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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients) (2005)
Food and Nutrition Board (FNB)

Page
1275
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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids

Index

A

Absorption of nutrients. See Bioavailability;

Intestinal absorption;

individual nutrients

Acceptable Macronutrient Distribution Ranges (AMDRs).

See also individual nutrients and life-stage groups

defined, 14-15, 28, 39, 772, 941

evidence considered for, 15-16, 769

rationale for, 14, 28, 784

uses, 29, 941, 945, 946, 948-949

Adaptation, nutritional

amino acid metabolism, 618, 619

basal metabolism, 201

to carbohydrate-free diet, 277-278, 293

defined, 149, 973

in energy balance, 149-151, 201, 220, 223-224, 452

glucose metabolism, 277-278

growth impairment as, 151, 220, 437

to high-fat diets, 452

pregnancy and lactation, 34, 47, 197, 290, 291, 650

to protein metabolism, 47, 276, 279, 605, 611, 650, 657, 694

to starvation, 277-279, 605

weight as, 150

Adequate Intakes (AIs).

See also individual macronutrients and life-stage groups

criteria used to derive, 7-8, 10-11, 44-46

defined, 3, 22, 26

derivation of, 28, 31, 32, 47

extrapolation between other age groups, 26-27, 31-32, 34, 46, 47, 283

indicators used to set, 28

methods used to set, 44-46, 47, 280-283, 385-390, 456-457, 460-461, 464, 465, 466-470, 471-472, 619-621, 662-665

prevalence of intakes above, 789

RDA compared, 6, 26-27

uncertainty in, 26, 44

uses, 26, 936, 939-940, 944-945, 946, 948

Adiposity, 125, 130, 189, 200, 220, 379, 832.

See also Body fat content

Adolescents, ages 9 through 18 years.

See also Puberty/pubertal development

added sugars, 1206-1209, 1216-1219

ages 9 through 13 years, 35, 386, 463-464, 470, 624-627, 631, 665, 673-674, 769, 1126-1129, 1138-1143, 1172-1173, 1178-1181, 1206-1207, 1216-1217, 1232-1233, 1238-1239

ages 14 through 18 years, 35, 193, 201-202, 292, 293, 386, 389-390, 463-464, 465-466, 470, 471-472, 674-675, 729, 769, 1128-1129, 1143-1145, 1181-1183, 1208-1209, 1218-1219, 1232-1233, 1238-1239

AIs, 26-27, 33, 385-386, 388-389, 463-464, 470, 471-472, 632-633

AMDRs, 769, 816, 844, 945

Page
1275
Front Matter (R1-R26)
Summary (1-20)
1. Introduction to Dietary Reference Intakes (21-37)
2. Methods and Approaches Used (38-52)
3. Relationship of Macronutrients and Physical Activity to Chronic Disease (53-83)
4. A Model for the Development of Tolerable Upper Intake Levels (84-106)
5. Energy (107-264)
6. Dietary Carbohydrates: Sugars and Starches (265-338)
7. Dietary, Functional, and Total Fiber (339-421)
8. Dietary Fats: Total Fat and Fatty Acids (422-541)
9. Cholesterol (542-588)
10. Protein and Amino Acids (589-768)
11. Macronutrients and Healthful Diets (769-879)
12. Physical Activity (880-935)
13. Applications of Dietary Reference Intakes for Macronutrients (936-967)
14. A Research Agenda (968-971)
Appendix A: Glossary and Acronyms (972-977)
Appendix B: Origin and Framework of the Development of Dietary Reference Intakes (978-984)
Appendix C: Acknowledgments (985-987)
Appendix D: Dietary Intake Data from the Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994 (988-1027)
Appendix E: Dietary Intake Data from the Continuing Survey of Food Intakes by Individuals (CSFII) 1994-1996, 1998 (1028-1065)
Appendix F: Canadian Dietary Intake Data, 1990-1997 (1066-1075)
Appendix G: Special Analyses for Dietary Fats (1076-1077)
Appendix H: Body Composition Data Based on the Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994 (1078-1103)
Appendix I: Doubly Labeled Water Data Used to Predict Energy Expenditure (1104-1202)
Appendix J: Association of Added Sugar Intake and Intake of Other Nutrients (1203-1225)
Appendix K: Data Comparing Carbohydrate Intake to Intake of Other Nutrients from the Continuing Survey of Food Intakes by Individuals (CSFII), 1994-1996, 1998 (1226-1243)
Appendix L: Options for Dealing with Uncertainties (1244-1249)
Appendix M: Nitrogen Balance Studies Used to Estimate the Protein Requirements in Adults (1250-1258)
Biographical Sketches of Panel and Subcommittee Members (1259-1274)
Index (1275-1318)
Summary Tables, Dietary Reference Intakes (1319-1331)

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids Index A Absorption of nutrients. See Bioavailability; Intestinal absorption; individual nutrients Acceptable Macronutrient Distribution Ranges (AMDRs). See also individual nutrients and life-stage groups defined, 14-15, 28, 39, 772, 941 evidence considered for, 15-16, 769 rationale for, 14, 28, 784 uses, 29, 941, 945, 946, 948-949 Adaptation, nutritional amino acid metabolism, 618, 619 basal metabolism, 201 to carbohydrate-free diet, 277-278, 293 defined, 149, 973 in energy balance, 149-151, 201, 220, 223-224, 452 glucose metabolism, 277-278 growth impairment as, 151, 220, 437 to high-fat diets, 452 pregnancy and lactation, 34, 47, 197, 290, 291, 650 to protein metabolism, 47, 276, 279, 605, 611, 650, 657, 694 to starvation, 277-279, 605 weight as, 150 Adequate Intakes (AIs). See also individual macronutrients and life-stage groups criteria used to derive, 7-8, 10-11, 44-46 defined, 3, 22, 26 derivation of, 28, 31, 32, 47 extrapolation between other age groups, 26-27, 31-32, 34, 46, 47, 283 indicators used to set, 28 methods used to set, 44-46, 47, 280-283, 385-390, 456-457, 460-461, 464, 465, 466-470, 471-472, 619-621, 662-665 prevalence of intakes above, 789 RDA compared, 6, 26-27 uncertainty in, 26, 44 uses, 26, 936, 939-940, 944-945, 946, 948 Adiposity, 125, 130, 189, 200, 220, 379, 832. See also Body fat content Adolescents, ages 9 through 18 years. See also Puberty/pubertal development added sugars, 1206-1209, 1216-1219 ages 9 through 13 years, 35, 386, 463-464, 470, 624-627, 631, 665, 673-674, 769, 1126-1129, 1138-1143, 1172-1173, 1178-1181, 1206-1207, 1216-1217, 1232-1233, 1238-1239 ages 14 through 18 years, 35, 193, 201-202, 292, 293, 386, 389-390, 463-464, 465-466, 470, 471-472, 674-675, 729, 769, 1128-1129, 1143-1145, 1181-1183, 1208-1209, 1218-1219, 1232-1233, 1238-1239 AIs, 26-27, 33, 385-386, 388-389, 463-464, 470, 471-472, 632-633 AMDRs, 769, 816, 844, 945

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids amino acids, 664-670, 673-675, 702-703 aortic fatty streaks, 815 aspartame, 702-703 BMR, 178-179 body composition and size, 142, 178, 181, 626-629 bone mineralization, density, and mass, 66, 180 brain development, 288-289 carbohydrate, 284-285, 292, 1232-1233, 1238-1239 EARs, 33, 46-47, 284, 292, 293, 632, 664-669, 673-675 EERs, 175, 176-182, 193, 201-202, 216-219 energy intakes, 473, 474, 1206-1209, 1216-1219, 1232-1233, 1238-1239 extrapolation of data from adult values, 26-27 factorial methods, 628, 631 fat (total dietary), 459, 945, 1232-1233, 1238-1239 fatty acids, 456, 1232-1233, 1238-1239 fiber, 385-386, 388-389, 391, 394, 1232-1233, 1238-1239 glucose metabolism, 288-289 growth and development, 33, 142, 175, 177, 181, 182, 459, 654 lactation, 293, 389-390, 465-466, 471-472, 659 maintenance requirement, 667 nitrogen balance studies, 624-627, 632, 664-666 nutrient intakes with added sugars, 1206-1209, 1216-1219 obese or overweight, 181, 216-219, 312, 459, 1172-1173, 1178-1183, 1200, 1202 physical activity, 176-181, 182, 880, 883, 902-907, 911-912, 924, 1126-1129, 1138-1145, 1172-1173, 1178-1183 polyunsaturated fatty acids, 463-464, 465-466, 469-470, 471-472 pregnancy, 48, 193, 201-202, 292, 389, 465, 471-472, 650-652, 654-655 protein, 624-629, 631, 632-633, 665, 670, 769 RDAs, 285, 292, 293, 631-632, 655, 670, 673-675 reference weights and heights, 35, 136-137, 176, 178, 659, 670, 983 saturated fatty acids, 474, 835, 1232-1233, 1238-1239 special considerations, 216-219 sugar intakes, 312, 323, 1206-1209, 1216-1219 TEE, 176, 178, 181, 1126-1129, 1138-1145, 1172-1173, 1178-1183, 1200, 1202 trans fatty acids, 456 vitamin and mineral intakes, 1232-1233, 1238-1239 weight, 216-219, 650, 652, 653, 655 Adults, ages 19 years and older. See also Age/aging; Lactation; Pregnancy added sugars, 295, 788-789, 1210-1215, 1220-1225 ages 19 through 50 years, 35, 46, 184, 186-189, 205-213, 286, 288, 292, 293, 296, 323, 371, 388, 389, 447, 450-452, 464, 471-472, 548, 614, 633-645, 648, 695, 887, 983-984, 701, 703, 720, 727, 729, 730, 1146-1159, 1164-1167, 1184-1187, 1190-1195, 1210-1211, 1220-1223, 1234-1235, 1240-1241 ages 51 years and older, 33-34, 66, 138, 143-144, 289, 296, 303, 358, 371, 388, 396, 398, 447, 450-452, 464, 548-549, 602, 603, 608, 634, 660, 661, 697, 704, 711, 723, 725, 734, 736-737, 841, 887, 922, 1150-1153, 1158-1163, 1186-1191, 1194-1199, 1214-1215, 1224-1225, 1236-1237, 1242-1243 AIs, 26, 33-34, 387-388, 464-466, 470-472 allergies, 692 AMDRs, 285, 769, 809, 826, 844, 941 amino acids, 594, 599, 607, 613, 614, 668, 669, 670-680, 686-688, 690-691, 692, 703, 720, 726 bioavailability of nutrients, 34 BMI, 35, 36, 121, 124-130, 131, 310, 1078-1087, 1098-1103 body composition data, 1078-1103 body fat content, 111, 124-125, 126, 128-130, 131, 1078-1101 bone mineral density, 66 brain utilization of glucose, 285-289 carbohydrates, 265, 277, 285-289, 294-295, 769, 809, 1234-1237, 1240-1243 catabolic stress, 594 CHD risk, 303, 366, 387-388, 777-784, 797-798

