Welcome to Debate Club! Please be aware that this is a space for respectful debate, and that your ideas will be challenged here. Please remember to critique the argument, not the author.
For young women dedicated to low carb
saintor1
Posts: 376 Member
Beware.
http://www.dailymail.co.uk/health/article-5309613/Low-carb-diets-linked-risk-birth-defects.html
http://www.dailymail.co.uk/health/article-5309613/Low-carb-diets-linked-risk-birth-defects.html
- Women on low carb diets may be at 30 percent greater risk of having a baby with a spinal and neurological birth defect, according to a new study
- These diets, including the Keto diet beloved by Kim Kardashian - whose children were all born health - forces the body to burn fat by depriving it of carbs
- New research from the University of North Carolina found that women on low carb diets also had low folic acid levels
- Folic acid is key to the development of a fetus's spine and skull
18
Replies
-
1. daily fail... so there's that.
2. Is it malnourishment or keto that's the issue I'm not a ketovangelist, but it seems like they identified the issue as a supplementation/nutritional factor.
14 -
1. daily fail... so there's that.
So the University of North Carolina works for the Daily Mail, right?6 -
-
Well sorry, but that's just noise.
Here is another reference.
https://www.sciencedaily.com/releases/2018/01/180125085105.htm10 -
Well sorry, but that's just noise.
Here is another reference.
https://www.sciencedaily.com/releases/2018/01/180125085105.htm
Which says what I said. It's a deficiency/nutrient/supplementation issue, not a carb/keto issue.
Words have meanings.26 -
Also, most of these dietary sources are keto/low carb friendly
https://www.babycenter.com/0_folic-acid-why-you-need-it-before-and-during-pregnancy_476.bc?page=2
So if you eat foods rich in folate, consider them a complement to your supplement. Good sources include:
•lentils
•dried beans, peas, and nuts
•avocado
•dark green vegetables such as broccoli, spinach, collard or turnip greens, okra, Brussels sprouts, and asparagus
•citrus fruit and juice
6 -
So basically, inadequate folic acid intake is bad? That's been known for a very long time and it's been recommended women trying to get pregnant should supplement regardless of dietary choices.30
-
VintageFeline wrote: »So basically, inadequate folic acid intake is bad? That's been known for a very long time and it's been recommended women trying to get pregnant should supplement regardless of dietary choices.
Exactly. and UNC used a clickbait title to ensure funding, probably for a followup.8 -
Not even going to click on a daily fail link, sorry OP...6
-
Spinal and other neurological birth defects are closely linked with insufficient folic acid, especially in the first three months. This means the that incidents of these defects rise with insufficient folic acid, not that all women with insufficient supply will give birth to babies with those defects, or that women with sufficient supplies will not.
Medical teams monitor folic acid extremely closely during pregnancy (and recommend beginning supplementing even before becoming pregnant) for all women eating all different ways. Women who eat many different ways can be deficient, hence the focus on supplementation and monitoring during pregnancy.
The correct conclusion would be that women who eat in a way that provides insufficient folic acid to support healthy fetal development (of which keto may be one instance), do not have their levels monitored by a medical team and do not supplement on their own have a higher risk of giving birth to babies with spinal and neurological defects.5 -
And where the article comes from matters, journalists are rarely well versed in interpreting findings from studies.8
-
stanmann571 wrote: »Well sorry, but that's just noise.
Here is another reference.
https://www.sciencedaily.com/releases/2018/01/180125085105.htm
Which says what I said. It's a deficiency/nutrient/supplementation issue, not a carb/keto issue.
Words have meanings.
Indeed they have and yours are NOT what University of North Carolina reported.
http://uncnews.unc.edu/2018/01/25/new-unc-chapel-hill-study-links-low-carbohydrate-intake-increased-risk-birth-defects/
Nobody said that it was only about acid folic or a particular nutrient.
