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Institute of Nutritional Science, Department of Pathophysiology of Human Nutrition, University of Bonn, 53115 Bonn, Germany
1To whom correspondence should be addressed.
The aim of our study was to determine whether the area-under-the-plasma-response-curve method with the positive area (AUC+) as primary analysis variable is suitable to evaluate the availability of food folate in humans. Healthy volunteers (n = 20) received four test meals in a randomized, four-period cross-over design as follows: meal A, 600 g spinach; meal B, 300 g spinach; meal C, 0.4 mg folic acid in water; meal D, folate-free control meal. Blood samples were drawn before administration of the test meals and up to 10 h postprandially. Plasma folate was significantly increased for up to 6 h after uptake of spinach and folic acid (P < 0.007), whereas the response curve after the control meal decreased slightly but significantly (P < 0.007). To calculate the net increase of plasma folate, the values were corrected by the individual predose concentrations. The AUC+ was calculated with these corrected values. The mean AUC+ was highest after consumption of meal A (71.2 ± 24.0 h x nmol/L) followed by meal C (61.8 ± 23.8 h x nmol/L) and meal B (41.4 ± 19.4 h x nmol/L). The AUC+ after meal B was significantly lower than after the other two meals (P < 0.05). The results suggest that the AUC method with multiple blood sampling is useful for assessing the availability of food folate in humans.
KEY WORDS: folate availability spinach AUC method humans
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