The relationship between increased folate catabolism and the increased requirement for folate in pregnancy
Article first published online: 12 AUG 2005
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 107, Issue 9, pages 1149–1154, September 2000
How to Cite
Higgins, J. R., Quinlivan, E. P., McPartlin, J., Scott, J. M., Weir, D. G. and Darling, M. R. N. (2000), The relationship between increased folate catabolism and the increased requirement for folate in pregnancy. BJOG: An International Journal of Obstetrics & Gynaecology, 107: 1149–1154. doi: 10.1111/j.1471-0528.2000.tb11115.x
- Issue published online: 12 AUG 2005
- Article first published online: 12 AUG 2005
- Accepted 18 April 2000
Objectives To estimate the rate of folate catabolism in pregnant and nonpregnant women and to derive the recommended dietary allowance for folate.
Design Prospective, observational study.
Setting Rotunda Hospital, Dublin.
Women Twenty-four healthy gravid women were studied once during each trimester and postpartum. Twenty-five nonpregnant controls were assessed before and after folic acid supplementation.
Interventions Women provided 24-hour urine collections while adhering to a strict dietary regimen containing no exogenous folate catabolites.
Main outcome measures Urinary levels of p-acetamidobenzoylglutamate and p-aminobenzoylglutamate were measured by high pressure liquid chromatography.
Results The 24-hour excretion of folate catabolites, expressed as mean [95% CI] folate equivalents in μg) progressively increased during pregnancy. A peak was reached in the third trimester (349.1 μg [308.1 to 390.1]) where the rate was more than twice the rate in the nonpregnant control group (136.4 μg [112.4 to 160.4]) (P < 0.001). Based on our results the recommended dietary allowance for folate in nonpregnant women should be 250 μg and this should rise during pregnancy to 430 μg in the second trimester and 540 μg in the third trimester.
Conclusions The rate of folate catabolism progressively increases during pregnancy reaching a peak in the third trimester at the time of maximal fetal growth. The increased demand for folate during pregnancy appears to be due to the accelerated breakdown of the vitamin because of its participation in cellular biosynthesis. These results provide a quantitative basis for the current debate on the appropriate recommended dietary allowance for folate in both pregnant and nonpregnant women.