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

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. "8 Minimizing Potential Errors in Assessing Group and Individual Intakes." 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

(Subar et al., 1994). Seasonally available local cultural food may affect seasonal and yearly average nutrient intakes (Kuhnlein et al., 1996; Receveur et al., 1997). The effects of seasonality on estimated nutrient intakes can be alleviated by a well-designed data collection plan.

Within-person variability also may include other nonrandom components (Tarasuk and Beaton, 1992), some of which may be related to sociocultural factors (e.g., intakes may differ between weekdays and weekend days) (Beaton et al., 1979; Van Staveren et al., 1982) and some of which is physiological (e.g., women's energy intakes vary across the menstrual cycle) (Barr et al., 1995; Tarasuk and Beaton, 1991a).

Illness and Eating Practices

Chronic illness affecting intakes of a part of the population is reflected in group dietary intakes and may bias the prevalence of inadequate intakes in what is assumed to be a normal, healthy population (Kohlmeier et al., 1995; McDowell, 1994; Van Staveren et al., 1994). Parasitism, eating disorders, and dieting—which may be prevalent in segments of a population—may affect food intake. Unlike dieting, illness presents a problem not only with regard to intake data but also in the assumptions underpinning the assessment of adequacy because the DRIs were established for normal, healthy populations.

Rapid Dietary Transition Including Effects of Interventions

Data may be biased by individuals whose dietary intakes are affected by rapidly changing life circumstances (such as migration or refugee status) or by successfully implemented nutrition intervention programs. Thus, it is important to consider how many affected individuals are included in the data sample (Crane and Green, 1980; Immink et al., 1983; Kristal et al., 1990, 1997; Yang and Read, 1996).

Consider the Unit of Observation (Individual, Household, or Population)

Data on nutrient intakes are sometimes collected for households rather than for individuals. When this is the case, the level of aggregation of the dietary data must be matched with an appropriate level of aggregation for the requirements. Appendix E discusses how requirement data may be aggregated at the household level. It

Page
156
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)