A
Abortions, spontaneous, 248
Absorption of nutrients.
See also Bioavailability of nutrients;
Malabsorption syndromes;
individual nutrients
and adverse effects, 73
ascorbic acid interactions, 311-312, 521
assessment methods, 445, 455, 472
calcium interactions, 455-456
dietary fat and, 70, 106-107, 118, 121, 163
foods affecting, 521
form of intake and, 267, 373, 395, 483
form of nutrient and, 73 n.2, 87, 88-89, 227-228, 455-456, 529
fractional, 15, 447-448, 449, 450, 462, 463, 464-465, 468, 469, 472, 473, 474, 476, 478, 572
gender and, 402
human milk vs infant formula, 238, 404
infections and, 107
interaction of nutrients and, 70, 106-107, 118, 121, 163, 311-312, 455-456, 482-483
interindividual variation in, 69, 397, 402
intestinal environment and, 311-312, 454-455
lactation and, 244
level of intakes and, 242, 399, 422, 445, 473
menaquinones, 164
pregnancy and, 243
processing of foods and, 107, 112, 146, 174, 211
solubility of compound and, 504
Achlorhydria, 311
Achromotrichia, 435
Acid phosphatase activity, 529
Acrodermatitis enteropathica, 445, 477
Adenosine triphosphate (ATP), 225, 226
Adenosyl diphosphate, 357
S-Adenyl homocysteine, 509
S-Adenyl methionine, 509
Adequate intakes (AIs).
See also individual nutrients
appropropriateness of intakes above, 77
criteria used to derive, 36, 37
EAR distinguished from, 37
individual applications, 554, 557-558, 562-563
methods used to set, 30, 50-51, 53
uses, 4, 5, 34-35, 554, 557-558, 561, 562-563, 564, 577
Adolescents, ages 14 through 18 years.
See also Life-stage groups;
Pubertal development;
individual nutrients
anemia, 335
basal losses of nutrients, 330, 331, 332, 337
bioavailability of nutrients, 337
blood volume, 331
EARs, 39
evidence considered in setting EAR, 271-272, 330-338, 427
extrapolation of data for, 269, 272, 282, 331, 406, 413, 427, 430-431, 437
goiter, 271-272
growth velocity, 39, 53, 331, 338, 339
hemoglobin concentrations, 305, 330, 331-333, 335, 336, 338
hypervitaminosis A, 144
lactation, 117, 184, 211, 244-245, 250, 251, 407, 413-414, 431-432, 479, 487, 519, 528
median weights, by age, 332
menstrual losses, 332, 334-337, 338
method used to set AIs, 180, 207, 404-405
method used to set EAR, 112, 238
oral contraceptive use, 335, 336, 350, 700, 702
pregnancy, 116, 117, 142, 183, 184, 210-211, 243-244, 276, 277, 348-349, 406-407, 413-414, 430-431, 477, 487, 519, 528
reference weights and heights, 41, 42, 210, 338
serum transferrin, 304
special considerations, 330, 339-340, 358, 573
variability of requirements, 330-331, 337-338
Adrenal glands, 522
Adults, ages 19 through 50 years.
See also Life-stage groups;
Men;
Women;
individual nutrients
balance studies, 309-310, 405-406, 428-429
biochemical indicators, 239-240
bone mineral density, 126-128
depletion/repletion studies, 224, 228, 229, 231, 232, 239-240, 430
EARs, 52
energy expenditure, 40
factorial analysis, 240-242, 340
hyperthyroidism, 283
hypothyroidism, 283
peak bone mass, 40
reference weights and heights, 41, 114
thyroid iodine accumulation and turnover, 273-274
Adults, ages 51+ years.
See also Life-stage groups;
individual nutrients
AIs, 40
absorption of nutrients, 40, 86, 474, 479
γ-carboxyglutamyl excretion, 167
dietary intakes, 186
EARs, 40
energy expenditure, 40
energy needs, 209
institutionalized, 171
nickel, 523
physical activity, 40
physiological functioning, 40
silicon, 532
vegetarian diets, 479-480
zinc, 451, 474-475, 479, 559, 562
Adverse effects.
See also individual nutrients
absorption of nutrients, 73
aging and, 508
evidence of, 72
form of intake and, 358, 374, 409, 410, 433, 482, 524
gender differences, 482
knowledge gaps, 584
population distribution at risk of, 79-80
thresholds, 65-66
Aging.
See also Adults (51+ years);
Life-stage groups;
individual life stages
and absorption of nutrients, 40, 86, 146, 474
and adverse effects of nutrients, 508
and bone mineral density, 40
and γ-carboxyglutamyl residues, 167
and chromium concentrations, 200
and glucose tolerance, 209
and iodine requirements, 274
and liver function, 69
and PIVKA-II, 168
and plasma phylloquinone, 166
and vitamin K, 166, 167, 168, 170
Albumin, 227, 260, 395, 445, 446, 454, 473, 474, 522
Alcohol consumption and alcoholism
chromium and, 215
serum ferritin and, 302
special considerations, 118, 145, 376-377, 480
and superoxide dismutase activity, 231, 401
vitamin A, 109, 118, 128, 133, 134-139, 145
Aldehyde oxidase, 420
Alkaline phosphatase activity, 443, 453, 477, 529
Aluminum, 200
Alzheimer’s disease, 532
Amenorrhea, 372
American Academy of Pediatrics, 37, 50, 51, 97, 317
α-Amidating monooxygenase, 225
Amine oxidases, 224-225
Amino acid metabolism, 13, 44, 204, 394, 420-421, 446
Amyotrophic lateral sclerosis (Lou Gehrig’s disease), 225-226
Analytic epidemiological studies, 47
Anemia
adolescents, 335
arsenic and, 506
copper deficiency, 11, 226, 227-228, 486
infants, 296-297, 298, 300, 317
iron deficiency, 12-13, 22, 44, 226, 295-299, 300, 301, 303, 305-306, 317, 352, 378, 583
macrocytic normochromic, 228
microcytic, 305
molybdenum and, 433
normocytic hypochromic, 11, 227
pregnancy and, 297-299
reproductive effects, 295, 297-298
vanadium and, 536
Angular stomatitis, 300
Animal studies
arsenic, 45, 503, 505-506, 507, 508
boron, 45, 510, 511-512, 514-517
carotenoids, 94
chromium, 199-200, 213, 214-215, 458
copper, 226-227, 228-229, 232, 234-235, 244, 246
dose-response assessment for ULs, 71, 75-76, 78, 436, 710, 711, 712
extrapolation of data from, 63, 71, 74, 78, 436, 518, 526, 541, 710, 711, 712
for hazard identification, 71-72, 73, 409-411, 433-434, 514-515, 524
manganese, 396, 401, 406, 409-411
methodological considerations, 45, 71, 246, 279, 517, 712
molybdenum, 421, 424, 433, 435, 436
of neurotoxicity, 409-411
relevance of, 45, 73, 234-235, 246, 279, 410, 433
reproductive effects, 406, 434-435
uncertainties in, 63, 78, 436, 540, 710, 711
vanadium, 532, 535-537, 539-540
vitamin A, 85, 95-96, 98, 104, 105, 108, 109, 121, 126
vitamin E, 175-176
Antihistamine, 224-225
Antioxidant activity
ceruloplasmin, 225
superoxide dismutase, 225-226
Antithyroid antibodies, 281, 283
α-1-Antitrypsin deficiency, 248
Antiviral activity, 85-86
β-Apocarotenals, 87
Apolipoprotein B100, 94
Apolipoprotein E, 163
Apoprotein E, 93
Apoptosis, 444
Apotransferrin, 200
Arsenic
absorption, 504
acute effects, 506
adverse effects, 7, 18, 505-508
and anemia, 506
animal studies, 45, 503, 505-506, 507, 508
and blackfoot disease, 506, 508
developmental toxicity, 503, 507
in drinking water, 507, 508, 509
DRIs, 1, 6, 7, 36, 76, 78, 576
erythrocyte binding, 506
excretion, 504
exposure assessment, 509
gastrointestinal symptoms, 506
and gene regulation, 503
genotoxicity, 507
in human milk, 505
intakes, 57, 504-505, 509, 658-659
international comparisons, 508
by life-stage group, 504, 658-659
malnutrition and, 506
maximum contaminant level, 508, 509
metabolism, 504
and methionine metabolism, 45
methyltransferase activity, 506
and peripheral neuropathy, 506-507
research recommendations, 28, 509-510, 583
risk characterization, 509
and skin pigmentation, 506, 507-508
teratogenicity, 507
trimethylated, 504
units, 709
zinc deficiency and, 506
Arsenicism, 506
Arthralgias, 434
Arthritis, 372
Ascaris lumbricoides infection, 107
Ascorbic acid, 200, 204, 225, 292, 311-312, 313, 314, 315, 521
Aspirin, 204
Atherogenesis, 529
Athletes
iron requirements, 295, 296, 300, 305, 352-353, 574
vanadium supplements, 535, 537, 539
Autoimmune thyroid disease, 278, 283, 284
B
Bacillus subtilis, 507
Balance studies
adults, 309-310, 405-406, 428-429
infants, 269
iodine, 265, 275, 269, 270, 272, 274, 275
iron, 292, 308, 309-310, 314, 378
manganese, 395, 397-399, 404-406
methodological considerations, 45, 46, 49, 233, 265, 274, 309, 397
molybdenum, 14, 420, 423, 428-429
uses, 423
zinc, 445, 448, 455, 456, 458, 472, 474, 480
Basal losses of nutrients
extrapolation of data, 331
gender differences, 340
iodine, 274
iron, 290, 295, 307-308, 320, 322-323, 324, 325, 327, 329, 330, 331, 332, 337, 340, 341, 342, 343, 344-345, 347, 349, 569
and lactation, 349
pregnancy and, 344-345, 347, 348
Bilirubin IXa, 293
Bioavailability of nutrients.
See also individual nutrients
adolescents, 337
algorithms for estimating, 314-316, 458
data and database issues, 173, 174
dietary fat and, 173-174
dietary intakes and, 233-234
digestion and, 444-445
excretory losses and, 70
food matrix and, 68, 87-90, 107, 174, 312, 351, 359, 411, 414, 424, 429-430, 479, 530
form of intake and, 70, 87-89, 163, 173-174
form of nutrient and, 70, 88-89, 107, 186, 311, 568
in infant formulas, 4, 38, 50, 112, 180, 206, 238, 267, 270, 317, 322, 427, 462, 557-558, 561
lactation and, 349
nutrient-nutrient interactions and, 70, 108, 173-174, 292, 311-312, 313, 314, 315, 582-583
nutritional status of individuals and, 70, 174
pregnancy and, 346-347
processing of foods and, 87, 313
and risk assessment, 69-70, 75
from supplements, 30, 88-89, 70, 173-174, 568
in vegetarian diets, 479, 572, 574
Biomarkers
of bone turnover, 169
methodological issues, 47
Birth defects, 128-133
Blood.
See also Plasma;
Serum;
other components
boron concentrations, 511-512, 515
cholesterol, 228
coagulation, 10, 44, 163, 164, 165-168, 175, 176, 177, 181-182, 229;
see also Coagulation factors;
Prothrombin donation and, 352, 574
provitamin A carotenoids, 83, 90-91, 103, 107, 118
transfusions, 358
Body Mass Index, 41, 42, 302, 582, 694
Body pools.
See also individual nutrients
size and turnover rates, 450-451
Body size considerations, 47
Body weight.
See also Metabolic weight ratio method
extrapolation on basis of, 42, 51, 52, 53, 54, 78, 142, 144, 250, 270, 282, 321, 404, 413, 437, 463, 487, 519, 569
and iron losses, 308, 322-323, 327, 329, 331, 332, 333, 338, 340, 343, 582
loss, 201
median, by age, 332
nickel and, 525
pregnancy-related gains, 54, 210, 298, 407, 430, 518
reference weights and heights, 41-42, 52, 114, 210, 329, 338, 468
Bone formation and growth
biomarkers of turnover, 169
manganese and, 13, 44, 394, 396
peak bone mass, 40
vitamin K and, 10, 23-24, 162, 169, 170-171, 172, 189, 583-584
Bone mineral density
adults, 126-128
aging and, 40
anticoagulation therapy and, 172
carotenoids and, 127-128
copper and, 228
manganese and, 396
osteocalcin γ-carboxylation and, 169, 170-171
vitamin K and, 24, 169, 170-171
Boric acid, 511, 513, 514, 518
Boron
absorption and transport, 511-512, 520
adolescents, 519
animal studies, 45, 510, 511-512, 514-517
blood concentrations, 511-512, 515
and blood glucose, 510
body pools, 511-512
calcium and, 511
and cognitive and neurophysiological function, 511, 521
data selection, 517
developmental effects, 510, 512, 514-515, 518
dose-response assessment for ULs, 517-519
in drinking water, 512, 514, 520
and epilepsy, 514
and estrogen, 45, 511, 520-521
exposure assessment, 520
and extramedullary hematopoiesis, 515
food sources, 512
forms, 510
gastrointestinal effects, 514
gender and, 511, 520, 618-621, 644-647
genotoxicity, 514
hazard identification, 513-517
in human milk, 513
human studies, 514
and hyperkeratosis, 515
and immune function, 511
and insulin secretion, 510-511
intakes, 55-56, 57, 512-513, 520, 618-621, 644-647
interaction with other nutrients, 45, 510-511, 520
by life-stage group, 26, 512, 517-519, 618-621, 644-647
metabolism, 511-512
methodological issues, 517
NOAEL/LOAEL, 515, 516, 517-518
pharmacokinetics, 515
reproductive effects, 512, 514-517
research recommendations, 28, 520-521, 583
risk characterization, 520
supplements, 57, 513, 514, 520, 620-621
and testicular atrophy, 515, 515-517
uncertainty assessment, 518
vegetarians, 520
and vitamin D metabolism, 45, 510-511, 520
Boron Nutrient Database, 55-56, 512-513
C
Calcium, 24, 172, 313, 314, 396, 401, 455-456, 457, 458, 462, 479, 480, 511
Canada
arsenic, 504
cancer, 214
dietary intakes, 56, 57, 212, 356, 467, 474, 481, 674-679
infant food recommendations, 317
iodine, 261
nickel, 522
Recommended Nutrient Intakes, 1, 37-38, 554, 588
reference weights and heights, 41-42
stomach cancer in gold miners, 214
Cancer/carcinogenicity.
See also individual sites
ceruloplasmin and, 230
chromium, 214
copper and, 248
iodine and, 259, 262, 266, 279, 280, 284
iron and, 302, 303, 370-372, 373
molybdenum and, 435
serum ferritin and, 302
serum transferrin receptors, 304, 370
silicon, 531
vanadium, 538
vitamin K and, 176-177, 187-188
women, 371
zinc, 483
Carbohydrate metabolism, 13, 44, 201, 204, 394, 396, 444
Carbon monoxide, 293
Carbonic anhydrase, 443
γ-Carboxyglutamyl residues, 163, 167, 172, 173, 174, 189
Cardiovascular disease
iron and, 303, 359, 364-371, 372, 373, 377-378
nickel and, 529
serum ferritin and, 365-367, 370, 377-378
silicon and, 532
total iron-binding capacity and, 303, 370-371
vanadium and, 537
vitamin K and, 173
α-Carotene, 2, 10, 82, 91-92, 122, 123, 564, 594-597
β-Carotene.
