Low serum folic acid levels in a nursing home population: a clinical experience
| Autor: | James S. Goodwin, Elizabeth Langer, Paul J. Drinka, Susan K. Voeks |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Phenytoin
Erythrocyte Indices Male medicine.medical_specialty Serum folic acid Medicine (miscellaneous) Folic Acid Deficiency Hemoglobins Nursing home population Folic Acid Wisconsin Internal medicine medicine Homes for the Aged Humans Aged Aged 80 and over Nutrition and Dietetics business.industry food and beverages Serum folic acid level Folate antagonist Surgery Nursing Homes Folic acid Female business Multivitamin Nursing homes medicine.drug |
| Zdroj: | Journal of the American College of Nutrition. 12(2) |
| ISSN: | 0731-5724 |
| Popis: | Four hundred fifty-five residents of the Wisconsin Veterans Home had fasting serum specimens obtained for folic acid as part of standard practice. Twenty-nine percent were taking folic acid supplements. Six percent (n = 28) were taking phenytoin, a folate antagonist. No resident receiving a folate supplement (400 mcg/day) had a low serum folic acid level. This finding may be important for practitioners selecting a dose of folic acid for nursing home patients. Of the 325 residents not receiving a folate supplement, nine (3%) had low folic acid levels (< 2.5 ng/mL). Two of the nine were receiving phenytoin. Five were characterized by staff as eating well. As low serum levels are preventable with a multivitamin, we believe that supplementation with a multivitamin containing 400 mcg folic acid/day should be considered in nursing home residents. |
| Databáze: | OpenAIRE |
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