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Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc (2001)
Food and Nutrition Board (FNB)
Institute of Medicine (IOM)

Citation Manager

. "15 A Research Agenda." Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, DC: The National Academies Press, 2001.

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Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc

nance of bone health, its role is still not well understood. A number of studies have demonstrated a beneficial effect of chromium on insulin action and circulating glucose levels; however, further information is needed to relate the intake of chromium to the prevention and reversal of diabetes. Although information on vitamin K and chromium is insufficient, even less information is available for the other nutrients, and therefore EARs are based on indicators other than functional ones.

Adverse Effects

Considering these micronutrients as a group, only a few studies have been conducted that were explicitly designed to address adverse effects of chronic high intake. For four nutrients—vitamin K, arsenic, chromium, and silicon—data were insufficient to set a Tolerable Upper Intake Level (UL). Because of insufficient human data, the UL for three nutrients—boron, molybdenum, and vanadium—were based on animal data. Thus, information on which to base a UL is extremely limited for some micronutrients.

THE RESEARCH AGENDA

Five major types of information gaps were noted: (1) a lack of data demonstrating a role of some of these nutrients in human health, (2) a dearth of studies designed specifically to estimate average requirements in presumably healthy humans, (3) a lack of data on the nutrient needs of infants, children, adolescents, the elderly, and pregnant women, (4) a lack of studies to determine the role of these nutrients in reducing the risk of certain chronic diseases, and (5) a lack of studies designed to detect adverse effects of chronic high intakes of these nutrients.

Highest priority is given to research that has the potential to prevent or retard human disease processes and to prevent deficiencies with functional consequences. The following four areas for research were assigned the highest priority (other research recommendations are found at the ends of Chapters 4 through 13):

  • studies to identify and further understand the functional (e.g., cognitive function, regulation of insulin, bone health, and immune function) and biochemical endpoints that reflect sufficient and insufficient body stores of these micronutrients;

  • studies to further identify and quantify the effect of interactions between nutrients and interactions between micronutrients and

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584
Front Matter (R1-R24)
Summary (1-28)
1 Introduction to Dietary Reference Intakes (29-43)
2 Overview and Methods (44-59)
3 A Model for the Development of Tolerable Upper Intake Levels (60-81)
4 Vitamin A (82-161)
5 Vitamin K (162-196)
6 Chromium (197-223)
7 Copper (224-257)
8 Iodine (258-289)
9 Iron (290-393)
10 Manganese (394-419)
11 Molybdenum (420-441)
12 Zinc (442-501)
13 Arsenic, Boron, Nickel, Silicon, and Vanadium (502-553)
14 Uses of Dietary Reference Intakes (554-579)
15 A Research Agenda (580-586)
Appendix A Origin and Framework of the Development of Dietary Reference Intake (587-590)
Appendix B Acknowledgments (591-593)
Appendix C Dietary Intake Data from the Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994 (594-643)
Appendix D Dietary Intake Data from the Continuing Survey of Food Intakes by Individuals (CSFII), 1994-1996 (644-653)
Appendix E Dietary Intake Data from the U.S. Food and Drug Administration Total Diet Study, 1991-1997 (654-673)
Appendix F Canadian Dietary Intake Data, 1990 (674-679)
Appendix G Biochemical Indicators for Iron, Vitamin A, and Iodine from the Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994 (680-691)
Appendix H Comparison of Vitamin A and Iron Intake and Biochemical Indicators from the Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994 (692-696)
Appendix I Iron Intakes and Estimated Percentile of the Distribution of Iron Requirements from the Continuing Survey of Food Intakes by Individuals (CSFII), 1994-1996 (697-703)
Appendix J Glossary and Acronyms (704-708)
Appendix K Conversion of Units (709-709)
Appendix L Options for Dealing with Uncertainties (710-714)
Appendix M Biographical Sketches of Panel and Subcommittee Members (715-728)
Index (729-769)
Summary Table, Dietary Reference Intakes: Recommended Intakes for Individuals, Vitamins (770-771)
Summary Table, Dietary Reference Intakes: Recommended Intakes for Individuals, Elements (772-773)