BMJ  2004;329:1375-1376 (11 December), doi:10.1136/bmj.329.7479.1375

Paper

Research pointers

Taking folate in pregnancy and risk of maternal breast cancer

Deborah Charles, research assistant1, Andy R Ness, senior lecturer in epidemiology2, Doris Campbell, reader in obstetrics and gynaecology1, George Davey Smith, professor of clinical epidemiology3, Marion H Hall, emeritus professor1

1 Dugald Baird Centre For Research on Women's Health, Department of Obstetrics and Gynaecology, Aberdeen Maternity Hospital, Aberdeen AB25 2ZL, 2 Unit of Paediatric and Perinatal Epidemiology, Division of Child Health, Bristol BS8 1TQ, 3 Department of Social Medicine, University of Bristol, Bristol B58 2PR

Correspondence to: A R Ness Andy.Ness@bris.ac.uk

The first 150 words of the full text of this article appear below.

Introduction

Taking folate before conception and then for the first three months of pregnancy reduces the risk of recurrence of neural tube defects,1 and fortification of food has been proposed. The effects of long term exposure to high concentrations of supplemental folate are unknown, and antimetabolite effects are theoretically possible.2 Data on the long term effects of increased folate intake in pregnancy are limited. We followed up a large trial of folate supplementation in pregnancy from the 1960s.3 4 We examined the association between folate status and death, and we also analysed the effects of folate supplementation.

Participants, methods, and results

From June 1966 to June 1967, 3187 women were identified as potentially eligible for a trial of folate supplementation.3 4 At her booking visit, the mother's age, gestation, parity, weight, and blood pressure were recorded, and blood was taken to measure serum folate concentrations. Tablets were supplied in six colours, two of which contained folate in . . . [Full text of this article]

Comment


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to StumbleUpon StumbleUpon   Add to Technorati Technorati    What's this?

Relevant Articles

Taking folate in pregnancy and risk of maternal breast cancer: Authors and publishers must not disclaim ethical responsibility
Gordon Stirrat
BMJ 2005 330: 600. [Extract] [Full Text] [PDF]

Taking folate in pregnancy and risk of maternal breast cancer: What's in a name?
J Martin Bland
BMJ 2005 330: 600. [Extract] [Full Text]

Folate in pregnancy may need caution
BMJ 2004 329: 0. [Full Text]

Public health's Holy Grail
Kamran Abbasi
BMJ 2004 329: 0. [Extract] [Full Text] [PDF]

Folic acid fortification remains an urgent health priority
Godfrey P Oakley and Jack S Mandel
BMJ 2004 329: 1376. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

