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Adding Folic Acid to Cereal Grain Products
Adding Folic Acid to Cereal Grain Products
Research Department
BULLETIN
Editor: Gur Ranhotra I Volume XVI, Issue 8 I August, 1994
Page 2
the current enrichment program (thiamin, riboflavin,
niacin, and iron, with calcium being optional) for cereal TABLE II
grain products (11). Recognizing the possibility of FA FOLATE CONTENT OF
deficiency occurring in the general public, FA was in- COMMERCIAL FLOURS
cluded in the expanded program (Table IV). At that
time, the association between FA with NTD, as is now Flour Type Folate Content
understood (3-5), was not recognized.
(rs/lOO !I)
At the level recommended (70 l.cg/lOO g), FA addi-
tion posed no taste or flavor problem in flour or in resul- All Flours 19*2
tant products. Magnesium, as a component of the ex- Hard Wheat 21*2
panded program, did pose some flavor problem in Soft Wheat 16*2
bread and other products, but this problem was re- Flour End Use
solved by taking into account the naturally-occurring Hearth Bread 24il
amounts of magnesium in flour and adding only the Pan Bread 20*1
amount needed to reach the recommended level (12). Cookies 19*2
Based on several studies carried out in the 1970s and Family 19i2
1980s technical feasibility of the expanded fortification Cake 14*0
program was affirmed (13). However, the program did From reference 8.
not reach the implementation stage, partly because
health concerns shifted from deficiency diseases to
degenerative diseases such as heart disease and cancer. TABLE III
TABLE IV
EXPANDED CEREAL GRAIN FORTIFICATION
Page 3
~g/lOO g, (b) the avaiiabili~ of dietary supplement at food in these individuals are 800-~ pg/day (5). Folate
400 ~19FA per unit, and (c) the availabili~ of breakfast intake would approach or exceed 1000 pg/day if cereal
cereals fortified at 100 pg FA per serving could provide grain products were fortified at 5-times the 1974 propos-
folate intakes that would substantially increase the intake al, i.e., 350 pg/lOO g. This level of fortification may be
of the target population (5). This approach will, however, excessive and not meet the requirement that a food forti-
still keep the intake level below 1000 pg daily for most fication scheme be safe. This contrasts with a recent an-
persons. Fortification at the 140 pg/lOO g level represents nouncement from the CDC which considers cereal grain
twice the level recommended by the NAS/NRC in 1974 fortification even at 350 pg FA/lOO g as acceptable.
(Table IV) and is the level now proposed by the FA Sub- According to FDA, by limiting FA addition to cereal
committee. grains to 140 pg/lOO g, the estimated daily folate intake
by “low consumers” among women of childbearing age
CDC’s Position on FDA’s 1993 Proposal may not reach the PHS-recommended levels of 400 pg/
Recently, the Center for Disease Control (CDC) re- day without proper selection of foods high in folates.
viewed the rather scant literature from which the con- However, the 140 c(g/lOO g levet will mean that “low
clusion that 1000 c(g total folate marks a safety boundary consumers” among women of childbearing age will con-
was derived and has determined that 1000 /AQFA would sume 230-250 pg folate per day. These values represent
be a more reasonable boundary than 1000 pg total fol- an increase of 80-100 vg/day over current daily intakes
ate (all sources). In other words, total folate intake may (5).
exceed 1000 pg level somewhat. According to the Intake levels of about 250 pg/day are estimated as
CDC, estabIishing the boundary based on FA rather adequate to normalize bfood folate levels and to provide
than total folate consumption is appropriate because for some tissue storage (1). Studies have aiso shown
evidence relative to the delay in diagnosis of vitamin that daily intakes of 250 c(g or more are associated with
B-12 deficiency at consumption levels of 1000 pg and a reduced risk of NTD. FDA notes that intakes of
above derives from persons who took FA supplements 230-250 rg/day are minimum intakes for women of
orally, or received FA parenterally and who were simul- childbearing age, and that most women will have in-
taneously consuming folates from their diet. The CDC takes above this levei. Thus, FDA tentatively finds that
also noted that for years, the cut point between “over- even though “low consumers” may not achieve the rec-
the-counter” and prescription FA supplements has been ommended (by PI-IS) 400 pg FA intake a day, the pro-
1000 pg. posed fortification (140 pg/lOO g) will produce accept-
able results. This level of fortification will also minimize
ESTIMATES OF FOLATE INTAKES the potential adverse effects of higher intakes on the
Older adults, especially those who are “high consum- nontarget population.
