Folic acid to be ‘force fed’

Sarah-Kate Templeton

Britian will take the first step towards mass medication of the population this week with the publication of proposals to add the vitamin folic acid to bread.

A report commissioned by ministers will recommend the compulsory fortification of flour and bread with folic acid to help prevent babies being born with birth defects.

It will say the benefits seen in the United States and Canada, where the strategy has helped reduce birth defects such as spina bifida by as much as 50%, justify such state intervention.

It will, however, be controversial: critics claim it takes away individual choice and could have other health risks, including contributing to neurological damage in the elderly.

In Australia, where a similar proposal is being advocated, there has been vocal opposition from the food industry, which claims it is backed by up to 90% of the public in polls.

In Britain, the move is being proposed by the Scientific Advisory Committee on Nutrition, which was commissioned by ministers to examine the case for adding folic acid to bread.

Scientists believe compulsorily adding folic acid to flour could prevent more than 150 cases a year in which babies develop neural tube defects. Some of these are aborted. Babies can develop such defects — abnormalities of the brain and spine — if the mother is deficient in folic acid when she conceives.

Women are encouraged to take folic acid supplements when they are planning to have a child but because almost half of all births in Britain are unplanned, many women are not taking the tablets when they become pregnant.

Andrew Russell, chief executive of the Association for Spina Bifida and Hydrocephalus, said: “Hundreds of abortions are carried out every year in the UK for spina bifida, and a lot of severely disabled babies are still being born.

“It is the poorest and most educationally underprivileged who are most at risk of a spina bifida pregnancy. Unfortunately, relying on women to plan pregnancy and take a folic acid supplement in advance is unrealistic in many cases.”

While most doctors agree that adding folic acid to bread could benefit pregnant women, some medical professionals say the proposal could be to the detriment of the elderly. Evidence has shown that folic acid can mask the deficiency of another vitamin, B12, a common medical complaint in the over-65s.

This week the Food Standards Agency will launch a three-month-long public consultation on the proposal before ministers make a final decision on its introduction.

Meanwhile, parents are expected to be told by the government’s health regulator this week to eat meals with their children, ration how much television they watch and replace the school run with a walk or cycle.

In one of the biggest attempts to influence the way people live their daily lives, the watchdog responsible for the way the National Health Service spends its money will announce guidelines to help tackle the obesity epidemic.

The advice from the National Institute for Health and Clinical Excellence (Nice) is expected to tell families to start their day by eating breakfast together, preferably including one of the five recommended daily portions of fruit and vegetables.

The family should then embark on a more active journey to work or school, possibly cycling or walking part of the way. This could even involve some obese adults being given “personalised travel plans”.

Despite growing concern over the sedentary and unhealthy lifestyles of many children, critics are likely to see the guidance as a further move towards an overbearing nanny state.

For those who do need to slim down the guidance will set out the type of diets they should follow. Crash diets resulting in weight loss of more than 2lb a week will be ruled out, as will regimes based on restricted foods such as the so-called cabbage soup diet.

As reported in The Sunday Times earlier this year, Nice will recommend stomach-stapling surgery for obese children on the NHS at an estimated cost of £10,000 per operation.