See also Carotenoids
animal studies, 94
bioconversion to vitamin A, 2, 82-83, 86-93, 565
blood concentrations, 83, 90-91, 107, 118
body stores, 94
and bone mineral density, 127-128
and chronic diseases, 83
depletion/repletion studies, 88-89
excretion, 88
food sources, 88-90, 112, 122, 124, 562
fortified foods, 565
gender and, 598-599
intakes, 119, 123, 124, 598-599
interaction with other nutrients, 109
international units, 565-566
by life-stage group, 598-599
provitamin A activity, 2, 82-83
supplements, 88-91, 95, 107, 565
Carotenoids.
See also β-Carotene;
Provitamin A carotenoids;
other individual carotenoids
competitive interactions among, 109
Cellular retinoic acid-binding protein (CRABP-1 and -II), 85
Cellular retinol-binding protein (CRBP), 85
Central nervous system.
See also Neurological abnormalities
defects, 128
Ceruloplasmin
antioxidant activity, 225
and copper status, 224, 225, 227-228, 229, 230, 231, 235, 239-240, 484
infants, 235
and liver disease, 230
pregnancy and, 230
Children, ages 1 through 13 years.
See also Life-stage groups;
individual nutrients
accretion of new tissue, 464, 467, 468
AIs, 34, 35, 39, 51-52, 562-563
balance studies, 270, 404-405, 423
basal losses of nutrients, 324, 325, 327
blood volume, 325-326
calcium, 313
copper deficiency anemia, 486
factorial analysis, 463, 467, 468
food sources for, 184-185, 698
fractional absorption of nutrients, 464-465
growth, 39, 53, 309, 324, 327, 328, 449-450, 465-466, 467-468
hypervitaminosis A, 144
idiopathic copper toxicosis, 248, 251
Indian childhood cirrhosis, 248, 251
infectious diseases, 96-97
intestinal losses of nutrients, 463-464
iron deficiency in infancy, 297
liver damage, 250
methodological considerations, 32, 39, 51-52, 53, 112, 180
osteoporosis, 227
Plasmodium falciparum malaria, 96
poisoning deaths, 357
RDA, 52
reference weights and heights, 41-42, 468
supplement use, 96
supplementation studies, 465-466
thyroid gland monitoring, 284
variability of requirements, 327-328
water consumption, 247
Cholesterol
copper and, 228
plasma, 396
serum, 359
Chromium III
absorption, 198-199, 204, 209, 210, 211, 213, 216
adults (19-50), 56-57, 208-210
aging and, 200
AIs, 12-13, 197, 207, 208, 209, 210, 211, 558, 561, 562-563, 564, 569
amino acids and, 204
animal studies, 199-200, 213, 214-215, 458
bioavailability, 211
blood glucose and, 24-25, 203-204
body stores, 200, 205, 209-210
carcinogenicity, 214
children, 207
deficiency, 200-201
and diabetes, 24-25, 200, 201, 216, 584
dose response assessment for ULs, 215-216
energy intakes and, 11, 205, 208-209, 212
excretion, 199-200, 202, 207, 210
exposure assessment, 216
factors affecting requirement, 204
food composition analysis, 54, 569, 583
gender and, 11, 56-57, 202, 207, 208, 209, 212, 216, 620-621
and glucose tolerance, 44, 198, 199, 201, 203-204, 209, 213, 216, 584
hazard identification, 213-215
and hepatic dysfunction, 214-215
in human milk, 205, 206, 209, 210
indicators of adequacy, 11, 12-13, 22, 24-25, 202-204
infants, 198, 205-207, 209-210
and insulin activity, 11, 24-25, 197, 198, 199, 203-204, 213, 216, 584
intakes, 11, 202, 205, 212-213, 216, 620-621
interaction with drugs, 204, 209
interaction with other nutrients, 200, 204, 209
iron and, 200
lactation and, 210-211, 212, 216
by life-stage group, 12-13, 205-211, 620-621
method used to set AIs, 11, 51-52, 54, 197, 205-207, 208-210
methodological issues, 25, 51-52, 54, 202, 211, 212, 214, 583
NOAEL/LOAEL, 215-216
oxalate and, 204
physical exercise and, 199, 207, 215
phytate and, 204
picolinic complexes, 458
plasma concentration, 202
pregnancy and, 54, 209-210, 216
and renal failure/disease, 213, 215
reproductive effects, 215
research recommendations, 216, 583
and rhabdomyolysis, 215
risk characterization, 216
sensitive subpopulations, 215
special considerations, 207
supplements, 25, 56-57, 198, 200, 212-213, 216, 458, 620-621
ULs, 7, 18, 36, 76, 78, 213-216
units, 709
Chromosomal damage and aberrations, 214
Chronic disease
carotenoids and, 83
evidence on prevention of, 9
micronutrients and, 300, 583-584
Chronic gastritis, 300
Chronic mucocutaneous candidiasis, 300
Chylomicron secretion, 87, 93, 163
Circulating lipid levels
Coagulation factors
antibiotics and, 164, 165, 166
II, see Prothrombin
V, 229
VIII, 229
IX, 163
X, 163
manganese and, 396
Cognitive function
copper and, 252
development in infants, 295, 300
iron and, 13, 295, 296-297, 300, 378, 583
manganese and, 410
Collagen metabolism, 45, 225, 529, 530
Colon cancer, 371-372
Common cold, 477
Congenital atransferrinemia, 377
Conjunctival impression cytology, 105
Conjunctival xerosis, 95
Connective tissue synthesis, 44, 225, 226
Continuing Survey of Food Intakes by Individuals (CSFII)
arsenic, 504-505
food composition data, 697-698
iodine, 278
iron, 21, 57, 650-651, 697-703
reference weights and heights, 329
supplement data, 57
Copper
absorption and transport, 226-227, 233-234, 238, 242, 243, 246-247
adolescents, 238-239, 243-244, 245, 250, 251
adverse effects, 18, 224, 247-248
adults (19+), 16, 26, 56-57, 224, 228, 234, 239-243, 246, 249-250, 251, 252
AIs, 238
animal studies, 226-227, 228-229, 232, 234-235, 244, 246
antioxidant activity, 225-226, 229
bioavailability, 233-234, 243, 244, 252
biochemical indicators, 11-12, 230-233, 239-240, 242
and blood coagulation, 229
and blood pressure, 229
body stores/retention, 226, 233, 234, 235, 243
and bone formation and growth, 227, 228, 229
and cancer, 248
and cardiovascular disease, 226, 228-229
and catecholamine metabolism, 225, 229
and central nervous system function, 225, 226
ceruloplasmin concentration and, 224, 225, 227-228, 229, 230, 231, 235, 239-240, 484
children, 51-52, 227, 238-239, 247, 248, 250, 251, 252
and cholesterol (blood), 228
and connective tisse synthesis, 225, 226
critical endpoint, 249
and cytochrome c oxidase activity, 225, 230, 231, 240
data selection, 249
deficiency effects, 226, 227-230, 238, 252, 424
depletion/repletion studies, 224, 228, 229, 231, 232, 239-240, 242
and diamine oxidase activity, 224-225, 232-233
and dietary protein, 246-247
dose-response assessment for ULs, 249-251
in drinking water, 247, 249, 251-252
EARs, 14-15, 238-239, 242, 244, 245
energy expenditure and, 238
evidence considered in setting EAR, 239-242, 243, 244
excretion, 226, 227, 231-232, 233, 234, 240-242, 424
exposure assessment, 251-252
factorial analysis, 233, 240-242
factors affecting requirement, 233-235
fetal, 243
food sources, 245
fructose and, 234-235
functions, 11, 44, 224-226, 443
gastric acidity and, 226
gastrointestinal effects, 247, 248, 249
gender and, 56-57, 228, 245, 251, 622-625, 648-649, 660-661
and glucose tolerance, 229
hazard identification, 246-249
hereditary defects in homeostasis, 248
in human milk, 235, 236-237, 244
human studies, 247
and idiopathic copper toxicosis, 248, 251
and Indian childhood cirrhosis, 248, 251
indicators of adequacy, 11-12, 14-15, 224, 229-233
infants, 51, 226, 227, 234, 235-238, 250
intakes, 57, 224, 233-234, 235-237, 241, 245-246, 251-252, 622-625, 648-649, 660-661
interaction with drugs, 225
interaction with other nutrients, 225, 226, 227, 231, 234, 246-247, 424, 434
and iron utilization, 225, 226, 227, 234, 246
lactation, 235, 244-245, 250, 251
leukocyte concentration, 232
by life-stage group, 14-15, 26, 235-245, 249-251, 622-625, 648-649, 660-661
liver damage, 224, 248, 249, 251
and lysyl oxidase activity, 225, 232
metabolism, 226-227, 246-247, 433
metalloenzymes, 11, 224-226, 456
method used to set AI, 51-52, 235, 237
method used to set EAR, 11-12, 51-52, 238-239
methodological considerations, 51-52, 232, 246, 247
molybdenum and, 246, 424, 433, 434, 435, 436, 437, 438
NOAEL/LOAEL, 249
and osteoporosis, 227
and peptidyl glycine α-amidating monooxygenase activity, 225, 232
plasma concentration, 224, 229, 239-240
platelet concentration, 224, 230, 231, 239-240
pregnancy, 226, 229-230, 243-244, 250, 251
RDAs, 2, 12, 14-15, 224, 239, 242-243, 244, 245
renal dysfunction and, 227
reproductive effects, 248
research recommendations, 252
risk characterization, 252
serum concentration, 229, 230, 235, 484
special considerations, 238, 251, 438
and superoxide dismutase activity in erythrocytes, 224, 225-226, 229, 231, 239-240
supplements, 56-57, 227, 228, 229, 230, 232-233, 246, 247, 248, 252
ULs, 2, 16, 18, 26, 224, 246-252, 562
uncertainty assessment, 249
units, 709
Corneal ulceration, 95
Corneal xerosis, 95
Coronary heart disease, 359, 365, 368-369
Cow milk, 38, 179-180, 207, 227, 238, 270, 283, 317, 404, 425, 427, 457, 462
Cranial neural crest (CNC) defects, 128-129, 138
Craniofacial malformations, 128
Critical endpoints
defined, 76
identification of, 70, 75-76, 249
Crohn’s disease, 446
β-Cryptoxanthin, 2, 10, 82, 91, 122, 123, 600-601
CSFII. See Continuing Survey of Food Intakes by Individuals
Cysteine, 443
Cytochrome c oxidase activity, 225, 230, 231, 240
Cytochromes, iron and, 12, 291-292
Cytokines, 445
D
Dark adaptation
vitamin A and, 10, 21, 87-89, 95, 97-99, 121, 123, 300-301, 568
zinc and, 108-109
Data and database issues.
See also Extrapolation of data
on bioavailability of nutrients, 173, 174
for dietary intakes, 53-58, 104, 173, 556
for dose-response assessment for ULs, 66, 75-76, 77, 122, 133, 142-143, 249, 281, 373, 375, 412, 436, 483-484, 486, 517
food composition databases, 54, 55-56, 184, 512-513, 560, 569, 583, 697-698
methodological issues, 2, 7, 8, 32, 39, 48-49, 173
nutrients intakes, 54, 55-57, 556
quality and completeness of data, 2, 7, 8, 32, 39, 48-49, 54, 66, 74, 77, 173, 184, 560, 569
supplement use, 57-58
types of data used, 45-49
Depletion/repletion studies
adults, 224, 228, 229, 231, 232, 239-240, 430
carotenoids, 88-89
copper, 224, 228, 229, 231, 232, 239-240, 242
design, 581
methodological considerations, 45, 46
molybdenum, 430
vitamin K, 167
Developing countries
vitamin A, 94, 95, 96-97, 112, 118-122, 145
zinc, 488
Developmental effects
Developmental toxicity, 503, 507
chromium and, 24-25, 200, 201, 216, 584
vanadium and, 532, 534, 535, 536, 539, 542
Diamine oxidase, 224-225, 232-233
Diarrhea, 96, 97, 107, 118, 477
Dietary intakes.
See also Canada;
Food sources;
Nutrient intakes;
Supplements;
individual nutrients
and bioavailability of nutrients, 233-234
data and database issues, 53-58, 104, 173, 556
geographic location and, 512
measurement errors, 182, 406, 559
methodological issues, 47, 54-55, 166, 182, 186, 212, 432, 466, 556, 559, 572, 583
provitamin A carotenoid conversion factor and, 122-123
research recommendations, 583
self-reported, 47, 54-55, 556, 583
survey data, 54-58, 245, 356, 560-561
underreporting of, 20, 47, 54-55, 208, 209, 353, 556, 560-561, 583
Dietary Reference Intakes (DRIs)
see also Adequate Intakes;
Estimated Average Requirements;
Recommended Dietary Allowances;
Tolerable Upper Intake Levels
extrapolation from other age groups, 32, 35, 39, 41, 51-53, 78
group applications, 5, 19-22, 34, 123, 554, 558-562, 563-564, 566-567, 577-578
individual applications, 5, 554, 555-558, 562-563, 577-578
nutrient-specific considerations, 564-576
origin, 587-588
parameters for, 36-42;
see also Life-stage group;
Reference weights and heights
precision of values, 9
prevalence of inadequacy, 21-22
sources of data, 2, 20-22, 45-49;
see also Methodological considerations
transition from RDAs, 554-555
uses, 2, 5, 19-22, 30, 554-578
2′,3′-Dihydrophylloquinone, 185-186
Dihydroxyphenylacetic acid, 410
Diiodotyrosine, 260
Dimethylarsenic acid, 504
Dimethylprostaglandin E2, 204
Disinfectants, 268
Divalent metal transporter protein (DMT1), 293, 294
DNA damage and repair chromium and, 214
Dopa, 225
Dopamine β-monooxygenase, 225
Dose-response assessment for ULs.
