Ear

Usual intake of nutrient (amount /day)

Figure 6 Example of assuming that when the mean intake of a population group is equal to the RDA, there will be a low prevalence of inadequacy. As shown, there may still be a substantial proportion of the population with intakes below the EAR, which would be a better estimate of the prevalence of inadequacy.

Whether this occurred or not would depend on whether the RDA was based on the mean intake of a population in which no one was inadequate or whether the RDA came from data for which some members of the population had inadequate intakes and thus demonstrated one or more possible criteria of inadequacy, which are usually not possible to determine. By using the EAR as the cutoff to determine the prevalence of inadequacy (this applies to those nutrients for which requirements are symmetrically or normally distributed), it is possible to set an acceptable level of inadequacy in situations of scarce resources in which it is not possible to assume that all have an adequate intake.

Using DRIs to assess diets Frequently, such as when considering whether to fortify the food supply with a specific nutrient or when evaluating the nutritional status of a subgroup in the population, it is necessary to assess the diets of groups through surveys of food intake and from such surveys determine which nutrients may be consumed at inadequate levels. If data on intakes for the group of interest are available, and the group possesses similar characteristics to the individuals studied when deriving the EARs, it is possible to estimate the prevalence of inadequacy in the group of interest from their intake data without information on their requirements or variation in intake.

This is a key reason for establishing EARs for nutrients, and it replaces the questionable past practice of comparing intakes to the RDA. Frequently when this was done, a group might appear to be at low risk of inadequacy because the mean intake of the group as a whole for a nutrient might be at or above the RDA, despite a sizable portion of the group being below their individual requirements, if they had been determined (Figure 6).

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