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids cholesterol, 548-549 dental caries, 296 diabetes (type 2), 268, 388, 784-785 dietary intakes, 294-295, 602, 695, 697, 1234-1237, 1240-1243 EARs, 33, 34, 46-47, 285-289, 292, 293, 633, 643-644, 646-649, 668, 670-679 EERs, 121, 124-130, 183-189 energy expenditure, 108, 116, 122-123, 131, 138, 140-141, 143-144 energy intakes, 474, 647, 1234-1237, 1240-1243 energy metabolism, 33, 54, 108, 116, 289 extrapolation of data to infants and children, 25, 26-27, 34, 46, 47, 284 fat (dietary), 459-460, 769, 809, 1234-1237, 1240-1243 fiber, 354, 358, 366, 387-389, 396, 398, 788, 809, 1234-1237, 1240-1243 glucose metabolism, 285-289, 388, 784-785 high fat, low carbohydrate diets, 792-810 hyperinsulinemia, 784-785 low fat, high carbohydrate diets, 772-792 malnutrition, 608 methodological considerations, 47-48 monounsaturated fatty acids, 432 nitrogen balance studies, 275, 287, 618, 633-643, 661 nutrient intakes with sugars, 1210-1215, 1220-1225 obese and overweight, 122-123, 792-797, 1184-1199, 1201 peak bone mass, 33 physical activity, 66, 138, 143-144, 183-184, 186-189, 883, 895-903, 911-912, 1184-1199 polyunsaturated fatty acids, 433, 435, 464, 470-472, 478 protein, 287-288, 595, 602, 605, 608, 611-612, 633-649, 660, 661, 668, 686-688, 690-691, 692, 695, 769, 841 RDAs, 33, 47, 265, 289-290, 292, 293, 603, 644-645, 649, 667-669, 679-680 reference heights and weights, 35, 124, 125, 126, 128-130, 983-984 renal function, 34 reserve capacity and functioning, 33-34 saturated fatty acids, 474, 835, 1234-1237, 1240-1243 special considerations, 202-213, 220 sugar intakes, 323, 789, 792, 1210-1213, 1220-1225 TEE, 161-164, 183, 203, 1146-1165, 1184-1199, 1200-1201 vitamin and mineral intakes, 1234-1237, 1240-1243 weight and height, 143, 183, 184, 220, 1078-1081, 1088-1091 weight maintenance, 773-777 Adverse effects. See also individual nutrients defined, 84, 973 insufficient evidence of, 102-103, 970-971 nutrient–nutrient interactions, 85, 95 Aerobics Center Longitudinal Study, 912 African Americans breast cancer, 379 energy expenditure, 145-146, 179 fiber, 379 pubertal development, 33 Age/aging. See also Adolescents; Adults; Children; Infants; Life-stage groups BMR, 131, 143 carbohydrate–lipid oxidation balance, 922 energy expenditure, 117, 143-144, 157, 158, 159-161, 181, 183 and energy requirements, 183, 647 fat absorption, 447, 450-452 glucose metabolism, 289 insulin resistance, 62 physical activity, 143-144, 922, 924 and protein reserve, 595, 602, 640-641, 642 reporting of dietary intakes, 117 RMR, 143 sensitivity to nutrient toxicity, 92 and sugar intakes, 323 TEF, 134, 143, 165, 171, 179 weight gain, 143, 167 Alanine (dispensable), 276, 591, 593, 594, 596, 597, 604, 605, 606, 696-697, 736, 992-993 Alaska Natives, 275, 284, 693 Albumin, 304-305, 430, 602, 609, 610 Alcohol dietary intakes, 49, 110, 1064-1065 energy contribution, 109, 771, 1064-1065 and fatty acid oxidation, 109, 453

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids by life stage and gender group, 1064-1065 oxidation rate, 108-109 TEF, 109-110 Alcoholics and alcoholism, 110, 704 Aldosterone, 543 Allergic reactions, 295, 396, 397, 399 α-Ketoglutarate, 604, 605 α-Linoleic acid. See also Polyunsaturated fatty acids, n-3 AIs, 8-9, 11, 423, 466-472, 834, 944-945 AMDRs, 15-16, 770, 834-835 and CHD, 427, 770, 827, 828, 829 deficiency, 9, 423, 427, 439-440, 443-445, 470, 472 dietary intakes, 478, 834 food sources, 478, 771, 834 function, 423, 427, 435, 445, 466 interaction with linoleic acid, 447, 453-455, 472, 825 and learning behavior, 439, 445 metabolism, 434-435, 445-446, 468, 472 parenteral nutrition and, 444 protective effects, 427, 770 sources, 427, 447 supplementation, 444 and vision, 439, 440, 468 Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study, 483 Altitude, and energy expenditure, 149 Amino acids. See also Protein; individual amino acids absorption, 621 adaptations in metabolism, 618, 619 adverse effects of, 696, 697-698, 701-703, 705-708, 711-712, 713-717, 720, 721-723, 724-726, 727, 729, 730-733, 734-735 AIs, 662-663 alcoholism and, 704 animal studies, 671, 696, 697-698, 701-702, 703, 705, 707-708, 711-712, 713-714, 720, 721-722, 724, 725-726, 727, 729, 730-732, 734-735 and appetite or eating behavior, 707, 709, 710, 713, 730, 731-732 and asthma, 716-717 and behavior, 697, 701, 713, 714, 721, 727, 729 bioavailability, 685 and body fat, 713 and brain chemistry, 704-705, 707, 709, 710, 711, 714, 721, 731, 732, 734, 735 branched-chain, 604, 616, 660, 704-711; See also Isoleucine, Leucine, Valine and cancer, 54, 698-699, 700, 708, 710, 711, 713, 719, 722, 732, 843 and carbohydrates, 275, 276, 701, 731, 732-733 carbon metabolism, 605-607 catabolism, 278, 594, 603-608, 616, 617, 704, 712 and CHD risk, 726 chemistry, 590, 592-593 Chinese restaurant syndrome, 714, 715-716 composition of proteins, 279, 621, 666, 682, 685-686 deficiency, 662 deposition rate, 672-675 dermal effects, 733-734, 735 developmental studies, 708-710, 724, 732 diabetes and, 704 dietary intakes, 692, 696, 697, 700, 701, 704, 711, 712, 720, 721, 723, 725, 727, 729, 730, 731, 734, 736, 992-1027 digestibility, 621 direct amino acid oxidation method, 615-617, 618, 619, 670-671, 676-678 dose–response assessment, 697, 699-700, 703, 711, 712, 717, 719, 720, 723, 725, 726, 728, 729, 730, 731, 733-734, 736 EARs, 589, 619, 664-679, 680-681, 688 excretion, 604 factorial estimate, 614, 666-669 food sources, 48, 712-713, 714 free, 596-597, 599, 602, 603, 620, 692, 721 function, 9, 38, 589, 590, 696, 697, 701, 704-705, 712, 720-721, 725, 729, 731, 734, 736 and gastrointestinal disturbances, 698, 700, 714, 720, 722, 724, 726, 733 genotoxicity, 720 gluconeogenesis from, 276, 278, 288-289, 604, 606 and growth, 598, 607, 665, 666, 669, 697, 701, 707, 710, 713, 719, 720, 721, 724, 725, 728

