Yıl: 2022 Cilt: 60 Sayı: 4 Sayfa Aralığı: 303 - 309 Metin Dili: İngilizce DOI: 10.4274/haseki.galenos.2022.8245 İndeks Tarihi: 16-10-2022

Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study

Öz:
Aim: This study aimed to determine the change in neural tube defects (NTD) incidence in Trabzon, a province of the Eastern Black Sea region, and evaluate the efficiency of folic acid use on NTD. Methods: The present study was a retrospective case-control study. The case group of the study consisted of those diagnosed with fetal NTD in the intrauterine period between 2015 and 2020. The control group were selected by matching the ages in the case group with ± two standardized years. The total number of births in the province was obtained from the Turkish Statistical Institute data, and the NTD incidence was determined accordingly. Results: Between the aforementioned years, the number of cases who had NTD-complicated pregnancies and were delivered in our clinic was 88. When the use of folic acid before and in the first trimester of pregnancy was compared, a statistically significant difference was determined between the groups (p<0.001). The use of folic acid during pregnancy was similar in both groups (p=1). Conclusion: Neural tube defects is a preventable condition by using folic acid before and during the first trimester of pregnancy. Hence, the importance of using folic acid in family planning and prenatal counseling should not be forgotten.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Greene ND, Copp AJ. Neural tube defects. Annu Rev Neurosci 2014;37:221-42.
  • 2. Blencowe H, Kancherla V, Moorthie S, Darlison MW, Modell B. Estimates of global and regional prevalence of neural tube defects for 2015: a systematic analysis. Ann N Y Acad Sci 2018;1414:31-46.
  • 3. Mutlu H, Kızgut B, Sözer ÇS, Ürker K, Açar O, Erol AS. Sacral spina bifida occulta rare occurrence in Byzantine Belentepe population in Muğla, Turkey: A possible case for adequate folic acid intake. Homo 2020;71:175-88.
  • 4. Smithells RW, Sheppard S, Schorah CJ, et al. Possible prevention of neural-tube defects by periconceptional vitamin supplementation. Lancet 1980;1:339-40.
  • 5. MRC V. Prevention of neural tube defects: results of the Medical Research Council Vitamin Study. Lancet 1991;338:131-7.
  • 6. Pakdemirli A, Toksöz F, Karadağ A, et al. Role of mesenchymal stem cell-derived soluble factors and folic acid in wound healing. Turkish J Med Sci 2019;49:914-21.
  • 7. Toivonen KI, Lacroix E, Flynn M, et al. Folic acid supplementation during the preconception period: A systematic review and meta-analysis. Prev Med 2018;114:1-17.
  • 8. Altaş M, Aras M, Altaş ZG, Aras Z, Serarslan Y, Yılmaz N. Retrospective analysis of Neural Tube Defect Patients. MKÜ Tıp Dergisi 2012;3:22-8.
  • 9. Onrat S, Seyman H, Konuk M. Incidence of neural tube defects in Afyonkarahisar, Western Turkey. Genet Mol Res 2009;8:154-61.
  • 10. Tunçbilek E, Temel E, Özalp İ, et al. Genetic diseases. Handbook for health personel. TC Ministry of Health General Directory of Health Project. TR Ministry of Health General Directorate of Mother and Child Health and Family Planning, Ankara; 2002.
  • 11. Tunçbilek E, Boduroğlu K, Alikaşifoğlu M. Neural tube defects in Turkey: prevalence, distribution and risk factors. Turk J Pediatr 1999;41:299-305.
  • 12. Mocan H, Bozkaya H, Ozbay G, Mocan MZ, Aydemir V. Neural tube defects in eastern Black Sea region in 1990. Paediatr Perinat Epidemiol 1992;6:465.
  • 13. Mai CT, Cassell CH, Meyer RE, et al. Birth defects data from population-based birth defects surveillance programs in the United States, 2007 to 2011: highlighting orofacial clefts. Birth Defects Res A Clin Mol Teratol 2014;100:895-904.
  • 14. Singaravelu A, Vasantharajan SR, Raveendra R, Nancy A. Evaluation of Plasma Levels of Folic Acid and Homocysteine in Babies Born With Various Types of Neural Tube Defects: A Single Center Study in South India. Journal of Clinical and Basic Research 2022;6:28-31.
