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Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride (1997)
Institute of Medicine (IOM)

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. "9 Uses of Dietary Reference Intakes." Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington, DC: The National Academies Press, 1997.

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DRI DIETARY REFERENCE INTAKES FOR Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride

TABLE 9-1 Adjusted and Unadjusted Phosphorus Intakes (mg/day) of Young Women and Adolescent Boys in the United States

     

Percentile

Category

Mean

SEb

5th

10th

25th

50th

75th

90th

95th

Females 20–29a (n = 272)

                 

Unadjusted

1,098

54

342

465

694

1,041

1,376

1,722

2,066

Adjusted

1,097

61

703

780

917

1,080

1,259

1,436

1,551

Males 12–19 (n = 286)

                 

Unadjusted

1,619

53

565

745

1,077

1,416

1,932

2,610

3,350

Adjusted

1,612

54

976

1,091

1,300

1,564

1,871

2,194

2,413

a Females include pregnant and lactating women.

b Standard error of the mean.

SOURCE: One-day unadjusted intake data from the 1994 CSFII, providedby USDA/ARS Food Survey Research Group, 1996. The data have beenadjusted using the method developed by Nusser et al. (1996).

Table 9-1 illustrates the importance of adjusting distributions before calculating intake percentiles for groups. The means and seven percentiles of intakes of phosphorus from the 1994 CSFII are shown for teenage boys and for young women, with and without adjustment for usual intake using the Nusser et al. procedure (1996). If unadjusted 1-day intake data are used to estimate the prevalence of inadequate phosphorus intakes for young women, the actual prevalence of usual intakes below an EAR of 580 mg (18.7 mmol)/day will be overestimated. As shown in Table 9-1, between 10 and 25 percent of 1-day intakes fall below 580 mg (18.7 mmol)/day, while less than 5 percent of the adjusted intakes are below the EAR. For teenage boys, less than 10 percent would have inadequate intakes using the adjusted distribution and an EAR of 1,055 mg (34 mmol)/day, while almost 25 percent would have inadequate intakes if only the unadjusted distribution were examined.

The adjustment procedure is also crucial when examining the percentage of the population that is above the UL. Using an unadjusted distribution for adolescent boys, 5 percent of the population would have phosphorus intakes above 3,350 mg (108.1 mmol)/day, a level that is approaching the UL of 4,000 mg (129 mmol)/day. This might be considered unacceptably high unless the adjusted

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