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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)

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

THE NATIONAL ACADEMIES PRESS
500 Fifth Street, N.W. Washington, DC 20001

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

This project was funded by the U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion, Contract No. 282-96-0033, TO #4; Health Canada; the U.S. Food and Drug Administration; the National Institutes of Health; the Centers for Disease Control and Prevention; the U.S. Department of Agriculture; the Department of Defense; the Institute of Medicine; the Dietary Reference Intakes Private Foundation Fund, including the Dannon Institute and the International Life Sciences Institute, North America; and the Dietary Reference Intakes Corporate Donors’ Fund. Contributors to the Fund include Roche Vitamins Inc, Mead Johnson Nutrition Group, and M&M Mars. The views presented in this report are those of the Institute of Medicine Standing Committee on the Scientific Evaluation of Dietary Reference Intakes and its panels and subcommittes and are not necessarily those of the funding agencies.

Library of Congress Cataloging-in-Publication Data

Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids / Panel on Macronutrients, Panel on the Definition of Dietary Fiber, Subcommittee on Upper Reference Levels of Nutrients, Subcommittee on Interpretation and Uses of Dietary Reference Intakes, and the Standing Committee on the Scientific Evaluation of Dietary Reference Intakes, Food and Nutrition Board.

p. ; cm.

Includes bibliographical references and index.

ISBN 0-309-08525-X (pbk.)—ISBN 0-309-08537-3 (hardcover) 1. Nutrition. 2. Reference values (Medicine)

[DNLM: 1. Nutrition. 2. Diet. 3. Reference Values. ] I. Institute of Medicine (U.S.). Panel on Macronutrients. II. Institute of Medicine (U.S.). Standing Committee on the Scientific Evaluation of Dietary Reference Intakes.

QP141.D529 2005

613.2—dc22

2004031026

Additional copies of this report are available from the
National Academies Press,
500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2002/2005 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America.

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logo-type by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

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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)