Neural Tube Defects Clinical Trial
Investigate the efficacy of weekly versus daily of folic acid supplementation on improving folate, vitamin B12,
460 women of a rural community in the western highlands of Guatemala were recruited for
participation in the double-blinded study led by Emory University and the Institute of
Nutrition of Central America and Panama (INCAP). The women were randomly assigned one of 4
vitamin treatments containing different levels of folic acid, Vitamin B12, iron and zinc.
The treatments were as follows:
1. weekly dose of folic acid at 5000ug, iron at 120 mg, zinc at 30mg, and B12 at 16.8 ug;
2. weekly dose of folic acid at 2800ug, iron at 120mg, zinc at 0mg and B12 at 16.8ug;
3. daily dose of folic acid at 400ug, iron at 60mg, zinc at 15mg, B12 at 2.4ug; and
4. daily dose of folic acid at 200ug, iron at 50mg, zinc at 0mg, and B12 at 2.4ug.
The women, aged 15-49, received the vitamins daily for 3 months. Anthropometric data and
blood samples were taken at baseline and post-supplementation. The participants also
completed a series of dietary interviews at baseline and post-intervention. No pregnant or
lactating mothers were admitted into the study, nor severely anemic females. Blood samples
were sent to the National Laboratory in Cuernavaca, Mexico, for analysis of serum folate
levels.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Prevention
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