This week in the UK, the FSA (Food Standards Agency) has urged the British government to follow the US and Canada and, most recently, Australia in mandating that all flour be enriched with Folic Acid (synthetic folate), in order to try and prevent women giving birth to babies with birth defects such as spina bifida - conditions that are very closely linked to a deficiency of folate (one of the B Vitamins). Between 700-900 cases of spina bifida are reported every year and 15 cases have been identified in Scotland already this year.
The US and Canada have both reported dramatic decreases in these birth defects since flour started being enriched with folic acid back in the 1990s. However, some studies have also identified an increase in bowel cancer during that time, suggesting that taking too much folate could interfere with our body’s biochemical processes and, therefore, a widespread ‘mass medication’ of this kind might not be ideal - especially as so many cereals and other products are already enriched with folic acid. The government’s health officials have said that if they go ahead and sanction the flour enrichment, they will also have to regulate the ‘voluntary’ enrichment of other cereal-based products already occurring.
In theory, flour enrichment is a good way to cover a vast number of pregnant women - especially those who don’t know they are pregnant and therefore don’t take folic acid supplements in the weeks preceding conception and the 12 weeks after, when the additional folate is essential in ensuring the foetal spinal column develops properly. We cannot store folate and therefore need to ingest it daily and bread, for the most part, is something people eat daily.
However, flour enrichment wouldn’t help people like me who can’t tolerate gluten. So, I have been looking at gluten-free sources of folate. And it turns out there are plenty.
Doctors recommend that women take 400 micrograms (μg) of folate daily if they are trying to conceive, and during the first 3 months of pregnancy.
There are a number of folic acid supplements, people can take. But, there are also plenty of folate-packed foods that you can stock up on, such as (chart below taken from Yaeyama-chlorella.co.uk):
| Foods which contains abundant Folic Acid
(Tables of Food Composition in Japan 5th revision)
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| Food | Folic acid (Per 100g) | Dosage (g/day) | Folic acid |
| Spinach | 210μg | 60g | 126μg |
| Leaf mustard | 310μg | 50g | 155μg |
| Broccoli | 210μg | 50g | 105μg |
| Green asparagus | 190μg | 60g | 114μg |
| Dry soybeans | 230μg | 26g | 60μg |
| Yaeyama chlorella | 2,400μg | 8g | 192μg |
| (Reference) Japanese Ministry of Health, Labor and Welfare | |||
So, if you consume a good few portions of these, as well as other leafy green veg, every day, you should get your 400μg a day pretty easily.
What do you think about putting folic acid in flour? Does spina bifida trump colon cancer, or should we be asking for a more measured approach to curbing the incidence of birth defects? I suppose as one who steers clear of flour for the most part, I can at least rest assured that I will remain in control of the amount of folic acid I consume.