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids hazard identification, 696-699, 700, 701-703, 704-710, 711-717, 718-719, 720, 721-723, 724-726, 727, 729, 730-733, 734-735 and herpes infections, 724 high-protein diets and, 712 homeostasis, 595-598 hormonal effects, 715 human studies, 608-699, 702-703, 705-706, 712, 714-715, 720, 722-723, 724-725, 726, 727, 729, 730, 731-733, 735 imbalances in, 707, 708-709, 710, 726 and immune function, 697-698, 699 indicator amino acid oxidation method, 617-619, 670-671, 676, 677, 678 indicators for estimating requirements, 613-619 individual variability in requirements, 614, 665-666, 679 insulin sensitivity, 696, 701, 705, 710 intake assessment, 736-737 interactions with other nutrients, 721-723, 725, 726, 731 by life stage and gender group, 662-682, 992-1027 limiting, 602, 611, 614, 669, 685, 689, 690, 691 and lipid profiles, 721, 724 liver function and, 704, 705, 721 losses, 601, 614 low-protein diets, 697, 707, 709, 721, 731-732 maintenance, 666, 667-669, 672-675 and malnutrition, 704 maple syrup urine disease, 704, 706 metabolic disorders, 697, 700, 704, 705, 706, 710, 714, 727, 728, 735 metabolic pathways, 597-598, 600, 617, 660, 697, 701, 704, 705, 717, 719, 724, 726, 728-729, 731 neurological effects, 696, 699, 701-702, 703, 704-705, 706, 711, 714, 715, 717, 718, 719, 727, 728, 733 nitrogen balance studies, 612, 613-614, 618, 662, 664-666, 670-671, 676, 677, 678, 688 nitrogen metabolism, 278, 603-605, 718, 720 nitrogen utilization through nonprotein pathways, 607-608 nutritional and metabolic classification, 593-594 and obesity, 701, 704, 732 opthalmologic effects, 711, 714, 720, 722, 729, 734, 735, 736 parenteral nutrition and, 699, 705, 714, 718, 719, 722-723 and physical exercise, 702, 705-706 planning and assessing intakes, 961-963 plasma amino acid response method, 614-615, 670-671 precursors of nonprotein products, 608 protective effects, 726 quality of protein source, 661, 662, 684-690, 721 RDAs, 47, 672-675, 679-680, 681, 682 reproductive effects, 701, 712, 713, 715 research recommendations, 737-738 risk characterization, 737 scoring, 14, 589, 662, 685, 686-691 selection of indicators for estimating requirements, 613-619 and somnolence, 698, 700, 722, 733 special considerations, 728 and starvation, 693, 704 supplementation, 695-735 synthesis, 275, 701, 712, 717, 723, 729, 734 and taste and smell acuity, 722 teratogenic effects, 708, 728 trauma and, 596, 605 24-hour amino acid balance method, 616-617, 670-671, 676, 677 ULs, 695-737 variance in requirements, 688 and weight, 697, 698, 700, 707, 709, 713, 721, 724, 730, 731-732, 734 Amino sugars, 684 Ammonia, 56, 375, 377, 603, 604, 605, 684, 697, 714, 717-718, 719 Amylopectin, 267-268, 269, 272 Amylose, 267, 272 Animal studies advantages, 94-95, 97 amino acids, 671, 696, 697-698, 701-702, 707-708, 711-712, 713-714, 720, 721-722, 724, 725-726, 727, 729, 730-732, 734-735 carbohydrate, 40, 275 cholesterol, 548, 562 colon cancer, 377

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids dose-response assessment, 96, 98, 100 extrapolation of data from, 40, 87, 95, 97, 98, 100, 101, 492, 562, 1245-1246 fat, 40 fiber, 351, 361, 377 hazard identification, 94-95, 96, 696, 697-698, 701-702, 707-708, 711-712, 713-714, 721-722, 724, 725-726, 727, 729, 730-732, 734-735 nitrogen balance studies, 671 polyunsaturated fatty acids, 444-445, 492 pregnant animals, 709, 726 protein, 40 relevance of, 39, 40, 94, 96, 703, 705, 711, 727 uncertainties in, 100, 1245-1246 Apolipoprotein A-I, 61 Apolipoprotein B100, 503 Apolipoprotein CH, 429 Apolipoprotein E, 544 Apoproteins, 429 Apoptosis, 55, 833, 837-838 Appetite, 383, 707, 709, 710, 713, 730, 731-732, 795 Arabinose, 345 Arachidonic acid, 425, 426, 433-434, 435, 438, 439, 440, 442, 443, 444, 446-447, 453-454, 455-456, 465, 469, 472, 476, 478, 824, 838 Arginase, 605 Arginine (dispensable), 591, 593, 594, 597, 605, 608, 697-700, 709, 712, 717, 724, 736, 994-995 Arginine glutamate, 714 Arginionsuccinic acid synthetase, 697, 700 Arizona Wheat-bran Fiber Trial, 374 Arteriosclerosis, 130, 842 Asians, obese, 352 Asparagine (dispensable), 591, 593, 594, 700 Aspartame, 695, 702-703, 727 Aspartic acid/aspartate (dispensable), 591, 592, 593, 594, 597, 604, 605, 608, 695, 709, 736, 996-997 Association of Official Analytical Chemists International, 340, 344 Assessment of nutrient intakes added sugars, 957 AI and, 939-940, 944-945 AMDR and, 941, 945 amino acids, 960-963 biochemical approach, 944 carbohydrate, 956-957 cut-point method, 943 EAR and, 938-939, 943-944 energy, 48, 225, 954-956 fat, 959 fiber, 957-958 of groups, 16-18, 941-945 of individuals, 937-941 polyunsaturated fatty acids, 959-960 probability approach, 942-943, 944 protein, 960-961 RDA and, 938-939, 944 UL and, 940, 945 Asthma, 396, 399, 716-717 Atherogenic dyslipidemia, 777 Atherogenic lipid profile, 802 Atherogenic lipoprotein phenotype, 777, 782 Atherosclerosis, 59, 485-486, 546, 548, 549, 560, 562, 563, 823-824, 826, 836-837, 840 Atherosclerosis Risk in Communities Study, 563 Athletes, 115. See also Physical activity amino acid supplements, 702, 706 endurance training, 660 energy balance, 221-223, 452 high-carbohydrate diet, 452 high-fat diet, 452 lipoprotein profile, 61 low fat, high carbohydrate diet, 773 protein, 660-661 resistance training, 660 runners, 61, 773 skeletal health, 66 Autoimmune diseases, 487 B Balance studies. See also Nitrogen balance studies cholesterol, 543-544 defined, 40 limitations of, 40-41, 617, 676 methionine, 677 24-hour amino acid method, 616-617 zinc bioavailability, 394 Basal energy expenditure (BEE) defined, 112 DLW data, 1104-1202 fat-free mass and, 128, 186 gender differences, 141, 217

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids and MET rate, 888 obese and overweight individuals, 217 prediction, 114, 171, 178-179, 186, 205, 217 Schofield equations, 171, 178-179, 186 and weight, 116, 141, 150, 183, 184, 186, 206-213, 888 Basal metabolic rate (BMR), 25 adaptations, 201 adolescents, 178-179 aging and, 131, 143 altitude and, 149 body composition and size and, 131, 141 and carbohydrates, 196 children, 141, 171, 1114-1121 climate and, 148 defined, 112 and energy expenditure, 112-114, 115, 131, 141, 164-165, 171, 178-179, 185, 188-190, 195 and energy requirement, 164-165, 171, 178-179, 185, 188-190, 195-196 ethnic differences, 146 FFM and, 139 gender differences, 141 infants, 164-165, 1106-1114 lactation, 195-196 measurement, 165, 171, 185, 188 menstrual cycle and, 140, 141 pregnancy, 185, 188-191, 291 protein balance and, 598 sedentary individuals, 115 Basal requirement, 24 Beans. See Legumes Behavior. See also Eating behavior amino acid intake and, 697, 701, 713, 714, 721, 727, 729 breastfed infants, 621 learning, 439, 445, 446, 447, 697, 713, 729 polyunsaturated fatty acids and, 439, 445, 446, 447 sugar intake and, 295-296, 323 Bengal gram, 366-367 β3-Adrenergic receptor gene, 145 β-Glucans (dietary or functional fiber), 345, 355-356 β-Hydroxybutyrate, 285, 430 Bioavailability of nutrients age/aging and, 447, 450-452 amino acids, 685 balance studies and, 394 defined, 93, 973 factors affecting, 29-30, 93-94, 271, 281 fat intake and, 424, 785, 788-792 fiber consumption and, 29, 94, 348, 351-352, 369, 382, 391, 394-395, 397-398, 838 in human milk, 431, 447, 621, 944 in infant formula, 26, 31, 45, 431, 940, 944, 946 nutrient–nutrient interactions and, 93, 271, 281, 424 and risk assessment, 93-94, 98 from supplements, 29, 93, 94 Biomarkers of disease, 41 Bladder cancer, 708, 710 Bleeding time, 492-493 Blood pressure. See also Hypertension amino acids and, 735 fiber and, 60 physical activity and, 60 polyunsaturated fatty acids and, 59, 829 trans fatty acids and, 504 weight and, 204 Body composition and size. See also Body fat content; Fat-free mass; Fat mass; Obesity and overweight adolescents, 142, 178, 181 adults, 1078-1103 and BMR, 131, 141 CLA and, 836-837 and energy expenditure, 65, 112, 117, 131-135, 138, 139, 141 gender differences, 128, 142, 1078-1103 genetic factors, 144, 146 NHANES III data, 124, 125, 130, 982, 1078-1103 pregnancy and, 188, 191-192 protein deposition, 626-629, 644 and reporting of dietary intakes, 117 research recommendations, 225, 240 and sensitivity to nutrients, 92 and TEE, 132 undernutrition and, 220 Body fat content. See also Body Mass Index; Fat mass adults, 111, 124-125, 126, 128-130, 131, 1078-1101 amino acid intake and, 713 bioimpedance data, 124 BMI and, 121, 124-125, 126, 128-130, 1080-1087, 1098-1101

