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Study: folic acid addition poses no cancer risk

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Mon, 13 Jul 2009 12:00a.m.

Supporters of the new law say opposition is commercial-based, not scientific

Supporters of the new law say opposition is commercial-based, not scientific

There is no evidence of an increased cancer risk from plans for bakers in New Zealand and Australia bakers to fortify their bread with folic acid, a leading scientist says.

A big "state of the art" scientific study which has not yet been published, "shows that there is no increase in cancer risk with high-dose folic acid", said Professor Murray Skeaff, a specialist in human nutrition at Otago University.

Prime Minister John Key has said the fortification of breads with folic acid is likely to go ahead in September but may be stopped soon after.

The folic acid fortification was ordered last year to prevent some devastating neural tube defects in babies, such as spina bifida, giving protection to women unaware they might be pregnant.

Bakers have criticised the move, complaining that it adds unreasonable costs, and Food Safety Minister Kate Wilkinson has called for a review - but not until October, a month after bakers have started adding it to bread.

Critics of the "mass medication" have claimed that though added folic acid will reduce birth defects - and may prevent premature birth and heart defects - extra-high levels may also pose a cancer risk to old people.

Animal studies show too much folic acid supplements in pills can spur some cancers.

And one study which tracked 640 men found that 10 years later, folic acid users were more likely to have developed prostate cancer.

Prof Skeaff said that on the basis of the cancer risk, "there is no reason the proposed fortification should not go ahead"

"There is no evidence of cancer risk."

At a conference in Prague two weeks ago, a pooled analysis of all the randomised control trials of folic acid were revealed by the clinical trials service unit at Oxford in Britain.

The results from around 35,000 individuals who participated in studies of high dosage folic acid supplementation in countries around the world "showed that there was no significant increase or decrease in the risk of cancer" Prof Skeaff said.

The trials used high dosage folic acid, ranging from 800 micrograms to about 2500 micrograms a day, compared with the proposed addition of 140 micrograms a day to the New Zealand diet.

The studies, mainly done in Europe and North America since the mid-1990s, found that folic acid and B vitamins had no effect on cancer risk in the people taking them.

"The results showed no evidence of increased risk for prostate cancer, and they showed no evidence of increased risk for colorectal cancer, which are the two forms of cancer for which some much smaller studies had previously found some evidence of increased risk," said Prof Skeaff.

"We can be confident on the basis of these trials that there is no evidence of cancer risk."

Lyall Thurston, speaking for a coalition of parents of children with spina bifida, said the planned supplements would reduce the number of babies born with neural tube defects. He claimed the campaign against them was being funded for commercial reasons.

NZPA

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Comments

17 Jul 2009 01:07p.m.

Alien wrote:

i guess most people don't realise that folic acid is already in a lot of our food, including the iconic weetbix.

16 Jul 2009 06:55p.m.

Chad wrote:

Medicine takes a different approach to health. Instead of giving the body what it needs, so it can self regulate, regenerate and heal, medicine aims to control the outward manifestation of disease (symptoms) through drugs and surgery. The downside to this approach is that drugs are physiologically incompatible to our bodies and requires vitamins and minerals be utilised in the metabolic process of eliminating it from our systems so can be deemed to be a type of “anti-nutrient” i.e. depletes nutrients from the body.

Here is one example: Prednisone is a drug used in conditions with dangerous inflammation like asthma, systemic lupus erythematosis, temporal arteritis, crohn’s disease and many others. However, the common side effects of Prednisone include mood swings, increased hair growth, facial "mooning" (a fat round face), increased appetite, night sweats, acne, headaches, weight gain, and many more. Long-term use can result in steroid dependency and bone density loss. Also, and this is the point, once inside our bodies Prednisone requires the use of Calcium, Magnesium, Potassium, Selenium, Zinc, Vitamin C, Vitamin D and Folic Acid before it can be metabolised and removed from our body (Pelton R. et al. Drug Induced Nutrient Depletion Handbook. Lexi-Comp, Hudson, OH, 2nd Edition, 2001: 219). Do medical doctors say “oh, by the way, when you start taking Prednisone you had better start taking Calcium, Magnesium, Potassium…and here take this script for the correct multivitamin and mineral supplement.” Question is should they? If he/she is interested in your health and well being then, yes! It is in the best interest of the people of New Zealand to have Folic Acid. Unfortunately it is not in the best interest of the pharmaceutical companies.

