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

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. "3 Using Dietary Reference Intakes for Nutrient Assessment of Individuals." 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 3-2 Illustration of the Computations Necessary to Test Whether Usual Intake Is Above the Adequate Intake (AI) for Different Numbers of Days of Observed Intake for a Woman 40 Years of Age

 

Using SD from CSFIIa

If SD is 25 Percent Larger

If SD is 50 Percent Larger

Mean intake

1,200 mg

1,200 mg

1,200 mg

SD of intakeb

325 mg

406 mg

488 mg

AI for calciumc

1,000 mg

1,000 mg

1,000 mg

z-Values = (mean intake – AI)/(SD/square root [n])

1 d of intake

0.61

0.49

0.41

3 d of intake

1.07

0.85

0.71

7 d of intake

1.69

1.30

1.08

Percentage confidence that the woman's usual intake exceeds the AId

1 d of intake

73

69

66

3 d of intake

86

80

76

7 d of intake

95

90

86

NOTE: The confidence with which one can conclude that usual intake is greater than the AI decreases when the number of days of daily intake records for the individual decreases, or when the SD of daily intake increases.

a SD = standard deviation; CSFII = Continuing Survey of Food Intake by Individuals,

b SD of calcium intake for women 19 through 50 years of age taken from CSFII (Appendix Table B-2).

c Adequate Intake for women 31 through 50 years of age.

d Confidence values were taken from a standard z-table (Snedecor and Cochran, 1980). The z-table is used because the SD of daily intake is assumed to be known (e.g., from CSFII), and is not computed from the woman's daily observations.

intake records and different SDs of daily intake for calcium were assumed. For each case, the confidence with which one would conclude that her usual intake is above the AI was calculated and is shown in the table.

If one can conclude that in fact usual intake appears to be larger than the AI with desired accuracy, then there is considerable assurance that the individual's intake is adequate. However, if the test does not result in the conclusion that usual intake is larger than the AI with the desired precision, then it cannot be inferred that intake is inadequate.

As discussed earlier, this approach is not appropriate when daily intakes for an individual are not approximately normally distributed.

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61
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)