ers” of food, are potentially at greatest risk of vitamin
B-12 deficiency, a deficiency which may be masked by COST OF FORTIFICATION
high intakes of FA. The estimates for folate intakes from Table V summarizes much of the October 14, 1993,
TABLE V
PROPOSED FOLK ACID FORTIFICATION
Cereal Products
Wheat Flour Bread & Rolls Farina Pasta Corn Meal, Rice
Corn Grit
Level Proposed
mgilb 0.7 0.43 0.7-0.87 0.9-1.2 0.7-1.0 0.7-1.4
Natural Level.
mg/lb 0.076 0.15 0.076 0.076 0.023 + 0.036 +
Proposed Level
to Add
mg/lb 0.7 0.7a 0.7 0.9 0.75 0.75
aThe proposed level for FA in bread and rolls is 0.43 mg/lb or 62% that of wheat flour. This is based on hav-
ing an average 62% flour in these products. The natural level of FA in bread is 0.15 mg/lb or 33 pg/lOO g.
About one third of this comes from the flour and two thirds from the yeast. Bakers who use enriched flour
would get a final FA level in bread, assuming no bake loss, of around 0.58 mg/lb. This would appear to be
well above the 0.43 mg/lb standard. However, there is bound to be some bake loss so it wouId be best to re-
tain the 0.7 mg/lb addition rate, even if applied at the bakery.
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FDA proposal to add FA to the standards of identity for products.
enriched grain products (6). They estimated the cost of In the U.S., the ability to make and sell unenriched
the FA at $4 million per year. In addition, they estimated products in any state was made considerably easier by
the first year labeling changes to be about $20 million and the Nutrition Labeling and Educatiin Act of 1990 which
$2.5 million for analytical costs. After the first year, the appears to have made enrichment voluntary (final court
annual cost was estimated to be $7 million per year plus confirmation is pending).
the cost of separate production runs for these products Canada has set mandatory enrichment standards that
exported to and imported from certain countries. encompass,Nbarely, the U.S. standards as shown in Table
The cost of fortifying flour to meet the proposed level VI. This overlap was done to promote trade of enriched
of 0.7 mg/lb standard depends on the amount of FA ac- products between the two countries. It is normal prac-
tually added. This is usually the desired level less the tice in Canada to enrich flour to minimum standards.
natural level plus a safety factor to ensure compliance, Additional enrichment is then added if the product is
normally about 10%. Since the natural level of FA in destined for U.S. Enriched product made in the U.S.
wheat products is about 10% of the proposed standard can generally be exported to Canada without alteration.
(Table V), it is suggested that one add 0.7 mg/lb for Canada is not keen on the idea of adding FA at the
flour and 0.9 mg/lb for semolina or pasta. In the case of U.S. proposed levels. Their position is that “FA fortifica-
corn and rice which have lower levels of natural FA, a tion of staple foods such as cereal products will expose
higher level of 0.75 mg/lb is suggested. the entire population to levels of folate intake which are
At the current price for FA, it is estimated that the cost higher than have been historically consumed while, at
of fortifying wheat flour with FA will be 1.4 cents per 100 the same time, the intake of folate that can safely be
lb of flour. This represents 15% of the cost of enrich- achieved through fortification may well not be sufficient
ment with all five nutrients (Table VI). If 90% of all flour, to effectively reduce the occurrence of NTDs in the tar-
pasta and bread was fortified, considered to be the nor- get population”. They propose, instead, that both coun-
mal extent of enrichment in the U.S., the total cost of tries adopt the 1974 cereal fortification level (FA, 0.07
adding FA to wheat-based foods would be $5 million mg/lOO g) proposed by NAWNRC (11). If Canada de-
per year. cides not to go along with the higher FA fortification lev-
els, it would hamper free trade of cereal-based foods be-
EXPORT CONSIDERATION tween the two countries, since each would have to en-
Any U.S. manufacturer wishing to export flour, bread rich products to meet the other’s standards. Mexico may
or any other cereal product has to meet the relevant allow import of products enriched to U.S. standards.
food regulations of that country, including countries
closer to home such as Canada and Mexico. Some HEALTH CLAIMS
countries, like Germany and France, do not allow addi- Examples Proposed: As mentioned earlier, besides
tion of any vitamins to flour or bread; only unenriched amending standards of identity for cereal grain products
products would be accepted in these countries. Other to allow folate addition, FDA also proposed authorizing
countries, like England, have their own enrichment reg- health claims. Three examples were proposed for model
ulations that have to be satisfied. Some countries would health claims that might be used in food labels or in label-
permit enrichment, as long as the product is properly ing to describe the relationship between folate and NTD
labeled. Other countries might forbid it. Clearly, one (5) ; one example is shown in Table VII. Milling and bak-
should be aware of the target country’s regulations. The ing industry groups have criticized the wordiness of the
safest approach may be to export only unenriched FDA proposed example and have submitted to the agen-
cy a shorter version for consideration (Table VII).