See also individual nutrients
adolescents, 142, 144-145, 375-376, 413, 414, 437-438, 486-487, 519
adults (19-50 years), 142-143, 249-250, 281-282, 373-375, 412-413, 436-437, 483-486, 517-518, 525-527, 539-541
animal studies, 71, 75-76, 78, 436, 710, 711, 712
children, 144-145, 375-376, 413, 437-438, 486-487, 519
components and process, 72, 75-79
critical endpoints, 75-76
data selection, 75-76, 122, 142-143, 249, 281, 373, 375, 412, 436, 483-484, 486, 517, 525, 539-540
extrapolation from animals to humans, 78, 711
infants, 143-144, 375-376, 413, 437, 486-487, 519
interindividual variation in sensitivity and, 77-78, 711
lactation, 375, 413, 414, 438, 487, 519
NOAEL/LOAEL identification, 76-77, 133, 138, 143-144, 249, 281, 374, 375-376, 412, 436, 484-486, 517-518, 525-526, 540
pregnancy, 133, 138, 375, 413, 414, 438, 487, 519
special considerations, 79, 145, 283, 376-377, 414, 438, 488, 528
UL derivation from, 64-65, 78, 126, 139, 143, 144, 250, 282, 373, 374, 376, 412, 437, 488, 518, 526-527, 541
uncertainty assessment, 76, 77-78, 139, 143, 144, 249, 281, 374, 376, 412, 436, 486-487, 518, 526, 540-541, 710, 711
Down’s syndrome, 231
Drinking water, 267-268, 284, 642-643
children’s intakes, 247
molybdenum, 434-435
vanadium, 535
zinc, 483
Drug interactions
copper, 225
iodine, 268
Dwarfism, 44
E
Elastin, 225
Elderly people. See Adults ages 51+ years
Electrooculorgram, 98
Electroretinogram, 98
Embryonic development, 44, 82, 85, 95-96
Endogenous losses
copper, 241-242
zinc, 446, 448, 449, 462, 463, 469, 471-473, 476
Energy
chromium and, 11, 205, 208-209, 212
intakes, 11, 47, 55, 205, 208-209, 212
requirements, 209
Enteral diets, 227-228
Enzyme cofactor deficiency, 14, 420, 423, 424
Epilepsy, 514
Epinephrine, 225
Epithelial cell integrity, 44, 85, 96, 105
Erythrocyte
arsenic binding to, 506
defined, 705
indexes, 305-306
iron, 290, 301, 302, 304, 305-306, 309, 313, 346, 347, 352
mean corpuscular volume, 706
metallothionein, 444, 453, 473
molybdenum in, 421
protoporphyrin concentration, 304, 306
superoxide dismutase activity, 224, 225-226, 229, 231, 239-240, 442, 482
zinc in, 442, 451, 452, 453, 473, 482
Erythrosine, 268
Escherichia coli WP2, 507
Esophageal webs, 300
Estimated Average Requirements (EARs).
See also individual nutrients
adolescents, 699
AI distinguished from, 37
coefficient of variation, 32-33
criteria used to derive, 7, 8-9, 36
extrapolation to/from other age groups, 32, 49, 51-52
group applications, 5, 20, 554, 558-561, 563-564, 568, 570-572
individual applications, 554, 555-557
infants, 6
knowledge gaps, 581-583
methods used to set, 32, 49, 265, 569, 583
reference weights and heights and, 42
standard deviation, 563
uses, 4, 5, 32-34, 49, 554, 555-557, 558-561, 563-564, 568, 577
validation of, 353-355
Estimated safe and adequate daily dietary intakes (ESADDI), 576
Excretion.
See also Endogenous losses;
Urinary excretion;
individual nutrients
γ-carboxyglutamyl, 167
fecal, 260, 295, 352, 395, 421, 446, 472
gastrointestinal losses, 241, 295, 325, 352
human milk, 269
measurement of, 463
menstrual losses;
see Menstrual cycle
obligatory (basal) losses;
see Basal
losses of nutrients
sweat, 260
Expert Scientific Working Group, 306
Exposure
route of, 73, 75-76, 246, 410, 509, 711
Exposure assessment.
See also individual nutrients
supplements, 65
Extramedullary hematopoiesis, 515
Extrapolation of data
from animal studies, 63, 71, 74, 78, 436, 518, 526, 540, 541, 710, 711, 712
basal losses, 331
body surface area basis, 325, 569
body weight basis, 42, 51, 52, 53, 54, 78, 142, 144, 250, 270, 282, 321, 404, 413, 437, 463, 487, 519, 569
caloric intake basis, 228
daily intakes from urinary losses, 264, 272
growth factors by age group, 51, 53, 331
from human milk intakes, 463
metabolic weight ratio method, 53, 238, 272, 426, 427
NOAEL from LOAEL, 143, 144, 281, 374, 486, 540, 541
from one gender group to another, 341
from other age groups, 32, 35, 39, 41, 51-53, 78, 111, 112, 122, 144, 178, 179, 206-207, 237-238, 250, 269, 270, 272, 282, 321, 331, 404, 406, 413, 437, 463, 465, 467, 469, 470, 487, 519
from subchronic to chronic intake, 78, 711
uncertainties in, 77-78, 436, 518, 526, 540
F
infants, 463
iron, 13, 41, 290, 307-309, 319, 324, 330, 340-343, 344, 347, 348, 569
manganese, 397
pregnancy, 476
zinc, 15, 442, 447, 462, 463, 467, 468, 469-470, 471-473, 476
Fasting/starvation, 267, 373, 446, 448, 451
Fat, dietary
and absorption of nutrients, 70, 106-107, 118, 121, 163
malabsorption syndromes, 164, 174
and manganese-superoxide dismutase activity, 401
and vitamin A, 70, 106-107, 118, 121
and vitamin E bioavailability, 173-174
and vitamin K, 163, 173-174, 185-186
Ferritin
and cancer, 302
and cardiovascular disease, 365-367, 370, 377-378
gender differences, 395, 684-685, 694, 695
and iron, 21, 225, 291, 294, 299, 300, 301-303, 306, 307, 311, 313, 314, 315, 351, 352, 353-355, 357, 359, 365-367, 370, 371-372, 373, 377-378, 572, 684-685, 694, 696
and manganese, 395, 401, 402, 405
vanadium, 533
Fetal
copper, 243
death, 299
folate, 456
hemoglobin, 316
hypothyroidism, 261-262
iron, 290, 299, 300, 309, 316, 345-346, 347
molybdenum, 436
neurobehavioral development, 477
resorption, 95
sensitivity to nutrients, 69, 507
vitamin K, 182
Fiber, dietary
and silicon, 530
Fibrocystic breast disease, 259, 284
Flavoproteins, 291
Follicular hyperkeratosis, 96
Food and Agriculture Organization, 29-30, 60
Food and Drug Administration. See Total Diet Study
Food coloring, 268
Food composition data
analytical methods, 54, 56, 184, 560, 569, 583
iodine, 277
iron, 697-698
quality and completeness of, 54, 184, 569
recommendations, 564
zinc, 560
Food matrix and bioavailability of nutrients, 68, 87-90, 107, 174, 312, 351, 359, 411, 414, 424, 429-430, 479, 530
Food safety, risk assessment and, 62-67
Food sources.
See also individual nutrients
goitrogens, 267-268
major contributors, 58
methodological issues, 58
Formulas, infant
absorption of nutrients in, 238, 404
AIs, 562
bioavilability of nutrients, 4, 38, 50, 112, 180, 206, 238, 267, 270, 317, 322, 427, 462, 557-558, 561
chromium, 207
cow milk-based, 38, 227, 404, 462
dephytinized, 402
DRIs, 37-38
molybdenum in, 425
supplemented/fortified, 238, 317, 322, 462
toxicity of nutrients in, 486
vitamin K, 178, 179-180, 185-186
Fortification of foods, 119, 145, 355-356, 358, 378, 563, 565
Free fatty acids, 201
Fructose and, 234-235
Functional isolation paradigm, 297
G
Gastric acidity, 226, 292, 311
Gastric cancer, 259
Gastroenteritis, 107
Gastrointestinal effects
arsenic poisoning, 506
boron, 514
iron, 290, 352, 358, 360-365, 373-377
zinc, 482
Gender.
See also Men;
Women;
individual nutrients
and absorption of nutrients, 402
and adverse effects of nutrients, 482
and γ-carboxyglutamyl residues, 167
and cardiovascular disease, 359
dietary intakes, 122, 202, 354, 594-641, 644-653, 654-673, 674-679
and drinking water intakes, 642-643
and energy balance, 212
extrapolation of data on basis of, 341
and ferritin, 395, 684-685, 694, 695
and growth velocity, 331
and hemoglobin, 333, 336, 680-681
and iodine excretion, 690-691
and plasma glucose, 695
reference weights and heights, 41, 52
and relative body weight, 52, 332, 333
and retinyl esters, 688-689
serum values for biochemical indicators by, 680-689
and supplement use, 56-57, 187, 278, 612-613, 620-621, 626-627, 632-637
and transferrin, 682-683
Gene expression, 15, 44, 82, 85, 442, 443, 454, 521
Gene regulation, 503
Genetic defects, 248
Genotoxicity, 197, 214, 507, 514
Glossitis, 300
Glucagon, 446
Glucose tolerance
aging and, 209
chromium and, 44, 198, 199, 201, 203-204, 209, 213, 216, 584
copper and, 229
manganese and, 396
nickel and, 521
vanadium and, 532
Glucuronide conjugation, 164
Glutamine synthetase, 394
Glycotransferases, 394
Goiter, 12, 44, 261, 264-265, 266, 267, 271-272, 276, 279-280, 283, 284
Green tongue, 538
Growth velocity
adolescents, 39, 53, 331, 338, 339
children, 39, 53, 309, 324, 327, 328, 449-450, 465-466, 467-468
infants, 37, 38, 50, 53, 317, 320, 462, 465-466
iron and, 290, 309, 317, 320, 324, 328, 331, 333, 338, 339, 573
manganese and, 396
nickel, 521
zinc and, 444, 446-447, 449-450, 452, 454, 462, 464, 465-466, 467-468
H
Hazard identification.
See also individual nutrients
adverse effects, 72, 125, 126-133, 213-215, 247-248, 357-372, 409-412, 433-435, 482-483, 514-517, 524-525, 535-538
animal studies, 71-72, 73, 409-411, 433-434, 514-515, 524
data quality and completeness and, 74
duration of exposure and, 73
experimental data on nutrient toxicity and, 73
human studies, 71, 434, 514, 524
mechanisms of toxicity and, 74, 435, 515
pharmacokinetic and metabolic data and, 73-74, 435
route of exposure and, 73
sensitive subpopulations, 74-75, 215, 372-373
Hemachromatosis, 200, 358, 359, 370, 372-373, 376, 378
Hematological disorders, 358, 372, 536-537
Hematuria, 352
Heme-flavoproteins, 291
Heme oxygenase enzyme, 293-294
Heme proteins, 291, 292, 293-294, 304, 311, 312, 314, 315, 327, 356, 374, 455, 483
Hemianopsia, transient, 524
Hemoglobin
adolescents, 305, 330, 331-333, 335, 336, 338
infants, 316, 319, 320-321, 322-323
iron and, 12, 22, 44, 290, 291, 292, 295, 299, 302, 303, 305, 306, 307, 308, 316, 319, 320-321, 322-323, 324, 325-326, 329, 330, 331-333, 335, 336, 337-338, 342, 345-346, 349, 680-681
mean corpuscular, 706
molybdenum and, 435
nickel in, 521
Hemoglobinuria, 352
Hemolysis, 400
Hemorrhagic disease of the newborn (HDNB), 176, 177
Hemorrhagic syndrome, 175
Hepatocellular carcinoma, 370, 372
Hephaestatin, 225
Histidine, 443
Homocysteine, 521
Homovanillic acid, 410
Hookworm, 351
Hormone metabolism, 443, 444, 454, 532
Hormone replacement therapy, 350-351, 573
Human immunodeficiency virus, 443
Human milk.
See also Lactation
absorption of nutrients in, 238, 404
adequacy for infants 0 to 6 months, 37-38, 50, 316, 557-558, 561, 562
analysis of nutrient content, 227
arsenic in, 505
bioavailability of nutrients in, 457, 557-558
boron in, 513
excretion quantity, 269
extrapolation of data from intakes of, 463
and hemorrhagic disease of the newborn, 177
intakes, 37, 110, 111, 177, 178, 205, 318-319, 463
nickel, 523
silicon, 530
zinc, 6, 51, 457, 460-462, 463, 465, 477-478
Human studies.
See also Observational studies
boron, 514
children, 465-466
copper, 247
for dose-response assessment for ULs, 75
ethical considerations, 50, 61, 71
for hazard identification, 71
manganese ecological studies, 411
methodological considerations, 45-46, 67-68
molybdenum, 434
nickel, 524
Hydroxyapatite, 168
5-Hydroxyindole acetic acid, 410
Hydroxylysine, 225
Hyperglycemia, 213
Hyperkeratosis, 515
Hypersensitivity to nutrients, 524, 526, 528
Hypertension, 532
Hyperthyroidism, 260, 262, 263, 279, 280, 283
Hyperuricemia, 434
Hypervitaminosis A, 125, 133, 134-139, 144
Hypocholesterolemia, 396, 410-411
Hypoprothrombinemia, 164-165
Hypothyroidism, 260, 261-262, 263, 264, 266, 267, 279, 280, 283
I
Idiopathic copper toxicosis, 248, 251
Immune function
boron and, 511
indexes of, 453
vitamin A and, 10, 44, 82, 85-86, 96, 98, 99, 105-106, 121
zinc and, 443, 444, 447, 449, 453, 474-475, 481, 482, 488
Indian childhood cirrhosis, 248, 251
Indicators of nutrient adequacy.
See also specific indicators, life stages, and nutrients
biochemical, 11-12, 230-233, 239-240, 242, 301-306, 423, 572, 680-691
functional, 300-301
risk reduction-based, 22-25
Infant Growth Study, 328
Infants, premature, 227, 297, 298, 425, 573
Infants, ages 0 through 12 months.
