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Journal of Nutrition Vol. 126 No. 3_Suppl March 1996, pp. 765-772
Copyright © 1996 by American Society for Nutrition
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The Challenge of Regulating Health Claims and Food Fortification1

Elizabeth A. Yetley* and Jeanne I. Rader*,2

* Office of Special Nutritionals {dagger} Office of Food Labeling, Center for Food Safety and Applied Nutrition, Food and Drug Administration, Washington, DC 20204

2 To whom correspondence should be addressed: Office of Food Labeling, HFS-175, Center for Food Safety and Applied Nutrition, Food and Drug Administration, 200 C Street, SW, Washington, DC 20204.

The Food and Drug Administration has several options that will assist the Public Health Service in implementing its September 1992 recommendation that all women of childbearing age consume 0.4 mg of folic acid dail to reduce their risk of having a pregnancy affected with a neural tube defect. The FDA can authorize the use of a health claim on labels and in the labeling of foods that characterizes the relationship between a nutrient and a health-related condition. Fortification of cereal-grain products with folic acid is a second option that has the potential for reaching most women of childbearing age without requiring them to change their food selection patterns. Consideration of these options has been intertwined with rapid developments in the scientific database that is the foundation of the health claim, by conflicting opinions regarding the effectiveness for women in the target population of FDA's proposed level of cereal-grain fortification, by lack of systematic safety data regarding the impact of fortification on persons in the general population and by changes in the regulatory environment in which the agency acts. J. Nutr. 126: 765S-772S, 1996.


1 Presented at The Ceres Forum TM program "Making Health Claims Work, Fortifying Policy with Science—The Case of Folate" held at Georgetown University in Washington, DC, on June 14, 1995. The program was cosponsored by The Ceres Forum TM and the American Institute of Nutrition. Guest editor for this supplement publication was Gerald E. Gaull, Georgetown University, Washington, DC.







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