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Folic Acid Help for Your Heart and Beyond

Knowing a few important facts about folic acid could help keep you from developing heart disease, depression and dementia and even keep your unborn baby from developing birth defects. Yes, there are many critical benefits of folic acid.

First of all, before we go into the folic acid facts, let's find out what folic acid is. Folic acid is one of your B vitamins - Vitamin B9 to be exact. Folic Acid is a water soluble vitamin as opposed to a fat soluble vitamin. That means that folic acid is not stored by your body.

Folic acid is oftentimes used interchangeably with the word folate (remember this when looking at some of the studies below). Folate is the form of this vitamin found in foods such as leafy green vegetables. Folate is also found in citrus fruits and legumes such as beans.

Folic Acid is the more stable form of Vitamin B9 than is folate. Folic acid is not found naturally in foods and is the form of the vitamin found in supplements. In 1998, the U.S. Food and Drug Administration mandated the enrichment of grain products such as bread, pasta, rice and breakfast cereal with folic acid to help reduce birth defects.

Folic Acid Facts and Cardiovascular Disease: The Benefits of Folic Acid in Guarding Against This Number One Killer

Some of the folic acid facts surrounding cardiovascular diseases may surprise you. The Center for Disease Control (CDC) defines cardiovascular diseases as including heart disease, stroke and diseases of the blood vessels in your extremities.

The CDC reports that heart disease and stroke account for the number one and number three cause of death in America. The CDC estimates that every year, 950,000 Americans die of cardiovascular disease. They also estimate that as many as 61 million (or one quarter) of all Americans have some sort of cardiovascular disease.

Cardiovascular disease is the primary cause of early, permanent disability among adults of working age. Stroke alone is responsible for the disability of over 1 million Americans.

So, tell me some folic acid facts that will help me reduce my chances of cardiovascular disease

Much research has shown that the benefits of folic acid along with Vitamin B6 (pyridoxine) and Vitamin B12 (cobalamin) can significantly reduce your body's level of homocysteine.

Homocysteine is an amino acid produced by your body, usually as a result of your eating meat. Normally homocysteine is converted to methionine which is required by your body for the building of proteins and other vital chemical processes. However, your body needs the benefits of folic acid along with Vitamin B6 and Vitamin B12 to accomplish this.

One of your important folic acid facts is that without an adequate supply of folic acid, homocysteine levels build up in your body. And this is when the problems begin to occur. Elevated homocysteine levels have been directly linked to a higher incidence of cardiovascular disease.

It seems that higher levels of homocysteine in our bodies is responsible for an increase in the narrowing and hardening of our arteries. This of course results in a decrease in and perhaps eventually the lack of blood flow, and therefore oxygen to our vital organs. Lack of blood flow to parts of your heart result in heart attack and lack of blood flow to parts of your brain result in strokes.

A study appearing in the ARCHIVES OF INTERNAL MEDICINE titled "Hyperhomocysteinemia and Atherosclerotic Vascular Disease" tells us that "hyperhomocysteinemia has recently been identified as an important risk factor for atherosclerotic vascular disease." Further "treatment is most conveniently administered as a folic acid supplement (400-1000g) and a high-potency multivitamin that contains at least 400g of folate."

Another study appearing in the same journal titled "Homocysteine and Ischemic Heart Disease" states that "the epidemiological, genetic, and animal evidence together indicate that the association between serum homocysteine level and IHD (ischemic heart disease) is likely to be causal. A general increase in consumption of the vitamin folic acid (which reduces serum homocysteine levels) would, therefore, be expected to reduce mortality from IHD." Ischemic means "a decrease in the blood supply to a bodily organ, tissue, or part caused by constriction or obstruction of the blood vessels."

From the American Heart Association's website called CIRCULATION, we read "users of multivitamin supplements in observational studies have lower homocysteine levels than nonusers, as well as higher concentrations of plasma folic acid and vitamins B6 and B12." It goes on further to state "users of multivitamins have been reported to have a reduced prevalence of CAD (coronary artery disease) compared with nonusers."

