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Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline (1998)
Institute of Medicine (IOM)

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. "2 The B Vitamins and Choline: Overview and Methods." Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington, DC: The National Academies Press, 1998.

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DRI Dietary Reference Intakes: For Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline

milk, which is the average volume of milk reported from studies of breastfed infants in this age category (Heinig et al., 1993), and (2) that provided by the usual intakes of complementary weaning foods consumed by infants in this age category. Such an approach would be in keeping with the current recommendations of the Canadian Paediatric Society (Health Canada, 1990), American Academy of Pediatrics (AAP, 1997), and Institute of Medicine (IOM, 1991) for continued breastfeeding of infants through 9 to 12 months of age with appropriate introduction of solid foods.

Only one relatively recent published source of information about B vitamin intake from solid foods for infants aged 7 through 12 months was found (Montalto et al., 1985), and it covered only three B vitamins: thiamin, riboflavin, and niacin. These researchers’ estimates are based on data from 24-hour dietary intakes from the 1976–1980 National Health and Nutrition Examination Survey (NHANES II) for infants aged 7 to 12 months. The infants were consuming formula; intake from solid food was reported separately.

For the B vitamins and choline, two other approaches were considered as well: (1) extrapolation upward from the AI for infants ages 0 through 6 months by using the metabolic weight ratio and (2) extrapolation downward from the EAR for young adults by adjusting for metabolic body size and growth and adding a factor for variability or from the AI if the recommended intake for adults was an AI. Both of these methods are described below. The results of these methods are compared in the process of setting the AI.

Method for Extrapolating Data from Adults to Infants and Children

Setting the EAR or AI

For the B vitamins and choline, if data were not available to set the EAR and Recommended Dietary Allowance (RDA) or an AI for children ages 1 year and older and for adolescents, the EAR or AI has been extrapolated down by using a consistent basic method. The method relies on at least four assumptions:

  1. Maintenance needs for the B vitamins and choline expressed with respect to body weight ([kilogram of body weight]0.75) are the same for adults and children. Scaling requirements as the 0.75 power of body mass adjusts for metabolic differences demonstrated to be related to body weight, as described by Kleiber (1947) and explored further by West and colleagues (1997). By this scaling a child weighing 22 kg would require 42 percent of what an adult

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Front Matter (R1-R24)
Summary (1-16)
1 Introduction to Dietary Reference Intakes (17-26)
2 The B Vitamins and Choline: Overview and Methods (27-40)
3 A Model for the Development of Tolerable Upper Intake Levels (41-57)
4 Thiamin (58-86)
5 Riboflavin (87-122)
6 Niacin (123-149)
7 Vitamin B6 (150-195)
8 Folate (196-305)
9 Vitamin B12 (306-356)
10 Pantothenic Acid (357-373)
11 Biotin (374-389)
12 Choline (390-422)
13 Uses of Dietary Reference Intakes (423-436)
14 A Research Agenda (437-442)
A Origin and Framework of the Development of Dietary Reference Intakes (443-447)
B Acknowledgments (448-450)
C Système International d'Unités (451-452)
D Search Strategies (453-455)
E Methodological Problems Associated with Laboratory Values and Food Composition Data for B Vitamins (456-459)
F Dietary Intake Data from the Boston Nutritional Status Survey, 1981–1984 (460-465)
G Dietary Intake Data from the Continuing Survey of Food Intakes by Individuals (CSFII), 1994–1995 (466-477)
H Dietary Intake Data from the Third National Health and Nutrition Examination Survey (NHANES III), 1988–1994 (478-501)
I Daily Intakes of B Vitamins by Canadian Men and Women, 1990, 1993 (502-506)
J Options for Dealing with Uncertainties in Developing Tolerable Upper Intake Levels (507-511)
K Blood Concentrations of Folate and Vitamin B12 from the Third National Health and Nutrition Examination Survey (NHANES III), 1988–1994 (512-519)
L Methylenetetrahydrofolate Reductase (520-522)
M Evidence from Animal Studies on the Etiology of Neural Tube Defects (523-526)
N Estimation of the Period Covered by Vitamin B12 Stores (527-530)
O Biographical Sketches (531-536)
P Glossary and Abbreviations (537-540)
Index (541-567)