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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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. "12 Choline." 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

No experimental data are available from which to calculate an AI for life stage groups other than adults as a whole.

Choline AI Summary, Ages 19 Years and Older

The AI for choline in all forms for men in all age groups is 550 mg and for women is 425 mg. It is not known whether women have the same requirement on a body weight basis as men, but this AI is likely to be adequate on the basis of the earlier discussion on gender. Although there is some evidence that transport across the blood-brain barrier is diminished in the elderly, which suggests the possibility of a higher requirement than for younger adults (Cohen et al., 1995), no adjustment has been made in the AI for the elderly.

AI for Men

19–30 years

550 mg/day of choline

31–50 years

550 mg/day of choline

51–70 years

550 mg/day of choline

> 70 years

550 mg/day of choline

AI for Women

19–30 years

425 mg/day of choline

31–50 years

425 mg/day of choline

51–70 years

425 mg/day of choline

> 70 years

425 mg/day of choline

Pregnancy

Evidence Considered in Setting the AI

The need for choline is probably higher for pregnant than for nonpregnant women on the basis of animal data. Pregnancy renders female rats as vulnerable to deficiency as males (Zeisel et al., 1995). During pregnancy in humans (Welsch 1978; Welsch et al., 1981), guinea pigs (Swiery and Yudilevich, 1985; Swiery et al., 1986; Yudilevich and Sweiry, 1985), and rats (Jorswieck, 1974) large amounts of choline are delivered to the fetus through the placenta. Transport of choline from mother to fetus depletes maternal stores of choline; the choline concentration of maternal liver fell from a mean of 130 µmol/L in adult nonpregnant rats to 38 µmol/L in late pregnancy (Gwee and Sim, 1978).

Choline availability during embryogenesis and perinatal development may be especially important. In rats fed adequate diets during pregnancy, postnatally, and at weaning, 1 mmol/day of extra dietary choline results in long-lasting enhancement of spatial memory

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404
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)