Summary
The Dietary Reference Intake framework, which is used to plan and assess diets in people without health conditions, contains several “reference values”. These include the recommended dietary allowance (RDA) as well as the estimated average requirement, adequate intake, and tolerable upper intake level.[1][2][3][4]
The RDA for a specific nutrient is the daily intake amount that is estimated to meet the known nutritional requirements of nearly all (97.5%) people without health conditions. RDA values for some nutrients are also dependent on age, sex, and pregnancy,[1][2] but an RDA value stated on food packaging typically refers to the RDA for non-pregnant adults ages 19 to 50.[5] For the food-based dietary guidelines across all countries in the United Nations, see here.
To ensure that people obtain sufficient quantities of specific nutrients, RDA values are two standard deviations above the estimated average requirement. Therefore, people who consume nutrients in quantities at or above the RDA have a low probability of inadequacy of that nutrient. Consequently, RDA values can help plan nutritionally adequate diets for individuals.
RDA values are derived from large-scale population-based observational studies. However, due to insufficient evidence, an RDA value has not been defined for all nutrients because an estimated average requirement value does not always exist. In such cases, nutrients are assigned an adequate intake value, which is the level of intake for a specific nutrient that may ensure nutritional adequacy in most people without health conditions, based on the limited evidence that exists.
The terminology used to describe the RDA varies between countries. For example, while recommended dietary allowance (RDA) is used in the U.S. and Canada, it is called the reference nutrient intake (RNI) in the U.K. and the population reference intake (PNI) in the EU.[4] Sometimes the phrases recommended daily allowance or recommended dietary intake (RDI) are also used. However, despite the different terminology, their application is the same.
RDA values for specific nutrients can vary between countries and may change as new evidence emerges. In the U.S., reference values to help plan nutritionally adequate diets for individuals — either RDA or adequate intake — have been developed for total energy intake,[6][7] macronutrients (carbohydrates, fats, and protein),[7] fatty acids,[7] cholesterol,[7] amino acids,[7] fiber,[8][7] and several micronutrients (vitamins and minerals).[9][10][11][12][13]
References
- ^Institute of Medicine (US) Subcommittee on Interpretation and Uses of Dietary Reference Intakes, Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference IntakesDietary Reference Intakes: Applications in Dietary Planning.(2003)
- ^Institute of Medicine (US) Subcommittee on Interpretation and Uses of Dietary Reference Intakes, Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference IntakesDRI Dietary Reference Intakes: Applications in Dietary Assessment
- ^Institute of Medicine (US) Food and Nutrition BoardDietary Reference Intakes: A Risk Assessment Model for Establishing Upper Intake Levels for Nutrients
- ^EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA)Scientific Opinion on principles for deriving and applying Dietary Reference Values.EFSA Journal.(2010 March)
- ^Institute of Medicine (US) Committee on Use of Dietary Reference Intakes in Nutrition LabelingDietary Reference Intakes: Guiding Principles for Nutrition Labeling and Fortification
- ^National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Food and Nutrition Board; Committee on the Dietary Reference Intakes for EnergyDietary Reference Intakes for Energy
- ^Trumbo P, Schlicker S, Yates AA, Poos M, Food and Nutrition Board of the Institute of Medicine, The National AcademiesDietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acidsJ Am Diet Assoc.(2002 Nov)
- ^Institute of Medicine (US) Panel on the Definition of Dietary Fiber and the Standing Committee on the Scientific Evaluation of Dietary Reference IntakesDietary Reference Intakes Proposed Definition of Dietary Fiber.(2001)
- ^Institute of Medicine (US) Panel on MicronutrientsDietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc
- ^Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference Intakes and its Panel on Folate, Other B Vitamins, and CholineDietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B 6, Folate, Vitamin B 12, Pantothenic Acid, Biotin, and Choline
- ^Institute of Medicine (US) Committee to Review Dietary Reference Intakes for Vitamin D and Calcium, A Catharine Ross, Christine L Taylor, Ann L Yaktine, Heather B Del ValleDietary Reference Intakes for Calcium and Vitamin D
- ^Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference IntakesDietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride
- ^Institute of Medicine (US) Panel on Dietary Antioxidants and Related CompoundsDietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids