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

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. "8 Applications of Dietary Reference Intakes for Electrolytes and Water." 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

observed for a large number of days and are at the RDA, or observed intakes for fewer days are well above the RDA, should one have a high level of confidence that the intake is adequate. Such considerations are not applicable in the case of energy intake, which should match energy expenditure in individuals maintaining desirable body weight.

Using the Adequate Intake for Assessment of Individuals

Adequate Intakes (AIs) have been set for all nutrients discussed in this report for all life stage and gender groups, with the exception of sulfate. Equations that can be used to estimate the degree of confidence that an individual’s usual intake meets or exceeds the AI have been developed (IOM, 2000). Usual individual intakes that are equal to or above the AI can be assumed to be adequate. However, the likelihood of inadequacy of usual intakes below the AI cannot be determined. For example, an adult with a usual potassium intake of 5 g/day could be assessed as having an adequate intake since intake exceeds the AI of 4.7 g/day. However, no conclusions regarding the adequacy of an intake of 3.5 g/day (i.e., below the AI) can be made since, by definition, when an AI is set there is insufficient information about the distribution of requirements. Accordingly, whether an intake below the AI meets an individual’s requirement cannot be assessed since the requirement distribution is not known.

Using the Tolerable Upper Intake Level for Assessment of Individuals

The Tolerable Upper Intake Level (UL) is used to examine the possibility of over-consumption of a nutrient. Equations have been developed to determine the degree of confidence that an individual’s estimated intake is actually below the UL (IOM, 2000). If an individual’s usual nutrient intake remains below the UL, there is little risk of the identified adverse effect occurring from excessive intake. At chronic intakes above the UL, the potential for risk of adverse effects increases. However, the intake at which a given individual will develop the adverse effects associated with taking large amounts of one or more nutrients is not known with certainty. In this report, a UL has been established only for sodium. However, there is no established benefit to almost all healthy individuals who chronically consume amounts of nutrients that exceed the AI; it should be noted that acute adverse effects, which should be avoided,

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452
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)