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Recommended
dietary intakes
2006
Australia and New Zealand Recommended Dietary
Intakes (RDIs) -
the recommended amounts for most vitamins
and minerals have increased since 1991 which
means we need to eat more nutrient dense/fortified
foods and less nutrient poor foods to achieve
these higher RDIs.
Table has been adapted from Australian Government
Dept of Health and Ageing and National Health
and Medical Research Council 2006 publication.
1991
Australian Recommended Dietary Intakes
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Recommendations
about intakes of specific nutrients are
known as "Recommended Dietary Intakes" (RDI's).
The RDI's generally refer to vitamins, minerals,
energy and protein.
Recommendations for other macronutrients
are generally defined as their energy contribution
to the total dietary energy. Such energy
ratios are not very useful on a day-to-day
basis, but they are useful in identifying
imbalances in populations’ diets and devising
guidelines to correct them.
Although recommendations about nutrient
intakes are made in terms of daily intakes,
not all nutrients are needed every day.
Most can be stored to a lesser or greater
extent in our bodies. The macronutrients
that provide energy are stored in the liver
and muscles in the form of glycogen, and
in adipose tissue and muscles in the form
of triglycerides.
The body stores of vitamins vary from one
individual to another according to the general
state of nutrition and health. The stores
of the fat-soluble vitamins are usually
higher than those of the water-soluble vitamins.
However, even the stores of the latter are
sufficient to protect the well nourished
individual for many days or even months.
For example, it may take as long as 80-90
days before the symptoms of scurvy appear
if one eats a diet without vitamin C.
It is estimated that body stores of vitamin
B12 are adequate for more than two years
and a diet lacking vitamin A will not lead
to clinical signs of deficiency for several
months.
Consequently, well nourished individuals
are usually able to withstand periods of
deprivation or periods of increased need
such as occur with pregnancy and lactation.
They are also at an advantage when stressed
by disease or trauma. Undue concern about
particular food preferences, for example
about children who seem to want one kind
of food and not another for a few days,
is unnecessary. As long as a variety of
foods are eaten over a period of time, the
range of essential nutrients should be provided.
RDI's are the amounts of essential nutrients
that are considered adequate to meet the
nutritional requirements of healthy people.
The RDI's are designed to easily prevent
classical nutritional deficiency diseases,
such as scurvy, beri-beri, pellagra, rickets
and anaemia. Indeed, there is a wide margin
of safety. However, they do not address
the extra nutrient needs of persons with
certain chronic ailments, who smoke, or
who are on drug medication.
New research suggests a greater role for
vitamins (and minerals) in the prevention
or slowing down of many diseases such as
heart disease, cancer, cataracts, osteoporosis
and birth defects. The total effects of
vitamins on the body are still not fully
known or understood. Further, there is increasing
scientific evidence to suggest that higher
levels of certain vitamins (e.g. antioxidants
vitamins C, E, and beta-carotene) may be
necessary for optimal health, and may provide
extra protection against cancer, heart disease
and other diseases.
In time, the concept of RDI may well be
broadened to include a second set of much
higher vitamin levels that optimise their
disease-preventing properties. From the
medical practitioner's point of view, it
is particularly important to remember that
RDI's are for healthy people. In illness
the requirements for many nutrients are
altered. For example, with stress, trauma
or surgery, the requirement for vitamin
C may be more than 8 times the RDI for healthy
adults; zinc requirements increase for wound
healing.
Limitations
of recommended dietary intakes
Individuals have widely varying nutrient
requirements - both from person-to-person
and from day-to-day. RDI's should be
used with caution in assessing an individual's
diet. There needs to be corroborating
evidence (e.g. biochemical measures)
before a person's diet can be declared
to be inadequate on the basis of a comparison
with the RDI's alone. The likelihood
of an inadequate diet increases with
the extent to which intake is below
the RDI.
The RDI's do not allow for illness,
medications or the effects of major
life stresses, smoking, alcohol abuse.
They assume a certain nutritive quality,
biological value or availability of
the various nutrients.
They assume adequate intakes of other
major nutrients and energy and do not
allow for interactions between nutrients.
They do not allow for adaptation to
high or low intakes of some nutrients
(e.g. iron, calcium, energy) for the
individual.
They generally do not indicate toxic
levels of intakes.
They do not cover the proportional distribution
of energy between carbohydrates, fats
and proteins - nor do they address the
minor vitamins and trace elements (it
is assumed that if the intake of the
main nutrients is adequate, then the
requirements for the others will automatically
be covered).
The
uses of the Recommended Dietary Intakes
|
Best used for |
Not appropriate for |
| planning
food supplies for groups of people |
being
the only gauge of the adequacy of
an individuals diet |
| assessing
adequacy of food intake of groups
of people (nutrition surveys) |
sick
people |
| expressing
the nutritional quality of a food
in terms of nutrient density |
planning
parenteral nutrition |
| nutritional
labelling |
people
outside the normal weight range |
| |
people
who smoke or drink excessively |
.
Last
Updated: January 29, 2002
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