Dietary Reference Intakes: Applications in Dietary Planning

Front Cover

The Dietary Reference Intakes (DRIs) are quantitative estimates of nutrient intakes to be used for planning and assessing diets for apparently healthy people. This volume is the second of two reports in the DRI series aimed at providing specific guidance on the appropriate uses of the DRIs. The first report provided guidance on appropriate methods for using DRIs in dietary assessment. This volume builds on the statistical foundations of the assessment report to provide specific guidance on how to use the appropriate DRIs in planning diets for individuals and for groups.

Dietary planning, whether for an individual or a group, involves developing a diet that is nutritionally adequate without being excessive. The planning goal for individuals is to achieve recommended and adequate nutrient intakes using food-based guides. For group planning, the report presents a new approach based on considering the entire distribution of usual nutrient intakes rather than focusing on the mean intake of the group. The report stresses that dietary planning using the DRIs is a cyclical activity that involves assessment, planning, implementation, and reassessment.

Nutrition and public health researchers, dietitians and nutritionists responsible for the education of the next generation of practitioners, and government professionals involved in the development and implementation of national diet and health assessments, public education efforts and food assistance programs will find this volume indispensable for setting intake goals for individuals and groups.

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Contents

Summary
1
1 Introduction to Dietary Planning
19
2 Using Dietary Reference Intakes in Planning Diets for Individuals
35
3 Using Dietary Reference Intakes in Planning Diets for Groups
55
4 A Theoretical Approach Using Nutrient Density to Plan Diets for Groups
89
5 Examples of Planning for Groups
107
6 Special Considerations and Adjustments
133
7 Implications and Recommendations
147
APPENDIXES
163
B Food Guidance in the United States and Canada
171
C The Target Nutrient Density of a Single Food
183
D Voluntary Nutrient Fortification
192
E Adjustment of Observed Intake Data to Estimate the Distribution of Usual Intakes in a Group
196
F Biographical Sketches of Subcommittee Members
209
Index
213
Summary Tables
229

8 References
156

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Page 45 - SERVINGS Meat, Poultry, Fish, Dry Beans, Eggs, & Nuts Group 2-3 SERVINGS Fruit Group 2-4 SERVINGS Bread, Cereal, Rice, & Pasta Group 6-11 SERVINGS SOURCE: US Department of Agriculture/US. Department of Health and Human Services Use the Food Guide Pyramid to help you eat better every day.
Page 158 - Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording.
Page viii - Iowa State University, Ames BARRY L. ZOUMAS, Department of Agricultural Economics and Rural Sociology, Pennsylvania State University, University Park Staff ALLISON A. YATES, Director LINDA D. MEYERS, Deputy Director GERALDINE KENNEDO, Administrative Assistant GAIL E.
Page x - Council, he was responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were canrt'ulK considered.
Page 3 - Tolerable upper intake level (UL): the highest average daily nutrient intake level that is likely to pose no risk of adverse health effects to almost all individuals in the general population. As intake increases above the UL, the potential risk of adverse effects may increase.
Page 180 - Choose a variety of grains daily, especially whole grains • Choose a variety of fruits and vegetables daily • Keep food safe to eat Choose Sensibly • Choose a diet that is low in saturated fat and cholesterol and moderate in total fat...
Page viii - SHIRIKI KUMANYIKA, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia LYNN PARKER, Child Nutrition Programs and Nutrition Policy, Food Research and Action Center, Washington, DC ROSS L.

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