See also Formulas, infant;
Human milk
accretion of new tissue, 464
ages 0 through 6 months, 4, 37, 38, 50, 110, 177-178, 205, 235, 268-269, 316-319, 403, 425, 458-463, 486, 562
ages 7 through 12 months, 6, 37, 38, 51, 111, 178-179, 205-207, 235, 237-238, 269-270, 319-323, 404, 425-426, 463-466, 562
AI derivation for, 4, 34, 35, 37, 38, 50-51, 53, 110-111, 557-558, 561, 562, 564
antiseptic toxicity, 280
Apgar scores, 300
balance studies, 269
basal losses of nutrients, 319, 320, 322, 325
bulging fontanel, 125, 132, 140-141, 143, 144, 145
caloric intakes, 205
ceruloplasmin concentrations, 235
choleostatic liver disease, 396
cognitive development, 295, 300
complementary weaning foods, 38, 51, 111, 178-179, 205, 237, 312, 322, 404, 426, 462, 463, 465, 697
cow milk allergy, 317
cranial neural crest defects, 128-129, 138
defined, 37
developmental delays, 295, 296-297, 300
diarrhea, 227
dietary intakes, 38, 110, 111, 117, 322-323, 463
extrapolation of data to and from, 51-53
factorial analysis, 463
goiter, 280
growth velocity, 37, 38, 50, 53, 317, 320, 462, 465-466
hematopoiesis, 316
hemoglobin concentrations, 316, 319, 320-321, 322-323
hemorrhagic disease of the newborn, 176, 177
hypercalcemia, 140-141
hypervitaminosis A, 140-141, 143-144, 145
hypothyroidism, 280
intestinal losses of nutrients, 463-464
iron deficiency anemia, 296-297, 298, 300, 317
low birth weight, 297, 298, 348
method used to set AI, 110-111, 177-179, 205-206, 235, 237, 268-269, 402-404, 425-426, 459, 462
methodological considerations, 38, 50-51, 53, 110-111
osteoporosis, 227
recommended food sources, 4, 34, 35, 37, 50, 250, 282, 317
reference weight, 41, 320, 404
skeletal abnormalities, 128-133
small for gestational age, 298, 299
special considerations, 112, 179-180, 206, 238, 270, 317, 404, 427, 462-463
thyroid gland of newborns, 275, 280
TSH screening for hypothyroidism, 261, 266
ULs, 69
urinary losses of nutrients, 464
vitamin K prophylaxis, 176-178
Infectious diseases, 230, 302, 303, 304, 305, 488
and absorption of nutrients, 107
children’s morbidity and mortality, 96-97
vitamin A and, 96-97, 107, 121
zinc and, 445
Inflammatory diseases, 230, 302, 303, 304, 305
Inositol hexaphosphate, 312
Institute of Medicine, 51
Insulin activity, 11, 24-25, 45, 197, 198, 199, 203-204, 213, 216, 510-511, 532, 534, 584
Interleukin-1, 85
Interleukin-6, 445
International Atomic Energy Agency (IAEA), 29-30, 60-61
International comparisons
arsenic, 508
iodine deficiency, 261, 262-263, 271, 276, 279, 284
vitamin K, 187
zinc, 476
International Council for the Control of Iodine Deficiency Disorders, 262, 263
International Programme on Chemical Safety, 248
Intervention trials
intakes above ULs, 125
iodine, 279
methodological issues, 48
vitamin A, 90-91, 97, 108, 119, 121, 125
Intestinal.
See also Gastrointestinal effects
damage, 233
environment and absorption, 311-312, 454-455
iron absorption, 292-293
losses of nutrients, 463-464
menaquinone synthesis, 162
parasites, 107, 118-119, 121, 351-352
zinc losses, 448, 456, 463-464, 472, 476
Intrauterine devices, 334
Iodate, 259
Iodermia, 280
Iodine
absorption and transport, 259, 267
accumulation and turnover, 12, 258, 262-263, 269, 273-274, 275
acute responses, 279
adolescents, 264, 269, 270-273, 276, 277, 282, 283
adults (19+), 16, 26, 56-57, 258, 264, 273-275, 278, 281-282, 283
aging and, 274
bioavailability, 264, 267, 270
body stores, 260
and cancer, 259, 262, 266, 279, 280, 284
children, 12, 51-52, 262, 264, 265, 269, 270-273, 282, 284
and cretinism, 261-262
data selection, 281
deficiency, 12, 109, 259, 260, 261-268, 275-276, 278, 283, 284
dose-response assessment for ULs, 281-283
EARs, 16-17, 272-273, 274, 276, 277
evidence considered in setting EAR, 258, 270-272, 273-274, 275-276
excretion, 259, 260-261, 263-264, 266, 269, 271-272, 273, 275, 279, 281, 284, 583
exposure assessment, 283-284
factors affecting requirement, 267-268
and fibrocystic breast disease, 259, 284
food sources, 261, 275-276, 277, 283
gender and, 56-57, 258, 278, 626-627, 662-663, 690-691
and goiter, 12, 44, 261, 264-265, 266, 267, 271-272, 276, 279-280, 283, 284
goitrogens and, 267-268
hazard identification, 278-281
in human milk, 268-269, 277, 283
and hyperthyroidism, 260, 262, 263, 279, 280, 283
and hypothyroidism, 260, 261-262, 263, 264, 266, 267, 279, 280, 283
indicators of adequacy, 16-17, 262-267, 690-691
infants, 51-52, 261, 266, 268-270, 275, 280, 282
intakes, 57, 261, 264, 270, 272, 278, 279, 283-284, 626-627, 662-663
interaction with drugs, 268
interaction with other ingested substances, 267-268
interaction with other nutrients, 260, 268, 284
international comparisons, 261, 262-263, 271, 276, 279, 284
intervention studies, 279
and iodermia, 280
laboratory assays, 261, 266, 583
by life-stage group, 16-17, 26, 268-277, 281-283, 626-627, 662-663, 690-691
and mammary dysplasia, 258-259
and mental retardation, 261-262
method used to set AI, 51-52, 268-269
method used to set EAR, 12, 51-52, 265, 277
methodological considerations, 51-52, 265, 274, 284
pregnancy, 261, 274, 275-277, 280, 282, 283
RDAs, 12, 16-17, 51-52, 258, 271, 273, 274-275, 276, 277
and reproductive outcomes, 261, 262
research recommendations, 284, 583
risk characterization, 284
selenium deficiency and, 260, 268, 284
special considerations, 270, 278, 283
supplements, 56-57, 275-276, 278, 279, 280, 281, 284, 626-627
and thyroglobulin, 259-260, 264, 266-267, 276
and thyroid size, 259, 264-265, 275-276, 279-280, 284
and thyroid stimulating hormone (thyrotropin, TSH), 258, 260, 264, 265, 266, 268, 276, 279, 280, 281, 707
and thyroiditis, 263, 279, 283
and thyotoxicosis, 280
and triiodothyronine, 258, 260, 267
ULs, 2, 16, 18, 26, 258, 278-284, 562
uncertainty assessment, 281
units, 709
urinary, 259, 260-261, 263-264, 266, 269, 271-272, 273-274, 275, 279, 281, 284, 690-691
Iron
absorption and transport, 21, 291, 292-294, 301, 303, 308, 311-313, 314, 315, 317, 321, 322-323, 327, 337, 342, 347, 351, 357, 372, 378, 455, 483, 521, 697
acute toxicity, 357
adolescents, 21, 292, 302, 304, 305, 309, 316, 319, 330-340, 341, 348-349, 350, 353, 355, 375-376, 573, 699, 700, 702
adults, 16, 27, 56-57, 301, 316, 319, 340-344, 353, 355, 373-375, 694, 699, 700, 703
adverse effects, 18, 290, 357-372
alcohol consumption and, 376
and anemia, 12-13, 22, 44, 226, 295-299, 300, 301, 303, 305-306, 317, 352, 378, 583
animal studies, 108, 121, 293, 296, 300
ascorbic acid and, 292, 311-312, 313, 314, 315
athletes, 295, 296, 300, 305, 352-353, 574
balance studies, 292, 308, 309-310, 314, 378
basal losses, 290, 295, 307-308, 320, 322-323, 324, 325, 327, 329, 330, 331, 332, 337, 340, 341, 342, 343, 344-345, 347, 349, 569
bioavailability, 4, 292, 311, 312-313, 314-316, 317, 322-323, 327, 337, 346-347, 349, 351, 355, 359, 378
biochemical indicators of deficiency, 301-306, 572, 680-685
body stores, 290, 291, 293, 294, 299, 301-303, 306, 308, 311, 314, 316, 319, 321, 323, 324, 327, 330, 332, 341, 358-359, 365, 378
body weight and, 308, 322-323, 327, 329, 331, 332, 333, 338, 340, 343, 582
and cancer, 302, 303, 370-372, 373
and cardiovascular disease, 359, 364-371, 372, 373, 377-378
and central nervous system processes, 297
children, 108, 292, 297, 301, 309, 313, 316, 319, 321, 322-323, 324-340, 353-355, 357, 375-376, 698, 699, 701
and chromium, 200
and cognitive function, 13, 295, 296-297, 300, 378, 583
copper and, 225, 226, 227, 234, 246
and coronary heart disease, 359, 365, 368-369
deficiency, 108, 121, 226, 268, 284, 291, 293-300, 354, 355, 455
in developing countries, 351-352, 359, 377, 378
and development delays, 295, 296-297, 300
distribution of requirements, 327-329, 337-338, 348, 350, 559, 563, 569, 572, 573-574, 576, 699, 700
dose-response assessment for ULs, 373-377
early deficiency, 301, 303-305, 306, 335
EARs, 18-19, 323-324, 328, 329, 338-339, 344, 349, 350
enhancers of nonheme iron absorption, 311-312
and erythrocytes, 290, 301, 302, 304, 305-306, 309, 313, 346, 347, 352
evidence considered in setting EAR, 319-323, 324-329, 330-338, 340-348, 349-350
excretion, 21, 295, 307-309, 319, 322-323, 352
exposure assessment, 377
factorial modeling, 13, 41, 290, 307-309, 319, 324, 330, 340-343, 344, 347, 348, 569
factors affecting requirement, 311-316
FAO/WHO values, 345
and ferritin, 21, 225, 291, 294, 299, 300, 301-303, 306, 307, 311, 313, 314, 315, 351, 352, 353-355, 357, 359, 365-367, 370, 371-372, 373, 377-378, 572, 684-685, 694, 696
and ferroxidases, 225
fetal, 290, 299, 300, 309, 316, 345-346, 347
and flavoproteins, 291
food composition data, 697-698
food sources, 312, 314, 355-356, 697-698
gastrointestinal effects, 290, 352, 358, 360-365, 373-377
gender and, 13, 56-57, 290-291, 304, 324, 333, 336, 338-339, 340-344, 354, 356, 359, 628-631, 650-651, 664-665, 676-677, 680-685, 694, 696, 702, 703
growth velocity and, 290, 309, 317, 320, 324, 328, 331, 333, 338, 339, 573
hazard identification, 357-373
heme, 291, 292, 293-294, 304, 311, 312, 314, 315, 327, 356, 374, 455, 483
and heme-flavoproteins, 291
hemochromatosis, 200, 358, 359, 370, 372-373, 376, 378
and hemoglobin (hematocrit), 12, 22, 44, 290, 291, 292, 295, 299, 302, 303, 305, 306, 307, 308, 316, 319, 320-321, 322-323, 324, 325-326, 329, 330, 331-333, 335, 336, 337-338, 342, 345-346, 349, 680-681
and hemosiderin, 291, 294, 357
hormone replacement therapy and, 350-351, 573
in human milk, 6, 51, 316-317, 318-319, 320, 322-323, 349, 697
indicators of adequacy, 18-19, 21, 300-310, 311, 680-685
infants, 51, 234, 295, 296-297, 300, 312, 316-324, 325, 353, 375-376, 378, 573, 697, 701
inhibitors of nonheme iron absorption, 312-313
intakes, 57, 290, 322-323, 352, 353-355, 356, 377, 559, 628-631, 650-651, 664-665, 676-677, 696
interaction with other nutrients, 108, 200, 225, 226, 227, 234, 246, 268, 284, 292, 304, 311-313, 314, 315, 357-358, 373, 401, 455, 458, 482-483, 521
intervention studies, 108, 313
intestinal parasitic infection and, 351-352
and koilonychia, 300
laboratory measurements, 301-306
lactation, 318-319, 349-350, 375, 377, 455
lactic acid and, 312
and lactoferrin, 291
by life-stage group, 18-19, 27, 316-355, 373-376, 628-631, 650-651, 664-665, 676-677, 680-685, 696
liver disease and, 370, 372, 376
malic acid and, 312
and manganese absorption, 395, 401, 402, 405, 409
menstrual losses, 290, 291, 292, 295, 301-302, 309, 330, 332, 334-337, 338, 339-340, 341-343, 350, 355, 570-572, 700
method used to set AI, 316-317
method used to set EAR, 13, 18-19, 290, 307-310, 314-316, 340-343, 569
methodological issues, 41, 307, 309
and mucosal integrity, 300
and myoglobin, 12, 44, 290, 291, 292, 296, 333
nickel and, 521
nonheme, 291, 292, 311-312, 313, 314, 315, 351, 374, 375, 376, 455
oral contraceptives and, 334-335, 343, 350, 573, 700, 702, 703
oxidation states, 291
and pagophagia, 300
physical exercise and endurance training and, 295, 296, 300, 305, 352-353, 574
and pica, 300
pregnancy, 13, 22, 292, 295, 297-300, 302, 304, 305, 309, 344-349, 356, 375, 377, 378, 455, 573
prevalence of inadequate intakes, 21, 22, 353-355, 570, 576
probabilities of inadequate intakes, 570-572, 576, 701-703
and protoporphyrin, 291, 304, 306
race/ethnicity and, 302-303, 308, 694
RDAs, 3-4, 18-19, 33-34, 290, 307, 324, 328, 329, 339, 344, 349, 350, 569
and retinol, 108
risk characterization, 377-378
secondary iron overload, 358-359, 372, 373, 377, 378
sensitive subpopulations, 372-373, 377-378
serum concentration, 368-369, 371
special considerations, 317, 319, 339-340, 350-353, 376-377, 572, 573-574, 576
supplements, 56-57, 108, 121, 297, 300, 305, 313, 351, 352, 353, 356, 357, 360-363, 373, 377, 378, 401, 455
surrogate laboratory indicators, 306
tissue content (nonstorage), 290, 291, 295, 296, 306, 319, 321, 323, 324, 327, 329, 330, 332, 333-334, 349
total iron-binding capacity, 303, 370-371
and transferrin, 291, 293, 294, 302, 303-304, 306, 357, 359, 368-369, 370-371, 682-683
and transferrin receptors, 302, 304-305, 306
ULs, 2, 16, 18, 27, 290, 356-378, 562
uncertainty assessment, 374, 376
units, 709
validation of requirement estimates, 353-355
variability of requirements, 327-329, 337-338, 348, 350, 559, 563, 569, 572, 573-574, 699, 700
vegetarianism and, 315, 351, 574
and work performance, 295-296
and zinc absorption, 304, 357-358, 373, 455, 458, 482-483
Iron-binding proteins, 317
Iron-deficient erythropoiesis, 301, 303-305, 306
Iron response element (IRE), 293
Iron response proteins (IRP), 293, 294
Ischemic heart disease, 228-229, 359
Isotope dilution method, 103, 114
J
Joint FAO/WHO Expert Committee on Food Additives, 66
K
Koilonychia, 300
Kwashiorkor, 119
L
Laboratory assays/values
analytical considerations, 46-47, 168, 266
iron, 301-306
methodological considerations, 46, 168, 169, 202, 211, 266, 306, 434, 452, 583
surrogate indicators, 306
vitamin K, 168
Lactation.
See also Human milk;
individual nutrients
and absorption efficiency, 244
basal losses of nutrients and, 349
bioavailability of nutrients, 349
derivation of DRIs for, 40-41, 54
evidence considered in setting EAR, 117, 244, 349-350, 431
and hemoglobin mass, 349
method used to set AIs, 183-184, 210, 407
methodological considerations, 54
stage of, 50, 110-111, 206, 235-237, 269, 318-319, 403, 425, 459-461, 478
supplement use, 177
ULs, 145
variability of requirements, 350
Lactic acid, 312
Lactoferrin, 291
β-Lactoglobulin, 112
Lead poisoning, 304
Lean body mass, 69
Leukocyte copper concentration, 232
Lewis acid, 443
Life-stage group.
