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

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. "7 Dietary Intake Assessment." 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

TABLE 7-3 Mean Vitamin D Intake and Mean Serum 25OHD Concentrations for the United States, 2005–2006, by Life Stage Groups

Life Stage Group (years)

Vitamin D Intake (IU/day)

Serum 25OHD Levels (nmol/L)

Food Alonea

Total Intakeb

Meanc

Adjusted for Sun Exposure (Reduced by 1/3)

Males

 

 

 

 

1–3

288 ± 8

364 ± 16

71.1 ± 2.0

47

4–8

256 ± 12

372 ± 16

70.5 ± 2.0

47

9–13

228 ± 8

300 ± 28

65.9 ± 2.2

44

14–18

244 ± 16

276 ± 20

60.1 ± 1.9

40

19–30

204 ± 12

264 ± 16

57.9 ± 2.0

38

31–50

216 ± 12

316 ± 12

58.5 ± 1.1

39

51–70

204 ± 12

352 ± 16

57.3 ± 1.8

38

> 70

224 ± 16

428 ± 28

58.9 ± 1.3

39

Females

 

 

 

 

1–3

276 ± 16

336 ± 16

71.4 ± 1.9

47

4–8

220 ± 12

316 ± 24

70.5 ± 2.1

47

9–13

212 ± 24

308 ± 40

59.1 ± 1.6

39

14–18

152 ± 8

200 ± 20

57.6 ± 1.9

38

19–30

144 ± 12

232 ± 12

62.7 ± 2.8

41

31–50

176 ± 12

308 ± 20

57.6 ± 1.7

38

51–70

156 ± 16

404 ± 40

57.2 ± 1.5

38

> 70

180 ± 8

400 ± 20

56.5 ± 1.8

37

NOTE: IU = International Units; SE = standard error.

aData are mean ± SE for foods only.

bData are mean ± SE for total intake: foods and dietary supplements.

cData are mean ± SE.

SOURCE: NHANES, 2005–2006; Bailey et al., 2010.

possible to adjust these data so as to roughly simulate a reduction in serum 25OHD levels consistent with the difference between the summer zenith and the winter nadir. Specifically, if the estimate that there is a one-third difference in serum 25OHD levels between the winter nadir and summer zenith as described in Chapter 3 is applied to this comparison, reducing these serum 25OHD levels by one-third results in a range of serum 25OHD levels from a low of 37 nmol/L (women > 70 years) to a high of 47 nmol/L (found in four life stage groups), which are still very close to, and in many cases above, a 40 nmol/L concentration consistent with an estimated average required intake. Given the observation made in Chapter 5 that the seasonal decline during the winter may differ between those with high and low initial baseline values, the correction applied using a 30 percent reduction may overestimate the decline in those at lower baseline 25OHD levels below 50 nmol/L. Moreover, this adjustment is excessive because for those

Page
472
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)