Recommended Nutrient Intakes for Malaysia 2005

RNI

Recommended Nutrient Intakes

for Malaysia

A Report of the Technical Working Group on

Nutritional Guidelines

Contents only; to download the publication, visit:

http://moh.gov.my/opencms/opencems/moh/mi.html

National Coordinating Committee on Food and Nutrition

Ministry of Health Malaysia
Putrajaya
2005

RNI

Recommended Nutrient Intakes

for Malaysia

A Report of the Technical Working Group on Nutritional Guidelines

National Coordinating Committee on Food and Nutrition

Ministry of Health Malaysia
Putrajaya
2005

ISBN 983-42438-0-4

2005
National Coordinating Committee on Food and Nutrition (NCCFN)
Ministry of Health Malaysia

All rights reserved. Reproduction and dissemination of material in this book for educational or
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information product for resale or other commercial purposes is prohibited without written
permission of the copyright holders. Applications for such permission should be addressed to the
Chairman, National Coordinating Committee on Food and Nutrition (NCCFN).

Secretariat:
Technical Working Group on Nutritional Guidelines
c/o Department of Nutrition & Dietetics
Faculty of Allied Health Sciences
Universiti Kebangsaan Malaysia
50300 Kuala Lumpur
Tel: 03-4040 5111
Email: [email protected]

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Printed by: YKL Print, Shah Alam

Contents
Chapter

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18

Foreword
Preface
Technical Working Group on Nutritional Guidelines
Technical Sub-Committees on Recommended Nutrient
Intakes for Malaysia
Editors and Contributors to Chapters
Introduction
Energy
Fats
Carbohydrates
Protein
Thiamin (Vitamin B1)
Riboflavin (Vitamin B2)
Niacin (Vitamin B3)
Folate
Ascorbic acid (Vitamin C)
Vitamin A
Vitamin D
Vitamin E
Calcium
Iron
Iodine
Zinc
Selenium

Page
i
iii
v
vi
vii
1
10
32
42
52
66
74
81
90
101
111
121
130
140
154
167
177
192

Acknowledgements

203

Participants of Consensus Workshop

204

Recommended Nutrient Intakes for Malaysia 2005 Summary Table 205

Foreword
Good nutritional status that leads to an optimal quality of life is basic to sustainable
development. As Malaysia forges ahead towards Vision 2020, it is imperative for us to
consider the nutritional well-being of its population as a matter of everyday concern and
practice. The need to assess energy and nutrient requirements is a never-ending task,
judging from the ongoing debates on the role of nutrients in health and diseases.
Recommended Nutrient Intakes (RNI) are the level of intake of essential nutrients
that, on the basis of scientific knowledge, are judged to be adequate to meet the known
nutrient needs of practically all healthy persons. The RNIs are essential standards against
which nutrients in food eaten can be assessed for its adequacy in any given population.
It is also widely used in planning and procuring food supplies, in nutrition education and
intervention programmes, in development of diet manuals and in food products
development.
New scientific knowledge in nutritional sciences generated over the past three
decades has prompted the Technical Working Group (TWG) on Nutritional Guidelines
under the auspices of the National Coordinating Committee on Food and Nutrition
(NCCFN), Ministry of Health Malaysia, to revise the RDI which was compiled in 1975.
A comprehensive compilation on the new RNI has been prepared and circulated to
relevant Ministries, agencies and individuals for their comments and inputs. It is hoped
that this new RNI will enable the government, organisations and industries to better plan,
monitor and evaluate nutrition programmes and policies in the future.
On behalf of the Ministry of Health Malaysia, I wish to congratulate the Technical
Working Group and the various Sub-committees who drafted the background papers, the
participants of the Consensus Workshop, and all those who have assisted in producing
this valuable document.

