Dietary reference intakes. Applications in dietary assessment : a report

著者

    • Institute of Medicine (U.S.). Subcommittee on Interpretation and Uses of Dietary Reference Intakes
    • Institute of Medicine (U.S.). Subcommittee on Upper Reference Levels of Nutrients
    • Institute of Medicine (U.S.). Standing Committee on the Scientific Evaluation of Dietary Reference Intakes

書誌事項

Dietary reference intakes. Applications in dietary assessment : a report

of the Subcommittees on Interpretation and Uses of Dietary Reference Intakes and the Standing Committee on the Scientific Evaluation of Dietary Reference Intakes, Food and Nutrition Board, Institute of Medicine

National Academy Press, c2000

  • : hard
  • : pbk

タイトル別名

Applications in dietary assessment

大学図書館所蔵 件 / 14

この図書・雑誌をさがす

注記

Includes bibliographical references and index

内容説明・目次

巻冊次

: hard ISBN 9780309073110

内容説明

Since 1994 the Institute of Medicine's Food and Nutrition Board has been involved in developing an expanded approach to developing dietary reference standards. This approach, the Dietary Reference Intakes (DRIs), provides a set of four nutrient-based reference values designed to replace the Recommended Dietary Allowances (RDAs) in the United States and the Recommended Nutrient Intakes (RNIs) in Canada. These reference values include Estimated Average Requirement (EAR), Recommended Dietary Allowance (RDA), Adequate Intake (AI), and Tolerable Upper Intake Level (UL). To date, several volumes in this series have been published. This new book, Applications in Dietary Assessment, provides guidance to nutrition and health research professionals on the application of the new DRIs. It represents both a "how to" manual and a "why" manual. Specific examples of both appropriate and inappropriate uses of the DRIs in assessing nutrient adequacy of groups and of individuals are provided, along with detailed statistical approaches for the methods described. In addition, a clear distinction is made between assessing individuals and assessing groups as the approaches used are quite different. Applications in Dietary Assessment will be an essential companion to any-or all-of the DRI volumes. Table of Contents Front Matter Contents Summary I. Historical Perspective and Background 1 Introduction and Background 2 Current Uses of Dietary Reference Standards II. Application of DRIs for Individual Diet Assessment 3 Using Dietary Reference Intakes for Nutrient Assessment of Individuals III. Application of DRIs for Group Diet Assessment 4 Using the Estimated Average Requirement for Nutrient Assessment of Groups 5 Using the Adequate Intake for Nutrient Assessment of Groups 6 Using the Tolerable Upper Intake Level for Nutrient Assessment of Groups 7 Specific Applications: Assessing Nutrient Intakes of Groups Using the Dietary Reference Intakes IV. Fine-Tuning Dietary Assessment Using the DRIs 8 Minimizing Potential Errors in Assessing Group and Individual Intakes 9 Research Recommended to Improve the Uses of Dietary Reference Intakes 10 References Appendix A: Origin and Framework of the Development of Dietary Reference Intakes Appendix B: Nutrient Assessment of Individuals: Statistical Foundations Appendix C: Assessing Prevalence of Inadequate Intakes for Groups: Statistical Foundations Appendix D: Assessing the Performance of the EAR Cut-Point Method for Estimating Prevalence Appendix E: Units of Observation: Assessing Nutrient Adequacy Using Household and Population Data Appendix F: Rationale for Setting Adequate Intakes Appendix G: Glossary and Abbreviations Appendix H: Biographical Sketches of Subcommittee Members Index Summary Table: Estimated Average Requirements Summary Table: Tolerable Upper Intake Levels Summary Table: Recommended Intakes for Individuals
巻冊次

: pbk ISBN 9780309073332

内容説明

Clinical trials are used to elucidate the most appropriate preventive, diagnostic, or treatment options for individuals with a given medical condition. Perhaps the most essential feature of a clinical trial is that it aims to use results based on a limited sample of research participants to see if the intervention is safe and effective or if it is comparable to a comparison treatment. Sample size is a crucial component of any clinical trial. A trial with a small number of research participants is more prone to variability and carries a considerable risk of failing to demonstrate the effectiveness of a given intervention when one really is present. This may occur in phase I (safety and pharmacologic profiles), II (pilot efficacy evaluation), and III (extensive assessment of safety and efficacy) trials. Although phase I and II studies may have smaller sample sizes, they usually have adequate statistical power, which is the committee's definition of a "large" trial. Sometimes a trial with eight participants may have adequate statistical power, statistical power being the probability of rejecting the null hypothesis when the hypothesis is false. Small Clinical Trials assesses the current methodologies and the appropriate situations for the conduct of clinical trials with small sample sizes. This report assesses the published literature on various strategies such as (1) meta-analysis to combine disparate information from several studies including Bayesian techniques as in the confidence profile method and (2) other alternatives such as assessing therapeutic results in a single treated population (e.g., astronauts) by sequentially measuring whether the intervention is falling above or below a preestablished probability outcome range and meeting predesigned specifications as opposed to incremental improvement. Table of Contents Front Matter Executive Summary 1 Introduction 2 Design of Small Clinical Trials 3 Statistical Approaches to Analysis of Small Clinical Trials 4 General Guidelines References Appendix A Study Methods Appendix B Glossary of Statistical and Clinical Trials Terms Appendix C Selected Bibliography on Small Clinical Trials Appendix D Committee and Staff Biographies

目次

  • 1 Front Matter
  • 2 Executive Summary
  • 3 1 Introduction
  • 4 2 Design of Small Clinical Trials
  • 5 3 Statistical Approaches to Analysis of Small Clinical Trials
  • 6 4 General Guidelines
  • 7 References
  • 8 Appendix A Study Methods
  • 9 Appendix B Glossary of Statistical and Clinical Trials Terms
  • 10 Appendix C Selected Bibliography on Small Clinical Trials
  • 11 Appendix D Committee and Staff Biographies

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