Folic acid supplements, widely
used by women to prevent birth defects, also may fight
hypertension in women, perhaps because they relax blood
vessels, researchers said.
Folic acid occurs naturally
in substances such as orange juice and leafy green vegetables
and is added to some products, but only high-dose supplements
seem to affect blood pressure, the report said.
"This is the first major
study to show an association between folate intake and
prevention of high blood pressure," said John Forman,
a physician and researcher at Brigham and Women's Hospital
in Boston who led the study.
"While the findings are
encouraging, we are not yet ready to recommend that women
start increasing their folate intake until more research
is conducted," he added.
The study, published in
this week's Journal of the American Medical Association,
was based on data from thousands of nurses whose health
histories were tracked for years.
Among 93,803 women aged
27 to 44, those who consumed at least 1,000 micrograms
a day of total folate -- in foods and supplements -- had
a 46 percent decreased risk of hypertension compared with
those who consumed less than 200 micrograms a day, the
study found.
In a second group of 62,260
women aged 43 to 70, those with a high total folate intake
had an 18 percent reduced risk of hypertension, it added.
None of those studied had
a history of high blood pressure when the study started.
It also was not known if the supplement would help men.
For women in the study
who did not use any folic acid supplements, getting the
substance from foods alone failed to lower the risk of
high blood pressure, the study found.
Folic acid supplements
of at least 400 micrograms per day are recommended for
women before and during pregnancy to prevent neural tube
defects, severe fetal growth problems afflicting the brain
and spinal cord that often result in stillbirths.
Forman said the substance
may help women reduce their risk of developing high blood
pressure because of it relaxes blood vessels and eases
blood flow.
"The prospect that folate
has the potential to protect against high blood pressure
is exciting given that the vitamin is both readily available
and safe," he said. "The next step will be a randomized
controlled trial comparing women given either folic acid
supplements or placebo."