See also Adolescents;
Adults;
Children;
Infants;
Lactation;
Pregnancy;
individual nutrients
Body Mass Index categories by, 41
and drinking water intakes, 642-643
and hemoglobin, 680-681
intakes of nutrients by, 8-27, 354, 594-641, 644-653, 654-673, 674-679
and iodine excretion, 690-691
and plasma glucose, 695
reference weights and heights by, 41
and retinyl esters, 688-689
serum values of biochemical indicators, 680-689, 695
supplement use by, 612-613, 620-621, 626-627, 632-637, 693
and transferrin, 682-683
Linamarin, 267
Lipid metabolism, 13, 44, 394, 396, 532
Lipid peroxidation, 357
Lipiodol, 259
Lipoproteins, 482
Liver disease/abnormalities
and arginase activity, 401
ceruloplasmin and, 230
children, 250
chromium and, 214-215
choleostatic, 396
cirrhosis, 248, 251, 370, 372, 376, 409
copper and, 224, 248, 249, 251
Indian childhood cirrhosis, 248, 251
infants, 396
iron overload and, 370, 372, 376
manganese and, 395-396, 401, 409, 414
menadione and, 187
serum ferritin and, 302
vanadium and, 535
vitamin A and, 109, 125, 129, 132-133, 134-139, 142, 145
Liver function, aging and, 69
Lou Gehrig’s disease, see Amyotrophic lateral sclerosis
Low-density lipoproteins, 93-94
Low-fat diets, 106-107
Low-molecular weight chromium-binding substance (LMWCr), 198, 199
Lowest-Observed-Adverse-Effect Level (LOAEL)
extrapolation of NOAEL from, 143, 144, 281, 374, 486
identification of, 76-77, 133, 138, 143-144, 249, 281, 374, 375-376, 412, 436, 485-486
used instead of NOAEL, 78, 143-144
uncertainty factors, 77
vitamin A
Lung cancer, 507
Lycopene, 84, 109, 123, 604-605
T-Lymphocyte development and activation, 443
Lymphocyte 5′-nucleotidase activity, 453, 473-474
Lymphocytic thyroiditis, 283
Lysine, 225
Lysyl oxidase activity, 225, 232
M
α-2-Macroglobulin, 395, 421, 446
Magnesium trisilicate, 531
Malabsorption syndromes, 164, 180, 445
Malic acid and, 312
Malnutrition, 30.
See also Protein energy malnutrition
and blackfoot disease, 506
chromium and, 198
and creatinine excretion, 263
and hypoptothrombinemia, 164
infants, 198
iodine and, 270
and triiodothyronine concentrations, 267
vitamin A deficiency and, 97, 99, 145
wasting, 97
Mammary dysplasia, 258-259
Manganese
absorption and transport, 395, 401-402, 404, 409
adolescents, 397, 404-405, 406-407, 413, 414
AIs, 14, 20-21, 404, 405, 407, 558, 561, 562-563, 564
and amino acid metabolism, 13, 394
animal studies, 396, 401, 406, 409-411
and arginase activity, 394, 401
balance studies, 395, 397-399, 404-406
bioavailability, 401-402, 411, 414
blood concentration, 400, 401, 409
and bone formation, 13, 44, 394, 396
calcium and, 401
and carbohydrate metabolism, 13, 394, 396
in cow milk, 404
data selection, 412
deficiency, 396
depletion/repletion studies, 396, 397, 399, 400
dose-response assessment for ULs, 412-414
in drinking water, 410, 411, 414
and estrous cycle, 396
excretion, 395-396, 397, 400-401
exposure assessment, 414
factorial analysis, 397
factors affecting requirement, 401-402
ferritin and, 395, 401, 402, 405
food sources, 407-408
gender and, 20-21, 56-57, 394, 395, 401, 402, 405, 406, 408, 632-633, 666-667
and glucose tolerance, 396
and growth, 396
hazard identification, 409-412
human ecological studies, 411
in human milk, 402, 403, 404, 407
indicators of adequacy, 13-14, 20-21, 397-401, 414
infants, 395-396, 402-404, 411, 413
intakes, 13-14, 57, 394, 397, 405, 406, 407, 408, 414, 632-633, 666-667
interaction with other nutrients, 395, 396, 387, 401-402
interindividual variation in absorption, 397, 402
iron status and, 395, 401, 402, 405, 409
by life-stage group, 20-21, 27, 402-407, 412-414, 632-633, 666-667
and lipid metabolism, 13, 394, 396
liver disease and, 395-396, 401, 409, 414
metabolism, 395
method used to set AI, 13, 54, 402-407
methodological considerations, 54, 397
neurotoxicity, 409-411
NOAEL/LOAEL, 412
and osteoporosis, 396
phytate and, 402
pregnancy, 54, 406-407, 413, 414
prevalence of inadequacy, 561
and reproductive function, 396
research recommendations, 414
risk characterization, 414
serum/plasma concentrations, 395-396, 399-400, 409
special considerations, 404, 414
and superoxide dismutase activity, 225, 394, 401, 412, 414
supplements, 56-57, 395, 399, 401, 408, 409, 412, 414, 632-633
transferrin receptor density and, 409, 411
ULs, 2, 16, 18, 27, 394, 408-414, 562
uncertainty assessment, 412
units, 709
vegetarian diets, 408, 412, 414
vitamin K deficiency and, 396
Marasmus, 119
Market Basker Surveys, 56
Market Research Corporation of America, 186
Maximum contaminant levels, 508, 509
Men.
See also Gender
basal losses of nutrients, 340
boron, 511
cardiovascular risk, 377-378
copper, 228, 240, 245, 246, 251
follicular hyperkeratosis, 96
HDL concentrations, 482
hemoglobin concentrations, 305
iron, 290-291, 340-341, 699, 703
provitamin A carotenoids, 118, 123
serum transferrin, 304, 370-371
vitamin K, 186
zinc, 473-474, 480-481, 482, 488
Menaquinones
absorption, 164
and bone mineral density, 170, 172
in cow milk, 179-180
hazard identification, 187
interactions with drugs, 164
serum/plasma concentrations, 166
structure, 162
Menke’s disease, 226, 232, 488
Menstrual cycle
adolescents, 332, 334-337, 338
iron losses, 290, 291, 292, 295, 301-302, 309, 330, 332, 334-337, 338, 339-340, 341-343, 350, 355, 570-572, 700
manganese and, 396
pain and mood changes, 396
zinc losses, 446, 448, 469, 471-472
Mental retardation, 261-262
Messenger ribonucleic acid (mRNA), 293, 444
Metabolic weight ratio method, 53, 112, 238, 272, 426, 427
Metabolism.
See also individual nutrients
amino acid, 13, 44, 204, 394, 420-421
basal rate considerations, 32-33
bone, 10, 23-24, 162, 169, 170, 172, 189, 229, 583-584
carbohydrates, 13, 44, 201, 204, 394, 396, 444
collagen metabolism, 45, 225, 529, 530
compartmental model, 535
ethanol, 475
inborn errors of, 421
level of intake and, 445
lipid metabolism, 13, 44, 394, 396, 532
thyroid, 268
tryptopham, 458
Metal response element transcription factor (MTF1), 443
Metalloenzymes
zinc, 443
Metallothionein, 234, 443, 444, 453, 456, 473
Metallothionein gene, 444
Methionine, 45, 422, 423, 509, 521
Methodological considerations
AIs, 50-52
animal studies, 45, 71, 246, 279, 517, 712
balance studies, 45, 46, 233, 265, 274, 309, 397
bioconversion of carotenoids to vitamin A, 2, 82-83, 86-93, 565
biomarkers, 47
boron, 517
children, 32, 39, 51-52, 53, 112, 180
chromium, 25, 51-52, 54, 202, 211, 212, 214, 583
comparability of studies, 169-170
confounding of nutrients, 23-24, 47-48, 106, 143, 171, 214
data limitations, 2, 7, 8, 32, 39, 48-49, 173
depletion/repletion studies, 45, 46
dietary intakes, 47, 54-58, 166, 182, 186, 208, 209, 212, 432, 466, 556, 559, 572, 583
epidemiological studies, 46
in extrapolation of data, 49, 51-53
food composition data, 569, 583
food sources, 58
generalizability of results, 46, 48, 172
human studies, 45-46, 50, 67-68, 247
immune function tests, 106
infants, 38, 50-51, 53, 110-111
intervention trials, 48
kinetic modeling of body pools, 446, 582
laboratory assays, 46, 168, 169, 202, 211, 266, 306, 434, 452, 583
lactation, 54
measurement errors, 47
molybdenum, 51-52, 54, 432, 434
nickel, 526
nutrient intake estimates, 47, 54-55, 556-557, 583
nutrient-nutrient interactions, 47, 106, 143, 171, 214
observational studies, 45, 46-48
pregnancy, 53-54
randomized clinical trials, 45, 47-48
in risk assessment, 46-47
standardization of tests, 106, 266, 284, 583
types of data used, 45-49
vitamin A, 51-52, 106, 127, 143
vitamin K, 23-24, 166, 168, 169, 171, 172, 184, 186
weighing the evidence, 48-49
2-Methyl-1,4-naphthoquinones, 162
Methyltransferase activity, 506
Mevilonin, 411
Miliaria crystallina, 396
Modified relative dose response test, 104
Molybdenum
absorption and transport, 421, 424
adolescents, 427-428, 430-432, 437-438
adults, 16, 27, 420, 424, 428-430, 436-437
AIs, 427
and amino acid metabolism, 420-421
and anemia, 433
animal studies, 421, 424, 433, 435, 436
balance studies, 14, 420, 423, 428-429
bioavailability, 420, 424-425, 427, 429, 435, 439
biochemical indicators, 423
and cancer, 435
children, 51-52, 423, 427-428, 437-438
and copper metabolism, 246, 424, 433, 434, 435, 436, 437, 438
data selection, 436
depletion/repletion studies, 430
dose-response assessment for ULs, 436-438
in drinking water, 434-435
energy expenditure and, 427
enzyme cofactor deficiency, 14, 420, 423, 424
in erythrocytes, 421
evidence considered in setting EAR, 427, 428-431
excretion, 421, 422-423, 429, 435
exposure assessment, 439
factors affecting requirement, 424-425
fetal, 436
in formula, 425
gender and, 22-23, 424, 432, 632-633
and growth depression, 433, 435
hazard identification, 433-436
and hemoglobin, 435
human studies, 434
indicators of adequacy, 14, 22-23, 422-423
intakes, 420, 432, 439, 632-633
interactions, 246, 424, 433, 434
lactation, 425, 426, 431-432, 438
by life-stage group, 22-23, 27, 425-432, 436-438, 632-633
metabolism, 421
method used to set AI, 51-52, 54, 425-426
method used to set EAR, 14, 22-23
methodological considerations, 51-52, 54, 432, 434
and neurological abnormalities, 14, 421, 422
NOAEL/LOAEL, 436
plasma/serum concentrations, 422
RDAs, 2, 14, 22-23, 420, 427-428, 430, 431-432
and renal failure, 433-434
reproductive effects, 420, 433, 434-435, 436, 438
research recommendations, 439
risk characterization, 439
and skeletal deformities, 433, 435
special considerations, 427, 438
and sulfur, 434
supplements, 57, 432, 434, 439, 632-633
and thyroid injury, 433
toxicokinetics, 435
tungsten and, 424
ULs, 2, 16, 18, 27, 420, 433-439, 562
uncertainty assessment, 436
units, 709
and uric acid in plasma and urine, 422, 423, 434, 437
Molybdopterin, 420
Monoamine oxidase (MAO), 225
Monoamine oxidase (MAO) inhibitors, 225
Monocyte metallotionein messenger RNA, 444, 453
Monoiodotyrosine, 260
Monomethylarsonic acid, 504
Mortality from infectious diseases, 96
MTF1 binding, 443
Mucosal integrity, 300
Muscle protein catabolism, 446
Mutations
of copper-transporting ATPase, 227
in Cu/Zn SOD gene, 225-226
in MNK gene, 226
Myelin, 44
Myelination of nerve fibers, 297
Myeloperoxidase, 259
Myocardial infarction, 228, 230, 359, 365, 372
Myoglobin, 12, 44, 290, 291, 292, 296, 333
N
National Health and Nutrition Examination Survey I (NHANES I), 263
National Health and Nutrition Examination Survey III (NHANES III)
anthropometric data, 41, 302, 341, 343, 694
biochemical indicators, 680-691
carotenoids, 123, 566, 594-605
chromium, 212-213, 216, 561, 620-621
design, 55
energy intakes, 11
ferritin concentrations, 684-685, 694, 695, 696
hemoglobin concentrations, 305, 680-681
iodine, 261, 263, 278, 626-627, 690-691
iron, 51, 56, 354, 373, 377, 628-631, 680-685, 696
retinol, 606-607, 686-687, 692-693
retinyl esters, 688-689
serum values of nutrients, 302-303, 354, 373
supplement data, 57, 125, 212-213, 216, 246, 278, 408, 414, 432, 439, 488, 523, 612-613, 620-621, 626-627, 632-633, 693
thyroid monitoring in children, 284
total intakes, 377, 616-617, 624-625, 630-631
transferrin concentrations, 682-683
vitamin A, 21, 51, 56, 111, 122-123, 125, 145, 608-613, 686-689, 692-693
vitamin K, 56, 180, 181, 182, 183, 186, 566, 614-617
zinc, 51, 56, 463, 481, 485, 488, 559, 561-562, 575, 638-641
National Health Interview Survey, 56-57
National Nutrition Monitoring System, 554
National Research Council, risk assessment model, 63-64, 712
Natural resistance associated macrophage protein (NRAMP2), 293, 294
Negative acute phase proteins, 99
Neurological abnormalities, 14, 44, 201, 252, 261-262, 409-411, 421, 422, 506-507, 538;
see also Central nervous system
Nickel
absorption and transport, 521-522
acute effects, 524
and body weight, 525
data selection, 525
dose-response assessment for ULs, 525-528
elderly people, 523
excretion, 521-522
exposure assessment, 528
food sources, 522-523
and glucose metabolism, 521
and growth retardation, 521
hazard identification, 524-525
in hemoglobin, 521
in human milk, 523
human studies, 524
hypersensitivity to, 524, 526, 528
intakes, 57, 522, 523, 528, 634-635, 668-669
interactions with other nutrients, 521, 529
iron and, 521
by life-stage group, 27, 522, 525-528, 634-635, 668-669
metabolism, 521-522
methodological issues, 526
NOAEL/LOAEL, 525-526
reproductive effects, 524, 525-526
research recommendations, 28, 529, 583
risk characterization, 528
special considerations, 528
supplements, 57, 523, 528, 634-635
uncertainty assessment, 526
units, 709
Nicotinamide adenine dinucleotide hydride, 292
Night blindness, 10, 82, 95, 97-99, 100-102, 119, 422
No-Observed-Adverse-Effect Level (NOAEL).