‘C4EILEVI Health Claims vs. Folate Intake: Providing
health claims on food labels may affect food selection
UNITED STATES AND CANADIAN choices of women of childbearing age. For example,
WHEAT FLOUR ENRICHMENT S’IANDARDS health claims on cereal-grain products fortified with FA
Amount (mg/lOOg) at the level proposed is likely to result in increased con-
sumption of such foods which, in turn, means higher
United
folate intakes. A woman who consumed 5 servings per
States Canada
day (the low range of the suggested servings for grain
(Minimum) (Minimum) (Maximum) products in the Food Guide Pyramid) of folate-fortified
Thiamin 0.64 0.44 0.77 cereal-grain products, and ate one bowl of cereal con-
Riboflavin 0.40 0.27 0.48 taining 100 pg of FA would consume about 320 pg of
Niacin 5.29 3.5 6.4 FA from these sources alone. Adding two or more serv-
Iron 4.41 2.9 4.3 ings of fruits and vegetables could lead to a folate intake
Folic Acid 0.15 0.04 0.05 well above the PHS recommended level of 400 pg/day
Calciuma 211 110 140 of folate (5). Thus, the availability of health claims on
foods could lead to food choices that could result in
aOptional adequate folate intakes even by “low consumer”
women of childbearing age. Health claims may also
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concentrate of rice kernels coated with the nutrients also
TABLE VII shows good FA stability during storage and during cook-
ing (17).
HEALTH CLAIM EXAMPLES
Stability In Bread: As mentioned earlier, most of
FDA PROPOSED: the folate in bread is contributed by yeast and flour.
Studies have shown good folate stability in bread prod-
Women who consume adequate amounts of fol-
ucts made by three di~erent methods and with various
ate, a B vitamin, daily throughout their childbearing additives added alongside. In bread made by the
years may reduce their risk‘of having a child with a
neural tube defect. Such birth defects, while not
widespread, are very serious. They can have many TABLE VIII
causes. Adequate amounts of folate can be ob- STABILITY OF FOLATE
tained from diets rich in fruits, dark green leafy veg- IN WHEAT AND FLOUR
etables and legumes, enriched grain products, forti-
fied cereals, or a supplement. (Folate consumption Processinn Condition Folate
should be limited to 1000 pg/day from all sources.)
INDUSTRY PROPOSED:
Women who consume adequate amounts of fol- Whole Grain
ate, a B vitamin, daily throughout their chiIdbearing Raw 38 46
years reduce their risk of having a child with a birth Steam Flaked 24 29
defect of the brain and spinal cord. Adequate Autoclaved 28 28
amounts of folate can be obtained from diets rich in Popped 11 13
enriched grain products, vegetables and legumes, White Flour
and fruits and juices. Raw 21 27
Extruded 17 21
Drum Dried 16 20
help individuals who wish to limit their f&ate intakes.
From reference 15 ~Processing under severe condi-
STAB~I~ OF ADDED FOLK ACID tions) .
All vitamins undergo some degree of loss during food
processing. For FA, losses are most extensive during
blanching of fresh produce, either as a pretreatment for TABLE IX
canning and freezing or dehydration (14). Folate losses STABILIW OF ADDED FOLATE IN FLOUR
in grain products are usually less severe than in proc- (Flour Stored: 52 Weeks)
ess&d fresh produce. However, losses do occur and this
must be taken into consideration to more precisely as- F&ate Added Folate (pg / 100s)
sess the contribution of FA from cereal grain products. -lOOF 84OF lOOoF 120°F
(~~/lOO $5)
Stability in Wheat Grain and Flour: Various ther-
mal processing conditions (steam-flaking, autoclaving, 100 120 110 110 100
popping, extrusion, etc.) have different effects on folate 500 530 540 550 490
stability of flour. Popping whole wheat grain at 240°C From reference 16.
for 13-15 minutes at 13.3% moisture showed pro-
nounced losses of folate (Table VIII) (15).