5 -
Here I believe is the actual study
http://onlinelibrary.wiley.com/doi/10.1002/bdr2.1198/full
"we analyzed data from the National Birth Defects Prevention Study from 1,740 mothers of infants, stillbirths, and terminations with anencephaly or spina bifida (cases), and 9,545 mothers of live born infants without a birth defect (controls) conceived between 1998 and 2011. Carbohydrate and folic acid intake before conception were estimated from food frequency questionnaire responses."
And yes, what they really found was that women who eat very low carb are more likely to not be getting enough folic acid.
I mean, I think it's worth reminding women of child-bearing age that they should be supplementing. But "Eating low carb gives your babies spina bifida!!!!" is a little overly dramatic me thinks.20 -
stanmann571 wrote: »Well sorry, but that's just noise.
Here is another reference.
https://www.sciencedaily.com/releases/2018/01/180125085105.htm
Which says what I said. It's a deficiency/nutrient/supplementation issue, not a carb/keto issue.
Words have meanings.
Indeed they have and yours are NOT what University of North Carolina reported.
http://uncnews.unc.edu/2018/01/25/new-unc-chapel-hill-study-links-low-carbohydrate-intake-increased-risk-birth-defects/
Nobody said that it was only about acid folic or a particular nutrient.
Okay so here's the actual study: http://onlinelibrary.wiley.com/doi/10.1002/bdr2.1198/full
Here's the first sentence of the study:
"Folic acid fortification significantly reduced the prevalence of neural tube defects (NTDs) in the United States. The popularity of “low carb” diets raises concern that women who intentionally avoid carbohydrates, thereby consuming fewer fortified foods, may not have adequate dietary intake of folic acid."
Low card could lead to low folic acid. Take folic acid supplements to decrease change of issues.11 -
Thanks for the original.
Here are another bit of info from it. that seems relevant;There were no differences in BMI, smoking, prenatal vitamin, and/or folic acid supplement use,9 -
Thanks for the original.
Here are another bit of info from it. that seems relevant;There were no differences in BMI, smoking, prenatal vitamin, and/or folic acid supplement use,
Just tracking folic acid supplement use isn't going to give the whole picture as to whether this is folic acid-related. It's possible that people who aren't on ketogenic diets have a better shot at meeting their folic acid needs through diet and that could be the key difference here once supplement use is taken out of the picture.3 -
Thanks for the original.
Here are another bit of info from it. that seems relevant;There were no differences in BMI, smoking, prenatal vitamin, and/or folic acid supplement use,
Please don't cherry pick words without reading the whole paragraph. Your sentence says that between the groups, there were no differences of ADDITIONAL supplements, aka the variables were CONTROLLED.
If you read further down:
"The average estimated daily intake of folic acid and total dietary folate among women with restricted carbohydrate intake was less than half that of women with nonrestricted intake (p < .01)."
So BECAUSE women restricted their carbs and did NOT take supplements, their folic acid levels were lower.8 -
Thanks for the original.
Here are another bit of info from it. that seems relevant;There were no differences in BMI, smoking, prenatal vitamin, and/or folic acid supplement use,
The full quote that includes your quote:
"Compared to women with nonrestricted carbohydrate intake, women with restricted intake were more likely to be older, non-Hispanic white, born in the United States, have more years of education, and have higher household income (Table 1). They were also more likely to have consumed alcohol in early pregnancy, and to have planned their pregnancy. There were no differences in BMI, smoking, prenatal vitamin, and/or folic acid supplement use, or number of previous pregnancies. "
I believe what that is saying is that woman eating low carb were no more or less likely to use a folic acid supplement, not that a supplement did nothing to help if a woman was eating low carb.2 -
Thanks for the original.
Here are another bit of info from it. that seems relevant;There were no differences in BMI, smoking, prenatal vitamin, and/or folic acid supplement use,
The full quote that includes your quote:
"Compared to women with nonrestricted carbohydrate intake, women with restricted intake were more likely to be older, non-Hispanic white, born in the United States, have more years of education, and have higher household income (Table 1). They were also more likely to have consumed alcohol in early pregnancy, and to have planned their pregnancy. There were no differences in BMI, smoking, prenatal vitamin, and/or folic acid supplement use, or number of previous pregnancies. "
I believe what that is saying is that woman eating low carb were no more or less likely to use a folic acid supplement, not that a supplement did nothing to help if a woman was eating low carb.
