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

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. "4 Using the Estimated Average Requirement for Nutrient Assessment of Groups." 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

ment error model establishes that, in the transformed scale, the nutrient intake observed for an individual on a day is a deviation from that individual's usual intake of the nutrient. That is,

(transformed) observed intake = usual intake + deviation from usual intake.

The simple model above is called a measurement error model (Fuller, 1987), because it states that observed intakes measure usual intakes with error. Measurement error, in a statistical sense, denotes a (random) deviation from a variable of interest—in this case the usual intake. The error is modeled as a random variable with zero mean and with a variance that reflects the day-to-day variability in intakes.

The adjustment described by the NRC method is relatively straightforward to implement, once the magnitude of the day-to-day variation in intake has been determined for the group. After any necessary transformations to ensure normality, the difference between each person's intake and the mean intake of the group is multiplied by the ratio of day-to-day variation to the total variation, and then added back to the mean intake for the group. These adjusted intakes can then be transformed back to the original scale, as appropriate, and used for further analyses.

In the NRC method the variance of the measurement error was assumed to be constant across individuals. This means that the NRC method establishes that the day-to-day variability in intakes is constant across individuals. A more general version of this basic method developed at ISU by Nusser and colleagues (1996) does not require the measurement error variance to be constant across individuals.

The Iowa State University Method to Adjust Intake Distributions

In general, the statistical method developed at ISU (Nusser et al., 1996) elaborates on the NRC method and produces estimates of usual intake distributions with good statistical properties. Details about the procedure can be found elsewhere (Guenther et al., 1997; Nusser et al., 1996). The following example illustrates how its use can affect the conclusions drawn when a dietary survey is used to assess intakes for a group.

How large a sample size, and what proportion of replicate observations are needed for the ISU method of estimating usual nutrient intake distributions? An exact answer to this question is difficult to provide. Regarding actual sample size, the performance of the ISU method improves as sample size increases; small sample sizes of

Page
98
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)