16 Jul 2009 06:55p.m.

Chad wrote:

What this article also fails to report on is that Folic Acid reduces chromosomal damage by limiting the expression of a mutation. It also reduces uterine cervical dysplasia in women using oral contraceptives and can reduce the risk of breast cancer and Leukaemia (Osieki H., The Physician’s Handbook of Nutrition. AG Publishing, Australia, 7th Edition, 2008).

16 Jul 2009 06:53p.m.

Chad wrote:

Lets get the BS out of the way.

It is NOT mass medication it is mass supplementation. Folic Acid is a nutrient and is absolutely essential for normal body function in the same way Vitamin C is essential for optimal health. There is a movement supported by pharmaceutical companies wanting to change the law so that Vitamins and Minerals can no longer be classified as food but must be administered in the same manner as drugs, so we know where some of the fear mongering comes from. Folic Acid is water soluble and therefore does not readily accumulate in the body. It is not dangerous. Not one death from Folic Acid supplementation has been reported in any of the Index Medicus listed journals. Mortality rate for Folic Acid supplementation is zero.

However, mortality from medical interventions reaches into the hundreds of thousands every year. Medicine is the leading cause of death in the United States today. It is the 3rd highest cause of death in Australia and we probably have the same mortality rate in New Zealand. Do we get upset about these statistics? No. But many will get all uptight because of 140 mcgs of nutrient in bread. We should be saying “thank you” and “may I have some more please” especially when 35% of the population has less than optimal levels of an active form of Folate in their bodies.

14 Jul 2009 06:09p.m.

chris wrote:

@guy. not every one drinks off a town water supply, most of New Zealand drinks water from their tank as is, others have a bore and filter what they don't want out of the water, carbon, nitrogen etc.

This isn't about fear of what it will do to us, because "studys" are almost always false, "oh but, it does do this..."

I do remember folate being regulated in the USA, but only permitted in breads. Why? because its not good for you in high concentrations such as vegemite.

14 Jul 2009 03:15p.m.

cherie wrote:

I don't care if they say it is safe.
I don't need it.
Neither do my children so why should we be forced to have it in our food.
How on earth people think a pregnant women can get through 11 slices every day is beyond me because that is about how much you need to eat to make it work.
It is also agreed that it is more important in the first 6 weeks. If you don't know you are pregnant for 3 of those you won't be eating your eleven slices anyway.
If you are trying to have a baby take it in tablet form and for those who aren't trying, then take your contraception properly.
I am sick of the Labour govt forcing their crap on us and it is happening even after they have been thrown out.
If this was to benifit all people fine but it is not so leave my food alone

13 Jul 2009 09:59p.m.

Guy wrote:

So where do you people get your water? It has additives too. And did none of you read the story - folic acid doesn't do what the fearmongers say it does.

But of course this would happen once National got in - ignorant policy shifts at odds with reality.

13 Jul 2009 09:56p.m.

chris wrote:

Time to support another party, time to blow the dust off the home kitchen bread makers, time to sit back and watch news of bread company's like tip top go into receivership because nobody wants their tainted bread.

13 Jul 2009 07:49p.m.

Tom wrote:

I watched the minister on Close Up and was totally dismayed to see that she intends carrying through with this abomination. It is a disgrace, undemocratic and most importantly, damaging to John Key and the National Party. Whoever the minister's advisers are, they need replaced. This is not a minor issue.
Has this government not learned from the past? We do not like being told what to do. We do not need mass medication that will only benefit maybe 3 people. This is a disgrace and the minister's attitude smacks of the same arrogance as that of the last Labour government.
My partner is pregnant, I am not. She takes folic acid supplement as CHOICE. I choose not to. She is as angry about this intrusion and mass medication as I am.
National have moved down yet another notch in my opinion of them. We will be buying a bread maker. This move is a disgrace.