The main causes of nutritional folate deficiency are reviewed as well as the consequential effects of this vitamin deficiency; some are well defined such as hematological consequences, others are less known: possible effects on immune and non-immune systems, influence on the central and peripheral nervous system, on the outcome of pregnancy and newborns. This paper emphasizes at-risk physiological and pathological situations of deficiency: pregnancy, premature infants, elderly, alcoholics, patients admitted to intensive care units. In these high risk populations, the benefit of folic acid prophylaxis is raised.
本文回顾了营养性叶酸缺乏的主要原因以及这种维生素缺乏的相应后果;其中一些后果已明确,如血液学方面的后果,另一些则鲜为人知:对免疫和非免疫系统的可能影响、对中枢和周围神经系统的影响、对妊娠结局和新生儿的影响。本文强调了叶酸缺乏的高危生理和病理情况:妊娠、早产儿、老年人、酗酒者、重症监护病房患者。在这些高危人群中,提出了叶酸预防的益处。