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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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. "14 A Research Agenda." 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

of folate to cause adverse effects, efforts are needed to improve methods to detect and correct vitamin B12 deficiency before adverse hematological or neurological changes occur and to determine the prevalence of vitamin B12 deficiency.

THE RESEARCH AGENDA

The Standing Committee on the Scientific Evaluation of Dietary Reference Intakes agreed to assign highest priority to research that has potential to prevent or retard human disease processes and to prevent deficiencies with functional consequences. The following five areas for research were assigned the highest priority:

  • Studies to provide the basic data for constructing risk curves and benefit curves across the exposures to food folate and to folate added to foods and taken as a supplement. Such studies would provide estimates of the risk of developing neural tube defects, vascular disease, and neurological complications in susceptible individuals consuming different levels of folate.

  • Studies of the magnitude of effect of folate, vitamin B6, vitamin B12, and related nutrients for the prevention of vascular disease and of possible mechanisms for the influence of genetic variation.

  • Studies to overcome the methodological problems in the analysis of folate. This includes the development of sensitive and specific indicators of deficiency and the development of practical, improved methods for analyzing the folate content of foods and determining its bioavailability.

  • Studies to develop economical, sensitive, and specific methods for assessing the prevalence, causes, and consequences of vitamin B12 malabsorption and deficiency and for preventing and treating these conditions.

  • Studies of how folate and related nutrients influence normal cellular differentiation and development, including embryogenesis and neoplastic transformation.

Although data are not sufficient for deriving a Tolerable Upper Intake Level (UL) for most of the B vitamins and additional research is required on the adverse effects of B vitamins and choline, it was concluded that higher priority should be given to the areas listed above because of relatively low expectation of adverse effects or toxicity.

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442
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)