Skip to content

What is the difference between folate, DFE, and folic acid?

4 min read

An estimated one in three Hispanic women in the US do not get enough folic acid, highlighting critical distinctions between different forms of vitamin B9. Understanding the specific roles of folate, DFE, and folic acid is crucial for proper nutrition and preventing deficiencies.

Quick Summary

Folate is the natural form of vitamin B9 found in foods, while folic acid is its synthetic, more stable form used in supplements and fortified products. DFE, or Dietary Folate Equivalents, is a metric used to standardize the bioavailability of both forms.

Key Points

  • Folate is natural: It's the form of vitamin B9 found naturally in foods like leafy greens and beans.

  • Folic acid is synthetic: This is the man-made, more stable form of vitamin B9 used in supplements and fortified foods.

  • DFE standardizes intake: Dietary Folate Equivalents (DFE) is a unit of measure that accounts for the different absorption rates of folate and folic acid.

  • Folic acid is crucial for pregnancy: Experts recommend folic acid for women of reproductive age to prevent neural tube defects, which occur very early in pregnancy.

  • Check nutrition labels: Always look for the specific type of vitamin B9 on supplement and food labels, as not all forms are equal in stability or absorption.

  • Genetic variations can affect absorption: Some individuals with the MTHFR gene variation have difficulty converting folic acid to its active form, so they may benefit from other forms of folate.

In This Article

Understanding Folate, Folic Acid, and DFE

Folate, folic acid, and DFE are all terms related to vitamin B9, but they are not interchangeable. This B-vitamin is essential for numerous bodily functions, including cell growth, DNA synthesis, and the formation of red blood cells. During periods of rapid growth, like pregnancy, infancy, and adolescence, its importance is especially pronounced. A clear understanding of each term is key to meeting your daily nutritional needs.

Folate: The Natural Form of Vitamin B9

Folate is the general term for the naturally occurring forms of vitamin B9 found in food. It is a vital nutrient that your body cannot produce, making dietary intake essential.

  • Natural Sources: Folate is abundant in many healthy foods. Excellent sources include leafy green vegetables like spinach and kale, legumes such as lentils and peas, nuts, citrus fruits, eggs, and liver.
  • Absorption and Stability: Folate from food is typically less stable than its synthetic counterpart and can be easily destroyed by heat and light during cooking and storage. Its bioavailability is also lower, with the body absorbing only about 50% of the folate from food sources.

Folic Acid: The Synthetic Version

Folic acid is the man-made, synthetic form of vitamin B9. It was developed to be more stable and easier for the body to absorb.

  • Synthetic Sources: Folic acid is found in fortified foods, such as bread, cereals, rice, and pasta, as well as in most dietary supplements and multivitamins. The fortification of grain products has been a significant public health initiative in many countries to combat neural tube defects.
  • Absorption and Metabolism: The body absorbs folic acid much more readily than food folate, with a bioavailability rate of about 85% when taken with food. Unlike folate, which is metabolized in the small intestine, folic acid is processed primarily in the liver. This conversion can be less efficient in some individuals with a specific genetic variation (MTHFR polymorphism), leading to a buildup of unmetabolized folic acid in the bloodstream.

DFE: The Unit of Measurement

Dietary Folate Equivalents (DFE) is a standardized unit of measurement that accounts for the difference in bioavailability between food folate and synthetic folic acid. It was created to help consumers and health professionals accurately compare the folate content from various sources.

  • Conversion Factors: DFEs are calculated using conversion factors to reflect how efficiently the body uses different forms of vitamin B9. One mcg of DFE is equivalent to:
    • 1 mcg of food folate.
    • 0.6 mcg of folic acid from fortified foods or supplements taken with food.
    • 0.5 mcg of folic acid from supplements taken on an empty stomach.
  • Labeling: Nutrition and supplement labels now reflect folate content in mcg DFE, often with the amount of folic acid listed in parentheses. This allows for a more accurate comparison of a product's vitamin B9 content.

A Comparative Look: Folate vs. Folic Acid vs. DFE

Aspect Folate (Natural) Folic Acid (Synthetic) DFE (Measurement)
Source Naturally found in whole foods like leafy greens, beans, and citrus fruits. Added to fortified foods (cereals, bread, rice) and found in dietary supplements. A unit of measurement that normalizes the value of both folate and folic acid.
Bioavailability Lower absorption rate (~50%). Higher absorption rate (~85%). Standardizes the bioavailability for accurate comparison of nutrient intake.
Stability Less stable; easily destroyed by heat and light during cooking and storage. Highly stable; retains its potency during food processing and storage. Not applicable, as it is a unit of measure.
Metabolism Metabolized in the small intestine and converted to the active form (5-MTHF) for immediate use. Requires conversion by the liver; some individuals have genetic variations (MTHFR) that impede this process. Not applicable.
Regulation Intake from natural food sources has no upper limit and is not associated with toxicity. Upper limit of 1,000 mcg/day to prevent masking a vitamin B12 deficiency. Ensures label consistency and aids in dietary planning.

The Importance of Balanced Intake

For optimal health, and especially to prevent birth defects, both naturally occurring folate and synthetic folic acid are important. The CDC recommends that all women of reproductive age consume 400 mcg of folic acid daily from supplements or fortified foods, in addition to eating a folate-rich diet. This is critical because neural tube defects develop early in pregnancy, often before a woman knows she is expecting. For some individuals with specific genetic variations or health conditions, consulting with a healthcare provider to determine the best form and dosage is recommended.

Conclusion

While folate, folic acid, and DFE all pertain to vitamin B9, they serve different functions in the nutritional landscape. Folate is the natural, less stable form found in food, while folic acid is the more readily absorbed synthetic version. DFE is the tool used to standardize their nutritional value. Making sure you meet the recommended daily intake, particularly with folic acid during pregnancy, is a cornerstone of a healthy diet and effective preventative health care. By incorporating a mix of natural and fortified sources, you can ensure your body receives the necessary vitamin B9 it needs to thrive.

For more detailed information on nutrient labels and daily intake, you can visit the National Institutes of Health Office of Dietary Supplements website.

Frequently Asked Questions

Frequently Asked Questions

Folic acid is more stable than natural folate and can withstand heat and light exposure, making it ideal for food fortification and long-term storage in supplements.

Yes, for women of childbearing age, the Centers for Disease Control and Prevention (CDC) recommends a daily folic acid supplement in addition to a folate-rich diet. This is because folic acid is more readily absorbed and is the only form proven to prevent neural tube defects.

The MTHFR gene produces an enzyme that helps convert folate into its active form. A mutation in this gene can make it difficult for some individuals to properly metabolize folic acid, so they may benefit more from supplements containing the active form of folate, L-methylfolate.

While it is extremely rare to consume a toxic amount of folate from food alone, excessive intake of synthetic folic acid from supplements can mask a vitamin B12 deficiency. For this reason, a tolerable upper intake level is set for folic acid.

Folate deficiency can lead to anemia, causing symptoms like fatigue and weakness. In pregnant women, it can cause severe complications, including neural tube defects in the developing baby.

You can check the Nutrition Facts or Supplement Facts label. Fortified foods will be labeled as 'enriched,' and the label will list the amount of folate in mcg DFE, often with the folic acid content in parentheses.

DFE is necessary to standardize the measurement of vitamin B9 intake. Since folic acid is more bioavailable (better absorbed) than natural food folate, using DFE allows for an accurate comparison of how much vitamin B9 a person is truly getting from different sources.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5

Medical Disclaimer

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