAlthough self-reporting is a valid method for assessing folic acid supplement use in a multiethnic population, some participants do over-report. Surinamese and possibly Moroccan women appear to over-report more often. Rates of supplementation are low, especially in non-Western women. This suggests the need for intensifying current campaigns or perhaps even additional advice to start or continue to use folic acid post-conceptionally.


2009 ◽  
Vol 12 (9) ◽  
pp. 1548-1555 ◽  
Author(s):  
Kathleen Hennessy-Priest ◽  
Jill Mustard ◽  
Heather Keller ◽  
Lee Rysdale ◽  
Joanne Beyers ◽  
...  

AbstractObjectiveFolic acid food fortification has successfully reduced neural tube defect-affected pregnancies across Canada. The effect of this uncontrolled public health intervention on folate intake among Canadian children is, however, unknown. Our objectives were to determine folic acid intake from food fortification and whether fortification promoted adequate folate intakes, and to describe folic acid-fortified food usage among Ontario preschoolers.DesignCross-sectional data were used from the NutriSTEP™ validation project with preschoolers recruited using convenience sampling. Mean daily total folate and folic acid intakes were estimated from 3 d food records, which included multivitamin supplement use. Comparisons were made to Dietary Reference Intakes, accounting for and excluding fortificant folic acid, to determine the prevalence of inadequate and excessive intakes.SettingCanada.SubjectsTwo hundred and fifty-four preschoolers (aged 3–5 years).ResultsAll participants (130 girls, 124 boys) ate folic acid-fortified foods and 30 % (n76) used folic acid-containing supplements. Mean (se) fortificant folic acid intake was 83 (2) μg/d, which contributed 30 % and 50 % to total folate intake for supplement users and non-users, respectively. The prevalence of total folate intakes below the Estimated Average Requirement was <1 %; however, excluding fortificant folic acid, the prevalence was 32 %, 54 % and 47 % for 3-, 4- and 5-year-olds, respectively. The overall prevalence of folic acid (fortificant and supplemental) intakes above the Tolerable Upper Intake Level was 2 % (7 % among supplement users).ConclusionsFolic acid food fortification promotes dietary folate adequacy and did not appear to result in excessive folic acid intake unless folic acid-containing supplements were consumed.


2021 ◽  
Author(s):  
Daina B. Esposito ◽  
Samantha E. Parker ◽  
Allen A. Mitchell ◽  
Sarah C. Tinker ◽  
Martha M. Werler

2015 ◽  
Vol 145 (10) ◽  
pp. 2207-2211 ◽  
Author(s):  
Mari Ozaki ◽  
Anne M Molloy ◽  
James L Mills ◽  
Ruzong Fan ◽  
Yifan Wang ◽  
...  

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