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Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (1998)
Institute of Medicine (IOM)

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. "Summary." Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington, DC: The National Academies Press, 1998.

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DRI Dietary Reference Intakes: For Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline

scientific considerations and judgments. The hallmark of the risk assessment model is the requirement to be explicit in all the evaluations and judgments made. Primarily as a result of database limitations, ULs are set for very broad age groups.

The UL values in Table S-2 for niacin, vitamin B6, folate, and choline were set to protect the most sensitive individuals in the general population (such as those light in weight).

The ULs for folate and niacin apply to forms obtained from supplements, fortified foods, or a combination of the two. As described in Chapter 8, the UL for folate is based on examination of case studies of progression of neurological effects in vitamin B12-deficient patients taking folate supplements.

Because of lack of suitable data, ULs could not be established for infants or for thiamin, riboflavin, vitamin B12, pantothenic acid, or biotin. This signifies a need for data. It does not signify that people can tolerate chronic intakes of these vitamins at levels exceeding the Recommended Dietary Allowance (RDA) or Adequate Intake

TABLE S-2 Tolerable Upper Intake Levels (ULsa), by Life Stage Group

Life Stage Group

Niacinb (mg/d)

Vitamin B6 (mg/d)

Folateb (µg/d)

Choline (g/d)

0 through 12 mo

NDc

ND

ND

ND

1 through 3 y

10

30

300

1.0

4 through 8 y

15

40

400

1.0

9 through 13 y

20

60

600

2.0

14 through 18 y

30

80

800

3.0

≥ 19 years

35

100

1,000

3.5

Pregnancy, ≤ 18 y

30

80

800

3.0

Pregnancy, ≥ 19 y

35

100

1,000

3.5

Lactation, ≤ 18 y

30

80

800

3.0

Lactation, ≥ 19 y

35

100

1,000

3.5

a UL = maximum level of daily nutrient intake that is likely to pose no risk of adverse effects. Unless otherwise specified, the UL represents total intake from food, water, and supplements. Because of the lack of suitable data, ULs could not be established for thiamin, riboflavin, vitamin B12, pantothenic acid, or biotin. In the absence of ULs, extra caution may be warranted in consuming levels above recommended intakes.

b The ULs for niacin and folate apply to forms obtained from supplements, fortified foods, or a combination of the two.

c ND: Not determinable because of lack of data for adverse effects in this age group and concern with regard to lack of ability to handle excess amounts. Source of intake to prevent high levels of intake should be from formula and food only.

Page
13
Front Matter (R1-R24)
Summary (1-16)
1 Introduction to Dietary Reference Intakes (17-26)
2 The B Vitamins and Choline: Overview and Methods (27-40)
3 A Model for the Development of Tolerable Upper Intake Levels (41-57)
4 Thiamin (58-86)
5 Riboflavin (87-122)
6 Niacin (123-149)
7 Vitamin B6 (150-195)
8 Folate (196-305)
9 Vitamin B12 (306-356)
10 Pantothenic Acid (357-373)
11 Biotin (374-389)
12 Choline (390-422)
13 Uses of Dietary Reference Intakes (423-436)
14 A Research Agenda (437-442)
A Origin and Framework of the Development of Dietary Reference Intakes (443-447)
B Acknowledgments (448-450)
C Système International d'Unités (451-452)
D Search Strategies (453-455)
E Methodological Problems Associated with Laboratory Values and Food Composition Data for B Vitamins (456-459)
F Dietary Intake Data from the Boston Nutritional Status Survey, 1981–1984 (460-465)
G Dietary Intake Data from the Continuing Survey of Food Intakes by Individuals (CSFII), 1994–1995 (466-477)
H Dietary Intake Data from the Third National Health and Nutrition Examination Survey (NHANES III), 1988–1994 (478-501)
I Daily Intakes of B Vitamins by Canadian Men and Women, 1990, 1993 (502-506)
J Options for Dealing with Uncertainties in Developing Tolerable Upper Intake Levels (507-511)
K Blood Concentrations of Folate and Vitamin B12 from the Third National Health and Nutrition Examination Survey (NHANES III), 1988–1994 (512-519)
L Methylenetetrahydrofolate Reductase (520-522)
M Evidence from Animal Studies on the Etiology of Neural Tube Defects (523-526)
N Estimation of the Period Covered by Vitamin B12 Stores (527-530)
O Biographical Sketches (531-536)
P Glossary and Abbreviations (537-540)
Index (541-567)