Yes.1 -
Also in the actual study:
"An alternative interpretation of our results is that the observed association between restricted carbohydrate intake and NTDs is mediated at least in part by caloric restriction or poor diet quality in general, which have been previously associated with NTDs (Carmichael, Shaw, Schaffer, Laurent, & Selvin, 2003; Carmichael, Yang, & Feldkamp, 2012; Sotres-Alvarez et al., 2013; Suarez, Felkner, Brender, & Canfield, 2012). "2 -
So BECAUSE women restricted their carbs and did NOT take supplements, their folic acid levels were lower.
That's a stretch and it is not what it said.
If the culprit could have been the acid folic only, it is pretty much obvious that they would have reported a link with these defects and the lack of acid folic, not the low carb as they reported.
Instead of "Low carbohydrate diets may increase risk of neural tube defects", it would have been something like "Low acid folic may increase risk of neural tube defects"
8 -
So BECAUSE women restricted their carbs and did NOT take supplements, their folic acid levels were lower.
That's a stretch and it is not what it said.
If the culprit could have been the acid folic only, it is pretty much obvious that they would have reported a link with these defects and the lack of acid folic, not the low carb as they reported.
Instead of "Low carbohydrate diets may increase risk of neural tube defects", it would have been something like "Low acid folic may increase risk of neural tube defects"
Except that's not a jazzy headline that gets them lots of clicks.
This is the problem with science reporting right now. They hook people with the headline knowing full well 90% will not read much past that, and if they do will read with that headline now coloring everything else.
I'm sorry, but if you read the actual paper, NOT any of the articles, it's clear that they link the results to folic acid deficiency. The entire Discussion paragraph towards the bottom is about folic acid, the possibility that a folic acid supplement isn't high enough to counteract a deficiency in a low carb diet, and the possibility that if it's NOT folic acid, it could be that these women are low-carb because they are obese and/or diabetic and those are also risk factors for the discussed birth defects. And their Conclusion paragraph says the next step is to examine the relationship between carb intake and folic acid levels, and they advise doctors to be aware that their patients on low-carb may be extremely deficient in folic acid. I'm not sure how you can say it isn't about folic acid?
They keep saying it's a low-carb, but then explaining the likely causes linked to low-carb are either 1. folic acid deficiency or 2. obese or diabetic women who would have been higher risk anyway.
Again, if women doing low-carb are more likely to be extremely deficient in folic acid and may need more than the typical supplement to counteract that, I think it's great they did this study and that will be called attention to.7 -
VintageFeline wrote: »So basically, inadequate folic acid intake is bad? That's been known for a very long time and it's been recommended women trying to get pregnant should supplement regardless of dietary choices.
Yes, this.2 -
From the study:
"Mean dietary intake of folic acid among women with restricted carbohydrate intake was less than half that of other women (p < .01), and women with restricted carbohydrate intake were slightly more likely to have an infant with an NTD (AOR = 1.30, 95% CI: 1.02, 1.67)."
From the Science Daily article: "Folic acid is an essential nutrient that minimizes the risk of neural tube defects. More than 20 percent of women in the U.S. have blood folate concentrations below the recommended level to reduce risk of neural tube defects. For this reason, in 1998 the Food and Drug Administration began requiring that folic acid be added to enriched grain products. Desrosiers and her study collaborators found that dietary intake of folic acid among women with restricted carbohydrate intake was less than half of other women.