See also individual nutrients
extrapolation from LOAEL, 143, 144, 281, 374, 486
identification of, 76-77, 133, 138, 143-144, 249, 281, 374, 375-376, 412, 436, 484-486
LOAEL used instead of, 78, 143-144
pregnant women, 374
sensitive subpopulations and, 144
subchronic to predict chronic, 78
uncertainty factors, 77, 78, 374
Nonheme enzymes, 291, 292, 311-312, 313, 314, 315, 351, 374, 375, 376, 455
Normative requirement, 22
Nova Scotia Heart Health Study, 674-679
Nurse’s Health Study, 171
Nutrient intakes.
See also Dietary intakes;
individual nutrients
boron, 55-56
Canadian, 56, 57, 212, 356, 674-679
chronic, 79-80
day-to-day variation adjustments, 55, 56, 123, 186, 556, 559
in drinking water, 560
extrapolation from subchronic to
chronic, 78
extrapolation from urinary losses, 264, 272
health effects as a function of, 76-77
interindividual variability in, 69, 77-78, 139, 143, 144, 397, 402, 559
interpretation of, 68, 564-565
methodological considerations, 47, 54-55, 556-557, 583
prevalence of inadequate intakes, 21, 22, 353-355, 558-559, 560-561, 563, 564
public health implications, 79-80
quality of data, 54, 556, 560-561
from supplements, 57-58, 68, 79, 612-613, 626-627, 632-637
Nutrient-nutrient interactions.
See also specific entries under individual nutrients
adverse effects, 61, 72, 129, 358, 482-483
and absorption, 70, 106-107, 118, 121, 163, 311-312, 455-456, 482-483
and bioavailability of nutrients, 70, 108, 173-174, 292, 311-312, 313, 314, 315, 582-583
methodological issues, 47, 106, 143, 171, 214
Nutrition Canada Survey, 41, 42, 331
O
Observational studies
hazard identification, 71
methodological issues, 45, 46-48
uses, 71
Oral contraceptives, 230
adolescents, 335, 336, 350, 700, 702
and iron, 334-335, 343, 350, 573, 700, 702, 703
Osteocalcin, 23, 163, 168-171, 172, 173, 189
Osteoporosis, 23-24, 126, 170-173, 227, 396
Oxalates, 204
P
Pagophagia, 300
Parakeratosis, 455
Parathyroid hormone, 172
Parenchymal cells, 372
Pasturization, 112
Peptidyl glycine α-amidating monooxygenase activity, 225, 232
Peripheral neuropathy, 201, 506-507
Phosphocreatine, 296
Phosphoenolpyruvate decarboxylase, 394
Photo cycle, 85
Phylloquinones
aging and, 166
bioavailability, 568
defined, 707
human feeding studies, 164-165
metabolism, 164
oral vs intramuscular treatment, 176-177
and osteoporosis, 23, 170, 172
structure, 162
α-tocopherol and, 175-176
Physical exercise, 40
elderly people, 40
iron requirements, 295, 296, 300, 305, 352-353, 574
and vitamin A, 127
Phytic acid/phytates
and absorption of nutrients, 572, 576
and chromium, 204
and manganese, 402
processing of foods and, 457
and zinc, 444, 451, 452, 456, 457-458, 479, 480, 572, 576
Pica, 300
Picolinic complexes, 458
Plasma.
See also individual nutrients
amino acids, 446
cholesterol, 396
methionine, 423
phylloquinone, 166
urea and uric acid, 422, 423, 434, 437, 535, 540
Plasmodium falciparum malaria, 96
Platelet copper concentration, 224, 230, 231, 239-240
Polyglutamate hydrolase, 456
Pregnancy.
See also Lactation;
individual nutrients
and absorption efficiency, 243
animal studies, 406
basal nutrient losses, 344-345, 347, 348
and bioavailability of nutrients, 346-347
and ceruloplasmin concentrations, 230
derivation of DRIs for, 40-41, 53-54
eclampsia, 299
evidence considered in setting EAR, 116, 243, 275-276, 344-348, 430-431
factorial approach, 476
goiter, 276
hemoglobin concentrations, 305, 345-346, 348
hypertension, 299
iron deficiency anemia, 297-299
maternal mortality, 297
method used to set AIs, 182-183, 209-210, 406-407
methodological considerations, 53-54
obligatory fetal transfer, 53-54
periconceptional nutrient intakes, 129
perinatal infant mortality, 297, 299
placental transport of nutrients, 226, 345-346, 347
premature labor, 299
preterm delivery, 297, 298, 476, 483
and serum transferrin, 304
special considerations, 573
supplements, 183, 275-276, 345, 476
variability of requirements, 348
weight gain during, 54, 210, 298, 407, 430, 518
Prevalence of inadequate intakes, 21, 22, 353-355, 561, 566-567, 570, 576
Probabilities of inadequate intakes, 570-572, 576, 701-703
Processed foods, 87, 107, 111, 112, 146, 174, 184-186, 211, 277, 313, 480, 530, 533
Prolactin, 266
Prolylhydrolase activity, 529
Prostaglandin inhibitors, 204
Protein, dietary
and arginase activity, 401
and copper homeostasis, 246-247
vegetable, 313
Protein energy malnutrition
and vitamin A, 97, 99, 104, 106, 108, 118, 119, 145
and zinc, 108
Protein induced by vitamin K absence/antagonism (PIVKA), 167-168, 176, 181-182
Protein kinase C activity, 444
Proteinuria, 434
Proteoglycan synthesis, 394
Prothrombin
in newborns, 177
undercarboxylated, 163, 167-168, 176, 177, 181-182
vitamin E and, 175
vitamin K and, 163, 164, 165-168, 175, 176, 177, 181-182
Provitamin A carotenoids.
See also β-Carotene;
other individual carotenoids
activity, 2
bioavailability, 107
bioconversion to vitamin A, 2, 10, 86-93, 94, 111, 117, 564, 576, 582
blood concentrations, 83, 90-91, 103, 107, 118
and chronic disease, 118
dietary fat and, 106-107
food composition data, 83, 564
food sources, 82, 83, 84, 118, 119
functions, 86
gender differences, 594-601
intakes, 82, 118, 123, 127, 594-601
by life-stage group, 594-601
research recommendations, 582
structure, 83-84
supplements, 126
Pubertal development, 39, 42, 316, 330, 477, 573
Pupillary response test, 98-99
Pyruvate carboxylate, 394
R
Race/ethnicity
and dietary intake data, 47
and ferritin, 694
and puberty onset, 39
and reproductive outcomes, 476-477
Radiocontrast media, 259, 268, 273
Radiotracer methods
Reactive oxygen species, 507
Recommended Dietary Allowances (RDAs).
See also individual nutrients
appropropriateness of intakes above, 77
children, 52
coefficient of variation, 3, 32-33, 52
criteria used to derive, 7, 8-9, 30
group applications, 20, 554, 561
individual applications, 554, 555-557, 562
method used to set, 2-4, 31, 32-34, 35, 52
transition to DRIs, 554-555
uses, 1, 4, 5, 31, 554, 555-557, 561, 562, 577
Reference weights and heights, 41-42, 52, 114, 210, 329, 338, 468
Relative dose response test, 103-104, 105
Renal diseases/failure
cancer, 507
copper and, 227
molybdenum and, 433-434
silicon and, 529
vanadium and, 535-536, 538-539, 540, 541
Reproductive effects.
See also Pregnancy
chromium, 215
copper, 248
iron deficiency anemia, 295, 297-298
manganese, 396
molybdenum, 420, 433, 434-435, 436, 438
spontaneous abortions, 248
testicular atrophy, 515, 515-517
vitamin A-related risks, 10, 82, 130-131, 133, 138-139
Research recommendations.
See also individual nutrients
approach to setting, 580-581
dietary intakes, 583-584
functional and biochemical endpoints, 27, 488-489
gender issues, 582
nonnutritional influences on bioindicators, 28, 582
pregnancy-related requirements, 582
Retinitis pigmentosis, 146
Retinoic acid receptors, 443
Retinoids
defined, 83
vitamin K and, 176
Retinol
intakes, 99, 102-103, 104, 105, 106-107, 112, 124, 565, 606-607, 686-687, 692-693, 709
international units, 565-566
iron and, 108
plasma/serum concentration, 99, 102-103, 104, 105, 106-107, 112
Retinol activity equivalents (RAEs)
calculation, 565
and dietary intake changes, 123, 568, 610-611
rationale for developing, 82, 87-93
REs for provitamin A carotenoids compared, 10, 564
Retinol-binding protein, 93, 99, 108, 112, 119, 454, 473
Retinol equivalents
vitamin A intakes by, 564, 608-609
Retinyl esters, 83, 87, 90-91, 93, 94, 125, 688-689
Rhabdomyolysis, 215
Rhodopsin, 85, 95, 97, 108-109
Risk assessment models.
See also Dose-response assessment for ULs;
Exposure assessment;
Hazard identification;
Risk characterization
application to nutrients, 67-71
bioavailability considerations, 69-70, 75
case-by-case judgments, 712, 713
default options, 712
EPA guidelines, 712
and food safety, 62-67
inference options, 63, 66, 710, 712-713
methodological considerations, 46-47
nutrient interactions, 70
process, 63-65
sensitivity of individuals, 69
special problems with nutrients, 67-68
uncertainties, 63, 65, 67, 710-713
Risk characterization.
See also individual nutrients
chromium, 216
uncertainties in, 710
Risk management, 63, 65, 79-80, 707-708, 713
RNA polymerases, 443
S
Seasonal variation, in thyrotoxicosis, 280
Selenium deficiency, 260, 268, 284
Sensitive subpopulations, 61, 66, 69.
See also Special considerations
chromium, 215
Sensitivity to nutrients.
See also Hypersensitivity to nutrients;
Special considerations
dermal, 524
interindividual variability, 69, 77-78, 139, 143, 144
interspecies variability, 246
Serotonin, 410
Serum.
See also individual nutrients
ceruloplasmin, 239-240
diamine oxidase activity, 232-233
ferritin, 21, 299, 301-303, 306, 311, 313, 314, 315, 351, 352, 353-354, 359, 365-367, 370, 373, 395, 402, 572, 684-685, 694, 695, 696
IGF-1, 474
lipoprotein, 482
retinol, 686-687
retinyl esters, 688-689
thyroptropin, 258
transferrin, 303-304, 370, 682-683
Short bowel syndrome, 446
Silicon
absorption and transport, 529
and atherogenesis, 529
bioavailability, 530
and bone formation, 45, 529, 530
carcinogenicity, 531
and collagen formation, 529, 530
dietary fiber and, 530
dose-response assessment for ULs, 531-532
DRIs, 1, 6, 7, 36, 76, 78, 530, 576
elderly people, 532
excretion, 529-530
food sources, 530
gender and, 530, 634-635, 670-671
hazard identification, 531
in human milk, 530
infants, 530
intakes, 57, 530-531, 634-635, 670-671
interactions with other nutrients, 530
by life-stage group, 530, 634-635, 670-671
metabolism, 529
and renal failure, 529
research recommendations, 28, 532, 583
serum concentrations, 529
units, 709
and urolithiasis, 531
Simulator of iron transport (SFT), 294
Skin
cancer, 507-508
lysyl oxidase activity, 232
Sp1, 443
Special considerations
adolescents, 330, 339-340, 358, 573
alcohol consumption, 118, 145, 376-377, 480
athletes, 574
autoimmune thyroid disease, 283
chromium, 207
cow milk, 112, 179-180, 207, 238, 270, 317, 404, 427, 462
developing countries, 118-122, 377
diarrhea, 118-119
drinking-water levels of nutrients, 414
drug interactions, 121
elderly people, 479-480
hemochromatosis, 376-377
hormone replacement therapy, 350-351, 573
hyperlipidemia, 145
hypersensitivity to nutrient, 528
identification of, 30
idiopathic copper toxicosis, 251
Indian childhood cirrhosis, 251
infant formula, 179-180, 207, 238, 270, 317, 404, 427, 462
infants, 179-180, 238, 317, 573
intestinal parasites, 118-119, 351-352
iron, 121, 317, 339-340, 350-353, 376-377, 572, 573-574
kidney dysfunction, 528
lactation, 121
liver disease, 145, 376-377, 414
Menke’s disease, 488
nickel, 528
nutrient interactions, 438, 480
parasites and infections, 118-119, 121
physical exercise/endurance training, 352-353
in pregnancy, 573
protein energy malnutrition, 119, 145
vegetarian diets, 118, 119, 120, 351, 414, 479-480, 574
vitamin K, 179-180
Sprue, 446
Stress response, 444, 445, 489
Sulfite oxidase, 420, 421, 422
Sulfur, 434
Superoxide dismutase
alcohol consumption and, 231, 401
antioxidant activity, 225-226
cupro/zine, 224, 225-226, 229, 231, 239-240, 442, 443, 453, 482, 483
mangano, 225, 394, 401, 412, 414
Supplements.
See also individual nutrients
bioavailability of nutrients, 30, 70, 88-89, 173-174, 568
body-building, 520
composition data, 560
data sources on intakes, 57-58, 125, 246
gender differences, 56-57, 187, 246, 278, 488, 612-613
intakes from, 57, 65, 125, 187, 212-213, 216, 246, 278, 356, 408, 414, 432, 439, 481, 488, 513, 520, 523, 575, 612-613, 620-621, 626-627, 632-633, 693
intervention trials, 48
multivitamin/mineral, 401, 557, 575
sustained release, 375
usage, 56-58, 246, 278, 481, 612-613
T
Temperature regulation, 300
Teratogenicity
arsenic, 507
vitamin A, 128-133
zinc and, 444
Testicular atrophy, 515-517
Testosterone, 454
Tetraiodotyrosine, 260
Thiocyanate, 267
Thyroglobulin, 259-260, 264, 266-267, 276
Thyroid gland
iodine accumulation and turnover, 262-263, 273-274
iodine transport, 259
molybdenum and, 433
monitoring in children, 284
newborns, 275
nickel stores, 522
size, 259, 264-265, 275-276, 279-280, 284;
see also Goiter
Thyroid hormones.
See also Iodine;
specific hormones
absorption, 259
goitrogens and, 267
and iodine deficiency disorders, 261
radiocontrast media and, 268
secretion measurements, 274
selenium deficiency and, 260
synthesis, 259
Thyroid stimulating hormone (thyrotropin, TSH), 258, 260, 264, 265, 266, 268, 276, 279, 280, 281, 707
Thyrotoxicosis, 280
Thyrotropin. See Thyroid stimulating hormone (TSH)
Thyroxine-binding globulin, 260
Tissue cultures
menaquinone, 162
α-Tocopherol, 175
α-Tocopherol quinone, 175
Toddlers, ages 1 through 3 years, 21, 39, 112, 121, 122, 180, 238, 270, 272, 313, 321, 404
Tolerable Upper Intake Levels.