TAN SRI DATU DR HAJI MOHAMAD TAHA BIN ARIF

Director-General of Health
Ministry of Health Malaysia
21 February 2005
i

Preface
The recommended dietary intakes (RDI) were compiled in 1975 based on
numerous WHO Technical Report Series published between 1962 and 1973. New
scientific knowledge in nutritional sciences generated over the past three decades has
prompted the Technical Working Group (TWG) on Nutritional Guidelines under the
auspicies of the National Coordinating Committee on Food and Nutrition (NCCFN),
Ministry of Health Malaysia, to revise the RDI.
At the first meeting of the TWG held on 20 September 2002, three Sub-committees
were established, namely the Technical Sub-committee for Energy and Macronutrients,
Technical Sub-committee on Vitamins, and Technical Sub-committee on Minerals. The
main tasks of the sub-committees were to review the state of the art of current dietary
recommendations and to update the RDI. The Sub-Committees were guided by several
recent publications as a key source of reference namely, FAO (2004) for energy
requirements, FAO/WHO (2002) and IOM-FNB (1997-2002) reports for vitamin and
mineral requirements. Besides these publications, data from several local studies were
also used in the revised edition.
Over a period of two years, the TWG had produced a draft recommendation that
was presented in a 2-day Consensus Workshop held on 17 18 December 2004. Some
60 participants mainly nutritionists and dietitians representing the academia, research
institutes, several related Ministries, professional organisations and the food industries
provided input to improve further the draft recommendation. The revised draft was then
sent out to relevant agencies and individuals for comments and inputs prior to its
publication.
The revised recommendation differs in a number of ways from the 1975
recommendation as summarised below:
A new nomenclature has been adopted and the recommendation shall be known as
Recommended Nutrient Intakes (RNI) for Malaysia.
For age-categories, infants are grouped into 0 5 months and 6 11 months. Adults
are divided into two groups (19 29 years; 30 59 years) instead of four, while
elderly are those 60 years and above.
Reference body weights are established based on local studies.
Additional nutrients are included.
Besides energy and protein recommendations, the RNI also provides dietary
recommendations for fats and carbohydrates including dietary fibre. For energy
requirements, body weights were obtained from local studies and the physical activity
level values for moderate physical activity were adopted from FAO (2004). All basal
metabolic rate values were derived from FAO (2004) with the exception of adolescents
and adults for whom local data are available.
iii

The new RNI has retained seven of the eight vitamins reported in the 1975
recommendation, with the omission of vitamin B12 and the inclusion of vitamin E.
Besides calcium and iron, the new RNI provide recommendations for three other
minerals; namely iodine, zinc and selenium. For iron, the new RNI provides two
recommendations based on bioavailibility levels of 10% (diets of the poor or vegetarian)
and 15% (western diets).
The new RNI also provide brief write-ups on deficiencies, food sources, factors
affecting requirements, setting requirements and recommended intakes, and toxicity and
tolerable upper intake (UL) levels for each nutrient.
The TWG on Nutritional Guidelines are confident that this revised RNI will enable
the government, organisations and industries to better plan, monitor and evaluate
nutrition programmes and policies towards achieving optimal nutritional well-being of
the Malaysian population.
I would like to thank the members of the TWG, the Chairpersons and members of
Sub-committees who drafted the background papers, the Consensus Workshop
participants, the assessors and all those that assisted in producing this landmark report.

PROF DR MOHD ISMAIL NOOR

Chairman
Technical Working Group on Nutritional Guidelines
National Coordinating Committee for Food and Nutrition Malaysia
18 February 2005

iv

Technical Working Group

on Nutritional Guidelines
Professor Dr Mohd Ismail Noor (Chairman)
Universiti Kebangsaan Malaysia (UKM)
Associate Professor Dr Poh Bee Koon (Secretary)
Malaysian Association for the Study of Obesity (MASO)
Professor Dr Khor Geok Lin
Universiti Putra Malaysia (UPM)
Dr Tee E Siong
Nutrition Society of Malaysia (NSM)
Associate Professor Dr Suzana Shahar
Universiti Kebangsaan Malaysia (UKM)
Dr Tony Ng Kock Wai
Institute for Medical Research (IMR)
Professor Dr Wan Abdul Manan Wan Muda
Universiti Sains Malaysia (USM)
Dr Winnie Chee Siew Swee
Malaysian Dietitians Association (MDA)
Dr Zalilah Mohd Shariff
Universiti Putra Malaysia (UPM)
Ms Zainab Tambi
Ministry of Health Malaysia (MOH)
Associate Professor Dr Zaitun Yassin
Universiti Putra Malaysia (UPM)

