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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

TABLE B-5 Estimates of Within-Subject Variation in Intake, Expressed as Standard Deviation (SD)a and Coefficient of Variation (CV) for Macronutrients and Cholesterol in Adolescents and Children

Nutrientb

Adolescents Ages 9–18 y

Children Ages 4–8 y

 

Females

(n = 1,002)

Males

(n = 998)

Females

(n = 817)

Males

(n = 833)

   

CV

 

CV

 

CV

 

CV

 

SD

(%)

SD

(%)

SD

(%)

SD

(%)

Energy (kcal)

628

34

800

33

427

27

478

27

Fat (total, g)

29.8

45

38.2

42

21.3

37

23.9

37

Fat (saturated, g)

11.3

48

15.3

48

8.5

40

9.6

40

Fat (mono-unsaturated, g)

12.4

48

15.5

44

8.6

39

9.9

41

Fat (poly-unsaturated, g)

7.3

60

8.7

55

5.1

52

5.5

52

Carbohydrate (g)

88.1

35

113

35

61.7

29

70.8

30

Protein (g)

26.2

42

33.9

39

19.2

34

20.4

33

Fiber (g)

6.2

51

8.7

56

4.6

43

5.3

45

Cholesterol (mg)

145

72

199

71

129

70

137

66

NOTE: When the CV is larger than 60 to 70 percent the distribution of daily intakes is nonnormal and the methods presented here are unreliable.

a Square root of the residual variance after accounting for subject, and sequence of observation (gender and age controlled by classifications).

b Nutrient intakes are for food only, data does not include intake from supplements.

SOURCE: Data from Continuing Survey of Food Intakes by Individuals1994–1996.

  • , the mean of n days of intake for the individual;

  • SDwithin, the day-to-day standard deviation of the individual's intake for the nutrient;

  • EAR, the median nutrient requirement; and

  • SDr, the standard deviation of requirements in the group.

For nutrients that do not have an EAR, this approach cannot be used. (Guidance on how to assess an individual's usual intake by comparing it to the Adequate Intake [AI] is provided later in this appendix.) When an EAR for the nutrient is provided in a DRI report, the standard deviation of requirements is also available in the form of a coefficient of variation of requirement or percentage of the EAR. In most cases, it is assumed to be 10 percent.

The day-to-day standard deviation in intakes is harder to deter-

Page
194
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)