Table 1.
Unweighted sample sizes for serum folate forms and serum and red blood cell total folate by selected demographic, physiologic, and lifestyle variable categories for the US population ≥1 year, NHANES 2011–2
| Variable categories | 5-MethylTHF | UMFA | Serum Non-methyl folate |
MeFox | Total folate | RBC Total folate |
|---|---|---|---|---|---|---|
| All | 7454 | 7462 | 7458 | 7469 | 7442 | 7867 |
| Age, year | ||||||
| 1–5 | 568 | 573 | 570 | 575 | 563 | 708 |
| 6–11 | 955 | 957 | 959 | 960 | 953 | 1044 |
| 12–19 | 1073 | 1074 | 1074 | 1074 | 1073 | 1127 |
| 20–39 | 1730 | 1730 | 1730 | 1730 | 1730 | 1762 |
| 40–59 | 1604 | 1604 | 1605 | 1606 | 1603 | 1655 |
| ≥60 | 1524 | 1524 | 1520 | 1524 | 1520 | 1571 |
| Sex | ||||||
| Male | 3739 | 3745 | 3746 | 3750 | 3735 | 3944 |
| Female | 3715 | 3717 | 3712 | 3719 | 3707 | 3923 |
| Race-ethnicityb | ||||||
| Hispanic | 1798 | 1803 | 1803 | 1806 | 1794 | 1919 |
| Mexican American | 989 | 993 | 995 | 996 | 987 | 1071 |
| Other Hispanic | 809 | 810 | 808 | 810 | 807 | 848 |
| Non-Hispanic Asian | 947 | 947 | 948 | 951 | 944 | 999 |
| Non-Hispanic Black | 2025 | 2027 | 2027 | 2027 | 2025 | 2185 |
| Non-Hispanic White | 2401 | 2402 | 2398 | 2402 | 2397 | 2471 |
| Other | 283 | 283 | 282 | 283 | 282 | 293 |
| Fasting time, hours | ||||||
| <3 | 2476 | 2479 | 2475 | 2482 | 2469 | 2644 |
| 3–<8 | 1633 | 1637 | 1635 | 1637 | 1631 | 1744 |
| ≥8 | 3345 | 3346 | 3348 | 3350 | 3342 | 3479 |
| eGFR stagec, mL/(min×1.73 m2) | ||||||
| 0–<60 | 467 | 467 | 466 | 467 | 466 | 466 |
| 60–<90 | 2032 | 2032 | 2031 | 2033 | 2030 | 2039 |
| ≥90 | 3382 | 3383 | 3383 | 3384 | 3381 | 3428 |
| BMId | ||||||
| Underweight | 1203 | 1206 | 1204 | 1209 | 1197 | 1382 |
| Normal weight | 2297 | 2301 | 2301 | 2303 | 2295 | 2415 |
| Overweight | 1854 | 1854 | 1855 | 1855 | 1854 | 1882 |
| Obese | 1921 | 1921 | 1918 | 1921 | 1918 | 1970 |
| BSAe, cm×kg | ||||||
| <1.5 | 1756 | 1762 | 1761 | 1766 | 1750 | 1971 |
| 1.5–1.8 | 1989 | 1990 | 1989 | 1991 | 1987 | 2069 |
| 1.8–2 | 1596 | 1596 | 1596 | 1597 | 1595 | 1640 |
| ≥2 | 1934 | 1934 | 1932 | 1934 | 1932 | 1969 |
| Serum cotininef, μg/L | ||||||
| ≤10 | 5938 | 5941 | 5937 | 5945 | 5929 | 6068 |
| >10 | 1240 | 1240 | 1240 | 1241 | 1239 | 1259 |
| Alcohol intakeg | ||||||
| No drinks | 1474 | 1474 | 1472 | 1474 | 1472 | 1530 |
| <1 (not 0) | 2540 | 2540 | 2539 | 2541 | 2538 | 2602 |
| 1–<2 | 342 | 342 | 342 | 342 | 342 | 349 |
| ≥2 | 235 | 235 | 234 | 235 | 234 | 243 |
| Supplement useh | ||||||
| Yes | 1303 | 1305 | 1302 | 1306 | 1299 | 1370 |
| No | 5567 | 5573 | 5574 | 5579 | 5561 | 5882 |
NHANES, National Health and Nutrition Examination Survey; 5-methylTHF, 5-methyltetrahydrofolate; UMFA, unmetabolized folic acid; MeFox, pyrazino-s-triazine derivative of 4α-hydroxy-5-methylTHF; RBC, red blood cell; eGFR, estimated glomerular filtration rate; BSA, body surface area.
Serum folate forms and serum total folate (sum of all forms including MeFox) were measured by HPLC-MS/MS; RBC total folate was measured by microbiologic assay; non-methyl folate represents sum of three minor forms: tetrahydrofolate, 5-formyltetrahydrofolate, and 5,10-methenyltetrahydrofolate.
Hispanic subgroup represents sum of Mexican American and other Hispanic ethnicity; other subgroup includes persons with multi-ethnic background.
Used to assess renal function; available for persons ≥12 years; impaired renal function was defined as eGFR <60 mL/(min×1.73 m2)
BMI definitions (kg/m2): <18.5 (underweight); 18.5–>25 (normal weight); 25–<30 (overweight); and ≥30 (obese)
Calculated as square root of [(height in cm × weight in kg)/3600] or square root of [(height in inches × weight in pounds)/3131]
Biomarker of tobacco smoke exposure; concentrations >10 μg/L are considered to represent smokers
Calculated for participants ≥18 years as average daily number of “standard” drinks [(quantity × frequency)/365.25]; 1 drink ≈ 15 g ethanol
Folic acid-containing dietary supplements used during the last 24 hours prior to visiting the Mobile Examination Center