Storage studies of flours indicated losses of native fol- TABLE X
ate up to 40% after 12 weeks of storage at 120°F, with
no further losses up to 52 weeks (16). Added FA seems STABILITY OF ADDED FOLATE
more stable in stored flour. Storage studies conducted IN FLOUR
on a commercial all-purpose flour (likely to have longest
shelf life) showed that after 52 weeks of storage, flour at Folate Addeda Foiate Retention ( X 1’
84OF and lOOoF had lost little FA activity when com- (~~/lOO !I) Premix AC Premix BC
pared to the control flour (flour stored at - lOoF); losses
70 100 96
at 120°F were only 8-17%) indicating good fotate stabil-
ity (Table IX) (16). Another study which examined fol- From reference 17.
ate stability in flour maintained at room temperature for
6 months, also reported only minimal folate loss (Table aLabel claim, Initial analytical values were: 63 pg
(Premix A) and 70~9 (Premix B).
Xl (17).
Stability in Other Grains: FA added to corn meal bAfter 6 months at room temperature.
and corn grit (via powder premixes) has shown good
Premix A and B contain NAS 1974 recommended
stability (Table Xl) (17). Rice is ~aditionally enriched us-
nu~ients, with Ca and Mg excluded from premix B.
ing an enriched kernel. Rice fortified by means of 1:200
Page 6
straight dough method, folacin loss was only 8% (Tab10 In another study with bread products made with FA-
XII) (16). No significant differences were observed due fortified flour (42 ~(13FA/lOO g) , most of the original FA
to additives. Also, there was no apparent increase in fol- was retained in bread after baking (Table XIII) (17). Re-
ate due to yeast, probably because samples were not tention was higher when the folacin-containing premix
treated with the enzyme conjugase and bound folats was formulated at the 1974 NAS/NRC recommended
was, thus, not extracted. In breads made by the sponge levels, but excluding calcium and magnesium. It is sug-
and dough procedure or by the mechanical process, fol- gested that calcium and magnesium have some deleteri-
acin Iosses ranged between l&14% (proofed dough vs. ous effect on folacin ~tabiiity.
bread). Flour used in these studies contained 12 ~g/lO~ Stability in Cookies: A study reported in 1981(18]
g native and 500 pg added folate. took a mathema~cal approach in predicting FA reten-
TABLE Xi
STABILITY OF FOLK ACID ADDED TO CORN
Folic Acid bs)
Corn Meal Corn Grit
Initial 3 Month 6 Month Initial 3 Month 6 Month
132 110 110 108 100 110
From reference 17.
TABLE XII
STABILITY OF ADDED FULATE DURING BREADM~ING
Treatment
Stxaight Dough Spong~Dou~h M~ka~i~ai Dough
Method Method Method
Mixa Proof Bread Mix” Proof Bread Mixa Proof Bread
Control A 490 540 460 680 540 450 500 460510
Control B 560 560 520 680 520 470
Ascorbic Acid 470 500 440 620 530 420
Potassium Bromate 490 410 410 480 440 420
580 520 430
Benzoyl Peroxide 400 420 390 520 490 400
Azodicarbonamide 480 470 440 540 490 410
Average Vaiues:
Calculated 500 500 500 550 500 500 480 480 480
Determined 480 480 440 590 500 430 540 510 450
From reference 16,
aMix: Freshly mixed dough.
Total fermentation and proof time: 235 min. (straight dough), 350 min. (sponge and dough), and 75 min.
(mechanical dough). Compressed yeast used: 2%, flour basis.
TABLE XIII
STABILITY OF FOLACIN IN BREAD8
Folacin Retention 4
. %,1
After Baking After 5 Days (Room Temperature)
Premix A Premix B Premix A Premix B
94 105 80 102
From reference 17.
aFolacin added: 42 ~g/lOO g. Premixes are same as in Table X.
tron in FA-enriched cookies. Using fortified flour (70 pg 4. CZELZEL, A.E., and DUDAS, I. Prevention of the
FA/lOO g) as recommended by the NAS/NRC, FA re- first occurrence of neural-tube defects by pericon-
tention was predicted by linear regression using baking ceptional vitamin supplementation. N. Engl. J.
time (‘7.6~12.7 min) , baking temperature (33443Z°F), Med. 327:1832, 2992.
unneutralized soda squared (0.3-35 mmol per 100 g 5. ANONYMOUS. Folate and neural tube defects:
flour), and dough thickness (5-10.5 mm) as indepen- U.S. policy euolves. Nutr, Rev. 51:358, 1993.
