Understanding Dietary Reference Intakes: Recommended Daily Allowances for Adults
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For adults, the recommended daily intake of certain nutrients is as follows: Vitamin D - 600 IU (International Units), Calcium - 1,000 mg, Iron - 50 mg. These values are important for maintaining overall health and preventing deficiencies.
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Table of Contents Dietary reference values.......................................................................................................................3 Changes in nutritional requirements.....................................................................................................5 References............................................................................................................................................7 2
DIETARYREFERENCEVALUES A balanced diet is the one that provides sufficient amount of energy and other nutrients for human health and for well being. Requirements for energy and micro nutrients changes throughout the life cycle; thus according to that human diet changes and people consumes different food items. Dietary Reference Values (DRV) is a complete set of nutrient based reference values where in each and every nutrient has special use for human body (Dietary Reference Values - a reference for whom. 2013). DRV can be used as a diet reference regardingfood labeling and this chiefly establishes food based dietary guidelines for dissimilar age groups. Food based dietary guidelines are essential because that helps the people to adopt nutritional recommendations in daily diet chart. It guides consumers regarding the food which they should and along with this, it also changes dietary choices. DRV's are also regarded as quantitative reference values which assists in nutritional intakes and which reduces the risk of deficiencies. European Community has provided reference intakes for energy and certain nutrients. This advice is required to be reviewed and updated for the purpose of ensuring that the community action related to nutrition is strengthened by the latest available knowledge (Hurrell and Egli, 2010). European Food Safety Authority (EFSA) provides the updated and scientific advice to underpin the EU policy which undertakes decisions related to the field of nutrition. This states that EU is concerned about people's health and because of that only, different policies are framed related to public health targets (Fenech, 2010). According to the theoretical aspects, EFSA identifies and reviews reports and scientific studies which shows possible effects of a specific nutrient. Each type of Dietary Reference Intake refers to average daily nutrient intake of individuals over time. In most of the cases, the amount taken from day to day may different substantially without having any ill impact. Moreover, Recommended Dietary Allowance is the average daily dietary intake level that is significant to consider to meet the nutritional requirements of human body (Jéquier and Constant, 2010). Dietary charts are developed for different life stages and for different gender groups depending on the requirements. There are four different stages which defines the value of nutritional intakes which harmonize human health and which also reduces the possibilities of risks and diseases.Population Reference Intake: This depicts the level of intake which is essential for all the people (Butte and et.al., 2010). This also defines the optimal intake for the population as a whole. Suitable diet plan can be made for all types of age groups.Average requirement: The subsequent aspect represents the level of nutritional intake for half of the people. Further, it also assumes a normal distribution of requirements for different nutritional values (Kruseman and et.al., 2010). 3
Lower Threshold Intake: This depicts the level of intake which individuals should emphasize. On the basis of current knowledge, changes could be made to the dietary reference values. Adequate Intake: This shows the average level of a nutrient consumed by population. People are also assumed to consume healthy diets according to the required level of nutrition. DRVs not only aims to give sufficient nutritional intakes; but also it assists people regarding the impacts of over- consumption. A proper chart as well as plan is prepared where in it is essential amount of nutrients are included so that people can manage their diet accordingly. It also includes assessment regarding day to day variations in intake and food items that probably reflects habitual intakes of people (Dietary Reference Intakes: development and uses for assessment of micronutrient status.2005). Thus, it can be said that dietary planning assists the individuals to determine diets that have a low probability of nutrient inadequacy or excess. Dietary plans of groups can be obtained through food consumption survey, where in the health experts can also identify how much people are consuming nutritional diets. There are several professionals working in this area who aims to consider health needs, nutritional status and consumption patterns along with the composition of available foods (Aloia, 2011). According to health standards, targets for nutrient have been changing for different age groups and this may also set a standard for public health. For instance- in a diet chart 30% of the energy should come from fat consumption; therefore it is essential for individuals to consume such diet that contains 30% energy from fat foods. Further, 10% energy should come from saturated fatty acids; however this should not be communicated directly to the consumers. DRVs also depicts nutritional labeling on foods, beverages and dietary supplements and this has also changed the provision of food service. According to new regulations on food information to consumers, it is essential for the entities to include food labels that provides information related to energy, total fat, saturated fat, carbohydrate, sugars, protein and salt per 100g or 100 ml if a liquid. Portion of every aspect should be included so that nutritional values can be identified (Ross and et.al., 2011). Regarding the additional values, nutritional content should be expressed according to the percentage of the reference intake and this is specialized for a adult. For instance – the nutritional label on a yoghurt may state 2.8 g fat per 100 g, 4% of the reference intake. Along with this, vitamins and minerals may be labeled adequately if present in significant amounts (Aranceta and Pérez-Rodrigo, 2012). 4