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids and cancer, 379 gender differences, 1078-1101 height and, 125, 128-130, 1078-1081, 1088-1089 infants, 142, 621 obesity, 126 physical activity and, 57, 61, 139, 180, 181 protein intake and, 843 reserves, 111, 220 and triceps skinfold, 125, 128, 1080-1081, 1086-1087, 1092-1093, 1100-1101 and waist circumference, 1084-1085, 1094-1099 and weight, 1090-1091 Body Mass Index (BMI) adults, 35, 36, 121, 124-130, 131, 310, 1078-1087, 1098-1103 and body fat content, 121, 124-125, 126, 128-130, 1080-1087, 1098-1101 and cancer, 238-239 and CHD, 124, 232-233 children, 35, 36, 65, 130-131, 216, 814, 1114-1121 and chronic disease, 224, 226-239, 303 cutoffs, 121, 126 defined, 121 and diabetes type 2, 124, 226-229 fat intake and, 814 fiber consumption and, 352, 379, 383, 384 gender differences, 125-129, 1078-1087, 1098-1103 glycemic index and, 313 healthy, 121, 124, 126 and height, 1080-1081 as indicator of energy requirement, 121, 124-131 infants, 1106-1114 methodological issues, 121, 124-125 and mortality, 484 obesity, 126, 204, 216, 310, 313 PAL and, 220, 223, 814, 911 previous median vs. new median, 35 protein intake and, 843 reference heights and weights and, 35, 36, 124, 125, 126, 127-130 saturated fatty acid intake and, 484 sugar intake and, 65, 310, 313, 316-319 and triceps skinfold, 1080-1081, 1086-1087, 1100-1101 waist circumference used with, 124-125, 127, 1080-1081, 1084-1085, 1098-1099, 1102-1103 and weight, 1080-1081 Body weight. See Weight Bogalusa Heart Study, 307, 310, 314-315, 792-793, 815 Bone mineral density, 66, 180, 276, 928 Brain amino acids, 704-705, 707, 709, 710, 711, 714, 721, 724, 731, 732, 734, 735 carbohydrate utilization, 38, 265, 273, 276, 277, 278, 279, 280, 284, 285-289, 430 chemistry, 704-705, 707, 709, 710, 711, 714, 721, 731, 732, 734, 735 cholesterol synthesis by infants, 545, 548 glucose metabolism, 38, 265, 273, 276, 277, 279-280, 285-289 macronutrients needed by, 771 pituitary adenomas, 396 polyunsaturated fatty acid deficiency and, 444-445, 466, 468 Bran, 350, 353, 355, 356, 359, 367, 368, 371, 372, 378, 394, 395, 838 Breast cancer arginine and, 698-699, 700 BMI and, 238-239 case-control studies, 54, 378 cholesterol intake and, 568, 574-575 conjugated linoleic acid and, 837, 838 cross-cultural studies, 54, 377-378 epidemiological studies, 54 fat intake and, 54, 55, 486, 512-513, 808, 843 fiber intake and, 56, 377-380 intervention studies, 378-379 monounsaturated fatty acid intake and, 819 physical activity and, 57 polyunsaturated fatty acids and, 825, 833 prospective studies, 378 protein intake and, 843-844 sugar intake and, 319-320 Breastfeeding. See also Human milk; Infants; Lactation and energy expenditure, 165 recommendations, 31, 45, 171, 281, 662 Butyrate, 56, 348, 349, 361, 371, 375

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids C Calcium, 281, 391, 394, 431, 592, 789, 790-793, 811, 812, 813, 835, 838, 840, 841, 1204-1211, 1214-1221, 1224-1225, 1228-1243 Canada dietary intake data, 295, 473, 479, 481, 692, 1066-1075 fiber definitions and guidelines, 340, 349 Food Guide to Healthy Eating, 771 human milk intake and composition, 172-173 physical activity recommendations, 883 Canadian National Institute of Nutrition, 979 Canadian Paediatric Society, 31, 32, 45, 46 Canadian Society of Exercise Physiology, 883 Cancer. See also individual histological sites amino acids and, 54, 698-699, 700, 708, 710, 711, 713, 719, 722, 732, 843 BMI and, 238-239 body fat and, 379 carbohydrate intake and, 55, 319-321 cholesterol and, 54, 568, 570-579 CLA and, 427 energy intake and, 54 evidence about dietary factors, 53 fat intake and, 54-55, 375, 376, 484, 486, 512-513, 808 fiber intake and, 54, 55-56, 319, 321, 339, 373-380, 396, 398 glycemic index of foods and, 310-311, 319, 321 high fat, low carbohydrate diets and, 808 hormone-related, 56 monounsaturated fatty acids and, 55, 486, 819 physical activity and, 56-57 polyunsaturated fatty acids and, 54, 824-825, 833-834 protective effect of nutrients, 54, 55, 819, 833-834 protein intake and, 54, 843-844 sugars and, 54, 55, 319-320, 321, 323 Caproic acid, 425 Caprylic acid, 425 Carbohydrate, dietary. See also Glucose; Glycemic index; High fat, low carbohydrate diets; Low fat, high carbohydrate diets; Starch; Sugar; individual life-stage groups adaptation to starvation, 277-278, 293 adverse effects of overconsumption, 295-323 aging and, 289 AIs, 32, 280-283, 944 AMDRs, 15, 285, 769, 785, 809, 816 amino acids and, 275, 276, 701, 731, 732-733 animal derived, 342; See also Fiber and BMR, 196 brain utilization, 38, 265, 273, 276, 277, 278, 279, 280, 284, 285-289, 430 Canada, 295, 1068-1069 and cancer, 55, 319-321 and CHD, 59, 303, 797, 798-799, 800-801 classification, 265-266 clinical effects of inadequate intakes, 275-276 compared to other nutrient intakes, 1226-1243 and dental caries, 296-297 and diabetes type 2, 63, 302, 303, 306-307, 785 dietary intakes, 46, 65, 265, 294-295, 770-771, 943, 944, 1032-1035, 1068-1069, 1226-1243 digestion, 272 EARs, 4, 6, 277-280, 284, 285-289, 290-293 energy contribution, 280, 281, 294-295, 770-771, 813, 1034-1035, 1226-1243 epidemiological studies, 783, 785, 800-801 fatty acid synthesis, 275, 277, 433 food sources, 265, 280-281, 294, 771 function, 4, 38, 265 and growth, 280-281, 922-923 hazard identification, 295-321 high-carbohydrate diets, 295, 297, 438, 769, 772-792, 795 in human milk, 281-283, 292 intake assessment, 323 intervention studies, 785, 786-787 intestinal absorption, 60, 272-273, 281, 323, 369 by life stage and gender group, 6, 280-293, 988-991, 1032-1033, 1068-1069 and lipid oxidation, 917-923 and lipid profile, 275, 277, 278-279, 297-303, 781, 782-784 low carbohydrate diets, 293, 430, 784, 792-810

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids malabsorption, 397 and mental health, 276 metabolism, 38, 64, 190, 196, 273-275, 424 and micronutrient inadequacies or excesses, 812, 816, 1226-1243 and obesity, 65, 275, 307, 310-319, 769 and physical activity, 64, 318-319, 452, 917-923 planning intakes, 956-957, 964 RDAs, 4, 6, 47, 265, 285, 289-290, 292, 293 research recommendations, 323-324 special considerations, 283, 293 TEF, 110, 114 total, 63, 956-957 Carbohydrate-free diet, 277-278, 281, 287-288, 289, 293, 701 Carbon metabolism, 605-607 Carboxymethylcellulose gum, 367, 382 Carboxypeptidases, 599 Cardiac arrhythmias, 59, 60, 427, 829, 927 Cardiovascular disease. See also Atherosclerosis; Coronary artery disease; Coronary heart disease cholesterol intake, 546, 548, 549, 560, 562 lipid profile and, 302, 562-569 monounsaturated fatty acids and, 485-486 physical exercise and, 60-61, 927 Carnitine, 430, 607, 608, 723, 724 Carnosine, 721 Carotenoids, 424, 785, 792-793 Catecholamines, 608, 735 Caucasians carbohydrate-free diet, 275 energy expenditure, 145-146 pubertal development, 33 Cell growth and proliferation, 55 Cell surface adhesion proteins, 490 Cellulose (dietary or functional fiber), 344-345, 348, 350, 351, 356, 358, 359, 367, 371, 372, 382, 390, 394 Centers for Disease Control and Prevention, 130, 216 Cereals and cereal fiber, 55-56, 359, 363, 364, 369, 370, 373, 377, 378, 380-381, 387, 388, 394, 399, 788 Chicago Western Electric Study, 562, 826-827, 828 Children, ages 1 through 8 years. See also Life-stage groups; Toddlers added sugars, 294, 812-813, 816, 1204-1205 AIs, 26-27, 32, 34, 385-386, 463, 469-470 allergies, 692 AMDRs, 769, 816, 826, 844, 941, 945 amino acids, 25, 589, 614, 619, 664-670, 672-673, 686, 687, 689, 702-703, 720 aortic fatty streaks, 815 aspartame, 702-703 BMI, 35, 36, 65, 130-131, 216, 310, 814, 1114-1127, 1128-1139 BMR, 141, 171, 1114-1121 bone mass, 66 brain development, 284, 286-287, 288-289, 608-609 carbohydrates, 65, 265, 284-285, 294, 295, 769, 813, 1226-1231 chronic disease risk in adulthood, 130, 814-815 congenital defects of amino acids, 619, 697 constipation, 370-371, 385-386 dental caries, 296 derivation of DRIs, 32 diarrhea, 438 EARs, 25, 32, 34, 46-47, 284, 631, 664-669, 672-673 EERs, 107, 130-131, 168-170, 171, 174-177, 216-219 energy expenditure, 116, 134-135, 138, 141, 146, 148, 161-164, 174, 1114-1127 energy intakes, 54, 65, 170, 386, 473, 474, 814, 1226-1231 epilepsy, 284 extrapolation of data from adults to, 25, 26-27, 34, 47, 284 factorial method, 628, 631, 666-669 fat (dietary), 437, 438, 441, 459, 769, 810, 814-816, 945, 1226-1227, 1230-1231 fatty acids, 456, 1228-1231 fiber, 370-371, 385-386, 1226-1227, 1230-1231 glucose metabolism, 286-287, 288-289 growth, 32, 47, 134, 142, 151, 167-168, 174, 175, 221, 222, 437, 441, 456, 459, 609, 611, 810-811, 839-840, 922-923 high fat, low carbohydrate diets, 814-816

