Chapter 2 Flashcards
(45 cards)
Dietary reference intake tables, or DRI, are what supports
the famous food guides
everyone is familiar with
Dietary Reference Intakes (DRIs) are defined as
reference values that are quantitative
estimates of nutrient intakes to be used for planning and assessing diets for healthy
people.
DRI term is an umbrella term, a group name. The group includes
set of 6 nutrients intake standards aimed for healthy people.
In the past, going back to the late 1930s, the sole purpose of DRIs was to
reduce risk of
deficiency diseases.
In the past, going back to the late 1930s, the sole purpose of DRIs was to reduce risk of
deficiency diseases.
Today, in developed countries, deficiency diseases are rare. Nobody worries about
getting scurvy anymore. What has replaced them are
chronic diet related diseases
DRI (diet reference intakes) today have three objectives:
- Prevent deficiency diseases in healthy people
- make recommendations that reduce the risk of developing diet related chronic diseases
- Establish the upper safety level for nutrient intake
all 6 nutrient intake standards can be split into two groups: the first group includes the:
EAR, RDA, AI and UL. The first three target deficiency
diseases while the UL targets supplement use
And here are all 6 nutrient intake standards split into two groups:
The first group includes the: EAR, RDA, AI and UL. The first three target deficiency
diseases while the UL targets supplement use. All essential nutrients
have one or more of these DRIs.
(whether it is a glucose or vitamin)
all 6 nutrient intake standards can be split into two groups, the second group known as __, target exclusively __
The second group, known as the DRIs for energy and macronutrients target exclusively
carbs, lipids and protein intake.
These nutrient standards are different. Specifically because they deal with calorie
intake.
Nutrient standards differ by (2)
gender and lifestage.
Nutrient standards differ by gender and lifestage.
Males have __ lifestages, while females have __ - to include periods of pregnancy and
lactation.
males have 10 life stages
females have 16 life stages
Estimated Average Requirements (EAR) definition:
average daily intake level of a nutrient to meet the needs of half of the healthy people in
a particular life stage or gender group
Two important features of the Estimated Average Requirements (EAR):
(1) EAR is based on diagnostic
test that can measure adequate amounts in the human body
(2) The second important feature of the EAR is that it is simply a requirement, which is
different from a recommendation. Why the distinction? If recommendations are based
on the EAR, 50% of the population would develop a deficiency disease.
The Gold standard in DRIs is the
Recommended Dietary Allowance (RDA)
Recommended Dietary Allowance (RDA) is defined as:
the average daily nutrient intake level that meets the needs of
98% of healthy individuals in a particular lifestage or gender group
It is the estimated average requirement (EAR) multiplied by some factor to push the recommended intake amount to the
far end of the right hand side of the symmetrical distribution.
Recommended Dietary Allowance (RDA)
without an
__, an RDA cannot be established.
estimated average requirement (EAR)
For nutrients where an EAR, and consequently an RDA, cannot be established, we
venture into a guessing game. The guessing game results into the nutrient standard
known as
adequate intake -AI.
The AI is based on
the intake levels of a healthy group of people in a population.
AI is closer to the EAR or RDA
based on the nutrient intake level of a healthy group of people we can assume that it is
higher than the EAR it may lie somewhere slightly below or above the RDA. One thing is for sure - it is
below the tolerable upper intake level
Tolerable Upper Intake Level (UL) defined as
the highest level of usual daily nutrient intake likely to be safe
So the UL is meant to
avoid excesses especially when using supplements
DRIs
for Energy and Macronutrients: the EER is defined as:
the average dietary energy intake that maintains energy balance
in a healthy person.
How is the EER calculated?
The mathematical expression that calculates your energy requirement takes into
account your physical activity level, height, weight, age, and gender.The EER is defined as the average dietary energy intake that maintains energy balance
in a healthy person.
Note that the EER is not calculated for a group within a certain life stage as were
previous nutrient standards. Instead, the EER is an individualized estimate