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INTRODUCTIONWheezing and atopic dermatitis are common and associated with substantial morbidity in early childhood and often precede the onset of asthma later in childhood. Genetics and host factors have been indicated in the complex etiology of atopic diseases, as have environmental and nutritional exposures. High prenatal folic acid exposure has been studied as a risk factor for childhood atopic diseases, due in part to its recognized capacity to epigenetically modify DNA. Some observational studies have suggested that higher folic acid during pregnancy may be associated with increased risk of allergic and respiratory phenotypes in offspring, while other studies found null or inverse associations.Women of childbearing age are advised to consume a daily supplement of 400‐800 μg/d of folic acid to reduce the risk of infants born with neural tube defects. In the USA, mandatory folic acid fortification of many enriched cereal and grain products has been implemented since 1998 to achieve sufficient intake, particularly among women who may have unplanned pregnancies.To date, most studies of prenatal folate exposure and childhood atopic diseases have been conducted in countries without mandatory fortification, and many studies did not capture blood folate levels. Relative to non‐fortified populations, women in the US may experience high
Pediatric Allergy and Immunology – Wiley
Published: Jan 1, 2018
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