To the Editor The contents highlighted in the editorial of Mitchell1 are even more important in Europe where the absence of diversified intervention strategies, including food’s fortification, leaves a single tool for the widespread dissemination and implementation of the recommendations. Around the world, health authorities recommend to women of reproductive age the use of folic acid supplements before and early in pregnancy to reduce the risk of neural tube defects. At present, mandatory food fortification with folic acid has not yet been introduced in the European countries, and enhanced sources of folate are available only from folic acid supplements, voluntary fortification, and intake of foods rich in folates such as vegetables and fruits.
Bortolus R, Parazzini F, Addis A. Folic Acid for the Prevention of Neural Tube Defects. JAMA Pediatr. 2017;171(7):709–710. doi:10.1001/jamapediatrics.2017.0857
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