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Dietary Reference Intakes for Calcium and Vitamin D (2011)
Food and Nutrition Board (FNB)

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. "1 Introduction." Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: The National Academies Press, 2011.

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DRI Dietary Reference Intakes Calcium Vitamin D
Children: Ages 4 Through 8 Years

During early childhood, children ages 4 through 8 or 9 years (the latter depending on the onset of puberty in each gender) undergo major changes in growth rate and endocrine status. For many nutrients, a reasonable number of data have been available on nutrient intake, and various criteria for adequacy serve as the basis for nutrient reference values for this group. For nutrients that lack data on the requirements of children in this age group, the nutrient reference values must be based on extrapolations from other life stage groups.

Children/Adolescence: Ages 9 Through 13 Years and 14 Through 18 Years

The adolescent years are divided into two categories. Several conclusions support the biological appropriateness of creating two adolescent age groups within the DRI framework (IOM, 2006):

  • The mean age of onset of breast development for white girls in North America is 10 years; this is a physical marker for the beginning of increased estrogen secretion (in African American girls, onset is about a year earlier, for unknown reasons).

  • The female growth spurt begins before the onset of breast development, thereby supporting the grouping of 9 through 13 years.

  • The mean age of onset of testicular development in boys is 10.5 through 11 years.

  • The male growth spurt begins 2 years after the start of testicular development, thereby supporting the grouping of 14 through 18 years.

Young Adulthood and Middle Age: Ages 19 Through 30 Years and 31 Through 50 Years

Adulthood was divided into two age groups, in part due to consumption of higher nutrient intakes during early adulthood compared with later in life. Mean energy expenditure decreases from ages 19 through 50 years, and nutrient needs related to energy metabolism may also decrease (IOM, 2006).

Older Adults: Ages 51 Through 70 Years and Over 70 Years

The age period of 51 through 70 years spans active work years for most adults. After age 70, people of the same age increasingly display different

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Front Matter (R1-R16)
Summary (1-14)
1 Introduction (15-34)
2 Overview of Calcium (35-74)
3 Overview of Vitamin D (75-124)
4 Review of Potential Indicators of Adequacy and Selection of Indicators: Calcium and Vitamin D (125-344)
5 Dietary Reference Intakes for Adequacy: Calcium and Vitamin D (345-402)
6 Tolerable Upper Intake Levels: Calcium and Vitamin D (403-456)
7 Dietary Intake Assessment (457-478)
8 Implications and Special Concerns (479-512)
9 Information Gaps and Research Needs (513-522)
Appendix A: Acronyms, Abbreviations, and Glossary (523-536)
Appendix B: Issues and Interests Identified by Study Sponsors (537-538)
Appendix C: Methods and Results from the AHRQ-Ottawa Evidence-Based Report on Effectiveness and Safety of Vitamin D in Relation to Bone Health (539-724)
Appendix D: Methods and Results from the AHRQ-Tufts Evidence-Based Report on Vitamin D and Calcium (725-1012)
Appendix E: Literature Search Strategy (1013-1018)
Appendix F: Evidence Maps (1019-1024)
Appendix G: Cases Studies of Vitamin D Toxicity (1025-1034)
Appendix H: Estimated Intakes of Calcium and Vitamin D from National Surveys (1035-1044)
Appendix I: Proportion of the Population Above and Below 40 nmol/L Serum 25-Hydroxyvitamin D Concentrations and Cumulative Distribution of Serum 25-Hydroxyvitamin D Concentrations: United States and Canada (1045-1058)
Appendix J: Workshop Agenda and Open Session Agendas (1059-1064)
Appendix K: Biographical Sketches of Committee Members (1065-1074)
Index (1075-1102)
Summary Tables: Dietary Reference Intakes (1103-1116)