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids hyperactivity, 295 hypercholesterolemia, 811 lipid profiles, 811, 814-815 low fat, high carbohydrate diets, 438, 810-814 malnutrition, 167, 608-609, 839 methodological considerations, 25, 47-48 micronutrient intakes with macronutrients, 220, 811-814, 816, 1204-1205, 1228-1231 nitrogen balance studies, 624-627, 664-666 of obese parents, 133 obesity or overweight, 65, 130, 134, 140, 153, 216-219, 307, 310, 312-313, 459, 811, 814, 923, 1168-1179, 1200, 1202 PAL, 166, 1122-1127, 1128-1139, 1168-1179 phenylketonuria, 619 physical activity, 66, 138, 140, 146, 171, 174, 880, 883, 902-907, 911-912, 924 polyunsaturated fatty acids, 438, 444, 463, 469-470 protein, 25, 284, 608-609, 611, 624-629, 631, 667-669, 686, 687, 689, 692, 769, 811, 839-840 RDAs, 25, 34, 47, 265, 285, 631-632, 670, 672-673 saturated fatty acids, 474, 816, 835, 1226-1227, 1230-1231 special considerations, 216-219 stunting, 151, 217, 220, 221, 222, 811, 840 sugar intakes, 307-310, 813-814, 1204-1205 TEE, 134-135, 148, 161-164, 166, 174, 217, 1114-1127, 1128-1139, 1168-1179, 1200, 1202 TEF, 134, 171 toddlers (1 to 3 years), 32, 35, 130, 132-135, 166, 167-170, 284, 285, 386, 463, 470, 626-628, 631, 632, 664, 672, 686, 687, 689, 769, 816, 1106-1123, 1128-1129, 1226-1231 trans fatty acids, 456 UL derivation for, 34 underweight, 130, 811 urea synthesis defects, 699 wasting, 840 weight control, 216-219 weights and heights, reference, 34, 35, 130, 132-137, 176, 178, 983 Chinese restaurant syndrome, 715-716 Chitin and chitosan (functional fiber), 345, 351-352, 384, 395-396 Chloride, 725 Cholesterol (dietary) absorption, 4, 60, 359, 369, 543-544, 561 animal studies, 548, 562 adverse effects of, 549, 558-573 balance studies, 543-544 and cancer, 54, 568, 570-579 and cardiovascular disease, 546, 548, 549, 560, 562 and CHD, 58, 542, 548, 562-569, 572, 573, 836 and diabetes type 2, 563 dietary intake, 549, 550-559, 563, 960, 1058-1059 dose–response assessment, 568-573 epidemiological studies, 562-569 food sources, 48, 544, 545, 546-549, 836 function, 4, 542, 543 hazard identification, 549-568 high cholesterol diets, 545, 836 by life stage and gender group, 546-549, 1058-1059 and lipid profile, 544-545, 548-562, 563, 568-569, 573 and lipoprotein metabolism, 544-545, 548-562, 563, 568-569, 573 low cholesterol diets, 546, 561, 835 metabolism, 4, 429, 544-546, 562 oxidation products, 545-546 reducing intakes, 836 research recommendations, 574-575, 578 risk characterization, 573-574 Cholesterol (plasma/serum total), 572. See also HDL cholesterol; LDL cholesterol amino acids and, 721, 724 and cardiovascular disease, 546, 548, 549, 560, 562 and CHD, 58, 542, 548, 562-569, 572, 573, 836 cholesterol intakes and, 550-561 fat intake and, 58, 544, 550-559, 560, 809 fiber intake and, 4, 59-60, 339, 351, 352, 354, 355, 356, 357, 358-359, 360, 361, 365-368 genetic factors, 58, 544, 545, 546, 561-562 glycemic index and, 302

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids recommended, 4, 56, 880, 882-883, 910, 911-912, 913, 926, 928-929 reported, 184 research recommendations, 225, 829 residual effects of, 112, 139 and skeletal health, 66, 180, 928 sleeping, 118 special considerations, 660-661 spontaneous nonexercise activity, 139-140, 146 TEF and, 884, 886, 895 trends in, 881-882 walking, 115, 116, 140, 158, 161, 183-184, 190, 881, 889-894, 895, 903, 906-909, 912, 913, 927 and weight control, 209, 452, 888, 908 Physical activity level (PAL) active lifestyle, 158, 162-163, 895-899, 900-903 age/aging and, 143 BEE and, 887, 888, 895 BMI and, 220, 223, 814, 911 and BMR, 115, 902 body weight and, 116, 184, 889, 891-895 calculation, 887-889 categories, 157-161, 162-163, 164, 183 and chronic disease risk reduction, 914-917 defined, 116, 174, 887 DLW studies, 895 evaluation of, 118, 180, 895-909 exercise program, 209 gender differences, 903, 904-905 and glycemic index of foods, 318 impact of activities on, 884-912 intensity of physical activity and, 138, 184, 887-889, 904-905 low-active lifestyle, 158, 162-163, 183, 895-899 measurement, 174 reference activity, 889 RMR and, 917 sedentary, 115, 118-119, 140, 183, 200, 895-899 TEE and, 157-161, 162-163, 164, 884, 887, 906-909 very active lifestyle, 115, 138, 158-159, 162-163, 895-899 Physical exercise adaptations in program, 928 age and, 922, 924 amino acid supplements and, 702, 705-706 athletes, 115, 138, 139, 180, 918, 924, 925 and body composition, 922, 923, 924 carbohydrate balance and, 64, 318-319, 452, 917-923, 924-925 and carbohydrate/electrolyte beverages, 924-925 and cardiovascular events, 927 defined, 881 and dehydration, 926-927 duration, 918, 920-921 endurance (aerobic), 61, 138, 140, 143, 318, 452, 660, 882, 916, 917, 918, 923, 924 energy expenditure for, 884, 924 excess post-exercise oxygen consumption, 112, 139 female athlete triad, 928 gender differences, 921, 928 and growth and development, 180, 922-923 and hyperthermia, 910, 926-927 and hypothermia, 927 intensity, 918-920, 921, 922, 925 and lipid oxidation, 917-923 overuse injuries, 926 physical education in schools, 923, 924 pregnancy and, 907, 908-911 recovery from illness and, 922 resistance exercise, 223, 661, 925, 928 running, 115, 138, 184, 223, 892, 893, 894, 926 treadmill, 184, 913 and weight, 61, 115-116, 213-215, 452, 773 Physical fitness defined, 179-180, 881 endurance (aerobic) training and, 923 intensity of exercise and, 140 objectives, 883 pregnancy and, 907-908 resistance exercise and, 925, 928 and spontaneous physical activity, 139 supplementation of water and nutrients, 925-926 Physicians’ Health Study, 827, 828 Phytochemicals, 369, 379, 391, 394, 395, 788 Pima Indians, 134, 146, 804-807 Pituitary adenomas, 396 Planet Health, 318-319

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids Planning nutrient intakes AI and, 946, 948 AMDR and, 946, 948-949 carbohydrate, 956-957, 964 EAR and, 947-948 energy, 949-956, 963, 964 fat, 959 fiber, 957-958, 964 of groups, 947-949, 952-954 of individuals, 946, 949-952 integrated example, 963-964, 965 polyunsaturated fatty acids, 959-960, 964 protein and amino acids, 946, 961, 964 RDA and, 946 saturated fatty acids, trans fatty acids, and cholesterol, 960 UL and, 946, 947-948 Plant sterols, 544 Plasma amino acid response method, 614-615, 670-671 Poland and United States Collaborative Study on Cardiovascular Epidemiology, 484 Polydextrose (dietary or functional fiber) adverse effects, 398 characteristics, 341, 346-347 laxation, 357 and lipid concentrations, 357 uses, 36 Polyp Prevention Trial, 374 Polysaccharides, 265, 341, 342, 343, 344, 350, 377 Polyunsaturated fatty acids, n-3. See also α-Linoleic acid; other individual fatty acids absorption, 434 adverse effects of, 63, 487-494 AMDRs, 834-835 animal studies, 444-445, 492 and bleeding time, 492-493 and blood pressure, 829 and body fat, 832 and cancer, 54, 55, 833-834 and carbohydrate utilization, 832 and cardiovascular disease, 59, 455 and CHD, 59, 62-63, 455, 492, 826-827, 828-829 deficiency, 439-440, 443-447, 454-455, 469, 834 and diabetes, 494, 832-833 dietary intakes, 478, 959-960, 944, 1048-1057 epidemiological studies, 826-828, 832 evidence considered for estimating requirements, 443-447 excretion, 435 food sources, 478, 771 function, 8, 443, 444-445, 446, 466, 468, 469 and glucose metabolism, 833 and growth, 444-447, 468, 469, 471 hazard identification, 487-493 high-intake diets, 834 and immune function, 443, 487-492, 834 and insulin sensitivity, 832-833 interaction of n-6 and, 453-454 intervention studies (nonclinical), 828, 830-831, 832-833 and learning behavior, 445, 446, 447 by life stage and gender group, 11, 466-473, 1048-1049 and lipid profile, 826, 828, 830-831 low intake diets, 826-834 metabolism, 434-435, 439, 445-447, 453-456, 466 n-6:n-3 ratio, 8, 434, 439, 446-447, 454-455, 472, 834 and neural development and function, 443, 444-445, 446, 466, 468, 469 and obesity, 832 oxidative damage, 493, 832 parenteral nutrition and, 443, 454-455, 469 protective effects of, 55, 826-834 randomized controlled clinical trials, 446, 828-829 research recommendations, 509, 514 special considerations, 469, 471-472, 494 and stroke risk, 59, 492-493, 827-828, 829, 834 supplements, 455, 471-472, 487-491, 492-493, 494, 828, 829, 832, 833 and total fat, 58 trans fatty acid impact, 455-456 vegetarian diets, 466 and vision, 443, 444, 445, 446 Polyunsaturated fatty acids, n-6. See also Linoleic acid; other specific fatty acids absorption, 433 adverse effects of overconsumption, 486, 825 adverse effects of underconsumption, 821-822

