Zzapdx
Zzapdx
Zzapdx
i
Readers familiar with statistics will appreciate that the average (or mean) is not the same as the
median, which would precisely divide the population into two numerically equal halves.
475
476 Appendix
above the EAR. This assumes that the spread of actual require-
ments between individual members of the population follows
normal distribution, and implies that ‘‘almost all’’ means 97.5%.
(iii) The Lower Reference Nutrient Intake (LRNI). This is the nutrient
intake which is sufficient for only a small proportion of the
population. This is arbitrarily set at two standard deviations
below the EAR, in which case ‘‘a small proportion’’ means 2.5%.
The DRVs for most vitamins and minerals are presented in Table A1.
An important feature is that DRVs for three of the vitamins are quoted
in terms of the intake of other nutrients. This is a reflection of the close
involvement of these vitamins in particular aspects of metabolism—
thiamin and niacin with energy metabolism, and pyridoxine with protein
metabolism. Complete DRVs have not been established for some vita-
mins and minerals, since the absence of deficiency symptoms leads to the
conclusion that even poor diets are able to supply adequate quantities.
Table A1 Dietary Reference Values (DRVs) for daily intake of minerals and
vitamins. The values shown refer to males aged 11–14, and are
intended merely to illustrate the principles involved.
LRNI EAR RNI Units
Another problem is that for some nutrients (particularly iron) the sta-
tistical distribution of requirements is not ‘‘normal’’ in the statistical
sense, but skewed, which makes these simple statistical concepts invalid.
In the case of pantothenic acid the normal intake rate of 3–7 mg per
day is assumed reasonably to be both safe and adequate. A similar
conclusion is drawn for a biotin intake of 10–200 mg per day. Most
individuals synthesise their own vitamin D, as discussed in Chapter 8,
but for individuals confined indoors the RNI is set at 10 mg per day. The
thiamin
riboflavin
niacin
pyridoxine
cobalamin
folate
ascorbic acid
0 20 40 % 60 80 100
sodium
potassium
magnesium
calcium
phosphorus
iron
copper
zinc
iodine
Meat & meat Fish & fish Fat spreads Milk & dairy Eggs Cereals & cereal
products dishes incl. butter products products
Fruit & nuts Vegetables Potatoes incl. Sugars, All drinks incl. Miscellaneous
excl. potatoes crisps etc. preserves, beer, wine, soft
confectionery drinks tea &
coffee
Figure A1 The percentage contribution of different foods to the vitamin and mineral
content of the British diet in 2000–01. The data are the average of a
representative sample of 1724 UK adults aged 19–64, omitting women
who were pregnant or breastfeeding.
478 Appendix
FURTHER READING
Department of Health, Dietary Reference Values for Food Energy and
Nutrients for the United Kingdom, HMSO, London, 1991.
National Academy of Sciences, Dietary Reference Intakes for Thiamine,
Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid,
Biotin and Choline, Institute of Medicine Standing Committee on the
Scientific Evaluation of Dietary Reference Intakes, Washington DC,
1998.
Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin
D, and Fluoride, ibid., 1997.
Appendix 479