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

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. "Appendix D: Assessing the Performance of the EAR Cut-Point Method for Estimating Prevalence." 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

In Figure D-18, again the three curves represent the three different values of the EAR, but now the correlation between intakes and requirements was fixed at 0.7. Referring back to Figure D-14 and Figure D-16, one can see that as the value of SDr increases, the true prevalence first decreases and then increases. This is a result of the pattern of overlapping the requirements and intake distributions. The biases in the estimates of prevalence shown in Figure D-18 follow the same pattern. It is important to notice that the EAR cut-point estimate of prevalence does not track the changes in true prevalence as the SDr varies, and thus produces biased estimates.

In summary, violating the assumption requiring that the variance of requirements be smaller than the variance of intakes is likely to have a noticeable impact on the reliability of the prevalence estimate. To date, suggested estimates of the variance of requirements for most nutrients are smaller than those calculated for intakes. In principle, therefore, one need not worry about potential violations of this assumption. A situation in which the variance of intake may become small relative to the variance of requirements is for institutionalized

FIGURE D-18 Effect of the standard deviation of requirement (SDr) on bias of the estimated prevalence of inadequate intakes using the Estimated Average Requirement (EAR) cut-point method for 10 values of the SDr. For all values of the SDr, mean intake = 90, SD of intake = 30, and correlation between intake and requirement = 0.7. The EAR was set at 55 units (solid line with dots), 70 units (dotted line with stars) and 90 units (dashed line with squares).

Page
228
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)