See also Dose-response assessment;
Hazard identification;
Risk assessment models;
individual nutrients
appropropriateness of intakes above, 17-18, 36, 60, 61, 125, 145-146, 246, 278, 284, 356, 408, 433, 513, 523-524, 531, 534, 542
defined, 3, 6, 7, 35, 60, 68, 125, 213, 246, 356, 408, 433, 513, 523, 531, 534
derivation of, 35, 42, 53, 62, 67-70, 75, 78-79, 126, 139, 143, 144, 250, 282, 373, 374, 376, 412, 437, 486, 488, 518
development steps, 71-79
fortification of foods and, 7, 36, 61, 68, 575
group applications, 554, 561-562, 563-564
individual applications, 558
by life-stage groups, 69
pregnancy and lactation, 139, 142
prevalence of intakes above, 562
supplement use and, 7, 36, 61, 68, 79, 143, 145, 562, 575
uses, 5, 7, 35-36, 61, 554, 558, 561-562, 563-564
Total Diet Study
description of, 56
manganese, 57, 394, 404, 405, 406, 407, 408, 414, 666-667
molybdenum, 432
vanadium, 533
vitamin K, 57, 178, 183, 185, 654-657
Total parenteral nutrition (TPN), 198, 200-201, 227, 241, 396, 409, 421, 422
Transcription factors, 44
Transferrin, 199-200
gender and, 682-683
iron and, 291, 293, 294, 302, 303-304, 306, 357, 359, 368-369, 370-371, 682-683
vanadium and, 533
Transferrin receptors, 294
Triiodothyronine, 258, 260, 267
Trimethylated arsenic, 504
Tryptopham, 458
TSH-releasing hormone, 279
Tungsten, 424
Tyrosinase, 225
U
Ubiquinone, 292
Ultrasonography, 265, 275, 284
Uncertainty
in animal studies, 63, 78, 436, 540, 710, 711
assessment, 76, 77-78, 139, 143, 144, 249, 281, 374, 376, 412, 436, 486-487, 710, 711
in dietary assessment methods, 567
extrapolation of data, 77-78, 436, 518, 526, 540
factor, 63, 66, 76, 77-78, 139, 143, 144, 249, 281, 374, 412, 486, 518, 526, 540-541, 708
in physiological significance of diet-induced changes, 170
in risk assessment, 63, 65, 66, 67, 710-713
sources of, 35, 77-78, 526, 540
United Nations Children’s Fund, 263
Units, conversion of
international units, 709
REs to RAEs, 2, 82-83, 86-93, 123, 564-568
vitamin A, 92-93, 565-566, 709
Urinary excretion
extrapolation of daily intakes from, 264, 272
hypoxanthine, 423
iodine, 259, 260-261, 263-264, 266, 269, 271-272, 273-274, 275, 279, 281, 284, 690-691
iron, 295
sulfite, 423
thiosulfate, 422
xanthine, 423
Urolithiasis, 531
U.S. Department of Agriculture, 55, 278, 329, 504
U.S. Department of Health and Human Services, 55
U.S. Environmental Protection Agency (EPA), 251, 538
V
Vanadium
absorption and transport, 533
acute toxicity, 535
adults, 17, 27, 533, 534, 539-541, 542
animal studies, 532, 535-537, 539-540
athletes’ use of, 535, 537, 539
body pools, 533
carcinogenicity, 538
cardiovascular effects, 537
data selection, 539-540
and diabetes, 532, 534, 535, 536, 539, 542
dose-response assessment for ULs, 539-542
in drinking water, 535
EPA oral reference dose, 538
excretion, 533
exposure assessment, 542
and fatigue and lethargy, 538
and ferritin, 533
food sources, 533-534
gastrointestinal effects, 536, 539
gender and, 636-637
and glucose metabolism, 532
and green tongue, 538
hazard identification, 534-539
hematological effects, 536-537
and hormone metabolism, 532
human studies, 535, 536, 537-538
insulin-like properties, 45, 532, 534
intakes, 57, 534, 542, 636-637
lactation, 542
by life-stage group, 27, 533, 539-542, 636-637
and lipid metabolism, 532
and liver congestion, 535
metabolism, 533
neurological effects, 538
NOAEL/LOAEL, 540
and plasma urea and uric acid, 535, 540
pregnancy, 542
renal toxicity, 535-536, 538-539, 540, 541
reproductive effects, 532, 537
research recommendations, 28, 543, 583
risk characterization, 542
and serum urea and creatinine, 535, 540
supplements, 57, 532, 534, 535, 539, 542, 543, 636-637
thyroperoxidase and, 532
toxic compounds, 535
and transferrin, 533
uncertainty assessment, 540-541
units, 709
Vegetarians
bioavailability of nutrients, 479, 572, 574
boron, 520
elderly people, 479-480
vitamin A, 106-107, 119, 120, 123, 134-135, 568
Very low density lipoproteins
vitamin A and, 93-94
vitamin K and, 163
Vision, 10, 44, 82, 84-85, 87-88, 95, 119
Vitamin A.
See also Provitamin A carotenoids
absorption and transport, 70, 85, 86-94, 106-107, 108, 116
adolescents, 112-113, 116, 117, 122, 125, 142, 144-145
adults, 10, 16, 21, 26, 56-57, 82, 94-95, 100-102, 113-115, 121, 123, 125, 126-129, 142-143
adverse effects, 18, 118, 125, 126-132, 140-141
alcohol consumption and, 109, 118, 128, 133, 134-139, 145
animal studies, 85, 95-96, 98, 104, 105, 108, 109, 121, 126
bioavailability, 87-90, 107, 146
bioconversion of carotenoids to, 2, 82-83, 86-93, 565
and birth defects, 128-133
body stores, 10, 21, 85, 94-95, 99, 103-104, 108, 109, 112, 114, 123
and bone mineral density, 126-128, 133
children, 21, 51-52, 95, 96, 97, 99, 102, 106-107, 108, 112-113, 121, 122, 125, 129, 132, 144-145
conjunctival impression cytology, 105
critical endpoint, 146
and dark adaptation, 10, 21, 87-89, 95, 97-99, 121, 123, 300-301, 568
deficiency effects, 82, 87-88, 95-97, 119, 268
depletion/repletion studies, 88-89, 122
in developing countries, 94, 95, 96-97, 112, 118-122, 145
and diarrhea, 96, 97, 107, 118
dietary fat and, 70, 106-107, 118, 121
dose-response assessment for ULs, 133, 138-145
EARs, 8-9, 82, 103, 113, 115, 116, 117, 567, 568
eldely people, 166, 167, 182, 186
and embryonic development, 82, 85, 95-96
epidemiological studies, 126-128, 133
and epithelial cell integrity, 44, 85, 96, 105
evidence considered in setting EAR, 83, 113-117, 121
excretion, 93-94, 114, 118-119
exposure assessment, 145
factors affecting requirement, 106-110
food composition determinations, 124, 565-566
food sources, 82, 84, 104, 122, 132, 562, 565
forms of, 83
function, 10, 44, 82, 84-86, 568
gastroenteritis and, 107
gender and, 8-9, 10, 56-57, 82, 83, 95, 96, 113, 114, 115, 122, 132, 144-145, 608-613, 674-675, 686-689, 692-693
and gene expression, 44, 82, 85
half-life, 115
hazard identification, 125-133
hepatitis and, 129, 133, 134-139
hyperlipidemia and, 145
and immune function, 10, 44, 82, 85-86, 96, 98, 99, 105-106, 121
indicators of adequacy, 10, 97-106, 146, 686-689
infants, 51, 95, 96-97, 110-112, 119, 125, 129, 130-132, 140-141, 143-144, 145
and infectious morbidity and
intakes, 8-9, 82, 83, 111, 114, 119, 122-125, 145, 146, 562, 564-568, 608-613, 674-675, 692-693
interaction with drugs, 129, 133
interaction with other nutrients, 97, 99, 104, 106, 108-109, 118, 121, 129, 143, 146, 176, 268, 284
interconversion of units, 2, 82-83, 86-93, 123, 564-568
intervention trials, 90-91, 97, 108, 119, 121, 125
intestinal parasites and, 107, 118-119, 121
lactation and, 111, 117, 121, 142, 145, 146
and LDLs, 93-94
by life-stage group, 8-9, 26, 110-117, 126-132, 608-613, 674-675, 686-689, 692-693
and liver abnormalities, 109, 125, 129, 132-133, 134-139, 142, 145
malabsorption of, 107, 118-119
menu for omnivorous diet, 123, 124
method used to set AIs, 51-52, 110-111
method used to set EARs, 10, 51-52, 112-115, 122
methodological considerations, 51-52, 106, 127, 143
modified relative dose response test, 104
NOAEL/LOAEL, 133, 138, 139, 143-144
periconceptional intakes, 129
physical exercise and, 127
and Plasmodium falciparum malaria, 96
pregnancy and, 97, 116-117, 128-133, 142, 145, 146
prevalence of inadequate intakes, 21, 566-567
processing of foods and, 107, 111, 112, 146
protein energy malnutrition and, 97, 99, 104, 106, 108, 118, 119, 145
pupillary response test, 98-99
radioisotopic methods, 94, 95, 103, 114
RDAs, 8-9, 10, 82, 113, 115, 116-117, 123
relative dose response test, 103-104, 105
and reproductive risk, 10, 82, 130-131, 133, 138-139
research recommendations, 146, 582
retinol, 99, 102-103, 104, 105, 106-107, 112, 124, 565, 686-687, 692-693, 709
retinyl esters, 83, 87, 90-91, 93, 94, 125, 688-689
risk characterization, 145-146
special considerations, 112, 118-122, 145
structure, 83-84
supplements, 26, 56-57, 95-97, 102, 105, 119, 125, 128, 133, 136-137, 143, 145, 612-613, 693
teratogenicity, 128-133
toxicity, 118
ULs, 2, 16, 18, 26, 82, 125-146, 562
uncertainty assessment, 139, 143, 144, 567
units of activity, 92-93, 565-566, 709
vegetarians, 106-107, 119, 120, 123, 134-135, 568
and vision, 10, 44, 82, 84-85, 87-88, 95, 119
vitamin K antagonism, 176
and xerophthalmia, 10, 85, 95, 97, 105, 108-109, 112
zinc and, 97, 99, 104, 106, 108-109
Vitamin A2 (dehydroretinol), 104
Vitamin C, 231.
See also Ascorbic acid
Vitamin E, 175-176
Vitamin K.
See also Menaquinones;
Phylloquinones
absorption and transport, 163-164, 174, 176
adults (19-50), 162, 166, 180-182, 184, 186
adults (51+), 166, 167, 181, 182, 186
AIs, 10-11, 162, 177, 179, 180, 182, 183, 558, 561, 562-563, 564
animal studies, 172, 173, 175-176, 188
and atherosclerosis, 173
bioavailability, 163, 173-174, 186, 189, 568
and blood coagulation, 10, 163, 164, 165-168, 175, 176, 177, 181-182
body stores, 164
and bone metabolism, 10, 23-24, 162, 169, 170, 172, 189, 583-584
and calcium excretion, 24, 172
γ-carboxyglutamyl residues, 163, 167, 172, 173, 174, 189
deficiency, 164-165, 174, 176, 180, 396
dependency, 177
depletion/repletion studies, 167
dietary fat and, 163, 173-174, 185-186
dose-response assessment for ULs, 188
epidemiological studies, 171, 188
exposure assessment, 188
and factor VII activity, 163, 166
factors affecting requirement, 173-176
fetal, 182
food sources, 163, 173-174, 184-186
forms of, 24, 162, 163, 173, 174, 185
gender and, 10-11, 162, 167, 182, 186, 614-617, 654-657
hazard identification, 187-188
human feeding studies, 164-165
in human milk, 177-180, 183-184
indicators of adequacy, 22-24, 165-173
infants, 176-180, 184-185, 187-188
intakes, 10-11, 57, 174, 175, 177, 181-182, 183-185, 186-187, 188, 614-617, 654-657
interaction with drugs, 172, 174-175, 568
interaction with other nutrients, 24, 163, 172, 173-174, 175-176
international comparisons, 187
intervention trials, 24, 168, 171-173
laboratory assays, 168
by life-stage group, 10-11, 176-184, 614-617, 654-657
malabsorption syndromes and, 174, 180
manganese and, 396
metabolism, 163-164
method used to set AIs, 10-11, 177-179, 180-184
methodological issues, 23-24, 166, 168, 169, 171, 172, 184, 186
and osteocalcin γ-carboxylation, 23, 163, 168-170, 172, 173, 189
and osteoporosis, 23-24, 170-173
plasma/serum concentrations, 166, 170, 174
prevalence of inadequacy, 561
processing of foods and, 184-186
and prothrombin, 163, 164, 165-168, 175, 176, 177, 181-182
research recommendations, 189, 583-584
retinoids and, 176
special considerations, 179-180
supplements, 167, 169, 172, 173-174, 187, 189, 396, 568, 616-617
ULs, 7, 18, 36, 76, 78, 162, 187-189
unit conversion, 709
and vitamin A, 176
vitamin E antagonism, 175-176
W
Water purification tablets, 268
Weight. See Body weight
Wilson’s disease, 227, 234, 248, 251, 456, 488
Women.
