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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 3-4 Illustration of the Computations Necessary to Test Whether an Individual 's Usual Intake of Phosphorus Is Below the Tolerable Upper Intake Level (UL) 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

3.8 g

3.8 g

3.8 g

SD of intakeb

0.4 g

0.5 g

0.6 g

UL for phosphorusc

4.0 g

4.0 g

4.0 g

z-Values = (mean intake − UL)/(SD/square root [n])

1 d of intake

−0.49

−0.39

−0.32

3 d of intake

−0.84

−0.68

−0.56

7 d of intake

−1.29

−1.03

−0.85

Percentage confidence that the woman's usual intake is below the ULd

1 d of intake

69

65

63

3 d of intake

80

75

71

7 d of intake

90

85

80

NOTE: The confidence with which one can conclude that usual intake is below the UL decreases when the number of days of daily intake records for the individual decreases or when the SD of daily intakes increases.

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

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

c Tolerable Upper Intake Level 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.

phorous intakes associated with high energy expenditure). The UL for phosphorus has been determined to be 4.0 g/day, and the SD of phosphorous intake, from CSFII, is 0.41 g. Given that her observed mean intake is below the UL, can we conclude with desired assurance that her usual intake of phosphorus is below the UL and that she is not at potential risk of adverse health effects? Again, situations are shown with 1, 3, and 7 days of intake data.

From the example in Table 3-4, it can be seen that even when observed mean intake is less than the UL, sometimes it cannot be concluded with desired accuracy that usual intake is also below the UL. When only one day of intake data is available for the individual, one would have only between 63 and 69 percent (depending on the SD of daily intake) confidence in concluding that her intake of 3.8 g

Page
64
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)