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Dietary Reference Intakes: Applications in Dietary Assessment (2000)
Institute of Medicine (IOM)

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. "6 Using the Tolerable Upper Intake Level for Nutrient Assessment of Groups." Dietary Reference Intakes: Applications in Dietary Assessment. Washington, DC: The National Academies Press, 2000.

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DRI DIETARY REFERENCE INTAKES: Applications in Dietary Assessment

How close are the Recommended Dietary Allowances (RDAs) and ULs?

There is no standard or definable mathematical relationship between the RDA and the UL. For some nutrients, the two values are widely separated (for example, the RDA for vitamin B6 for adult women is 1.3 mg/day, whereas the UL is 100 mg/day). In some cases the two standards cannot be compared directly because the UL is to be applied only to sources of the nutrient that are not naturally in foods (e.g., the UL for magnesium is only for intake from supplements).

Will we find out in a few years that the RDA and Adequate Intake (AI) are too low and that higher nutrient intakes are better to prevent specific diseases such as cancer?

As our ability to study the chronic effects of various levels of nutrient intakes on humans improves, our knowledge of the relationships between single nutrients and disease prevention will improve. As a result, suggested desirable intake may increase or decrease. Higher nutrient intakes may not be found to be better. In some clinical intervention trials, high doses of β-carotene being studied for cancer prevention were reported to actually increase the risk of lung cancer in long-term current smokers. This demonstrates that it is difficult to speculate about even the direction of an effect when an individual consumes high doses of a nutrient (those that greatly exceed the amounts found in foods).

Page
126
Front Matter (R1-R14)
Contents (R15-R18)
Summary (1-18)
I. Historical Perspective and Background (19-20)
1 Introduction and Background (21-28)
2 Current Uses of Dietary Reference Standards (29-42)
II. Application of DRIs for Individual Diet Assessment (43-44)
3 Using Dietary Reference Intakes for Nutrient Assessment of Individuals (45-70)
III. Application of DRIs for Group Diet Assessment (71-72)
4 Using the Estimated Average Requirement for Nutrient Assessment of Groups (73-105)
5 Using the Adequate Intake for Nutrient Assessment of Groups (106-112)
6 Using the Tolerable Upper Intake Level for Nutrient Assessment of Groups (113-126)
7 Specific Applications: Assessing Nutrient Intakes of Groups Using the Dietary Reference Intakes (127-144)
IV. Fine-Tuning Dietary Assessment Using the DRIs (145-146)
8 Minimizing Potential Errors in Assessing Group and Individual Intakes (147-161)
9 Research Recommended to Improve the Uses of Dietary Reference Intakes (162-167)
10 References (168-178)
Appendix A: Origin and Framework of the Development of Dietary Reference Intakes (179-184)
Appendix B: Nutrient Assessment of Individuals: Statistical Foundations (185-202)
Appendix C: Assessing Prevalence of Inadequate Intakes for Groups: Statistical Foundations (203-210)
Appendix D: Assessing the Performance of the EAR Cut-Point Method for Estimating Prevalence (211-231)
Appendix E: Units of Observation: Assessing Nutrient Adequacy Using Household and Population Data (232-238)
Appendix F: Rationale for Setting Adequate Intakes (239-253)
Appendix G: Glossary and Abbreviations (254-261)
Appendix H: Biographical Sketches of Subcommittee Members (262-266)
Index (267-281)
Summary Table: Estimated Average Requirements (282-283)
Summary Table: Tolerable Upper Intake Levels (284-286)
Summary Table: Recommended Intakes for Individuals (287-289)