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

### Citation Manager

. "Appendix B: Nutrient Assessment of Individuals: Statistical Foundations." Dietary Reference Intakes: Applications in Dietary Assessment. Washington, DC: The National Academies Press, 2000.

 Page 190

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DRI DIETARY REFERENCE INTAKES: Applications in Dietary Assessment

TABLE B-1 Values for the Ratio D/SDD and Corresponding Probability of Correctly Concluding that Usual Intake Is Adequate or Inadequate

and is only approximate. The assumptions that are implicit in the criterion include:

1. The distribution of daily intakes Y around the mean intake is approximately normal, or at least symmetrical, for the individual. Any nutrient with a skewed distribution of daily intakes would not satisfy this assumption, such as those nutrients in Table B-2, Table B-3, Table B-4 through Table B-5 with a CV larger than about 60 to 70 percent.

2. The distribution of requirements in the group is approximately normal.

3. The daily intake Y accurately reflects the individual's true intake of the nutrient for the day.

4. A reliable estimate of the day-to-day variability in intake for the individual is available.

5. Intakes are independent of requirements.

In probabilistic terms, the value of 1 for the ratio D/SDD corresponds to an approximate 0.15 p-value for the test of the hypothesis that y > ρ. That is, when it is concluded that intake is adequate, there is approximately an 85 percent chance of reaching the correct conclusion and approximately a 15 percent chance of making a mistake (erroneously concluding that intake is adequate). Because the criterion is formulated on this probabilistic basis, the level of

 Page 190
 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)