See also Gender;
Lactation;
Pregnancy
anemia, 305
atherosclerosis, 173
athletes, 352
autoimmune thyroid disease, 283
blood donation, 352
bone mineral density, 126-128, 171, 172
boron, 511
cancer, 371
chromium, 212
ethanol metabolism, 475
hemoglobin concentrations, 305, 342
hormone replacement therapy, 350-351, 573
institutionalized, 171
iron, 21, 290, 291, 305, 309, 332, 333, 334-337, 339-340, 341-343, 371, 378, 570-572, 700, 703
LDL concentrations, 482
menopause, 333
molybdenum, 424
night blindness, 95
oral contraceptives, 334-335, 343, 350, 700, 703
osteocalcin γ-carboxylation, 172, 173
postmenopausal, 127, 172, 173, 343, 350-351, 359, 378, 475, 511, 573, 700, 703
serum ferritin, 302-303
serum transferrin, 304
smokers, 371
vitamin A, 95, 126-128, 133, 138
vitamin K, 172, 173, 186, 187, 188
World Health Organization
copper recommendations, 248
definition of adverse effect, 60
definition of requirement, 29-30
iodine deficiency data, 262, 263, 265
vitamin A recommendations, 97
Working Group on Infant Growth, 320
xerophthalmia classifications, 95
zinc recommendations, 458, 572
X
Xanthine dehydrogenase, 422
Xanthine oxidase, 420
Xerophthalmia, 10, 85, 95, 97, 105, 108-109, 112
Xylosyltransferases, 394
Z
Zinc
absorption and transport, 15, 357-358, 445, 447-449, 450-451, 454-458, 462, 464-465, 472-473, 479, 483
acute effects, 482
adolescents, 451, 469-470, 476-479, 486-487
adults, 17, 27, 56-57, 234, 442, 471-475, 483-486, 574
adverse effects, 18, 482-483, 558
albumin and, 445, 446, 454, 473, 474
alcohol consumption and, 475, 480
and alkaline phosphatase activity, 443, 453, 477
arsenic and, 506
balance studies, 445, 448, 455, 456, 458, 472, 474, 480
bioavailability, 444-445, 447, 448, 454-455, 457, 458, 462, 473, 479, 572, 574-575, 576
body pool size and turnover rate, 357, 445, 446, 450-451, 463
calcium and, 455-456, 457, 458, 462, 479, 480
and carbohydrate utilization, 444
carcinogenicity, 483
catalytic activities, 15, 443, 452-453
cellular accumulation, 443
children, 449-450, 452, 454, 463-469, 486-487
and cholesterol, 481, 482, 486
and cognitive function, 444, 445, 449
and copper status, 225, 234, 246, 443, 456, 458, 481, 482, 484-488, 558
and dark adaptation, 108-109
deficiency effects, 15, 97, 99, 108-109, 442, 444, 446-447, 462, 506
defined, 443
in developing countries, 488
dose-response assessment for ULs, 483-488
in drinking water, 483
EARs, 24-25, 466, 468, 469, 470, 475, 477, 479
elderly people, 451, 474-475, 479, 559, 562
endogenous losses, 446, 448, 449, 462, 463, 469, 471-473, 476
and enzyme (zinc-dependent) activity, 15, 443, 452-453
in erythrocytes, 442, 451, 452, 453, 473, 482
evidence considered in setting EAR, 463-466, 467-470, 471-475, 476-479
excretion, 446, 448, 463-464, 471-473
exposure assessment, 487
factorial analysis, 15, 442, 447, 462, 463, 467, 468, 469-470, 471-473, 476
factors affecting requirement, 454-458
fasting/starvation and, 446, 448, 451
fetal, 477
finger proteins, 443, 444, 454
folate and, 456
food composition data, 560
fractional absorption method, 15, 447-448, 449, 450, 462, 463, 468, 469, 472, 473, 474, 476, 478
functions, 15, 44, 108, 442-444
and gastrointestinal distress, 482
gender and, 15, 56-57, 442, 469, 470, 471-472, 473-474, 475, 480-481, 482, 488, 638-641, 652-653, 672-673, 678-679
and gene expression, 15, 442, 443, 454
gene markers of status, 453
and growth velocity, 444, 446-447, 449-450, 452, 454, 462, 464, 465-466, 467-468
hazard identification, 481-483
and hepatic proteins, 454
and hormone metabolism, 443, 444, 454
in human milk, 6, 51, 457, 460-462, 463, 465, 477-478
and immune function, 443, 444, 447, 449, 453, 474-475, 481, 482, 488
indicators of adequacy, 24-25, 447-454, 488-489
infants, 51, 234, 458-466, 486-487
and infection, 445
intakes, 57, 442, 463, 466, 467, 480-481, 487, 559, 562, 574-575, 638-641, 652-653, 672-673, 678-679
interactions with other nutrients, 108-109, 455-457, 458, 462, 479, 480, 482-483, 506
international comparisons, 476
intestinal losses, 448, 456, 463-464, 472, 476
and iron, 304, 357-358, 373, 455, 458, 482-483
laboratory assays, 452, 471, 474
by life-stage group, 24-25, 27, 458-480, 483-487, 638-641, 652-653, 672-673, 678-679
and lipoproteins, 482
malabsorption syndromes, 445, 446, 457
and Menke’s disease, 488
menstrual losses, 446, 448, 469, 471-472
metalloenzymes, 443
and metallothionein, 234, 443, 444, 453, 456, 473
method used to set AI, 459, 462
method used to set EAR, 15, 442, 463, 467, 468, 469-470, 476, 572
methodological issues, 452, 476
MTF1 binding, 443
NOAEL/LOAEL, 484-486
and 5'-nucleotidase activity, 453, 473-474
phytic acid/phytates and, 444, 451, 452, 456, 457-458, 479, 480, 572, 576
picolinic acid and, 458
plasma concentrations, 445-446, 447, 450-452, 455, 473, 476, 480
pregnancy, 447, 476-477, 487, 488
protein-energy deficiency and, 108
radiotracer studies, 357-358, 455, 472, 489
RDAs, 15, 24-25, 442, 466, 468, 469, 470, 475, 477, 479, 557, 574
reproductive effects, 444, 447, 476, 483
research recommendations, 487-488
and retinol binding protein, 454, 473
risk characterization, 487
serum concentrations, 454, 474, 476, 480
special considerations, 462, 479-480, 487
and stress response, 444, 445, 489
superoxide dismutase activity, 442, 443, 453, 482, 483
supplements, 56-57, 108, 234, 401, 444, 447, 449-450, 452, 453, 454, 456, 465-466, 467, 476, 478-479, 481, 482, 483, 488, 489, 557, 560, 562, 575
and teratogenesis, 444
and testosterone, 454
and tyrosine kinase, 443
ULs, 18, 2, 17, 27, 442, 481-488, 561-562, 574
uncertainty assessment, 486-487
units, 709
urinary losses, 446, 463, 471, 480
vegetarianis, 451, 479-480, 572, 574
and vitamin A, 97, 99, 104, 106, 108-109
WHO requirements, 458
FOOD AND NUTRITION BOARD, INSTITUTE OF MEDICINE–NATIONAL ACADEMY OF SCIENCES
DIETARY REFERENCE INTAKES: RECOMMENDED INTAKES FOR INDIVIDUALS, VITAMINS
|
Life Stage Group |
Vitamin A (μg/d)a |
Vitamin C (mg/d) |
Vitamin E (mg/d) d |
Vitamin K (μg/d) |
Thiamin (mg/d) |
|
|
Infants |
||||||
|
0–6 mo |
400* |
40* |
5* |
4* |
2.0* |
0.2* |
|
7–12 mo |
500* |
50* |
5* |
5* |
2.5* |
0.3* |
|
Children |
||||||
|
1–3 y |
300 |
15 |
5* |
6 |
30* |
0.5 |
|
4–8 y |
400 |
25 |
5* |
7 |
55* |
0.6 |
|
Males |
||||||
|
9–13 y |
600 |
45 |
5* |
11 |
60* |
0.9 |
|
14–18 y |
900 |
75 |
5* |
15 |
75* |
1.2 |
|
19–30 y |
900 |
90 |
5* |
15 |
120* |
1.2 |
|
31–50 y |
900 |
90 |
5* |
15 |
120* |
1.2 |
|
51–70 y |
900 |
90 |
10* |
15 |
120* |
1.2 |
|
> 70 y |
900 |
90 |
15* |
15 |
120* |
1.2 |
|
Females |
||||||
|
9–13 y |
600 |
45 |
5* |
11 |
60* |
0.9 |
|
14–18 y |
700 |
65 |
5* |
15 |
75* |
1.0 |
|
19–30 y |
700 |
75 |
5* |
15 |
90* |
1.1 |
|
31–50 y |
700 |
75 |
5* |
15 |
90* |
1.1 |
|
51–70 y |
700 |
75 |
10* |
15 |
90* |
1.1 |
|
> 70 y |
700 |
75 |
15* |
15 |
90* |
1.1 |
|
Pregnancy |
||||||
|
≤ 18 y |
750 |
80 |
5* |
15 |
75* |
1.4 |
|
19–30 y |
770 |
85 |
5* |
15 |
90* |
1.4 |
|
31–50 y |
770 |
85 |
5* |
15 |
90* |
1.4 |
|
Lactation |
||||||
|
≤ 18 y |
1,200 |
115 |
5* |
19 |
75* |
1.4 |
|
19–30 y |
1,300 |
120 |
5* |
19 |
90* |
1.4 |
|
31–50 y |
1,300 |
120 |
5* |
19 |
90* |
1.4 |
|
NOTE: This table (taken from the DRI reports, see www.nap.edu) presents Recommended Dietary Allowances (RDAs) in bold type and Adequate Intakes (AIs) in ordinary type followed by an asterisk (*). RDAs and AIs may both be used as goals for individual intake. RDAs are set to meet the needs of almost all (97 to 98 percent) individuals in a group. For healthy breastfed infants, the AI is the mean intake. The AI for other life stage and gender groups is believed to cover needs of all individuals in the group, but lack of data or uncertainty in the data prevent being able to specify with confidence the percentage of individuals covered by this intake. a As retinol activity equivalents (RAEs). 1 RAE = 1 μg retinol, 12 μg β-carotene, 24 μg α-carotene, or 24 μg β-cryptoxanthin. To calculate RAEs from REs of provitamin A carotenoids in foods, divide the REs by 2. For preformed vitamin A in foods or supplements and for provitamin A carotenoids in supplements, 1 RE = 1 RAE. |
||||||
|
Riboflavin (mg/d) |
Niacin (mg/d)e |
Vitamin B6 (mg/d) |
Folate (μg/d)f |
Vitamin B12 (μg/d) |
Pantothenic Acid (mg/d) |
Biotin (μg/d) |
Choline (mg/d)g |
|
0.3* |
2* |
0.1* |
65* |
0.4* |
1.7* |
5* |
125* |
|
0.4* |
4* |
0.3* |
80* |
0.5* |
1.8* |
6* |
150* |
|
0.5 |
6 |
0.5 |
150 |
0.9 |
2* |
8* |
200* |
|
0.6 |
8 |
0.6 |
200 |
1.2 |
3* |
12* |
250* |
|
0.9 |
12 |
1.0 |
300 |
1.8 |
4* |
20* |
375* |
|
1.3 |
16 |
1.3 |
400 |
2.4 |
5* |
25* |
550* |
|
1.3 |
16 |
1.3 |
400 |
2.4 |
5* |
30* |
550* |
|
1.3 |
16 |
1.3 |
400 |
2.4 |
5* |
30* |
550* |
|
1.3 |
16 |
1.7 |
400 |
2.4h |
5* |
30* |
550* |
|
1.3 |
16 |
1.7 |
400 |
2.4h |
5* |
30* |
550* |
|
0.9 |
12 |
1.0 |
300 |
1.8 |
4* |
20* |
375* |
|
1.0 |
14 |
1.2 |
400i |
2.4 |
5* |
25* |
400* |
|
1.1 |
14 |
1.3 |
400i |
2.4 |
5* |
30* |
425* |
|
1.1 |
14 |
1.3 |
400i |
2.4 |
5* |
30* |
425* |
|
1.1 |
14 |
1.5 |
400 |
2.4h |
5* |
30* |
425* |
|
1.1 |
14 |
1.5 |
400 |
2.4h |
5* |
30* |
425* |
|
1.4 |
18 |
1.9 |
600j |
2.6 |
6* |
30* |
450* |
|
1.4 |
18 |
1.9 |
600j |
2.6 |
6* |
30* |
450* |
|
1.4 |
18 |
1.9 |
600j |
2.6 |
6* |
30* |
450* |
|
1.6 |
17 |
2.0 |
500 |
2.8 |
7* |
35* |
550* |
|
1.6 |
17 |
2.0 |
500 |
2.8 |
7* |
35* |
550* |
|
1.6 |
17 |
2.0 |
500 |
2.8 |
7* |
35* |
550* |
|
b calciferol. 1 μg calciferol = 40 IU vitamin D. c In the absence of adequate exposure to sunlight. d As α-tocopherol. α-Tocopherol includes RRR-α-tocopherol, the only form of α-tocopherol that occurs naturally in foods, and the 2R-stereoisomeric forms of α-tocopherol (RRR-, RSR-, RRS-, and RSS-α-tocopherol) that occur in fortified foods and supplements. It does not include the 2S-stereoisomeric forms of α-tocopherol (SRR-, SSR-, SRS-, and SSS-α-tocopherol), also found in fortified foods and supplements. e As niacin equivalents (NE). 1 mg of niacin = 60 mg of tryptophan; 0–6 months = preformed niacin (not NE). f As dietary folate equivalents (DFE). 1 DFE = 1 μg food folate = 0.6 μg of folic acid from fortified food or as a supplement consumed with food = 0.5 μg of a supplement taken on an empty stomach. g Although AIs have been set for choline, there are few data to assess whether a dietary supply of choline is needed at all stages of the life cycle, and it may be that the choline requirement can be met by endogenous synthesis at some of these stages. |
|||||||
FOOD AND NUTRITION BOARD, INSTITUTE OF MEDICINE–NATIONAL ACADEMY OF SCIENCES
DIETARY REFERENCE INTAKES: RECOMMENDED INTAKES FOR INDIVIDUALS, ELEMENTS
|
Magnesium (mg/d) |
Manganese (mg/d) |
Molybdenum (μg/d) |
Phosphorus (mg/d) |
Selenium (μg/d) |
Zinc (mg/d) |
|
30* |
0.003* |
2* |
100* |
15* |
2* |
|
75* |
0.6* |
3* |
275* |
20* |
3 |
|
80 |
1.2* |
17 |
460 |
20 |
3 |
|
130 |
1.5* |
22 |
500 |
30 |
5 |
|
240 |
1.9* |
34 |
1,250 |
40 |
8 |
|
410 |
2.2* |
43 |
1,250 |
55 |
11 |
|
400 |
2.3* |
45 |
700 |
55 |
11 |
|
420 |
2.3* |
45 |
700 |
55 |
11 |
|
420 |
2.3* |
45 |
700 |
55 |
11 |
|
420 |
2.3* |
45 |
700 |
55 |
11 |
|
240 |
1.6* |
34 |
1,250 |
40 |
8 |
|
360 |
1.6* |
43 |
1,250 |
55 |
9 |
|
310 |
1.8* |
45 |
700 |
55 |
8 |
|
320 |
1.8* |
45 |
700 |
55 |
8 |
|
320 |
1.8* |
45 |
700 |
55 |
8 |
|
320 |
1.8* |
45 |
700 |
55 |
8 |
|
400 |
2.0* |
50 |
1,250 |
60 |
12 |
|
350 |
2.0* |
50 |
700 |
60 |
11 |
|
360 |
2.0* |
50 |
700 |
60 |
11 |
|
360 |
2.6* |
50 |
1,250 |
70 |
13 |
|
310 |
2.6* |
50 |
700 |
70 |
12 |
|
320 |
2.6* |
50 |
700 |
70 |
12 |
|
j It is assumed that women will continue consuming 400 μg from supplements or fortified food until their pregnancy is confirmed and they enter prenatal care, which ordinarily occurs after the end of the periconceptional period—the critical time for formation of the neural tube. Copyright 2001 by the National Academy of Sciences. All rights reserved. SOURCES: Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride (1997); Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (1998); Dietary Reference Intakes for Vitamin C, Vitamine E, Selenium, and Carotenoids (2000); and Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc (2001). These reports may be accessed via www.nap.edu. |
|||||