  • Ericson, U. C, Ivarsson, M. I., Sonestedt, E., Gullberg, B., Carlson, J., Olsson, H., Wirfalt, E. (2009). Increased breast cancer risk at high plasma folate concentrations among women with the MTHFR 677T allele. Am. J. Clin. Nutr. 90: 1380-1389 [Abstract] [Full text]  
  • Hoyo, C., Murphy, S. K, Jirtle, R. L (2009). Imprint regulatory elements as epigenetic biosensors of exposure in epidemiological studies. J. Epidemiol. Community Health 63: 683-684 [Full text]  
  • Marian, M., Sacks, G. (2009). Micronutrients and Older Adults. Nutr Clin Pract 24: 179-195 [Abstract] [Full text]  
  • Zhang, S. M., Cook, N. R., Albert, C. M., Gaziano, J. M., Buring, J. E., Manson, J. E. (2008). Effect of Combined Folic Acid, Vitamin B6, and Vitamin B12 on Cancer Risk in Women: A Randomized Trial. JAMA 300: 2012-2021 [Abstract] [Full text]  
  • Smith, A D., Kim, Y.-I., Refsum, H. (2008). Is folic acid good for everyone?. Am. J. Clin. Nutr. 87: 517-533 [Abstract] [Full text]  
  • Lin, J., Lee, I-M., Cook, N. R, Selhub, J., Manson, J. E, Buring, J. E, Zhang, S. M (2008). Plasma folate, vitamin B-6, vitamin B-12, and risk of breast cancer in women. Am. J. Clin. Nutr. 87: 734-743 [Abstract] [Full text]  
  • Lawlor, D. A (2007). Quality in epidemiological research: should we be submitting papers before we have the results and submitting more hypothesis-generating research?. Int J Epidemiol 36: 940-943 [Full text]  
  • van den Donk, M., Pellis, L., Crott, J. W., van Engeland, M., Friederich, P., Nagengast, F. M., van Bergeijk, J. D., de Boer, S. Y., Mason, J. B., Kok, F. J., Keijer, J., Kampman, E. (2007). Folic Acid and Vitamin B-12 Supplementation Does Not Favorably Influence Uracil Incorporation and Promoter Methylation in Rectal Mucosa DNA of Subjects with Previous Colorectal Adenomas. J. Nutr. 137: 2114-2120 [Abstract] [Full text]  
  • Cole, B. F., Baron, J. A., Sandler, R. S., Haile, R. W., Ahnen, D. J., Bresalier, R. S., McKeown-Eyssen, G., Summers, R. W., Rothstein, R. I., Burke, C. A., Snover, D. C., Church, T. R., Allen, J. I., Robertson, D. J., Beck, G. J., Bond, J. H., Byers, T., Mandel, J. S., Mott, L. A., Pearson, L. H., Barry, E. L., Rees, J. R., Marcon, N., Saibil, F., Ueland, P. M., Greenberg, E. R., for the Polyp Prevention Study Group, (2007). Folic Acid for the Prevention of Colorectal Adenomas: A Randomized Clinical Trial. JAMA 297: 2351-2359 [Abstract] [Full text]  
  • Larsson, S. C., Giovannucci, E., Wolk, A. (2007). Folate and Risk of Breast Cancer: A Meta-analysis. JNCI J Natl Cancer Inst 99: 64-76 [Abstract] [Full text]  
  • Lewis, S. J., Harbord, R. M., Harris, R., Smith, G. D. (2006). Meta-analyses of Observational and Genetic Association Studies of Folate Intakes or Levels and Breast Cancer Risk.. JNCI J Natl Cancer Inst 98: 1607-1622 [Abstract] [Full text]  
  • Stolzenberg-Solomon, R. Z, Chang, S.-C., Leitzmann, M. F, Johnson, K. A, Johnson, C., Buys, S. S, Hoover, R. N, Ziegler, R. G (2006). Folate intake, alcohol use, and postmenopausal breast cancer risk in the Prostate, Lung, Colorectal, and Ovarian Cancer Screening Trial.. Am. J. Clin. Nutr. 83: 895-904 [Abstract] [Full text]  
  • Vollset, S. E., Ueland, P. M. (2005). B vitamins and cognitive function: do we need more and larger trials?. Am. J. Clin. Nutr. 81: 951-952 [Full text]  
  • Mathers, J C (2005). Reversal of DNA hypomethylation by folic acid supplements: possible role in colorectal cancer prevention. Gut 54: 579-581 [Full text]  
  • Stirrat, G. (2005). Taking folate in pregnancy and risk of maternal breast cancer: Authors and publishers must not disclaim ethical responsibility. BMJ 330: 600-600 [Full text]  
  • Bland, J M. (2005). Taking folate in pregnancy and risk of maternal breast cancer: What's in a name?. BMJ 330: 600-600 [Full text]  
  • Oakley, G. P, Mandel, J. S (2004). Folic acid fortification remains an urgent health priority. BMJ 329: 1376-1376 [Full text]  

Rapid Responses:

Read all Rapid Responses

what about the children of these women?
joel Zlotogora
bmj.com, 10 Dec 2004 [Full text]
What's in a name?
J Martin Bland
bmj.com, 10 Dec 2004 [Full text]
Misleading the international media
Vladimir Lazarevik
bmj.com, 10 Dec 2004 [Full text]
Folate in pregnancy where was the health advice to the public?
Katie L Bailey
bmj.com, 10 Dec 2004 [Full text]
Folate: a double edged sword?
Venkatasreekanth Sampath
bmj.com, 10 Dec 2004 [Full text]
Incidence data would be helpful
Geraldine McNeill
bmj.com, 11 Dec 2004 [Full text]
Folic Acid
Robert LEEMING
bmj.com, 15 Dec 2004 [Full text]
Folate and Breast Cancer Risk
Andrew V Russell
bmj.com, 15 Dec 2004 [Full text]
folate supplementation in women taking anticonvulsant drugs
James N Lee
bmj.com, 15 Dec 2004 [Full text]
Ethics and Epidemiology
Gordon M Stirrat
bmj.com, 16 Dec 2004 [Full text]



Access jobs at BMJ Careers
Whats new online at Student 

BMJ