Recommended Nutrient Intakes for Malaysia

Technical Sub-Committees

Technical Sub-Committee on Energy and Macronutrients

Professor Dr Mohd Ismail Noor, UKM (Chairperson)
Associate Professor Dr Poh Bee Koon, MASO (Secretary)
Dr Mohd Nasir Mohd Taib, UPM
Associate Professor Dr Mohd Sokhini A Mutalib, IIUM
Assistant Professor Dr Nik Mazlan Mamat, IIUM
Ms Nik Shanita Safii, UKM
Dr Safiah Mohd Yusuf, MOH
Dr Tony Ng Kock Wai, IMR
Professor Dr Wan Abdul Manan Wan Muda, USM
Technical Sub-Committee on Vitamins
Dr Tee E Siong, NSM (Chairperson)
Associate Professor Dr Suzana Shahar, UKM (Secretary)
Dr Amin Ismail, UPM
Mr Aswir Abd Rashed, IMR
Dr Kalanithi Nesaretnam, MPOB
Ms Khatijah Idris, MARDI
Associate Professor Dr Norimah A Karim, UKM
Dr Tony Ng Kock Wai, IMR
Associate Professor Dr Zaitun Yassin, UPM
Technical Sub-Committee on Minerals
Professor Dr Khor Geok Lin, UPM (Chairperson)
Dr Winnie Chee Siew Swee, MDA (Secretary: 2002 2004)
Dr Zalilah bt Mohd Shariff, UPM (Secretary: 2004 2005)
Dr Ismarul Yusda Sidek, UKM
Dr Loh Su Peng, UPM
Mr Mahendran Appukutty, UiTM
Ms Nawalyah Abdul Ghani, UPM
Ms Norashikin Abu Bakar Sidek, UMMC
Ms Nor Azah Ahmad, MOH
Ms Rohana Hussin, HUKM

vi

Chief Editors
Mohd Ismail Noor, Khor Geok Lin & Tee E Siong

Editors
Poh Bee Koon
Suzana Shahar
Winnie Chee Siew Swee
Zalilah Mohd Shariff
Tony Ng Kock Wai
Wan Abdul Manan Wan Muda
Zainab Tambi
Zaitun Yassin

Contributors to Chapters
Chapter 1 Introduction
Mohd Ismail Noor, UKM
Poh Bee Koon, UKM

Chapter 10 Vitamin C
Amin Ismail, UPM

Chapter 2 Energy
Mohd Ismail Noor, UKM
Poh Bee Koon, UKM

Chapter 11 Vitamin A
Tee E Siong, NSM

Chapter 3 Fats
Tony Ng Kock Wai, IMR

Chapter 12 Vitamin D
Norimah A Karim, UKM

Chapter 4 Carbohydrates
Nik Shanita Safii, UKM
Nik Mazlan Mamat, IIUM

Chapter 13 Vitamin E
Tony Ng Kock Wai, IMR

Chapter 5 Proteins
Mohd Nasir Mohd Taib, UPM
Wan Abd Manan Wan Muda, USM

Chapter 14 Calcium
Winnie Chee Siew Swee, UKM
Khor Geok Lin, UPM

Chapter 6 Thiamin (vitamin B1)

Khatijah Idris, MARDI
Tee E Siong, NSM

Chapter 15 Iron
Loh Su Peng, UPM

Chapter 7 Riboflavin (vitamin B2)

Aswir Abd Rashed, IMR
Tee E Siong, NSM

Chapter 16 Iodine
Khor Geok Lin, UPM
Winnie Chee Siew Swee, UKM

Chapter 8 Niacin (vitamin B3)

Zaitun Yassin, UPM

Chapter 17 Zinc
Zalilah Mohd Shariff, UPM

Chapter 9 Folate
Suzana Shahar, UPM

Chapter 18 Selenium
Nawalyah Abdul Ghani, UPM
Khor Geok Lin, UPM

vii

206
Recommended Nutrient Intakes for Malaysia 2005: Summary Table
Age

Energy
kcal

Protein
g

Calcium
mg

Infants (boys)

5 months

560

11

Infants (girls)

6 11 months
0 5 months

640
550

12
11

6
1
4
7
1
4
7
10
13

11 months
3 years
6 years
9 years
3 years
6 years
9 years
12 years
14 years
15 years
16 18 years
10 12 years

630
980
1340
1780
910
1290
1590
2180
2690
2690
2840
1990

12
17
23
32
17
23
32
45
63
63
65
46

300
400
400
300
400
400
500
600
700
500
600
700
1000
1000
1000
1000
1000

13 14 years

2180

55

1000

2180
2050
2440
2460
2460
2010
2010
2000
2180
2180
1780
1780
+0
+ 360
+ 470
+ 500

55
54
62
62
62
59
59
55
55
55
51
51
+ 7.5
+ 7.5
+ 7.5
+ 20

1000
1000
800
800
800
800
1000
800
800
1000
1000
1000
1000
1000
1000
1000

+ 15

1000

Children
(boys)
Children
(girls)
Adolescent
(boys)

Adolescent
(girls)

Women

19
30
51
60

Pregnancy

1st
2nd
3rd
1st

15 years
18 years
29 years
50 years
59 years
65 years
> 65 years
29 years
50 years
59 years
65 years
> 65 years
trimester
trimester
trimester
6 months

2nd

6 months

16
19
30
51
60

Men

Lactation

Note: (1)
(2)

a
b

bf
nm

(bf)
(ff)
(bf)
(ff)