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CHANGESINNUTRITIONALREQUIREMENTS RDA (Recommended Dietary Allowance) shows the estimate of the nutrient requirements that meets the needs of 97 to 98% of the healthy individuals. It is intended to be included in the daily intake of an individual; however it is not the appropriate value for assessing nutrient adequacy of groups (Dietary reference values and dietary guidelines.2015). For instance - According to the recommended daily intake, dietary for elderly people should include the following nutrients. NutrientRecommended Daily Intake Calcium (mg)700 Phosphorus (mg)550 Magnesium (mg)270 Sodium (mg)1600 Potassium (mg)3500 Chloride (mg)2500 Iron (mg)14.8 Zinc (mg)9 Copper (mg)1.2 Selenium (μg)60 Iodine (μg)140 Vitamin A (μg)600 Thiamin (mg)0.8 Riboflavin (mg)1.1 Niacin (mg)12 Vitamin B6 (mg)1.2 Vitamin B12 (μg)1.5 Folate (μg)200 Vitamin C (mg)40 Vitamin D* (μg)10 5
According to the transformation in age, changes also occur in the human body and which further affects individual's nutritional needs (How Nutritional Needs Change as You Age. 2016). The aging process affects the body's absorption of many nutrients and individual usually less absorb nutrients like calcium. Cloric needs vary depending on age, gender and activities and adults usually need 25-30 calories /kg per day. Infant need between 100-500 calories/ kg per day depending upon the initial weight of the baby. The below mentioned table is showing the estimated breakdown for carbohydrate, protein and fat needs (Warensjö and et.al., 2011). Age (years)CarbohydrateProteinFat 1 – 345-65 %5-20%30-40% 4 – 1845-65%10-30%25-35% 19 + (adults45-65%10-35%20-35% Overall, a healthy diet incorporates whole grains, fruit, vegetables, lean protein and dairy products and it should also meet nutritional needs of individuals. According to increased physical activity, individuals are required to increase the level of calories and protein. According to Dietary Reference Value, there should be adequate amount of calcium and iron in human body so that hormonal changes may bring positive impacts on human health (Agin and Perkins, Sharon, 2016). Hormonal changes may decrease calcium absorption as it increases loss of calcium through kidneys. The amount of calcium can vary; but in general adults should have about 1000 mg a day. Similarly, 50 mg of iron should be consumed in a day so as to give oxygen to blood cells. 6
REFERENCES Aranceta, J. and Pérez-Rodrigo, C., 2012. Recommended dietary reference intakes, nutritional goals and dietary guidelines for fat and fatty acids: a systematic review.British Journal of Nutrition. 107(S2). pp.S8-S22. Butte, N. F. and et.al., 2010. Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes.Journal of the American Dietetic Association.110(12). pp.S27-S37. Fenech, M. F., 2010. Dietary reference values of individual micronutrients and nutriomes for genome damage prevention: current status and a road map to the future.The American journal of clinical nutrition. 91(5). pp.1438S-1454S. Hurrell, R. and Egli, I., 2010. Iron bioavailability and dietary reference values.The American journal of clinical nutrition.91(5). pp.1461S-1467S. Jéquier, E. and Constant, F., 2010. Water as an essential nutrient: the physiological basis of hydration.European journal of clinical nutrition. 64(2). pp.115-123. Kruseman, M. and et.al., 2010. Dietary, weight, and psychological changes among patients with obesity, 8 years after gastric bypass.Journal of the American Dietetic Association.110(4). pp.527-534. Ross, A. C. and et.al., 2011.Dietary reference intakes for calcium and vitamin D. National Academies Press. Warensjö, E. and et.al., 2011. Dietary calcium intake and risk of fracture and osteoporosis: prospective longitudinal cohort study.BMJ. 342. p.d1473. Agin, B and Perkins, Sharon, 2016.How Nutritional Needs Change As You Age. [Online]. [Available through <http://www.dummies.com/how-to/content/how-nutritional-needs-change- as-you-age.html>]. [Accessed on 22ndJune 2016]. Aloia, J. F., 2011. The 2011 report on dietary reference intake for vitamin D: where do we go from here?.The Journal of Clinical Endocrinology & Metabolism. 96(10). pp.2987-2996. Dietary Reference Intakes: development and uses for assessment of micronutrient status.2005. [Online]. [Available through <http://ajcn.nutrition.org/content/81/5/1194S.full>]. [Accessed on 22ndJune 2016]. DietaryReferenceValues-areferenceforwhom.2013.[Online].[Availablethrough <http://www.eufic.org/article/en/artid/Dietary-Reference-Values-reference-for-whom/>]. [Accessed on 22ndJune 2016]. Dietaryreferencevaluesanddietaryguidelines.2015.[Online].[Availablethrough <https://www.efsa.europa.eu/en/topics/topic/drv>]. [Accessed on 22ndJune 2016]. HowNutritionalNeedsChangeasYouAge.2016.[Online].[Availablethrough <http://www.webmd.com/healthy-aging/features/nutritional-needs-change-as-you-age>]. [Accessed on 22ndJune 2016]. 7