1. Folate status and concentrations of serum folate forms in the US population: National Health and Nutrition Examination Survey 2011–2
- Author
-
Christine M. Pfeiffer, Maya R. Sternberg, Heather C. Hamner, Zia Fazili, Sedigheh Yamini, Clifford L. Johnson, Regan L Bailey, Mindy Zhang, Robert J. Berry, Jeanne I. Rader, Elizabeth A Yetley, and David A Lacher
- Subjects
Adult ,Male ,Erythrocytes ,Adolescent ,National Health and Nutrition Examination Survey ,Population ,Leucovorin ,Nutritional Status ,Medicine (miscellaneous) ,Renal function ,Physiology ,Article ,Body Mass Index ,Young Adult ,Folic Acid ,Sex Factors ,Serum folate ,Reference Values ,Tandem Mass Spectrometry ,Ethnicity ,Humans ,Medicine ,Young adult ,Child ,education ,Life Style ,Chromatography, High Pressure Liquid ,Tetrahydrofolates ,Body surface area ,education.field_of_study ,Nutrition and Dietetics ,business.industry ,Infant ,Middle Aged ,Nutrition Surveys ,United States ,Biochemistry ,Child, Preschool ,Biomarker (medicine) ,Female ,business ,Body mass index ,Biomarkers - Abstract
Serum and erythrocyte (RBC) total folate are indicators of folate status. No nationally representative population data exist for folate forms. We measured the serum folate forms (5-methyltetrahydrofolate (5-methylTHF), unmetabolised folic acid (UMFA), non-methyl folate (sum of tetrahydrofolate (THF), 5-formyltetrahydrofolate (5-formylTHF), 5,10-methenyltetrahydrofolate (5,10-methenylTHF)) and MeFox (5-methylTHF oxidation product)) by HPLC–MS/MS and RBC total folate by microbiologic assay in US population ≥ 1 year (n approximately 7500) participating in the National Health and Nutrition Examination Survey 2011–2. Data analysis for serum total folate was conducted including and excluding MeFox. Concentrations (geometric mean; detection rate) of 5-methylTHF (37·5 nmol/l; 100 %), UMFA (1·21 nmol/l; 99·9 %), MeFox (1·53 nmol/l; 98·8 %), and THF (1·01 nmol/l; 85·2 %) were mostly detectable. 5-FormylTHF (3·6 %) and 5,10-methenylTHF (4·4 %) were rarely detected. The biggest contributor to serum total folate was 5-methylTHF (86·7 %); UMFA (4·0 %), non-methyl folate (4·7 %) and MeFox (4·5 %) contributed smaller amounts. Age was positively related to MeFox, but showed a U-shaped pattern for other folates. We generally noted sex and race/ethnic biomarker differences and weak (Spearman's rP
- Published
- 2015
- Full Text
- View/download PDF