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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

clude that the intervention was associated with a statistically significant decrease in the prevalence of inadequacy. If the standard deviations are large (e.g., 10 percent), then one could not conclude that the 7 percent decrease was significant or that the intervention worked.

Finally, the part of the intake distribution being assessed affects the error associated with the estimate. Values in the tail of the distribution are harder to estimate (i.e., estimates are less precise) than values in the center of a distribution (such as means or medians). Thus, estimating prevalence of inadequacy of a nutrient is expected to be less precise for nutrients for which prevalence of inadequacy in the group is very low or very high (e.g., 5 or 95 percent) compared with nutrients for which prevalence of inadequacy is towards the center of the distribution (e.g., 30 to 70 percent) for the same sampling design and same estimation method.

SUMMARY

Users of the Dietary Reference Intakes (DRIs) have many opportunities to minimize errors when assessing group and individual intakes. This chapter has focused on ways to increase the accuracy of both the requirement estimates (by considering the specific characteristics of the individual or the population) and the intake estimates (by ensuring that dietary data are complete, portions are correctly specified, and food composition data are accurate) and the importance of an appropriate sampling plan for group intakes.

Although users of the DRIs should strive to minimize errors, perfection usually is not possible or necessary. Comparing high-quality intake data with tailored requirement data to assess intakes is a meaningful undertaking and can, at a minimum, identify nutrients likely to be either under- or overconsumed by the individual or the group of interest.

Page
161
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)