Folate status and intake of tribal Indian adolescents aged 10 to 17 years

Rati Jani, Nisha Salian, Shobha Udipi, Padmini Ghugre, Neha Lohia, Jere Haas, Erick Boy

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background. Adequate folate intake and levels are advisable throughout life but are of particular importance during adolescence, a period of rapid growth. However, folate insufficiency in economically deprived Indian adolescents is understudied. Objective. This cross-sectional study examined the prevalence of folate deficiency and adequacy of folate intake of 224 tribal Indian adolescents (10 to 17 years of age). The secondary aim was to study the association between anemia status and folate status. Methods. Radioimmunoassay, multiple-pass 24-hour dietary recall, and HemoCue were used to measure red blood cell (RBC) folate, folate intake, and anemia status, respectively. Results. The geometric mean (95% CI) RBC folate concentration (nmol/L) was 360.2 (329.7 to 393.6), and the mean ± SD folate intake (μg/day) and hemoglobin level (g/L) were 159.9 ± 44.7 and 125.4 ± 13.0, respectively. Almost half of boys and girls aged 10 to 12 and 13 to 15 years and 66.7% of girls aged 16 to 17 years were deficient in RBC folate (< 340 nmol/L). The mean ± SD folate intake (μg/day) of girls (139.4 ± 34.5) was lower than that of boys (173.8 ± 45.5) (p < .001). With respect to adequacy of folate intake, a greater proportion of girls in the age group of 13-15 years (78.5% vs 38.6%, p < 0.001) and 16-17 years (100.0% vs 76.9%, p = 0.04) had intakes below their Recommended Dietary Allowance (RDA). No association was observed between folate intake and RBC folate deficiency or between anemia status and RBC folate deficiency. Conclusions. Folate insufficiency was widespread in tribal Indian adolescents. There is an urgent need to develop culturally sensitive strategies for improvement.

Original languageEnglish
Pages (from-to)14-23
Number of pages10
JournalFood and Nutrition Bulletin
Volume36
Issue number1
DOIs
Publication statusPublished - 1 Jan 2015
Externally publishedYes

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Folic Acid
folic acid
blood
anemia
adolescent
adolescence
erythrocytes
cross-sectional study
Erythrocytes
age group
hemoglobin
Anemia
Recommended Dietary Allowances
diet recall
radioimmunoassays
cross-sectional studies
Radioimmunoassay
Hemoglobins

Cite this

Jani, Rati ; Salian, Nisha ; Udipi, Shobha ; Ghugre, Padmini ; Lohia, Neha ; Haas, Jere ; Boy, Erick. / Folate status and intake of tribal Indian adolescents aged 10 to 17 years. In: Food and Nutrition Bulletin. 2015 ; Vol. 36, No. 1. pp. 14-23.
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abstract = "Background. Adequate folate intake and levels are advisable throughout life but are of particular importance during adolescence, a period of rapid growth. However, folate insufficiency in economically deprived Indian adolescents is understudied. Objective. This cross-sectional study examined the prevalence of folate deficiency and adequacy of folate intake of 224 tribal Indian adolescents (10 to 17 years of age). The secondary aim was to study the association between anemia status and folate status. Methods. Radioimmunoassay, multiple-pass 24-hour dietary recall, and HemoCue were used to measure red blood cell (RBC) folate, folate intake, and anemia status, respectively. Results. The geometric mean (95{\%} CI) RBC folate concentration (nmol/L) was 360.2 (329.7 to 393.6), and the mean ± SD folate intake (μg/day) and hemoglobin level (g/L) were 159.9 ± 44.7 and 125.4 ± 13.0, respectively. Almost half of boys and girls aged 10 to 12 and 13 to 15 years and 66.7{\%} of girls aged 16 to 17 years were deficient in RBC folate (< 340 nmol/L). The mean ± SD folate intake (μg/day) of girls (139.4 ± 34.5) was lower than that of boys (173.8 ± 45.5) (p < .001). With respect to adequacy of folate intake, a greater proportion of girls in the age group of 13-15 years (78.5{\%} vs 38.6{\%}, p < 0.001) and 16-17 years (100.0{\%} vs 76.9{\%}, p = 0.04) had intakes below their Recommended Dietary Allowance (RDA). No association was observed between folate intake and RBC folate deficiency or between anemia status and RBC folate deficiency. Conclusions. Folate insufficiency was widespread in tribal Indian adolescents. There is an urgent need to develop culturally sensitive strategies for improvement.",
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Jani, R, Salian, N, Udipi, S, Ghugre, P, Lohia, N, Haas, J & Boy, E 2015, 'Folate status and intake of tribal Indian adolescents aged 10 to 17 years', Food and Nutrition Bulletin, vol. 36, no. 1, pp. 14-23. https://doi.org/10.1177/156482651503600102

Folate status and intake of tribal Indian adolescents aged 10 to 17 years. / Jani, Rati; Salian, Nisha; Udipi, Shobha; Ghugre, Padmini; Lohia, Neha; Haas, Jere; Boy, Erick.

