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Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate (2005)
Food and Nutrition Board (FNB)

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. "Summary." Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. Washington, DC: The National Academies Press, 2005.

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Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate

chloride forms of potassium—the forms found naturally in fruits, vegetables, and other potassium-rich foods.

An EAR could not be set for potassium because the data currently available do not provide multiple dose levels within the range to determine the point at which the diet of approximately half of those evaluated would be inadequate for potassium. Thus an AI is given. The AI for potassium is set at 4.7 g (120 mmol) per day for adults (see Table S-3). Available evidence indicates that this level of potassium intake should lower blood pressure, blunt the adverse effects of sodium chloride on blood pressure, reduce the risk of kidney stones, and possibly reduce bone loss. It is important to note that the beneficial effects of potassium in these studies appear to be mainly from the forms of potassium that are associated with bicarbonate precursors—the forms found naturally in foods such as fruits and vegetables.

At present, dietary intakes of potassium by all groups in the United States and Canada are considerably lower than the AI. In recent surveys, the median intake of potassium by adults in the United States was approximately 2.9 to 3.2 g3 (74 to 82 mmol)/day for men and 2.1 to 2.3 g (54 to 59 mmol)/day for women; in Canada, the median intakes ranged from 3.2 to 3.4 g (82 to 87 mmol)/day for men and 2.4 to 2.6 g (62 to 67 mmol)/day for women. Because African Americans have lower intakes of potassium and a higher prevalence of elevated blood pressure and salt sensitivity, this subgroup of the population would especially benefit from an increased intake of potassium.

It should be noted that individuals with chronic renal insufficiency, who may be taking angiotensin-converting enzyme (ACE) inhibitors, certain diuretics, individuals with type 1 diabetes, and those taking cyclo-oxygenase-2 (COX 2) inhibitors or other nonsteroidal anti-inflammatory (NSAID) drugs, should consume levels of potassium recommended by their health care professional, which may well be lower than the AI.

Sodium Chloride

Sodium and chloride are normally found together in most foods as sodium chloride, also termed salt. For that reason, this report presents data on the requirements for and the effects of sodium and

3  

To convert g of potassium to mmol of potassium, divide g by 39.1 (the molecular weight of potassium) and multiply by 1,000.

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Front Matter (R1-R20)
Summary (1-20)
1 Introduction to Dietary Reference Intakes (21-36)
2 Overview and Methods (37-49)
3 A Model for the Development of Tolerable Upper Intake Levels (50-72)
4 Water (73-185)
5 Potassium (186-268)
6 Sodium and Chloride (269-423)
7 Sulfate (424-448)
8 Applications of Dietary Reference Intakes for Electrolytes and Water (449-464)
9 A Research Agenda (465-470)
Appendix A: Glossary and Acronyms (471-476)
Appendix B: Origin and Framework of the Development of Dietary Reference Intakes (477-484)
Appendix C: Predictions of Daily Water and Sodium Requirements (485-493)
Appendix D: U.S. Dietary Intake Data from the Third National Health and Nutrition Examination Survey, 1988–1994 (494-517)
Appendix E: U.S. Dietary Intake Data for Water and Weaning Foods from the Continuing Survey of Food Intakes by Individuals, 1994–1996, 1998 (518-526)
Appendix F: Canadian Dietary Intake Data for Adults from Ten Provinces, 1990–1997 (527-533)
Appendix G: U.S. Water Intake and Serum Osmolality Data from the Third National Health and Nutrition Examination Survey, 1988–1994 (534-536)
Appendix H: U.S. Total Water Intake Data by Frequency of Leisure Time Activity from the Third National Health and Nutrition Examination Survey, 1988–1994 (537-545)
Appendix I: Dose-Response Effects of Sodium Intake on Blood Pressure (546-557)
Appendix J: Serum Electrolyte Concentrations NHANES III, 1988-94 (558-563)
Appendix K: Options for Dealing with Uncertainties (564-568)
Appendix L: Acknowledgments (569-571)
Appendix M: Biographical Sketches of Panel Members (572-576)
Index (577-618)