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Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate (2005)
Food and Nutrition Board (FNB)

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. "Summary." Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. Washington, DC: The National Academies Press, 2005.

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Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate

Type of Use

For an Individuala

For a Groupb

Planning

RDA: aim for this intake.

EAR: use to plan an intake distribution with a low prevalence of inadequate intakes.

 

AIc: aim for this intake.

AIc: use to plan mean intakes.

 

UL: use as a guide to limit intake; chronic intake of higher amounts may increase the potential risk of adverse effects.

UL: use to plan intake distributions with a low prevalence of intakes potentially at risk of adverse effects.

RDA = Recommended Dietary Allowance

EAR = Estimated Average Requirement

AI = Adequate Intake

UL = Tolerable Upper Intake Level

a Evaluation of true status requires clinical, biochemical, and anthropometric data.

b Requires statistically valid approximation of distribution of usual intakes.

c For the nutrients in this report, AIs are set for all age groups for water, potassium, and sodium (and chloride on an equimolar basis to sodium). The AI may be used as a guide for infants as it reflects the average intake from human milk. Infants consuming formulas with the same nutrient composition as human milk are consuming an adequate amount after adjustments are made for differences in bioavailability. In the context of assessing groups, when the AI for a nutrient is not based on mean intakes of a healthy population, this assessment is made with less confidence. The use of other DRIs (the Estimated Energy Requirement [EER] and the Acceptable Macronutrient Distribution Range [AMDR]) are described in another report in this series (IOM, 2002/2005).

hypertension—while a multifactoral diagnosis, hypertension is causally related to increased sodium intake.

RESEARCH RECOMMENDATIONS

Three major types of information gaps were noted: (1) a paucity of data for estimating average requirements for electrolytes and water in presumably healthy humans; (2) an even greater dearth of

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Front Matter (R1-R20)
Summary (1-20)
1 Introduction to Dietary Reference Intakes (21-36)
2 Overview and Methods (37-49)
3 A Model for the Development of Tolerable Upper Intake Levels (50-72)
4 Water (73-185)
5 Potassium (186-268)
6 Sodium and Chloride (269-423)
7 Sulfate (424-448)
8 Applications of Dietary Reference Intakes for Electrolytes and Water (449-464)
9 A Research Agenda (465-470)
Appendix A: Glossary and Acronyms (471-476)
Appendix B: Origin and Framework of the Development of Dietary Reference Intakes (477-484)
Appendix C: Predictions of Daily Water and Sodium Requirements (485-493)
Appendix D: U.S. Dietary Intake Data from the Third National Health and Nutrition Examination Survey, 1988–1994 (494-517)
Appendix E: U.S. Dietary Intake Data for Water and Weaning Foods from the Continuing Survey of Food Intakes by Individuals, 1994–1996, 1998 (518-526)
Appendix F: Canadian Dietary Intake Data for Adults from Ten Provinces, 1990–1997 (527-533)
Appendix G: U.S. Water Intake and Serum Osmolality Data from the Third National Health and Nutrition Examination Survey, 1988–1994 (534-536)
Appendix H: U.S. Total Water Intake Data by Frequency of Leisure Time Activity from the Third National Health and Nutrition Examination Survey, 1988–1994 (537-545)
Appendix I: Dose-Response Effects of Sodium Intake on Blood Pressure (546-557)
Appendix J: Serum Electrolyte Concentrations NHANES III, 1988-94 (558-563)
Appendix K: Options for Dealing with Uncertainties (564-568)
Appendix L: Acknowledgments (569-571)
Appendix M: Biographical Sketches of Panel Members (572-576)
Index (577-618)