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

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. "1 Introduction and Background." 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
ORGANIZATION OF THE REPORT

This report is organized to take the user step-by-step through methodology for using the Dietary Reference Intakes (DRIs) to assess the adequacy of nutrient intakes. An overview of the concept of using dietary reference standards along with the identification of their past uses (specifically the former Recommended Dietary Allowances [RDAs] and Recommended Nutrient Intakes [RNIs]) is presented in Chapter 2.

Chapter 3 describes how DRIs can be used for assessing the apparent nutrient adequacy of individuals, and includes a discussion of obtaining and interpreting information on individual intakes and the effect of the large within-person variation. Examples of specific applications are also provided.

Chapter 4 provides the statistical basis for the use of the Estimated Average Requirement (EAR) in assessing nutrient adequacy of groups. The chapter begins with a basic discussion of the concept of assessing the prevalence of inadequate nutrient intakes and then develops the statistical approaches for estimating this prevalence. Assumptions required for the use of the statistical models are discussed, as is the need for adjusting intake distributions.

In Chapter 5, the focus is on group-level assessment of nutrient adequacy using the Adequate Intake (AI). Chapter 6 provides guidance on the extent to which the Tolerable Upper Intake Level (UL) can be used to estimate the prevalence of potential risk for adverse effects in groups.

Specific guidance with examples on appropriate applications of the DRIs for group assessment purposes is provided in Chapter 7— the methodological approaches described in Chapter 4, Chapter 5 and Chapter 6 are applied to some of the specific uses of dietary reference standards reported in Chapter 2. Three specific applications are presented and discussed.

A brief description of limitations in the measurement of intakes and requirements, and the importance of accurate sampling techniques are highlighted in Chapter 8. Chapter 9 provides recommendations for research needed to improve and refine nutrient assessments.

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28
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)