Author/Editor     Farkaš-Lainščak, Jerneja; Novak-Antolič, Živa; Hlastan-Ribič, Cirila; Zaletel-Kragelj, Lijana
Title     Javnozdravstveni vidiki preprečevanja napak nevralne cevi s folno kislino
Translated title     Public health perspectives of the prevention of neural tube defects with folic acid
Type     članek
Source     Zdrav Vars
Vol. and No.     Letnik 48, št. 2
Publication year     2009
Volume     str. 68-77
Language     slo
Abstract     Neural tube defects are a group of heterogenous and complex congenital anomalies of the central nervous system. Adequate intake of folic acid prior to conception and during early pregnancy prevents 60 % - 70% of primary and 72% of recurrent neural tube defects. To effectively reduce the prevalence of neural tube defects, numerous activities at all levels of prevention have to be conducted simultaneously. These include: promoting healthy diet, taking folic acid supplements, fortifying staple foods with folic acid, and introducing prenatal screening and treatment. Folic acid fortification of staple foods has proved potentially effective in preventing some chronic noncommunicable diseases. Nonetheless, some ethical dilemmas and professional problems remain unsolved.
Summary     Napake nevralne cevi so heterogena in kompleksna skupina napak centralnega živčnega sistema. Z uživanjem zadostnih odmerkov folne kisline pred zanositvijo in med nosečnostjo lahko preprečimo 60-70% primarnih in 72% ponovnih napak nevralne cevi. Za učinkovito zmanjšanje pogostosti napak nevralne cevi so potrebne sočasne dejavnosti na vseh ravneh preventive. Lahko spodbujamo zdravo prehranjevanje, spodbujamo uživanje vitaminskih dodatkov s folno kislino, dodajanje folne kisline nekaterim živilom, zgodnje odkrivanje in zdravljenje. Dodajanje folne kisline nekaterim živilom se je izkazalo tudi kot potencialno koristen ukrep pri preprečevanju nekaterih oblik kroničnih nenalezljivih bolezni, vendar ostajajo pri tem nekatere nerešene strokovne in etične dileme.
Descriptors     PRENATAL CARE
NEURAL TUBE DEFECTS
FOLIC ACID
HEALTH FOOD
HEALTH BEHAVIOR
VITAMINS