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What foods have folate added to them?

3 min read

Since 1998, the U.S. Food and Drug Administration (FDA) has mandated the addition of folic acid to enriched grain products, which is why many common foods have folate added to them. This fortification effort has had a profound impact on public health, particularly in preventing neural tube defects. Understanding which products contain this synthetic form of vitamin B9 is essential for managing your nutritional intake.

Quick Summary

Many widely consumed grain products are fortified with the synthetic vitamin B9, known as folic acid, as a public health measure. This includes most enriched breads, flours, pastas, rice, and breakfast cereals. The fortification helps increase the population's intake of this critical nutrient for cellular health and development.

Key Points

  • Enriched Grains: Mandatory fortification requires adding folic acid to enriched breads, flours, pasta, rice, and cornmeal.

  • Check the Label: Fortified foods are labeled as "enriched." The Nutrition Facts panel will list folate in DFEs and sometimes the specific folic acid amount.

  • Folic Acid vs. Folate: Folic acid is the stable, synthetic form of vitamin B9 added to foods, while folate is the less-stable, naturally occurring form found in vegetables and legumes.

  • Public Health Purpose: Fortification is a key public health strategy aimed at preventing neural tube defects in infants by ensuring higher folate levels in women of childbearing age.

  • Voluntary Fortification: Many breakfast cereals are voluntarily fortified with folic acid, providing another significant dietary source.

  • Higher Absorption: The body absorbs synthetic folic acid from fortified foods more efficiently (85%) than natural folate (50%).

In This Article

Folate vs. Folic Acid: What's the Difference?

To fully understand what foods have folate added to them, it's important to distinguish between naturally occurring folate and synthetic folic acid. Folate is the general term for a group of B9 vitamins found naturally in foods like leafy greens, legumes, and citrus fruits. It is water-soluble but is also sensitive to heat and light, which can degrade it during cooking. Folic acid, on the other hand, is a man-made, more stable form of vitamin B9 used in supplements and for fortifying foods. It is more readily absorbed by the body than natural folate.

Staple Grains: The Primary Fortification Vehicle

In many countries, including the United States, fortification of staple grain products with folic acid is mandatory. This public health strategy ensures that a wide portion of the population increases their intake of the vitamin without needing to alter their dietary habits drastically. Look for the word “enriched” on the packaging of these items, as this label indicates the addition of folic acid, along with other B vitamins and iron.

Commonly fortified grain products include enriched breads and rolls, enriched flour, enriched pasta, enriched rice, and corn products like enriched cornmeal and corn masa flour. Beyond staple grains, several other food items may be voluntarily fortified with folic acid, including fortified breakfast cereals, infant formulas, and some fruit juices.

The Reason for Fortification

The main reason for widespread folic acid fortification is to prevent neural tube defects (NTDs), serious birth defects that occur early in pregnancy. Fortifying staple foods helps ensure that people of childbearing age have adequate folic acid levels, reducing the risk of NTDs even in unplanned pregnancies. This strategy has significantly reduced the incidence of NTDs since its implementation.

Comparison: Natural Folate vs. Fortified Foods

Feature Natural Folate (Food Folate) Fortified Foods (Folic Acid)
Source Naturally found in foods Synthetically produced and added to foods
Examples Leafy greens (spinach, kale), legumes, beef liver, citrus fruits Enriched breads, pasta, rice, fortified cereals
Absorption Rate Variable; often around 50% bioavailability Higher bioavailability; estimated at 85%
Stability Less stable; can be destroyed by heat and light during cooking Very stable; retains potency longer
Impact Important for overall diet and health Public health measure to prevent NTDs, especially in unplanned pregnancies
Labeling Included in Dietary Folate Equivalents (DFEs) Listed separately as “Folic Acid” on nutrition labels

Reading Food Labels for Folic Acid

To track your folic acid intake, check the Nutrition Facts panel where folate is listed in micrograms (mcg) of Dietary Folate Equivalents (DFEs). The amount of synthetic folic acid is sometimes listed in parentheses below the total folate. If folic acid isn't listed separately, any folate is naturally occurring.

Conclusion

Mandatory fortification of staple grain products with folic acid has been a successful public health measure for decades, reducing neural tube defects. Look for “enriched” on products like breads, pastas, cereals, and rice to identify fortified foods. While natural folate is important, the stability and bioavailability of synthetic folic acid make it an effective addition to our food supply. Checking food labels helps ensure adequate intake.

Frequently Asked Questions

Folate is the form of vitamin B9 found naturally in foods like leafy greens and beans, while folic acid is the synthetic, man-made version added to fortified foods and supplements. Folic acid is more stable and better absorbed by the body.

Folic acid is added because it is more stable and does not degrade as easily during food processing and storage as natural folate. Its high bioavailability also ensures that people effectively absorb the nutrient.

Look for the word “enriched” on the packaging of grain products like bread, flour, or rice. The Nutrition Facts label will also list folate in Dietary Folate Equivalents (DFEs), and sometimes the amount of synthetic folic acid in parentheses.

Common fortified foods include enriched breads, pasta, and rice. Many breakfast cereals, cornmeal, and corn masa flour products also have folic acid added to them.

While the risk is low, excessive intake of folic acid, often from high-dose supplements, can mask a vitamin B12 deficiency. The Tolerable Upper Intake Level (UL) for adults is 1000 mcg per day from supplements and fortified foods, but it is difficult to reach this level from fortified foods alone.

Generally, no. Organic products are not required to be fortified with folic acid. If a product is labeled organic and is typically enriched, it will likely not contain added folic acid unless otherwise specified.

Yes, based on scientific evidence, mandatory fortification of foods with folic acid is considered safe for the general public at the regulated levels. It has been shown to provide significant health benefits, especially in preventing neural tube defects.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.