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Folate Status Assessment^1,2,

Food Science and Human Nutrition Department, University of Florida, Gainesville, FL 32611

This paper is a review of established methods of folate status assessment and the primary factors that increase the risk of folate deficiency, including physiological life cycle changes. The first stage of folate depletion can be assessed by measuring serum folate levels, which drop prior to tissue depletion, and which are paralleled by a reduction in red blood cell (RBC) folate. Functional changes associated with abnormalities in biochemical pathways can be monitored by the deoxyuridine suppression test. Cell division, including erythropolesis, becomes impaired in the same time sequence as changes in biochemical functions, as evidenced by abnormal erythrocyte morphology and a reduction in hemoglobin concentration. In addition to inadequate dietary folate intake, key factors that may impair folate utilization and thus status include alcohol consumption, smoking, and specific drugs. Folate requirements may increase during various phases of the life cycle due to physiological stresses such as pregnancy and lactation. Folate status may also be compromised during adolescence and in senescence for diverse reasons that require special emphasis on factors such as biological maturity and socioeconomic status, as well as chronic use of alcohol, drugs, and smoking.

KEY WORDS: • folate • status • assessment

¹ Presented as part of a conference, "Nutrition Monitoring and Nutrition Status Assessment", at the first fall meeting of the American Institute of Nutrition, Charleston, South Carolina, December 8–10, 1989. The conference was supported in part by cooperative agreement HPU880004-02-1 with the DHHS Office of Disease Prevention and Health Promotion, the USDA Human Nutrition Information Service, the DHHS National Center for Health Statistics, and the International Life Sciences Institute-Nutrition Foundation.

² The Planning Committee for the meeting consisted of Drs. Helen A. Guthrie, Roy J. Martin, Linda D. Meyers, James A. Olson, Catherine E. Woteki, and Richard G. Allison (ex officio). The symposium papers were edited by a committee consisting of Dr. James Allen Olson (coordinator), Dept. of Biochemistry & Biophysics, Iowa State University, Ames, IA; Dr. Cathy C. Campbell, Division of Nutritional Sciences, Cornell University, Ithaca, NY; Dr. Roy J. Martin, Dept. of Foods & Nutrition, University of Georgia, Athens, GA; and Dr. Catherine E. Woteki, Food & Nutrition Board, National Academy of Sciences, Washington, DC.

Manuscript received 10 December 1989. Revision accepted 11 July 1990.

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