Folic Acid Facts and Dementia / Depression: The Benefits of Folic Acid in Keeping Your Brain Young

Another of our folic acid facts speaks to the relationship between low intakes of folic acid and dementia in our later years. The HOUGHTON MIFFLIN Medical Dictionary defines dementia as "deterioration of intellectual faculties, such as memory, concentration, and judgment, resulting from an organic disease or a disorder of the brain, and often accompanied by emotional disturbance and personality changes."

One of the benefits of folic acid is that it is believed to be a factor in reducing the incidence of dementia or cognitive decline as we get older. Why is this? Again we go back to one of the folic acid facts above and look at that word homocysteine.

Researchers have determined what they feel are causal (causing) links between elevated homocysteine levels and brain dysfunction in our golden years. As we learned earlier on this page, one of the benefits of folic acid is that it has been shown to significantly reduce our levels of homocysteine (remember one of our folic acid facts above and how folic acid is required to turn homocysteine into methionine - methionine is required for the building of proteins).

A study appearing in the NATIONAL LIBRARY OF MEDICINE titled "Folate, vitamin B12, and neuropsychiatric disorders" states that "folate and vitamin B12 are required both in the methylation of homocysteine to methionine and in the synthesis of S-adenosylmethionine." It further tells us that "both folate and vitamin B12 deficiency may cause similar neurologic and psychiatric disturbances including depression, dementia, and a demyelinating myelopathy" and also "the neurotoxic effects of homocysteine may also play a role in the neurologic and psychiatric disturbances that are associated with folate and vitamin B12 deficiency."

Another study appearing in the JOURNAL OF NEUROLOGY, NEUROSURGERY AND PSYCHIATRY titled "Homocysteine, folate, methylation, and monoamine metabolism in depression" tells us that "although folate deficiency is often the result of depression due to poor diet, there is evidence from controlled studies that whether the deficiency is secondary or primary, folate replacement will enhance recovery of the mental state, probably by a mechanism linking methylation in the nervous system to mood."

Folic Acid Facts and Birth Defects: The Benefits of Folic Acid in Protecting Your Unborn Child

One of the folic acid facts that is well known to the medical community is that folic acid significantly reduces birth defects. Neural tube defects (NTD) to be more specific. The neural tube is that part of the unborn child that develops into the brain and spinal cord. The neural tube is designed to close after about the 30th day after conception.

If the neural tube fails to close properly, neural tube defects result. Neural tube defects result in birth defects such as spina bifida, encephalocele and anencephaly.

And one of the major benefits of folic acid is that it is known to prevent the occurrence of neural tube defects as well as some other types birth defects. Why is this so? Well, shortly after conception, cell division is very critical to the healthy development and growth of the unborn child. One of the folic acid facts is that folic acid is extremely important to DNA and RNA synthesis. Without adequate benefits of folic acid, abnormalities can occur.

Studies have shown that women who take folic acid supplements (in addition to a well balanced diet) both before and during pregnancy have a 60 - 100 % reduced chance of a baby born with NTD. As a matter of fact, U.S. Public Health Service suggests that all women of childbearing age, get at least 400 mcg of folic acid daily. Some researchers suggest 600 mcg.

The American government felt so strongly about the benefits of folic acid that in 1998, the U.S. Food and Drug Administration mandated the enrichment of grain products such as bread, pasta, rice and breakfast cereal with folic acid to help reduce birth defects.

The CENTER FOR DISEASE CONTROL AND PREVENTION in an article titled "Folic Acid Helps Prevent Some Birth Defects" has this to say: "Folic acid is a B vitamin. It is used in our bodies to make new cells. If a woman has enough folic acid in her body before she is pregnant, it can help prevent major birth defects of her baby's brain and spine. These birth defects are called neural tube defects or NTDs. Women need to take folic acid every day starting before they are pregnant to help prevent NTDs."

The CENTER FOR DISEASE CONTROL AND PREVENTION also tells us that "one easy way a woman can be sure she is getting enough folic acid is to take a vitamin that has folic acid in it every day. Folic acid pills and most multivitamins sold in the U.S. have 100% of the daily value (DV) of folic acid."

Folic Acid Facts and Cancer: Though Not Yet Conclusive, The Benefits of Folic Acid Are Beginning to Become Known

We won't spend much time here on the benefits of folic acid and cancer because it seems that the jury is still out on this one. However, some researchers seem to feel that another of the benefits of folic acid is protection against some form of cancers. We know that one of our folic acid facts is that it protects our DNA and guards against mutations. This is this mechanism that leads some researchers to feel further studies should be done in this area.