  • 15. Gucciardi E, Pietrusiak MA, Reynolds DL, Rouleau J. Incidence of neural tube defects in Ontario, 1986–1999. CMAJ 2002;167:237-40.
  • 16. Haggarty P. UK introduces folic acid fortification of flour to prevent neural tube defects. Lancet 2021;398:1199-201.
  • 17. Petersen JM, Parker SE, Benedum CM, Mitchell AA, Tinker SC, Werler MM. Periconceptional folic acid and risk for neural tube defects among higher risk pregnancies. Birth Defects Res 2019;111:1501-12.
  • 18. Wald NJ, Oakley GP. Should folic acid fortification be mandatory? Yes. BMJ 2007;334:1252.
  • 19. Coll O, Pisa S, Palacio M, Quintó L, Cararach V. Awareness of the use of folic acid to prevent neural tube defects in a Mediterranean area. Eur J Obstet Gynecol Reprod Biol 2004;115:173-7.
  • 20. Hertrampf E, Cortes F. Folic acid fortification of wheat flour: Chile. Nutrition reviews. 2004;62(suppl_1):S44-S8.
  • 21. Salvador J, Arigita M, Carreras E, Lladonosa A, Borrell A. Evolution of prenatal detection of neural tube defects in the pregnant population of the city of Barcelona from 1992 to 2006. Prenat Diagn 2011;31:1184-8.
  • 22. McNulty B, McNulty H, Marshall B, et al. Impact of continuing folic acid after the first trimester of pregnancy: findings of a randomized trial of Folic Acid Supplementation in the Second and Third Trimesters. Am J Clin Nutr 2013;98:92-8.
  • 23. Wen SW, Guo Y, Rodger M, et al. Folic acid supplementation in pregnancy and the risk of pre-eclampsia—a cohort study. PLoS One 2016;11:e0149818.
  • 24. Eurocat Working Group. Fifteen years of surveillance of congenital anomalies in Europe, 1980–1994. 1997;7:181.
  • 25. Güvenc H, Uslu MA, Güvenc M, Ozekici U, Kocabay K, Bektaş S. Changing trend of neural tube defects in eastern Turkey. J Epidemiol Community Health 1993;47:40-1.
  • 26. Prevalence of neural tube defects in 16 regions of Europe, 1980-1983. The EUROCAT Working Group. Int J Epidemiol 1987;16:246-51.
  • 27. Rankin J, Glinianaia S, Brown R, Renwick M. The changing prevalence of neural tube defects: a population-based study in the north of England, 1984-96. Northern Congenital Abnormality Survey Steering Group. Paediatr Perinat Epidemiol 2000;14:104-10.
  • 28. Mocan H, Aydemir V, Bozkaya H, Mocan MZ, Ozbay G. Incidence of neural tube defects (NTD) in Ankara, Turkey, prior to and after the Chernobyl disaster. Paediatr Perinat Epidemiol 1992;6:111-4.
  • 29. Himmetoglu O, Tiras MB, Gursoy R, Karabacak O, Sahin I, Onan A. The incidence of congenital malformations in a Turkish population. Int J Gynaecol Obstet 1996;55:117-21.
  • 30. Mandiracioğlu A, Ulman I, Lüleci E, Ulman C. The incidence and risk factors of neural tube defects in Izmir, Turkey: a nested case-control study. Turk J Pediatr 2004;46:214-20.
  • 31. Peker E, Demir N, Tuncer O, et al. The levels of vitamın B12, folate and homocysteine in mothers and their babies with neural tube defects. J Matern Fetal Neonatal Med 2016;29:2944-8.
  • 32. Ayaz R, Asoglu MR. Neural tube defects in eastern Turkey; Is low folate status or vitamin B12 deficiency or both associated Demir et al. Neural Tube Defects and Folic Acid 309 with a high rate of NTDs? The Journal of Maternal-Fetal & Neonatal Medicine 2020;33:3835-40.
  • 33. Beetstra S, Thomas P, Salisbury C, Turner J, Fenech M. Folic acid deficiency increases chromosomal instability, chromosome 21 aneuploidy and sensitivity to radiation-induced micronuclei. Mutat Res 2005;578:317-26.