Iron
mg
Bioavailability
10%
15%
b
b

Iodine
g

9
6
6
9
6
6
9
15
15
19
19
14 (nm)
33 (m)
14 (nm)
33 (m)
31
31
14
14
14
14
14
29
29
11
11
11
29
c
c
15

6
4
4
6
4
4
6
10
10
12
12
9 (nm)
22 (m)
9 (nm)
22 (m)
21
21
9
9
9
9
9
20
20
8
8
8
20
c
c
10

120
72
108
104
72
108
104
144
106
106
118
148
98

7.5

23

98
104
124
124
124
124
114
110
110
110
110
98
200
200
200
200

23
23
33
33
33
33
29
25
25
25
25
23
25
27
29
34

15 (nm)
32 (m)

10 (nm)
21 (m)

200

7.5
7.5
6.7
6.7
6.7
6.7
6.2
4.9
4.9
4.9
4.9
4.3
5.5
7.0
10.0
9.5
8.8
7.2

6
b

120
90

(bf)
(ff)

Selenium
g

1.1
2.8
3.7
1.1
2.8
3.7
4.1
5.1
5.8
4.1
5.1
5.8
9.0
9.0
9.0
9.0
7.5

9
b

90

Zinc
mg

(bf)
(ff)

6
9
6
9
17
21
22
17
21
22
28
28
28
28
23

(1-3 mths)
(4-6 mths)

All RNIs are for daily intakes

For all age categories, the ending age extends till just before the beginning age of the
subsequent category. For example, for the category 0-5 months, 5 months include up to
5.9 months
no recommendations. Energy requirement depends on amount of breastmilk produced
no recommendations. Neonatal iron stores are sufficient to meet iron requirement for
first 6 months in full-term infants. Premature infants and low birth weight infants
require additional iron
iron supplements in table form recommended for all pregnant women. In the nonanaemic pregnant woman, daily supplements of 100 mg iron given during second half
of pregnancy are adequate. In anaemic women, higher doses are usually required.
breast fed, ff formula fed
non-menstruating, m - menstruating

39

207
Recommended Nutrient Intakes for Malaysia 2005: Summary Table (continued)
Age

Thiamin Riboflavin
mg
mg

Niacin
mg NE

Folate
g

Vitamin C
mg

Vitamin A
g

Vitamin D
g

Vitamin E
mg

Infants (boys)

5 months

0.2

0.3

80

25

375

Infants (girls)

6 11 months
0 5 months

0.3
0.2

0.4
0.3

4
2

80
80

30
25

400
375

5
5

3
3

6
1
4
7
1
4
7
10
13

11 months
3 years
6 years
9 years
3 years
6 years
9 years
12 years
14 years
15 years
16 18 years
10 12 years

0.3
0.5
0.6
0.9
0.5
0.6
0.9
1.2
1.2
1.2
1.2
1.1

0.4
0.5
0.6
0.9
0.5
0.6
0.9
1.3
1.3
1.3
1.3
1.0

4
6
8
12
6
8
12
16
16
16
16
16

80
160
200
300
160
200
300
400
400
400
400
400

30
30
30
35
30
30
35
65
65
65
65
65

400
400
450
500
400
450
500
600
600
600
600
600

5
5
5
5
5
5
5
5
5
5
5
5

3
5
5
7
5
5
7
10
10
10
10
7.5

13 14 years

1.1

1.0

16

400

65

600

7.5

1.1
1.1
1.2
1.2
1.2
1.2
1.2
1.1
1.1
1.1
1.1
1.1
1.4
1.4
1.4
1.5

1.0
1.0
1.3
1.3
1.3
1.3
1.3
1.1
1.1
1.1
1.1
1.1
1.4
1.4
1.4
1.6

16
16
16
16
16
16
16
14
14
14
14
14
18
18
18
17

400
400
400
400
400
400
400
400
400
400
400
400
600
600
600
500

65
65
70
70
70
70
70
70
70
70
70
70
80
80
80
95

600
600
600
600
600
600
600
500
500
500
500
600
800
800
800
850

5
5
5
5
10
10
15
5
5
10
10
15
5
5
5
5

7.5
7.5
10
10
10
10
10
7.5
7.5
7.5
7.5
7.5
7.5
7.5
7.5
7.5

1.5

1.6

17

500

95

850

7.5

Children
(boys)
Children
(girls)
Adolescent
(boys)

Adolescent
(girls)

Women

19
30
51
60

Pregnancy

1st
2nd
3rd
1st

15 years
18 years
29 years
50 years
59 years
65 years
> 65 years
29 years
50 years
59 years
65 years
> 65 years
trimester
trimester
trimester
6 months

2nd

6 months

Men

Lactation

16
19
30
51
60