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids AIs, 461, 944-945 AMDRs, 486, 825-826 and cancer risk, 54, 824-825 and CHD, 59, 434, 798-799, 820-821 deficiency, 8, 438-439, 442, 454-455, 460, 463, 464, 785 and diabetes risk, 821 dietary intakes, 442, 478, 944, 959-960 energy contribution, 478, 821 epidemiological studies, 820-821 evidence considered for estimating requirements, 442-443 excretion, 434 food sources, 476, 822 function, 426-427 and glucose metabolism, 821 high-intake diets, 823-825 and immune function, 439 and inflammatory disorders, 824 interaction of n-3 and, 453-454 intervention studies, 821 by life stage and gender group, 10, 460-466 and lipid peroxidation, 823-824 and lipid profile, 59, 798-799, 820-821, 822-824 low fat diets and, 785 low intake diets, 820-823 metabolism, 8, 433-434, 442, 443, 453-456, 476 n-6:n-3 ratio, 8, 434, 439, 442, 446-447, 454-455, 472, 834 parenteral nutrition and, 438, 442, 444, 454-455, 460, 464 primary, 426 requirement, 38 research recommendations, 508-509 special considerations, 461, 463 trans fatty acid impact, 455-456 Potassium, 650-653, 725, 838 Prealbumin, 609, 610 Pregnancy. See also Lactation adaptation to, 34, 47, 197, 290, 291, 650 adolescents, 48, 193, 201-202, 292, 389, 465, 471-472, 650-652, 654, 655 AIs, 34, 47, 388, 465, 471-472 amino acids, 680-681, 709, 724, 726, 732, 735 animal studies, 709, 726 BMR, 185, 188-191, 291 body composition, 188, 191-192 carbohydrates, 188 cervical ripening, 472 CHD risk, 389 derivation of DRIs for, 34, 47-48 DLW studies, 193, 196-197, 290 EARs, 34, 47, 290-292, 650-655, 680 EERs, 107, 116-117, 185, 188-194, 437 energy metabolism, 47, 185, 188-189, 193, 194-195, 197, 290 fat (dietary), 290, 437 fiber, 353, 388 food supplementation trials, 654 glucose metabolism, 189-190, 290-291 growth of maternal and fetal tissues, 92, 190-192, 194-195 insulin resistance, 189, 291 multiparous, 656 nitrogen balance studies, 650-653, 654-655 obesity and overweight, 191 obligatory fetal transfer, 47 physical activity, 190, 197, 907-911, 1164-1165 polyunsaturated fatty acids, 465, 471-472 potassium balance, 650-653 protein, 839 RDA, 292, 656, 680-681 special considerations, 656 supplements, 654, 656, 726 TEE, 116, 193, 197, 290, 1164-1165 thermic effect of food, 190 ULs, 92 weight, 47-48, 188, 190, 191, 192, 196, 650, 652, 653, 655, 709, 726, 732, 908, 910 Prolactin, 189, 715 Proline (dispensable), 592, 593, 607, 697, 712, 717, 728-729, 736, 1016-1017 Prospective studies, breast cancer and dietary fiber, 378 Prostaglandins, 434, 838 Prostate cancer, 54, 55, 56, 57, 321, 379, 486, 568, 578-579, 808, 819, 825, 833-834, 837, 844 Protease, 602 Protective effects α-linoleic acid, 427, 770 amino acids, 726 cancer prevention, 54, 55, 819, 833-834 CLA, 428, 836-838 diabetes type 2, 380-381

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids fiber, 55-56, 59, 63, 322, 339, 348, 363, 367-368, 369, 372, 374, 375, 376-380 Protein. See also Amino acids; Nitrogen absorption, 114, 599-600, 609 adaptations to metabolism of, 47, 293, 596, 605, 611, 650, 657, 694 adverse effects of, 692-694 age/aging and, 595, 602, 640-641, 642 AIs, 619-621 allergies, 692 AMDR, 15, 769, 844 amino acid content, 279, 621, 666, 682, 685-686 and amino acid homeostasis, 595-598 assessment of nutritional status, 609-610 and birth weight, 840 and blood pressure, 60, 843 and BMR, 598 body composition and, 626-629, 644, 843 body reserve, 595-596, 602, 609 and cancer, 54, 843-844 catabolism, 278, 284 and CHD, 60 chemistry, 590-592 chronic disease risk, 694 climate and, 640-641, 642 clinical effects of inadequate intake, 608-609 complete, 691 and coronary artery disease, 694, 842-843 deficiency, 601-602, 608-610, 620, 662, 840 degradation, 602 deposition rates, 626-629, 665, 666, 669, 837 dietary intakes, 589, 596, 602-603, 624, 662, 692, 1060-1063, 1074-1075 digestion and digestability, 9, 589, 592, 599-600, 621, 662, 682-684, 688-690 dose–response assessment, 694 EARs, 12-13, 624-629, 631, 637, 643-644, 646-649, 650-654 efficiency of utilization, 666 energy contribution, 109, 589, 605, 647, 648, 771, 1062-1063, 1074-1075 factorial method, 624, 628, 629, 633, 657, 658 FAO/WHO recommendations, 648 fat intake and, 60, 271, 693 food sources, 48, 280-281, 620, 622-623, 640-641, 643, 691, 771 food supplementation trials, 654 function, 9, 38, 589, 590 gastrointestinal effects, 694 gender difference, 640-641, 643, 644 and gluconeogenesis, 278, 284, 287-288, 293 and glycemic index of foods, 269 and growth, 280-281, 608-609, 654, 683, 811, 839-840 hazard identification, 692-694 high-protein diets, 692-694, 712, 841-844 and immune function, 609, 621, 839 incomplete, 691 insulin response, 279 intake assessment, 695, 960-961 intestinal losses, 600-601 and kidney stones, 694, 841-842 by life stage and gender group, 12-13, 603, 619-662, 1060-1063, 1074-1075 and lipid profile, 60, 840, 843 low-protein diets, 648, 667, 697, 707, 709, 721, 731-732, 839-840 maintenance (homeostasis), 595-597, 598-599, 601-602, 625-627, 630, 632, 657, 660, 668, 683, 684 metabolism, 597-598, 609, 650, 657, 724 methods used to estimate requirements, 635, 637-639 micronutrient availability, 840, 841 nitrogen balance, 9, 279, 287, 611-613, 624-625, 632, 633-644, 650, 654-655, 684, 691, 693, 1250-1253 nitrogen/protein ratio, 684-685 and obesity, 694, 843 and osteoporosis, 694, 841 oxidation, 109 physical activity and, 660-661 planning diets, 946, 961, 964 quality, 14, 60, 589, 608, 611, 621, 643, 661-662, 682-691, 697, 721, 811, 840 RDAs, 9, 12-13, 25, 47, 278, 589, 612-613, 629-630, 631-633, 644-645, 649, 656, 659, 844, 946 and renal function, 609, 694, 842 research recommendations, 737 risk characterization, 695 selection of indicators for estimating requirements, 610-613 special considerations, 621, 656, 660-662 sugar intakes and, 790-791 supplementation, 654, 656, 692, 694, 840

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids synthesis, 114, 601-602, 603, 708-709 thermic effect of, 110, 114 total, 619-662 turnover, 598, 601, 602-603, 611, 650, 655, 705 ULs, 692-695 urea production, 594, 601, 603, 604-605, 611, 620, 650, 657, 671, 684, 693-694 vegetarians, 661-662, 840 and weight, 644, 647, 650, 652, 653, 654, 655 Protein digestibility corrected amino acid score (PDCAAS), 688-690 Protein–energy malnutrition, 608-610, 704, 839, 840 Protein-free diet, 278, 635, 648, 667, 683 Psyllium (functional fiber), 347, 348, 356, 357-360, 365, 366, 371, 374-375, 388, 398-399, 693-694 Puberty/pubertal development age at onset, 33, 983 developmental changes, 177 growth spurt, 142 racial/ethnic differences, 33 Purine nucleotide cycle, 604, 605 Pyrimidine nucleotides, 620 Pyruvate, 604, 605 R Race/ethnicity. See also African Americans; Caucasians and BMR, 146 and energy expenditure, 145-146 and pubertal development and reporting of dietary intakes, 117 Raffinose, 265, 342 Randomized clinical trials, 42-43, 828-829 Recommended Dietary Allowance (RDA) AIs compared, 6, 26-27 coefficient of variation, 24-25, 47, 285, 289, 292, 293, 630, 632-633, 645, 656, 670, 679, 682 criteria used to derive, 6 defined, 3, 22, 23, 24, 285, 289-290, 292, 293, 629 derivation, 285, 629-630, 633, 644-645, 649, 656, 679, 682 EAR and, 23, 24 method used to set, 24-25, 34, 47, 981-982 not established, 107 replacement with DRIs, 1, 936-937 uses, 24, 25, 26, 936, 938-939, 944, 946 Recommended Nutrient Intakes (RNIs), 31, 936-937 Reference weights and heights and BMI, 35, 36, 124, 125, 126, 127-130 derivation of earlier values, 982-984 and energy requirements, 183 new, 35, 36, 982 use of, 34, 47, 659 Renal cancer, 844 Renal failure, 842 Renal function, 92 Reproductive effects, 701, 712, 713, 715 Requirement, defined, 21-22, 39 Research recommendations. See also individual nutrients adverse effects, 970-971 amino acids, 737-738 approach to setting, 968 body composition and size, 225, 240 carbohydrates, 323-324 cholesterol, 574-575, 578 chronic disease relationships to intakes, 970 data and database issues, 969-971 energy, 225, 240, 323-324 fat (total), 324, 505, 514 fiber, 399-400 major information gaps and, 18, 44, 969-971 methodology, 969-970 monounsaturated fatty acids, 505 physical activity, 225, 829 polyunsaturated fatty acids, 508-509, 514 priorities, 18, 971 protein, 737 requirements, 969 saturated fatty acids, 505 trans fatty acids, 514 Resistant dextrins (dietary or functional fiber), 341, 347, 360 Resistant starch (dietary or functional fiber), 268, 342, 344, 347, 348, 360-361, 366, 371, 376-377, 378, 382, 384, 390, 399 Respiratory quotient (RQ), 109, 119-120, 189, 196, 279, 291, 832 Resting energy expenditure (REE), 112, 114, 128, 133, 141, 212

