{"id":34,"date":"2019-12-12T12:59:43","date_gmt":"2019-12-12T17:59:43","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/humannutrition\/chapter\/understanding-daily-reference-intakes\/"},"modified":"2024-12-07T12:38:07","modified_gmt":"2024-12-07T17:38:07","slug":"understanding-daily-reference-intakes","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/humannutrition\/chapter\/understanding-daily-reference-intakes\/","title":{"raw":"Understanding Daily Reference Intakes","rendered":"Understanding Daily Reference Intakes"},"content":{"raw":"There are several tools that can help you design a healthy diet. You can get in the habit of reading food labels and rely on the advice of Canada's Food Guide. To better understand food labels and the nutrition facts tables, you must be familiar with the Dietary Reference Intakes (DRI). DRIs are the recommendation levels for specific nutrients and consist of a number of different types of recommendations. The aim of this value is to prevent and reduce the risk of developing chronic disease and promote optimal health.\r\n

Daily Reference Intakes: A Brief Overview<\/h1>\r\n\u201cDietary Reference Intakes\u201d (DRI) is an umbrella term for six reference values:\r\n

DRIs for most nutrients<\/h2>\r\n
    \r\n \t
  1. E<\/strong>stimated A<\/strong>verage R<\/strong>equirement (EAR)<\/li>\r\n \t
  2. R<\/strong>ecommended D<\/strong>ietary A<\/strong>llowance (RDA)<\/li>\r\n \t
  3. A<\/strong>dequate I<\/strong>ntake (AI)<\/li>\r\n \t
  4. Tolerable U<\/strong>pper Intake L<\/strong>evel (UL)<\/li>\r\n<\/ol>\r\nThe DRIs are not minimum or maximum nutritional requirements and are not intended to fit everybody. They are to be used as guides only for the majority of the healthy population.[footnote]Deng S, West BJ, Jensen CJ. A Quantitative Comparison of Phytochemical Components in Global Noni Fruits and Their Commercial Products. Food Chemistry. 2010; 122(1), 267\u201370. http:\/\/www.sciencedirect.com\/science\/article\/pii\/S0308814610001111. Accessed December 4, 2017.[\/footnote]\r\nThe DRIs are dietary standards for healthy people only; they are not appropriate for people who are ill or malnourished, even if they were healthy previously. They identify the amount of nutrient needed to prevent deficiency diseases in healthy individuals for a specific group (e.g., females aged 31-50), but also consider how much of this nutrient is required to reduce the risk of chronic diseases.\r\n

    DRIs for Energy and Macronutrients<\/h2>\r\n
      \r\n \t
    1. E<\/strong>stimated E<\/strong>nergy R<\/strong>equirement (EER)<\/li>\r\n \t
    2. A<\/strong>cceptable M<\/strong>acronutrient D<\/strong>istribution R<\/strong>ange (AMDR)<\/li>\r\n<\/ol>\r\n

      Determining Dietary Reference Intakes<\/h2>\r\nThere is a distinct difference between a requirement and a recommendation. For instance, the DRI for vitamin D is a recommended 600 international units each day. However, in order to find out your true personal requirements for vitamin D, a blood test is necessary. The blood test will provide an accurate reading from which a medical professional can gauge your required daily vitamin D amounts. This may be considerably more or less than the DRI, depending on what your level actually is.\r\n\r\nEach DRI value is derived in a different way. See below for an explanation of how each is determined:\r\n
        \r\n \t
      1. Estimated Average Requirements (EAR):<\/strong> The EAR for a nutrient is determined by a committee of nutrition experts. These experts review the scientific literature to determine a value that meets the requirements of 50 percent of people<\/strong> in their target group within a given life stage and for a particular sex. The requirements of half of the group will fall below the EAR and the other half will be above it. It is important to note that, for each nutrient, a specific bodily function is chosen as the criterion on which to base the EAR. For example, the EAR for calcium is set using a criterion of maximizing bone health. Thus, the EAR for calcium is set at a point that will meet the needs, with respect to bone health, of half of the population. EAR values become the scientific foundation upon which RDA values are set.<\/li>\r\n \t
      2. Recommended Daily Allowances (RDA): <\/strong>Once the EAR of a nutrient has been established, the RDA can be mathematically determined. While the EAR is set at a point that meets the needs of half the population, RDA values are set to meet the needs of the vast majority (97 to 98 percent)<\/strong> of the target healthy population. It is important to note that RDAs are not the same thing as individual nutritional requirements. The actual nutrient needs of a given individual will be different than the RDA. However, since we know that 97 to 98 percent of the population\u2019s needs are met by the RDA, we can assume that if a person is consuming the RDA of a given nutrient, they are most likely meeting their nutritional need for that nutrient. The important thing to remember is that the RDA is meant as a recommendation, and meeting the RDA means it is very likely that you are meeting your actual requirement for that nutrient.<\/li>\r\n \t
      3. Adequate Intake (AI): <\/strong>AIs are created for nutrients when there is insufficient consistent scientific evidence to set an EAR<\/strong> for the entire population. As with RDAs, AIs can be used as nutrient-intake goals for a given nutrient. For example, there has not been sufficient scientific research into the particular nutritional requirements for infants. Consequently, all of the DRI values for infants are AIs derived from nutrient values in human breast milk. For older babies and children, AI values are derived from human milk coupled with data on adults. The AI is meant for a healthy target group and is not meant to be sufficient for certain at-risk groups, such as premature infants.<\/span><\/li>\r\n \t
      4. Tolerable Upper Intake Levels (UL): <\/strong>The UL was established to help distinguish healthful and harmful nutrient intakes. Developed in part as a response to the growing usage of dietary supplements, ULs indicate the highest level of continuous intake of a particular nutrient that may be taken without causing health problems. When a nutrient does not have any known issue if taken in excessive doses, it is not assigned a UL. However, even when a nutrient does not have a UL, it is not necessarily safe to consume in large amounts.<\/li>\r\n<\/ol>\r\n[caption id=\"attachment_33\" align=\"aligncenter\" width=\"1024\"]\"EAR, Figure 1.3 DRI graph.[\/caption]\r\n\r\nThis graph illustrates the risks of nutrient inadequacy and nutrient excess as we move from a low intake of a nutrient to a high intake. Starting on the left side of the graph, you can see that when you have a very low intake of a nutrient, your risk of nutrient deficiency is high. As your nutrient intake increases, the chances that you will be deficient in that nutrient decrease. The point at which 50 percent of the population meets their nutrient need is the EAR, and the point at which 97 to 98 percent of the population meets their needs is the RDA. The UL is the highest level at which you can consume a nutrient without it being too much\u2014as nutrient intake increases beyond the UL, the risk of health problems resulting from that nutrient increases. [footnote]Source: Dietary Reference Intakes Tables and Application. The National Academies of Science, Engineering, and Medicine.\u00a0 Health and Medicine Division. http:\/\/nationalacademies.org\/HMD\/Activities\/Nutrition\/SummaryDRIs\/DRI-Tables.aspx. Accessed November 22, 2017.[\/footnote]\r\n

