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

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. "Summary." 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

sample sizes. For nutrients with an Adequate Intake (AI) for age groups older than infants, new research and data that allow replacement of the AIs with EARs and RDAs will greatly aid the assessment of nutrient adequacy. In addition, information on the distribution of requirements is needed so that the appropriate method for assessing the prevalence of inadequacy for groups can be determined (EAR cut-point method vs. full probability approach).

Research should be undertaken to allow Tolerable Upper Intake Levels (ULs) to be set for all nutrients and to generate information on ways to identify and conceptualize the risk of exceeding the UL.

Research to Improve the Quality of Dietary Intake Data

The estimation and amelioration of bias (such as under- or over-reporting of food intake) is a relatively unexplored field. Efforts in the management of bias during data analysis are very preliminary and far from satisfactory at present. This is seen as a high priority area waiting for new initiatives and innovative approaches.

Advances in behavioral research to determine why people underreport food intake would allow development of improved dietary data collection tools that would not trigger this behavior. Such information would also help in the derivation of statistical tools to correct the bias associated with this phenomenon.

Better ways to quantify the intake of supplements are needed. A large proportion of the population in the United States and Canada consumes dietary supplements. Using intakes only from food sources in dietary assessment is certain to result in a faulty estimate of nutrient inadequacy, as well as inaccurate estimates of the percentage of the population with intakes above the UL.

Food composition databases will need to be updated to include the forms and units that are specified by the DRIs. Chemical methodology to facilitate analysis of various forms of certain nutrients (e.g., α-tocopherol vs. γ-tocopherol) may be required for comparison to the DRIs.

Research to Improve Statistical Methods for Using DRIs to Assess Intakes of Groups

Methods for developing standard errors for prevalence estimates should be investigated. Some sources of variance (primarily associated with intake data) can currently be quantified but many (such as those associated with requirement estimates) cannot. Without a standard error estimate, it is not possible to determine if an esti-

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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)