National Academy of Sciences | 150 Year Anniversary

Questions? Call 800-624-6242

| Items in cart [0]

The National Academies Press

PAPERBACK
price:$37.95
add to cart

HARDBACK
price:$59.95
add to cart

Rights & Permissions

topleft topright

Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride (1997)
Institute of Medicine (IOM)

Citation Manager

. "3 A Model for the Development of Tolerable Upper Intake Levels." Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington, DC: The National Academies Press, 1997.

Please select a format:

BibTeX EndNote RefMan


Page
65
bottomleft bottomright

The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy.


DRI DIETARY REFERENCE INTAKES FOR Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride
Dose-Response Assessment

The process for deriving the UL is described in this section and is summarized in Box 3-1. It includes selection of the critical data set, identification of a critical endpoint with its NOAEL (or LOAEL), and assessment of uncertainty.

Box 3-1

Development of Tolerable Upper Intake Levels (ULs)

HAZARD IDENTIFICATION

Components

  • Evidence of adverse effects in humans

  • Causality

  • Relevance of experimental data

  • Mechanisms of toxic action

  • Quality and completeness of the database

  • Identification of distinct and highly sensitive subpopulations

DOSE-RESPONSE ASSESSMENT

Components

  • Data selection

  • Identification of no-observed-adverse-effect level (NOAEL) (or lowest-observed-adverse-effect level [LOAEL]) and critical endpoint

  • Uncertainty assessment

  • Derivation of a UL

  • Characterization of the estimate and special considerations

Data Selection

The data evaluation process results in the selection of the most appropriate or critical data set(s) for deriving the UL. Selecting the critical data set includes the following considerations:

  • Human data are preferable to animal data.

  • In the absence of appropriate human data, information from an animal species whose biological responses are most like those of humans is most valuable.

  • If it is not possible to identify such a species or to select such

Page
65