In: Food and Nutrition Bulletin, Vol. 36, No. 1, 01.01.2015, p. 14-23.

Research output: Contribution to journalArticle

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T1 - Folate status and intake of tribal Indian adolescents aged 10 to 17 years

AU - Jani, Rati

AU - Salian, Nisha

AU - Udipi, Shobha

AU - Ghugre, Padmini

AU - Lohia, Neha

AU - Haas, Jere

AU - Boy, Erick

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Background. Adequate folate intake and levels are advisable throughout life but are of particular importance during adolescence, a period of rapid growth. However, folate insufficiency in economically deprived Indian adolescents is understudied. Objective. This cross-sectional study examined the prevalence of folate deficiency and adequacy of folate intake of 224 tribal Indian adolescents (10 to 17 years of age). The secondary aim was to study the association between anemia status and folate status. Methods. Radioimmunoassay, multiple-pass 24-hour dietary recall, and HemoCue were used to measure red blood cell (RBC) folate, folate intake, and anemia status, respectively. Results. The geometric mean (95% CI) RBC folate concentration (nmol/L) was 360.2 (329.7 to 393.6), and the mean ± SD folate intake (μg/day) and hemoglobin level (g/L) were 159.9 ± 44.7 and 125.4 ± 13.0, respectively. Almost half of boys and girls aged 10 to 12 and 13 to 15 years and 66.7% of girls aged 16 to 17 years were deficient in RBC folate (< 340 nmol/L). The mean ± SD folate intake (μg/day) of girls (139.4 ± 34.5) was lower than that of boys (173.8 ± 45.5) (p < .001). With respect to adequacy of folate intake, a greater proportion of girls in the age group of 13-15 years (78.5% vs 38.6%, p < 0.001) and 16-17 years (100.0% vs 76.9%, p = 0.04) had intakes below their Recommended Dietary Allowance (RDA). No association was observed between folate intake and RBC folate deficiency or between anemia status and RBC folate deficiency. Conclusions. Folate insufficiency was widespread in tribal Indian adolescents. There is an urgent need to develop culturally sensitive strategies for improvement.

AB - Background. Adequate folate intake and levels are advisable throughout life but are of particular importance during adolescence, a period of rapid growth. However, folate insufficiency in economically deprived Indian adolescents is understudied. Objective. This cross-sectional study examined the prevalence of folate deficiency and adequacy of folate intake of 224 tribal Indian adolescents (10 to 17 years of age). The secondary aim was to study the association between anemia status and folate status. Methods. Radioimmunoassay, multiple-pass 24-hour dietary recall, and HemoCue were used to measure red blood cell (RBC) folate, folate intake, and anemia status, respectively. Results. The geometric mean (95% CI) RBC folate concentration (nmol/L) was 360.2 (329.7 to 393.6), and the mean ± SD folate intake (μg/day) and hemoglobin level (g/L) were 159.9 ± 44.7 and 125.4 ± 13.0, respectively. Almost half of boys and girls aged 10 to 12 and 13 to 15 years and 66.7% of girls aged 16 to 17 years were deficient in RBC folate (< 340 nmol/L). The mean ± SD folate intake (μg/day) of girls (139.4 ± 34.5) was lower than that of boys (173.8 ± 45.5) (p < .001). With respect to adequacy of folate intake, a greater proportion of girls in the age group of 13-15 years (78.5% vs 38.6%, p < 0.001) and 16-17 years (100.0% vs 76.9%, p = 0.04) had intakes below their Recommended Dietary Allowance (RDA). No association was observed between folate intake and RBC folate deficiency or between anemia status and RBC folate deficiency. Conclusions. Folate insufficiency was widespread in tribal Indian adolescents. There is an urgent need to develop culturally sensitive strategies for improvement.

KW - Adolescents

KW - Anemia

KW - Folate intake

KW - Indian

KW - Red blood cell folate

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