        DRIs for Energy and Macronutrients<\/h2>\r\n
          \r\n \t
        1. Estimated Energy Requirement (EER):<\/strong>\u00a0The EER is the average dietary energy intake that is predicted to maintain energy balance in healthy adults. This value is defined by a person's age, gender, weight, height and level of physical activity that is consistent with good health. See below for how to calculate your EER.<\/li>\r\n \t
        2. Acceptable Macronutrient Distribution Range<\/strong> (AMDR):<\/strong> The AMDR is the calculated range of how much energy from carbohydrates, fats, and protein is recommended for a healthy diet adequate of the essential nutrients and is associated with a reduced risk of chronic disease. The ranges listed in Table 1.4 \u201cAcceptable macronutrient distribution ranges (AMDR) for various age groups\u201d allow individuals to personalize their diets while taking into consideration that different subgroups in a population often require different requirements. The DRI committee recommends using the midpoint of the AMDRs as an approach to focus on moderation.[footnote]Dietary Reference Intakes Tables and Application. The National Academies of Science, Engineering, and Medicine.\u00a0 Health and Medicine Division. http:\/\/nationalacademies.org\/HMD\/Activities\/Nutrition\/SummaryDRIs\/DRI-Tables.aspx. Accessed November 22, 2017. [\/footnote]<\/span><\/li>\r\n<\/ol>\r\n
          \r\n\r\n\r\n\r\n\r\n\r\n\r\n
          Table 1.4: Acceptable macronutrient distribution ranges (AMDR) for various age groups<\/caption>\r\n
          Age Group<\/strong><\/td>\r\nCarbohydrates (%)<\/strong><\/td>\r\nProtein (%)<\/strong><\/td>\r\nFat (%)<\/strong><\/td>\r\n<\/tr>\r\n
          Children (1\u20133)<\/td>\r\n45\u201365<\/td>\r\n5\u201320<\/td>\r\n30\u201340<\/td>\r\n<\/tr>\r\n
          Children and Adolescents (4\u201318)<\/td>\r\n45\u201365<\/td>\r\n10\u201330<\/td>\r\n25\u201335<\/td>\r\n<\/tr>\r\n
          Adults (>19)<\/td>\r\n45\u201365<\/td>\r\n10\u201335<\/td>\r\n20\u201335<\/td>\r\n<\/tr>\r\n
          Data Source: (\"Dietary Reference Intakes,\" 2002)<\/span><\/span>[footnote]Source: Food and Nutrition Board of the Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids. http:\/\/www.nationalacademies.org\/hmd\/~\/media\/Files\/Activity%20Files\/Nutrition\/DRI-Tables\/8_Macronutrient%20Summary.pdf?la=en. Published 2002. Accessed November 22, 2017.[\/footnote]<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n \r\n\r\n<\/div>\r\n
          \r\n

          Example: Calculating an AMDR<\/h3>\r\n<\/header>\r\n
          \r\n\r\nMin, who is 25 years old, has recently calculated that they need to consume 2100 kcal per day. Based on this, how many kcal and grams of carbohydrates, fats and protein should they consume to fall within the recommended AMDR?\r\n