A study appearing in the JOURNAL OF NUTRITION titled "Folate and Carcinogenesis: An Integrated Scheme" has this to say: "Folate deficiency induces breaks in chromosomes and such breaks are associated with an increased risk of cancer in humans." The study goes on to say that "folate depletion appears to enhance carcinogenesis whereas folate supplementation above what is presently considered to be the basal requirement appears to convey a protective effect."

Folic Acid Facts: How Much is Enough? - How Much is Too Much?

No harmful effects have been associated with large doses of folic acid. However, large doses of folic acid could possibly mask an undiagnosed Vitamin B12 deficiency. An undiagnosed Vitamin B12 deficiency could possibly lead to neurologic damage especially in older adults. The level of folic acid intake which could mask a Vitamin B12 deficiency is thought to occur at around 5000 mcg.

For this reason the Food and Nutrition Board of the Institute of Medicine suggests that adults limit their folic acid intake to 1000 mcg. Actually, a good adult multivitamin will contain the RDA of 400 mcg. And remembering our folic acid facts above, it is suggested that women of childbearing age might want to increase that to 600 mcg.

You can learn much more about Folic Acid facts by visiting http://www.health-supplements-advisor.com/folic-acid-facts.html Copyright R. Edward Jones

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Calcium Another Perspective Part 2

The garage door slams behind me as I hear the echo of my own words returning from the dark and empty halls of my house; "Honey, I'm home!"...(home)...(home). During the following moments of silence, the ritual begins, once again, for another evening of bachelorhood as I instinctively negotiate the unseen obstacles and reach for the light.

When you have lived alone as long as I have, you find ways to entertain yourself and pretend that you are not quite so alone. I'm sure others have their own routines. For me, it means immediately targeting the TV remote, partly for the background noise and partly so that I have someone/something to talk to/at. Fortunately, I have not lived alone so long that I think the TV talks back to me... yet.

On this particular night in February, 2006, one of the national news programs is on as I neatly hang my jacket (okay... I actually toss it on the chair) and wander back into the kitchen to ponder my dinner options. I have my head stuck in the fridge listening over my shoulder to the anchor-dude talk about one crisis or another as I am sniffing expiration dates for freshness on packages that are trying to scurry to the back of the shelf. As I reach for the "mystery pot" (a leftover remnant from Thanksgiving... 2004) I hear the unmistakable voice of the anchor-dude projecting well above the subtle sound of the throaty growl emanating from the pot:

" Researchers conclude that calcium supplements have no effect on women with osteoporosis."

BANG! "Ouch!" "What!?!"... (what)...(what)

That was my introduction to the news regarding the widely publicized results on the long-term calcium studies published in the New England Journal of Medicine (Vol. 354, pp. 669-683). Last month, in my article Calcium: Another Perspective - Part 1, I suggested a broader view of the study results. When something is being publicized that does not make sense, it never hurts to step back and try "reading between the lines";. Also, I mentioned two dimensions that can influence a health condition: Lifestyle and Environmental dimensions. The topic of calcium supplementation is an excellent example of the effect of modern influences on a health supplement program.

As I stood in front of the TV rubbing the back of my head, I was growing increasingly frustrated listening to the over-simplified statements being delivered to millions of viewers around the country. I was thinking how remarkably irresponsible it is to take a watered-down piece of the study results and present them as being some sort of proof that calcium does not do any good. At the same time, I was thinking what a wonderful example this will be to show how study results can too often be manipulated to suit some other agenda. And I could just feel it in my bones (no pun intended) that there was much more to this story that was not being shared.

A few days later, after having the opportunity to review the study in detail, some issues became apparent. I know there are many others who had very similar reactions, although, perhaps not while grappling with a new life form in their kitchen.

To repeat a point from Calcium:Part 1, there is no such thing as a magic bullet when it comes to preventing, or reversing, osteoporosis. This is not a trivial problem, and I have become just as frustrated in the past when I heard a "professional" suggesting that the solution to prevent this condition is to supplement a diet with calcium. Both perspectives are equally absurd.

