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DRI DIETARY REFERENCE INTAKES: Applications in Dietary Assessment
ued to assess the extent to which an incorrect model specification may affect the properties of prevalence estimates.
THE EAR CUT-POINT METHOD
The probability approach described in the previous section is simple to apply and provides unbiased and consistent estimates of the prevalence of nutrient inadequacy under relatively mild conditions (i.e., intake and requirement are independent, distribution of requirement is known). In fact, if intakes and requirements are independent and if the distributions of intakes and requirements are known, the probability approach results in optimal (in the sense of mean squared error) estimates of the prevalence of nutrient inadequacy in a group. However, application of the probability approach requires the user to choose a probability model (a probability distribution) for requirements in the group. Estimating a density is a challenging problem in the best of cases; when data are scare, it may be difficult to decide, for example, whether a normal model or a t model may be a more appropriate representation of the distribution of requirements in the group. The difference between these two probability models lies in the tails of the distribution; both models may be centered at the same median and both reflect symmetry around the median, but in the case of t with few degrees of freedom, the tails are heavier, and thus one would expect to see more extreme values under the t model than under the normal model. Would using the normal model to construct the risk curve affect the prevalence of inadequacy when requirements are really distributed as t random variables? This is a difficult question to answer. When it is not clear whether a certain probability model best represents the requirements in the population, a good alternative might be to use a method that is less parametric, that is, that requires milder assumptions on the t model itself. The Estimated Average Requirement (EAR) cut-point method, a less parametric version of the probability approach, may sometimes provide a simple, effective way to estimate the prevalence of nutrient inadequacy in the group even when the underlying probability model is difficult to determine precisely. The only feature of the shape of the underlying model that is required for good performance of the cut-point method is symmetry; in the example above, both the normal and the t models would satisfy the less demanding symmetry requirement and therefore choosing between one or the other becomes an unnecessary step.
The cut-point method is very simple: estimate prevalence of inad-