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids Resting metabolic rate (RMR) aging and, 143 body composition and size and, 131, 135, 138, 144 energy expenditure, 112, 131, 132, 141, 148, 165 FFM and, 113, 139 gender differences, 141 lactation and, 195 menstrual cycle and, 141 weight and, 113, 133, 135 Retinol, 792-793 Retinol binding protein, 609, 610 Rheumatoid arthritis, 487, 722, 824 Riboflavin, 790-791, 835, 840, 1228-1243 Risk assessment models. See also UL modeling application to nutrients, 27, 91-94 basic concepts, 86-87 bioavailability considerations, 93-94, 98 defined, 86, 976 environmental chemicals vs. nutrients, 91 EPA guidelines, 1246 and food safety, 86-90, 104 limitations, 100 nutrient–nutrient interactions, 93 process, 87-89, 97-98 sensitivity of individuals, 89, 92-93, 97-98, 100, 101 thresholds, 89-90 uncertainties, 86, 87, 91-92, 100, 1244-1249 Risk characterization, 86, 89, 90, 976 Risk management, 87, 89, 104, 976 S Satiety, 65, 313, 348, 382-384, 388, 794, 795, 796, 843 Saturated fatty acids. See also individual fatty acids absorption, 431-432 adverse effects of overconsumption, 481-485 and BMI, 484 and cancer, 484 and CHD risk, 422, 481-484, 797, 798, 799 and diabetes (type 2) risk, 484-485 dietary intake, 474, 960, 1042-1043, 1072-1073, 1076-1077, 1226-1227 energy contribution, 474, 835, 1072-1073, 1226-1227 evidence considered for estimating requirements, 441, 460 excretion, 432 food sources, 424, 425, 474, 475-476, 771, 835, 836 function, 4, 422, 425, 432, 460, 484-485 and glucose tolerance, 484, 485 hazard identification, 481-485 high-intake diets, 836 and insulin sensitivity, 62, 484-485, 806 by life stage and gender group, 1042-1043, 1072-1073 and lipid profile, 422, 432, 481-484, 560, 561, 809, 835 low intake diets, 835 metabolism, 4, 432 and micronutrient intakes, 835 and mortality incidence, 484 in nonvegetarian diets, 1076 and obesity, 484 properties, 424 reducing intakes, 836 research recommendations, 505 and total fat, 58, 424 in vegetarian diets, 835, 1076 Schizophrenia, 720 Scottish Heart Health Study, 316-317, 318-319, 790-793 Selenium, 444 Sensitive subpopulations. See also Special considerations identification of, 97-98 Septicemia, 609, 705 Serine (dispensable), 591, 593, 594, 597, 604, 608, 711, 719, 729-730, 736, 1018-1019 Serotonin, 608, 706, 731, 732, 916 Seven Countries Study, 562, 817, 826, 827 Seventh Day Adventists, 363, 835 Skeletal health, physical activity and, 66 Skin cancer, 837 Sleeping metabolic rate (SMR), 112, 118, 140, 147, 165, 195 Snack foods, 118, 732-733 Socioeconomic status, and reporting of dietary intakes, 117 Sodium, 725 Soft drinks, 312-313, 789 Soldiers, 148, 223

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids Somnolence, 698, 700, 722, 733 Sorbitol, 266 Special considerations. See also individual nutrients and life-stage groups athletes, 221-223, 660-661 chronic diseases, 494 disabled individuals, 30, 660 dose–response assessment, 100, 101 drug interactions, 494 identification of, 92, 102 infant formula, 45, 283, 457, 461, 463, 469, 621 irritable bowel syndrome, 395 linoleic acid:α-linoleic acid ratio, 472 low carbohydrate diets, 293 muscle wasting diseases, 660 negative energy balance, 213-215 overweight and obesity, 202-213, 216-219 phenylketonuria, 728 physical activity, 660-661 twin pregnancy, 656 undernutrition, 220, 221 vegetarians, 661-662 weight maintenance, 202-204, 216-219 weight reduction, 209, 212, 213-215, 219 weight restoration, 220-221 Special Turku Coronary Risk Factor Intervention Project, 811 Specific Dynamic Action. See Thermic effect of food Stachyose, 265, 342 Starch. See also Resistant starch and cancer risk, 321 definition, 267-268 and dental caries, 296 digestion and digestibility, 269, 272 energy yields, 109 food sources, 265-266, 294 glycemic index, 323 insulin sensitivity, 303 lipogenesis, 59, 298-301, 302 slow release vs. fast release, 382 Starvation, 276, 277-279, 284, 430, 437, 595, 605, 609, 693, 704 Stearic acid, 58, 425, 431, 432, 483-484 Sterol-coenzyme A desaturase, 837 Sterol regulatory element-binding protein, 545, 562 Stroke, 59, 230-231, 492-493, 827-828 Stunting, 221, 701 Sucrase, 272, 592 Sucrose, 109, 266, 272, 274, 283, 294, 295, 297, 298-301, 302, 303, 311, 319, 345 Sugar, 323 added, 16, 65, 118, 266-267, 294, 295, 303, 312, 314-315, 318-319, 323, 770, 788-789, 790-793, 810, 812-813, 816, 957, 988-991, 1203-1225 adverse effects of, 295, 319-321 alcohols, 266, 341, 342 behavioral effects, 295-296, 323 and BMI, 65, 310, 313, 316-319 and cancer risk, 55, 319-320, 321, 323 and CHD risk, 303, 800-801 definition, 266-267 and dental caries, 61-62, 296-297, 323 and diabetes type 2, 303 dietary intakes, 118, 266, 294-295, 323, 988-991, 1206-1209, 1216-1219 digestion, 272 energy intake from, 65, 118, 273, 307, 310, 313, 314-315, 770 epidemiological studies, 800-801 extrinsic, 266, 297, 812 food sources, 266-267, 294, 312-313 glycemic index, 323 in high fat, low carbohydrate diets, 810 and insulin sensitivity, 303 intake assessment, 323 intestinal absorption, 273 intrinsic, 265 lipogenicity, 59, 297-302, 323 in low fat, high carbohydrate diets, 788-789, 790-793 maximal intake levels, 16, 810, 816 and micronutrient intake levels, 788-789, 790-793, 809, 812, 1203-1225 and obesity, 307, 310-313, 314-319, 323 substitutes, 346, 695, 702-703, 727 total, 313, 314-315, 316-317, 789, 792, 809, 813-814 uses, 266 Sugar beet fiber, 383, 394, 838 Supplements, dietary. See also individual nutrients bioavailability considerations, 29, 93, 94 chronic consumption, 719, 727 clinical trials, 27-28, 85 data sources on intakes, 941 fiber, 345 impurities in, 733

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids intake assessment, 88-89, 104 physical exercise and, 925-926 ULs and, 27, 85, 91-92, 104 T Tarahumara Indians, 546, 561 Taste and smell acuity, 722 Taurine, 608 Teratogens, 708, 728 Testosterone, 543 Thermic effect of food (TEF). See also individual nutrients age/aging and, 134, 143, 165, 171, 179 alcohol, 109-110 defined, 109-110, 114 and energy expenditure, 114, 115, 116, 150, 165, 171 and energy requirements, 165, 171, 190, 196-197 fat, 114 infants, 165 lactation and, 196-197 obesity and overweight and, 133-134, 143 pregnancy and, 190 protein, 110, 114 Thermoregulation, 114, 116, 165-166 Thiamin, 790-791, 1228-1243 Threonine (indispensable), 589, 591, 593, 597, 601, 604, 615, 618, 661, 663-665, 666, 668, 671-682, 683, 686, 687, 689, 692, 723, 730-731, 736, 1020-1021 Threonine dehydrogenase, 678 Thrombosis, 427 Thromboxanes, 434, 454, 826 Thyroid hormones, 608 Thyroid stimulating hormone, 715 Toddlers, ages 1 through 3 years. See Children Tolerable Upper Intake Levels (ULs). See also UL modeling applicable population, 84, 89 criteria and proposed values, 12-13 defined, 3, 22, 23, 27-28, 84, 99 derivation of, 27, 85-86, 90, 96, 98, 101, 102 extrapolation on body-weight basis, 34, 47, 85, 86, 101 fortification of foods and, 27, 85 not established for macronutrients, 101-104, 107, 224, 694, 770, 940, 946 offsetting benefits reduction, 103 supplement use and, 27, 85, 88-89, 91-92 uses, 27, 84, 85, 936, 940, 945, 947-948 Total energy expenditure (TEE). See also Energy expenditure approach used to determine, 151-164, 202-203 body composition and size and, 132 coefficients and standard errors, 1200-1202 components of, 112-116 data analysis and assumptions for equations, 154-157 defined, 116 DLW data, 116, 117, 119-121, 122-123, 138-139, 141, 151-157, 166, 174, 193, 198-199, 201, 291, 1104-1202 EEPA, 115-116, 117, 133, 138-140, 143-144, 145-146, 147-148 EER derivation, 149-150, 166, 168-169, 174, 176, 181, 183, 186, 193-195, 201, 202-203, 208 equations for normal-weight children, 161-164, 1200 factorial approach, 116, 118-119 gender differences, 166, 174, 202-203, 204, 206-213, 217, 218-219 menstrual cycle and, 141 for obese and overweight individuals, 133, 153, 156-157, 202-204, 209-213, 1168-1182, 1184-1199, 1201-1202 PAL categories, 116, 157-161, 162-163, 164, 1122-1199 regression on variables, 159-161, 164, 214 reported energy intake and, 117-118 RMR and, 132, 148 TEF and, 116 underfeeding studies, 213-215 uses, 951 whole-body calorimetry measurements, 120, 122-123, 140 Toxicity age and sensitivity to, 92 mechanisms of action, 97 Trans fatty acids absorption, 436 adverse effects of, 436, 455-456, 494-505 and blood pressure, 504, 506-509 and cancer, 512-515 and cardiovascular disease, 503