  • 34. Guleria R, Bhushan B, Guleria A, Bhushan A, Dulari P. Harmful effects of Ionizing radiation. IJRASET 2019;7:887-9.
  • 35. Maddox J., Gelineau-van Waes J, Starr L, et al. Maternal fumonisin exposure and risk for neural tube defects: mechanisms in an in vivo mouse model. Birth Defects Res A Clin Mol Treatol 2005;73:487-97.
  • 36. Kruslin B, Jukić S, Kos M, Simi ć G, Cviko A. Congenital anomalies of the central nervous system at autopsy in Croatia in the period before and after the Chernobyl accident. Acta Med Croatica 1998;52:103-7.
  • 37. Mocan H, Bozkaya H, Mocan MZ, Furtun EM. Changing incidence of anencephaly in the eastern Black Sea region of Turkey and Chernobyl. Paediatr Perinat Epidemiol 1990;4:264-8.
  • 38. Dolk H, Nichols R. Evaluation of the impact of Chernobyl on the prevalence of congenital anomalies in 16 regions of Europe. EUROCAT Working Group. Int J Epidemiol 1999;28:941-8.
  • 39. Little J. The Chernobyl accident, congenital anomalies and other reproductive outcomes. Paediatric Perinat Epidemiol 1993;7:121-51.
  • 40. Akar N. Radioactive fallout and neural tube defects. Egyptian Journal of Medical Human Genetics 2015;16:299-300.
  • 41. Mangano J, Sherman JD. Changes in congenital anomaly incidence in West Coast and Pacific States (USA) after arrival of Fukushima fallout. Open Journal of Pediatrics 2015;5:76- 89
APA Demir O, şal h, özalp m, TOPBAS M (2022). Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study. , 303 - 309. 10.4274/haseki.galenos.2022.8245
Chicago Demir Omer,şal hidayet,özalp miraç,TOPBAS MURAT Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study. (2022): 303 - 309. 10.4274/haseki.galenos.2022.8245
MLA Demir Omer,şal hidayet,özalp miraç,TOPBAS MURAT Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study. , 2022, ss.303 - 309. 10.4274/haseki.galenos.2022.8245
AMA Demir O,şal h,özalp m,TOPBAS M Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study. . 2022; 303 - 309. 10.4274/haseki.galenos.2022.8245
Vancouver Demir O,şal h,özalp m,TOPBAS M Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study. . 2022; 303 - 309. 10.4274/haseki.galenos.2022.8245
IEEE Demir O,şal h,özalp m,TOPBAS M "Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study." , ss.303 - 309, 2022. 10.4274/haseki.galenos.2022.8245
ISNAD Demir, Omer vd. "Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study". (2022), 303-309. https://doi.org/10.4274/haseki.galenos.2022.8245
APA Demir O, şal h, özalp m, TOPBAS M (2022). Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study. Haseki Tıp Bülteni, 60(4), 303 - 309. 10.4274/haseki.galenos.2022.8245
Chicago Demir Omer,şal hidayet,özalp miraç,TOPBAS MURAT Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study. Haseki Tıp Bülteni 60, no.4 (2022): 303 - 309. 10.4274/haseki.galenos.2022.8245
MLA Demir Omer,şal hidayet,özalp miraç,TOPBAS MURAT Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study. Haseki Tıp Bülteni, vol.60, no.4, 2022, ss.303 - 309. 10.4274/haseki.galenos.2022.8245
AMA Demir O,şal h,özalp m,TOPBAS M Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study. Haseki Tıp Bülteni. 2022; 60(4): 303 - 309. 10.4274/haseki.galenos.2022.8245
Vancouver Demir O,şal h,özalp m,TOPBAS M Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study. Haseki Tıp Bülteni. 2022; 60(4): 303 - 309. 10.4274/haseki.galenos.2022.8245
IEEE Demir O,şal h,özalp m,TOPBAS M "Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study." Haseki Tıp Bülteni, 60, ss.303 - 309, 2022. 10.4274/haseki.galenos.2022.8245
ISNAD Demir, Omer vd. "Investigation of the Change in the Incidence of Neural Tube Defects in the Eastern Black Sea Region of Turkey by Years and its Relationship with Folic Acid Use: A Case-control Study". Haseki Tıp Bülteni 60/4 (2022), 303-309. https://doi.org/10.4274/haseki.galenos.2022.8245