dent variables. Results indicated that on average 85% 6. FEDERAL REGISTER, Food Standards: Amend-
of the dough folate was retained by the control cookies ment of the standards of identity for enriched grain
(bake time, 9.8 min.; bake temperature, 385OF; excess products to require addition of folic acid. 58{~97~:
soda, 3.3 mmol; and thickness, 7mmf. 53305, October 24, 1993,
Stability in Pasta Products: Some FA losses 7. AYKROYD, WR., and DOUGHY, J. Wheat in
would also occur in grain-based foods such as dry pasta Human Nutrition. Food and Agriculture Organiza-
products which require further processing before con- tion of the United Nations, Rome, ha/y, 1971.
sumption. In a study which assessed folate losses during 8. KEAGY J?M., BORENSTEIN, B., RANUM, I?,
the cooking of dry pasta products (unfortified) pur- CONNOR, M.A., LORENZ, K., HOBBS, WE.,
chased in four major U.S. cities, folacin losses averaged HlLL, G., BACHMAN, A.L., BOYD, WA., and
23% ; in other words, at least three-fourths of the folacin KULP, K. Natural levels of nutrients in commercial-
was retained (Table XIV) (10). Such may also be the ly milled wheat flours, II. Vitamin analysis. Cereal
case in fortified pasta products. Chem. 57:59, 1980.
9. RANHOTRA, G., GELROTH, J., NOVAK, F., and
MATTHEWS, R.H. Vitamins in selected variety
TABLE XIV breads commercially produced in major U.S. cities.
FOLACIN LOSSES IN J. Food Sci. 50~1174, 1985.
COOKED PASTA PRODUCTS 10. RANHOTRA, G.S., GELROTH, J.A., NOVAK,
FA., and MATHEWS, R.H. Retention o~sefected
Product Content Retention ( % ) B vitamins in cooked pasta products. Cereal Chem.
(clsfloo 8) &2:476, 1985.
Spaghetti 24&S 79*17 NAS/NRC. Proposed Fortification Policy for
Egg Noodles 26rt8 79i21 Cereal-Grain Products. National Academy
of
Macaroni 19i5 77*9 Sciences/National Research Council, Washington,
DC, 1974.
From reference 10. 12. RANHOTRA, G.S., and W~NTERR~NGER, G.L.
The use of magnesium powder in fortified bread.
Cereal Chem. 59:446, 1982.
SUMMARY 13. VE~ER, J,L. Expanded ~ort~ication of bakery
products. Technical Bu~le~n, American institute of
Accumulated evidence now links inadequacy of foIic Baking, 1(12):1, 1979.
acid intake in women of childbearing age with neuraf HAWKES, J.G., and VILLOTA, R. Folates in
14.
tube defects in the newborn. As a public health mea- Foods: Reactivity, stability during processing, and
sure, the United States Public Health Service has now nutritional implications. Crit. Reu. Food Sci. Nutr.
proposed that the enrichment standards for cereal grain 28(6):439, 1989.
products be revised to also include folic acid. Concurr- 15. HAKANSSON, B., JAGERSTAD, M., OSTE, R.,
ing with this recommendation, the Food and Drug Ad- AKESSON, B., and JOHNSON, L. The effects of
ministration has now recommended fortification of various ‘thermal processes on protein quality, vit-
cereal grain products at a level of 140 microgram per amins and selenium content in whole-grain wheat
100 g and has also proposed allowing health claims to and white pour. J. Cereal Sci. 6:269, 1987.
be put on food labels and in labeling. Added folic acid KEAGY, PM., STOKSTAD, E. L. R., and
16.
seems reasonably stable in stored flour and other cereal FELLERS, D.A. Fo~acin stability during bread proc-
grains and in resultant products. essing and gamily flour storage. Cereal Chem.
REFERENCES 52:348, 2975.
1. FN~/N~C. Recommended Dietary A~~o~an~es. 17. RUBEN, S.H., EMOD~, A., and SClALPf, L.
Food and Nutrition Board/National Research Micronu~ient additions to cereal grain products.
Council, Washington, DC, 2989. Cereal Cbem. 54:895, 1977.
2. ZIMMERMAN, M.B., and SHANE, B. Suppbmen- 18. CONNOR, M.A. and KEAGY, PM. Fotacin reten-
taf folic acid. Am. J. Chin. Nut?. 58:127, 1993.
tion and cookie diameter in enriched cookies: Re-
3, MEDlCAL RESEARCH COUNClL. MRC Vitamin gression analysis using factorial design. Cereal
Study Group. Prevention of neural tube defects: Re- Chem.‘58:239, 1981.
sults of the Medical Research Councif Vitamin Study.
Lancet 338:13f, 1991.
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