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids and cerebrovascular disease, 503 and CHD risk, 58, 423, 504, 510-513 controlled feeding trials, 496-499 dietary intakes, 436, 479, 835, 960 energy contribution, 479, 480 epidemiological studies, 510-515 evidence considered for estimating requirements, 447, 473 excretion, 437 and fetal and infant growth, 436, 455 food sources, 48, 427-428, 436, 455, 479, 480, 495, 836 free-living trials, 500-503 function, 427-428 hazard identification, 494-504 and hemostatic factors, 504, 506-509 high-intake diets, 836 and LDL oxidation, 504, 506-509 and lipid profile, 58, 423, 494-503, 504 low-intake diets, 835 and Lp(a), 496-503, 510-511 measuring intakes, 436 metabolism, 436-437 and polyunsaturated fatty acid metabolism metabolism, 455-456 properties, 424, 427 reducing intakes, 836 research recommendations, 514 transport, 436 Transamination, 604, 704, 712 Transferrin, 609, 610 Trauma, 596, 605 Trehalose, 266 Triacylglycerol or triacylglyceride. See also Fat, total; Lipids and lipid metabolism amino acid intake and, 724 carbohydrate intakes and, 59, 275, 783 and CHD risk, 57-58, 59, 437 fat intake and, 777-781 fiber intake and, 60, 351, 354, 356, 357, 359, 360, 361, 367-368, 369 food sources, 473 gluconeogenesis, 275, 278 glycemic index and, 302, 322 glycerol content, 278, 279 hydrolysis of, 429 lipoprotein metabolism and, 61, 278 low fat, high carbohydrate diets and, 777-781 lypolysis, 431 monounsaturated fatty acid intake and, 817-818 physical exercise and, 60 polyunsaturated fatty acids and, 59, 820, 821, 822-823, 826, 828, 830-831 protein intake and, 60, 843 sugar intake and, 297-301 synthesis, 431, 432, 439 very low density lipoprotein, 430, 431, 439 Tricarboxylic acid (TCA) cycle, 274 Triceps skinfold measurements, 125, 128, 1080-1081, 1086-1087, 1092-1093, 1100-1101 Trisaccharides, 272 Trypsin, 599 Tryptophan (indispensable), 589, 591, 593, 608, 616, 663-665, 666, 668, 672-675, 677, 678, 679-682, 686, 687, 689, 692, 704, 705, 706, 707, 709, 710, 726, 731-734, 736, 1022-1023 24-Hour amino acid balance method, 616-617, 670-671, 676, 677 2000 Dietary Guidelines for Americans, 124, 267 Typhoid vaccine, 488-489, 491 Tyrosine (conditionally indispensable), 589, 591, 593, 594, 597, 608, 617, 619, 663-665, 666, 668, 671-682, 686, 687, 689, 703, 704, 707, 709, 710, 726, 727, 734-736, 1024-1025 Tyrosinemia II, 735 U Ubiquitin-protease system, 602 UCP1 gene, 145 UK National Diet and Nutrition Survey of Children, 314-315, 790-791 UL modeling. See also Dose–response assessment; Risk assessment models critical endpoint, 93, 98, 99, 101, 102 data selection, 98 hazard identification, 94-98 mathematical models, 85-86 nutrient intake assessment, 104 risk characterization, 86, 89, 90, 104-105 uncertainty assessment, 89, 98, 100-101 Ulcerative colitis, 348, 371 Uncertainties in AIs, 26, 44 amino acid scoring patterns, 688 approaches for dealing with, 1244-1249

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids assessment, 89, 98, 100-101 case-by-case judgments, 1246-1247, 1248-1249 in data, 86, 99, 1246 default options, 1246, 1248-1249 dose–response assessment, 98, 100-101 in exposure routes, 98 extrapolation from one age group to another, 101 range of estimates applied to, 1246, 1248-1249 in risk assessment, 86, 87, 91-92, 100-101, 102-103, 1244-1249 Uncertainty factors defined, 90, 977 for energy intake, 224 inferences from experimental animal studies, 100, 1245-1246 LOAEL instead of NOAEL, 100-101 selection of, 87, 99, 100 sensitivity of individuals, 100 sources of uncertainty in, 100-101 subchronic NOAEL to predict chronic NOAEL, 101 use, 90, 91 Undernutrition, 130, 220 Underweight, 121, 130, 190, 811 United Kingdom Department of Health, 266 United Nations University, 621, 634 United States fiber definitions, 340 human milk intake and composition, 172-173 physical activity recommendations, 882-883 Urea, 114, 594, 601, 603, 604-605, 611, 620, 650, 657, 671, 684, 693-694, 699, 712 Uric acid, 603, 604 Urinary C-peptide, 322, 353, 361 U.S. Department of Agriculture, 49, 124, 266, 294, 344, 346, 391, 479, 771, 882 U.S. Department of Health and Human Services dietary intake survey data, 49 Office of Disease Prevention and Health Promotion, 1 2000 Dietary Guidelines, 124, 882-883 U.S. Department of Health, Education, and Welfare, 882 U.S. Environmental Protection Agency, 1246 V Vaccenic acid, 426, 428 Valine (indispensable), 589, 591, 593, 597, 663-665, 666, 668, 672-675, 677, 678, 679-682, 686, 687, 689, 704-711, 726, 736, 1026-1027 Vegetables. See Fruits and vegetables Vegetarians, 372, 466, 661-662, 835, 975, 1077 Very low density lipoprotein (VLDL), 61, 430, 439, 545 remnant, 431, 544 Vision, 439, 440, 468, 711, 714, 720, 722, 729 Vitamin A, 424, 609, 785, 788, 789, 790-793, 811, 812, 813, 1204-1211, 1214-1221, 1224-1225 Vitamin B6, 771, 785, 788, 789, 790-793, 1228-1243 Vitamin B12, 771, 785, 789, 790-791, 813, 835, 1228-1243 Vitamin C, 771, 788, 789, 790-791, 808, 813, 816, 1228-1243 Vitamin D, 424, 790-791, 811, 812, 840, 841 Vitamin E, 424, 444, 493, 785, 789, 790-793, 811, 812, 813, 829, 1204-1211, 1214-1221, 1224-1225 Vitamin K, 424, 788 VLDL cholesterol, 843 W Waist circumference, 124-125, 127, 1080-1081, 1084-1085, 1094-1099, 1102-1103 Water and laxation, 370, 398 physical exercise and, 925-926 Weight. See also Obesity and overweight; Reference weights and heights; Underweight; individual life-stage groups adaptation, 150 adjustment of DRIs based on, 34 adults, 143, 183, 184, 220, 1078-1081, 1088-1091 age/aging and, 143, 167 amino acids and, 697, 698, 700, 707, 709, 713, 721, 724, 730, 731-732, 734

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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids BEE and, 116, 141, 150, 183, 184, 186, 206-213, 888 BMI and, 1080-1081 body fat and, 1090-1091 and chronic disease, 224, 226-229 and diabetes type 2, 802 energy balance and, 65, 150, 212, 214, 220 and energy expenditure, 116, 132, 135, 141, 150, 157, 159-161, 183, 184, 186, 206-213, 215, 216-219, 889, 891-895, 951 energy intake and, 121, 223-224, 793-794, 951-952 and energy requirements, 112, 183, 184, 220 epidemiological studies, 382-383 fat intake and, 441, 452, 773-776, 809 fiber intake and, 65, 339, 351-352, 370, 382-384 gain, 47-48, 110, 121, 143, 144, 167, 186, 223-224, 226-229, 452, 650, 652, 653, 654, 655, 697, 698, 709, 730-732, 734, 802, 951-952 gender differences, 1078-1081, 1088-1091 genetic factors, 144, 452 hypocaloric vs. isocaloric diets, 772 intervention studies, 311, 383-384 loss, 61, 65, 121, 199-200, 204, 209, 212, 215, 217, 219, 225, 311, 313, 351-352, 370, 383, 721, 843, 951 low fat, high carbohydrate diets, 311, 773-777 maintenance, 149, 202-209, 216-219, 382-383, 441, 773-777, 951-952 measurement confounding, 202-204 metabolic rate and, 112, 113, 135, 138 overeating and, 121, 151 physical exercise and, 61, 115-116, 213-215, 452, 773 pregnancy, 47-48, 188, 190, 191, 192, 196, 650, 652, 653, 655, 709 protein (nitrogen) and, 598, 612, 843 rapid loss, 217 recommended, 117 regain after loss, 135 restoration, 220-221 stabilization, 138 and TEE, 159-161 velocity, 142 Whites. See Caucasians Whole-body calorimetry, 120, 122-123 Women. See also Gender differences; Lactation; Pregnancy bone mineral density, 841, 928 calcium, 789, 841 carbohydrate intakes compared to other nutrients, 1238-1243 CHD, 363, 364 colon cancer, 373 diabetes type 2, 380, 381 energy expenditure, 140 fiber, 363, 364, 373, 380, 381 glycemic load, 303 menopause, 141, 143, 921 metabolic rate, 140, 141 nutrient intakes with added sugars, 1218-1225 oral contraceptives, 921 physical activity, 138, 140, 894, 913, 921, 928 premenopausal, 140, 141 protein intakes, 695, 841 reference weights and heights, 126 weight control, 352, 773 Women’s Health Initiative Observational Study, 913 World Cancer Research Fund, 321 World Health Organization, 84, 110, 121, 621, 634, 648, 684, 913 X Xylose, 345 Y Youth Risk Behavior Study, 923 Z Zinc, 221, 391, 394, 397-398, 705, 721-723, 771, 785, 789, 790-793, 812, 813-814, 840, 1204-1209, 1212-1219, 1222-1225, 1228-1243 Zutphen Elderly Study, 381, 483, 826, 827

Representative terms from entire chapter:

amino acids