As any problem that is considered complex, there are many factors that affect it. And this is the basic complaint I have about the results of the study as they were publicized. There is no indication suggesting the study coordinators have accounted for numerous Lifestyle and Environmental dimension factors.

I am not going to attempt to cover every factor that could be discussed within either dimension. I will only mention a few of the most compelling points. And if you need a review of the definition of the two dimensions, you can find those in Calcium:Part 1.

We know that for several decades, women have been encouraged to consume additional calcium to prevent osteoporosis, yet the rates of occurrence continue to accelerate. And we know this is an issue mostly affecting modern cultures, especially the U.S. population. We also know,from bone density analysis (actually indicated in the study), that women who *consistently* take their calcium supplements *do* show the benefit of healthier bones. So, what other factors are present to either increase the withdrawal of calcium from the body, or reduce the absorption of calcium being taken into the body?

Within the Lifestyle dimension, well-known negative factors are the consumption of soft drinks (especially diet forms), caffeine, alcohol, diet of excess protein and sugar... basically anything that contributes to an acidic effect on the body. This will cause calcium to be drawn from the bones as a buffering agent. Cigarette smoking should also be mentioned since this has a negative impact on osteoclast/osteoblast cells responsible for maintaining healthy bone mass. It is also worth mentioning that soft drinks are high in phosphorous, raising levels in the blood, and since the body needs to maintain equal levels of calcium and phosphorous in the blood, more calcium will be pulled from the bones to make up the deficit.

Also under Lifestyle, we can mention the importance of weight bearing activities in exercise to help reduce the risks of the body throwing off calcium. The body is quite remarkable in its ability to identify when not to put effort into maintaining some part of itself. We see the effects of muscle atrophy for anyone who has ever been in a cast. But did you also know that when you have a cast on your leg or your arm the bone will start losing calcium? The same thing happens to astronauts in space; the body recognizes it does not need to maintain the same levels of bone density for strength when it is not needed in a weightless environment. This mechanism also encourages the body to build or maintain strong bones when regular exercise is applied.

Under the Environmental dimension, one of the most fundamental factors to consider is the water you drink. Even without taking into consideration the concerns for heavy metal impurities, and fluoride, there is much to be concerned about regarding the acidic quality of water. High quality water should be on the alkaline side of the pH scale. But sadly, all those "specialty" waters that come in their plastic bottles are all acidic, as is water produced by the common Reverse Osmosis water filters. And remember, our body will try to buffer an acidic state with calcium.

So, these are just a few mentions of something that has the ability to skew results in a long-term study. I did not see where these types of habits and environmental factors were accounted for in the results as published. And, of course,the anchor-dude on TV failed to mention these deficiencies in the formula. But millions of people were hearing how all those years they have been taking their supplements might have been for naught.

But wait! There's more!

Even though the news media did not pick up on some of the study subtleties, other groups who scrutinized the results did notice something worth mentioning. It turns out that adherence to a supplementation program is crucial. Apparently, only 59% of the 36,000+ women in the study group actually adhered to the supplement program during the seven years of following the women. In this group, the data does, in fact, show a benefit for calcium/vitamin D supplementation, where they showed a 29% lower number of fractures then those on placebo. This means, that calcium and vitamin D supplements did significantly reduce the risk of hip fractures. But you have to take them consistently.

We will save for another time getting into the pros or cons of popular forms of calcium. My main goal here was to broaden your perspective about news items that sometimes just don't sound right. This was one of those times.

It is true that simply popping a pill may not be adequate to prevent or reverse osteoporosis. It is equally true that taking calcium supplements will help if other factors are taken into consideration. Allow yourself to pause and ponder, when your inner voice tells you something does not add up. Sometimes the only way something you hear makes sense is when you step back to gain a new perspective and read between the lines.

Perhaps then, you too will instinctively negotiate some unseen obstacles as you reach for the light.

Bill Evans is President of Applied Health Solutions, Inc., specialists in anti-aging formulas to help reverse the effects of Time. For more information, please visit http://www.appliedhealth.com

Part 1 of this article is available for viewing at Calcium: Another Perspective - Part 1, Applied Health Journal Archive

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