The Centers for Disease Control and Prevention recommends that all women who may become pregnant take a daily multivitamin with at least 400 micrograms of folic acid every day before and during pregnancy. However, because almost half of all pregnancies in the U.S. are unplanned, many women do not initiate folic acid supplementation until later in pregnancy, after a neural tube defect may have occurred. This makes fortified foods an important source of folic acid for women who may become pregnant."4 -
So BECAUSE women restricted their carbs and did NOT take supplements, their folic acid levels were lower.
That's a stretch and it is not what it said.
If the culprit could have been the acid folic only, it is pretty much obvious that they would have reported a link with these defects and the lack of acid folic, not the low carb as they reported.
Instead of "Low carbohydrate diets may increase risk of neural tube defects", it would have been something like "Low acid folic may increase risk of neural tube defects"
Not only is that not a jazzy headline, as kimny said, it's well-known and not a subject of research. The importance of folic acid for pregnant women (and women who may become pregnant) is already conclusively established.
The connection between low carbing and women (who become pregnant unplanned or otherwise without having started supplements) being deficient for the purposes of pregnancy is what this seems to be about. Important for someone low carbing with the potential/likelihood of becoming pregnant to supplement, IMO (or be very careful with the diet, but supplementation is recommended for anyone trying to get pregnant).2 -
-
2 -
I'm sorry, but if you read the actual paper, NOT any of the articles, it's clear that they link the results to folic acid deficiency.
Well I gather that you absolutely want it that way, but that is absolutely not their finding.
5 CONCLUSION
In summary, we found that restricted carbohydrate intake in the year before conception is associated with a moderate increase in the odds of anencephaly and spina bifida. Neither BMI nor folic acid supplement use modified the observed association, but a stronger association was noted for unplanned pregnancies and for infants with multiple birth defects. Our next steps include an examination of the relation between carbohydrate intake and RBC folate concentrations in a national sample. Given the sustained popularity of low carbohydrate diets, we advise maternal health care providers to be aware of their patients' dietary practices and the potential for folate insufficiency among women practicing carbohydrate restriction.
Lemurcat covered this. Prepared grain products are enriched with folic acid *for this very reason* Low carbing cuts those products out, and by default, the extra folic acid one would normally get from them.lemurcat12 wrote: »From the study:
"Mean dietary intake of folic acid among women with restricted carbohydrate intake was less than half that of other women (p < .01), and women with restricted carbohydrate intake were slightly more likely to have an infant with an NTD (AOR = 1.30, 95% CI: 1.02, 1.67)."
From the Science Daily article: "Folic acid is an essential nutrient that minimizes the risk of neural tube defects. More than 20 percent of women in the U.S. have blood folate concentrations below the recommended level to reduce risk of neural tube defects. For this reason, in 1998 the Food and Drug Administration began requiring that folic acid be added to enriched grain products. Desrosiers and her study collaborators found that dietary intake of folic acid among women with restricted carbohydrate intake was less than half of other women.
The Centers for Disease Control and Prevention recommends that all women who may become pregnant take a daily multivitamin with at least 400 micrograms of folic acid every day before and during pregnancy. However, because almost half of all pregnancies in the U.S. are unplanned, many women do not initiate folic acid supplementation until later in pregnancy, after a neural tube defect may have occurred. This makes fortified foods an important source of folic acid for women who may become pregnant."
6 -
In for click bait and not connecting the dots...5
This discussion has been closed.
Categories
- All Categories
- 1.4M Health, Wellness and Goals
- 393.6K Introduce Yourself
- 43.8K Getting Started
- 260.3K Health and Weight Loss
- 175.9K Food and Nutrition
- 47.5K Recipes
- 232.6K Fitness and Exercise
- 431 Sleep, Mindfulness and Overall Wellness
- 6.5K Goal: Maintaining Weight
- 8.6K Goal: Gaining Weight and Body Building
- 153K Motivation and Support
- 8K Challenges
- 1.3K Debate Club
- 96.3K Chit-Chat
- 2.5K Fun and Games
- 3.8K MyFitnessPal Information
- 24 News and Announcements
- 1.1K Feature Suggestions and Ideas
- 2.6K MyFitnessPal Tech Support Questions