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Adding folic acid to corn Masa flour: Partnering to improve pregnancy outcomes and reduce health disparities.
Prev Med. 2018 01; 106:26-30.PM

Abstract

Although strides have been made in preventing neural tube defects (NTDs), Hispanic women remain more likely to have a baby born with an NTD and less likely to know the benefits of, or consume, folic acid than women of other race/ethnic groups. In 1998, the U.S. Food and Drug Administration (FDA) mandated that all enriched cereal grain products be fortified with folic acid; however, corn masa flour (CMF), used to make many corn products that are a diet staple of many Hispanic groups, was not included under this regulation. In 2006, a Working Group began a collaboration to address this disparity by pursuing a petition to FDA to allow folic acid to be added voluntarily to CMF. The petition process was a monumental effort that required collaboration and commitment by partners representing the affected population, manufacturers, scientists, and others. The petition was approved in 2016 and folic acid is now added to CMF products, with expected results of more women achieving the recommended daily folic acid intake, more infants born per year without an NTD, and millions of dollars in direct medical expenditures averted. This 10-year public-private partnership brought together diverse groups that traditionally have different goals. The Working Group continues to work toward ensuring that fortified CMF products are available to the consumer, with the end goal of achieving a reduction in NTD-affected pregnancies.

Authors+Show Affiliations

National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA. Electronic address: ail5@cdc.gov.National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.Brigham Young University, Department of Nutrition, Dietetics, and Food Science, Provo, UT, USA.National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.Gruma Corporation, Technology Division, Monterrey, Mexico.National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.March of Dimes Foundation, Washington, D.C., USA.UnidosUS (formerly National Council of La Raza), Washington, D.C., USA.Walmart Corporation, Bentonville, AR, USA.Spina Bifida Association, Arlington, VA, USA.National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

29128408

Citation

Flores, Alina L., et al. "Adding Folic Acid to Corn Masa Flour: Partnering to Improve Pregnancy Outcomes and Reduce Health Disparities." Preventive Medicine, vol. 106, 2018, pp. 26-30.
Flores AL, Cordero AM, Dunn M, et al. Adding folic acid to corn Masa flour: Partnering to improve pregnancy outcomes and reduce health disparities. Prev Med. 2018;106:26-30.
Flores, A. L., Cordero, A. M., Dunn, M., Sniezek, J. E., Arce, M. A., Crider, K. S., Tinker, S., Pellegrini, C., Carreón, R., Estrada, J., Struwe, S., & Boyle, C. (2018). Adding folic acid to corn Masa flour: Partnering to improve pregnancy outcomes and reduce health disparities. Preventive Medicine, 106, 26-30. https://doi.org/10.1016/j.ypmed.2017.11.003
Flores AL, et al. Adding Folic Acid to Corn Masa Flour: Partnering to Improve Pregnancy Outcomes and Reduce Health Disparities. Prev Med. 2018;106:26-30. PubMed PMID: 29128408.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adding folic acid to corn Masa flour: Partnering to improve pregnancy outcomes and reduce health disparities. AU - Flores,Alina L, AU - Cordero,Amy M, AU - Dunn,Michael, AU - Sniezek,Joseph E, AU - Arce,Miguel A, AU - Crider,Krista S, AU - Tinker,Sarah, AU - Pellegrini,Cynthia, AU - Carreón,Rita, AU - Estrada,Jose, AU - Struwe,Sara, AU - Boyle,Coleen, Y1 - 2017/11/08/ PY - 2017/06/20/received PY - 2017/09/19/revised PY - 2017/11/01/accepted PY - 2017/11/13/pubmed PY - 2018/12/18/medline PY - 2017/11/13/entrez KW - Collaboration KW - Corn masa flour KW - Folic acid KW - Hispanics SP - 26 EP - 30 JF - Preventive medicine JO - Prev Med VL - 106 N2 - Although strides have been made in preventing neural tube defects (NTDs), Hispanic women remain more likely to have a baby born with an NTD and less likely to know the benefits of, or consume, folic acid than women of other race/ethnic groups. In 1998, the U.S. Food and Drug Administration (FDA) mandated that all enriched cereal grain products be fortified with folic acid; however, corn masa flour (CMF), used to make many corn products that are a diet staple of many Hispanic groups, was not included under this regulation. In 2006, a Working Group began a collaboration to address this disparity by pursuing a petition to FDA to allow folic acid to be added voluntarily to CMF. The petition process was a monumental effort that required collaboration and commitment by partners representing the affected population, manufacturers, scientists, and others. The petition was approved in 2016 and folic acid is now added to CMF products, with expected results of more women achieving the recommended daily folic acid intake, more infants born per year without an NTD, and millions of dollars in direct medical expenditures averted. This 10-year public-private partnership brought together diverse groups that traditionally have different goals. The Working Group continues to work toward ensuring that fortified CMF products are available to the consumer, with the end goal of achieving a reduction in NTD-affected pregnancies. SN - 1096-0260 UR - https://www.unboundmedicine.com/medline/citation/29128408/Adding_folic_acid_to_corn_Masa_flour:_Partnering_to_improve_pregnancy_outcomes_and_reduce_health_disparities_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0091-7435(17)30422-X DB - PRIME DP - Unbound Medicine ER -