Folic acid is synthetic form of the water-soluble vitamin B9. Folate is the natural form of this vitamin found in foods. There is debate surrounding which form of vitamin B9 is healthiest – folic acid versus folate, but I don’t want to explore that argument today. For the sake of our discussion, folic acid is equal to folate and I’m using the terms interchangeably.
Folic acid plays an important role in energy production and the immune system.
Homocysteine is an amino acid that comes from the normal breakdown of proteins in the body. Folic acid is one vitamin supporting the breakdown of amino acids. Research has suggested that deficiencies of folic acid and other B vitamins lead to elevated homocysteine levels, which has been evaluated as a potential risk factor for heart disease and stroke.
The daily recommend value for folic acid is 400 micrograms (mcg) for adults. The recommended intake for pregnant women is 600 mcg daily.
Folic acid is a water-soluble B vitamin, so it leaves the body quickly. For this reason, a folic acid supplement should be divided and taken twice daily.
Please note the American Heart Association does not currently support supplementing B vitamins to reduce heart disease and stroke risk.
While folic acid does lower homocysteine levels, research does not show supplements decrease heart disease risk. Some research indicates folic acid may provide stroke protection.
Supplemental folic acid levels used in research on stroke and heart disease vary greatly. For example, one study gave participants a high folic acid dose of 2500 mcg. This study did not find a conclusive connection between folic acid and reduced heart disease risk. Another study supplemented a more modest 800 mcg folic acid and found a potential connection between folic acid and reduced stroke risk.
Instead of trying to determine what level of supplemental folic acid is safe and right for you, adjust your diet to contain foods rich in folate.
Good dietary sources of folate include…
Beans, cooked (black, navy, pinto, kidney) – 115-145 mcg per ½ cup
Okra, cooked – 135 mcg per ½ cup
Spinach, raw – 110 mcg per 1 cup
Asparagus, cooked – 100 mcg per 5 spears
Orange juice – 80 mcg per 1 cup
Broccoli – 50 mcg per ½ cup
Romaine lettuce – 40 mcg per 1 cup
Peanuts – 40 mcg per ¼ cup
Some foods are fortified with folic acid, such as…
Breakfast cereal
Breads
Pasta
Rice
Many of these foods containing folic acid will promote overall heart health and are a good addition to a heart healthy diet. If you are working to lower cholesterol levels, access the free ecourse “How to Lower Cholesterol in 8 Simple Steps” here.
All the best,
Lisa Nelson RD
Health Pro for HealthCentral
Image courtesy of Carlos Porto at FreeDigitalPhotos.net