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

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. "Appendix B: Nutrient Assessment of Individuals: Statistical Foundations." 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
  1. The mean of n days of intake of the nutrient by the individual, , is the best estimate for y, the individual's usual intake. The day-to-day variation in intake for a given individual, also referred to as the within-person standard deviation of daily intakes, SDwithin, is proportional to the uncertainty about the accuracy of as an estimate of y. The mean () will be a reliable estimate of the usual intake y when the number of intake days n from which the mean was computed is large or when the SDwithin is low. If an individual eats the same diet day after day, then the day-to-day variability in intakes for that individual would be very low, and one or two days of intake information might be sufficient to precisely estimate that individual's usual intake of the nutrient. Conversely, a large number n of dietary intake observations is needed to estimate the usual intake of a nutrient for an individual whose diet is variable from one day to the next.

It is implicitly assumed that food intake can be measured accurately in terms of quantity of food and food composition. Therefore, results from individual assessments should be interpreted with caution and where possible, should be combined with other interpretive data.

Thus the following statements can be made:

If y > ρ, then the individual's usual intake of the nutrient is adequate.

If y < ρ, then the individual's usual intake of the nutrient is inadequate.

Because neither y nor ρ is observed, and r must be used instead. Inferences about the adequacy of the individual 's diet can be made by looking at the observed difference (D), where

D = r.

Intuitively, if D is large and positive, it is likely that the true difference yρ is also large and that the individual's diet is adequate. Conversely, if D is a large negative number, then it is likely that ρ is larger than y and that the individual's intake is not adequate. The obvious question to be posed is, How large would D have to be before it can be concluded, with some degree of assurance, that the unobservable usual intake is larger than the unobservable requirement?

Page
187
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)