Dietary Reference Intakes: Applications in Dietary Assessment

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Since 1994 the Institute of Medicine's Food and Nutrition Board has been involved in developing an expanded approach to developing dietary reference standards. This approach, the Dietary Reference Intakes (DRIs), provides a set of four nutrient-based reference values designed to replace the Recommended Dietary Allowances (RDAs) in the United States and the Recommended Nutrient Intakes (RNIs) in Canada. These reference values include Estimated Average Requirement (EAR), Recommended Dietary Allowance (RDA), Adequate Intake (AI), and Tolerable Upper Intake Level (UL). To date, several volumes in this series have been published. This new book, Applications in Dietary Assessment, provides guidance to nutrition and health research professionals on the application of the new DRIs. It represents both a "how to" manual and a "why" manual. Specific examples of both appropriate and inappropriate uses of the DRIs in assessing nutrient adequacy of groups and of individuals are provided, along with detailed statistical approaches for the methods described. In addition, a clear distinction is made between assessing individuals and assessing groups as the approaches used are quite different. Applications in Dietary Assessment will be an essential companion to any-or all-of the DRI volumes.

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Editorial Reviews

This report replaces the periodic revisions of the National Research Council's Recommended Dietary Allowances (RDA). The new Dietary Reference Intakes (DRIs) are quantitative estimates of nutrient intakes to be used in assessing and planning diets for healthy people. This work provides statistical and theoretical underpinnings for using DRIs in assessing dietary intake, offers guidance to nutrition and health research professionals for applications of the DRIs in dietary assessment of individuals and groups, and gives many examples to demonstrate the application of each of the DRIs. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780309073110
  • Publisher: National Academies Press
  • Publication date: 4/30/2001
  • Pages: 306
  • Product dimensions: 6.18 (w) x 9.22 (h) x 1.01 (d)

Table of Contents

Summary 1
I Historical Perspective and Background 19
1 Introduction and Background 21
2 Current Uses of Dietary Reference Standards 29
II Application of DRIs for Individual Diet Assessment 43
3 Using Dietary Reference Intakes for Nutrient Assessment of Individuals 45
III Application of DRIs for Group Diet Assessment 71
4 Using the Estimated Average Requirement for Nutrient Assessment of Groups 73
5 Using the Adequate Intake for Nutrient Assessment of Groups 106
6 Using the Tolerable Upper Intake Level for Nutrient Assessment of Groups 113
7 Specific Applications: Assessing Nutrient Intakes of Groups Using the Dietary Reference Intakes 127
IV Fine-Tuning Dietary Assessment Using the DRIs 145
8 Minimizing Potential Errors in Assessing Group and Individual Intakes 147
9 Research Recommended to Improve the Uses of Dietary Reference Intakes 162
10 References 168
App. A Origin and Framework of the Development of Dietary Reference Intakes 179
App. B Nutrient Assessment of Individuals: Statistical Foundations 185
App. C Assessing Prevalence of Inadequate Intakes for Groups: Statistical Foundations 203
App. D Assessing the Performance of the EAR Cut-Point Method for Estimating Prevalence 211
App. E Units of Observation: Assessing Nutrient Adequacy Using Household and Population Data 232
App. F Rationale for Setting Adequate Intakes 239
App. G Glossary and Abbreviations 254
App. H Biographical Sketches of Subcommittee Members 262
Index 267
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