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Review

Guiding Principles for Developing Dietary Reference Intakes Based on Chronic Disease

National Academies of Sciences, Engineering, and Medicine et al.
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Excerpt

Since 1938 and 1941, nutrient intake recommendations have been issued to the public in Canada and the United States, respectively. Currently defined as the Dietary Reference Intakes (DRIs), these values are a set of standards established by consensus committees under the National Academies of Sciences, Engineering, and Medicine and used for planning and assessing diets of apparently healthy individuals and groups.

In 2015, a multidisciplinary working group sponsored by the Canadian and U.S. government DRI steering committees convened to identify key scientific challenges encountered in the use of chronic disease endpoints to establish DRI values. Their report, Options for Basing Dietary Reference Intakes (DRIs) on Chronic Disease: Report from a Joint US-/Canadian-Sponsored Working Group, outlined and proposed ways to address conceptual and methodological challenges related to the work of future DRI Committees. This report assesses the options presented in the previous report and determines guiding principles for including chronic disease endpoints for food substances that will be used by future National Academies committees in establishing DRIs.

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Grants and funding

This activity was supported by the Agricultural Research Service of the U.S. Department of Agriculture (Grant # 59-0204-5-001); Health Canada (Contract No. 4500358459); the National Cancer Institute, National Institute of Diabetes and Digestive and Kidney Diseases, and the Office of Dietary Supplements of the National Institutes of Health; the Office of Disease Prevention and Health Promotion of the U.S. Department of Health and Human Services; the U.S. Centers for Disease Control and Prevention (Contract No. HHSN263201200074I); and the U.S. Food and Drug Administration. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

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