What Are Dietary Reference Intakes (DRIs)?
Dietary Reference Intakes (DRIs) are evidence-based reference values for nutrient intake developed by the U.S. and Canadian governments. They are designed for healthy people and are categorized by age, gender, and life stage. The complete set of DRIs includes several values to address both adequate intake and potential toxicity.
The Four Core DRI Values
- Estimated Average Requirement (EAR): The average daily intake level estimated to meet the needs of 50% of healthy individuals in a specific group. Used mainly by public health officials and researchers to assess group nutrient intake and plan group diets. Not suitable for individual diet planning due to a 50% risk of inadequacy.
- Recommended Dietary Allowance (RDA): The average daily intake level sufficient to meet the needs of 97–98% of healthy individuals in a specific group. This is the target for planning individual diets.
- Adequate Intake (AI): Used when there is not enough scientific evidence to calculate an EAR or RDA. The AI is based on observed or experimental estimates of nutrient intake in healthy people. It is assumed to ensure nutritional adequacy and is used as a goal for individual intake. However, it cannot assess the prevalence of inadequacy in a population.
- Tolerable Upper Intake Level (UL): The highest daily intake level of a nutrient unlikely to pose adverse health effects to most people. Used to evaluate the risk of overconsumption, particularly from supplements or fortified foods, for individuals and groups.
Other Related DRI Values
DRIs also include values for energy and macronutrients, such as the Estimated Energy Requirement (EER) for maintaining energy balance in healthy adults and the Acceptable Macronutrient Distribution Range (AMDR) for reducing chronic disease risk.
Using DRIs for Dietary Assessment and Planning
DRIs are used for both assessing and planning diets for individuals and groups. For individuals, the RDA and AI help in planning diets, while comparing intake to the RDA/AI and UL helps in assessment. For groups, the EAR is used to assess the prevalence of nutrient inadequacy, and the EAR and UL are used in planning group diets.
DRIs in Public Health Policy and Food Production
DRIs are foundational to public health. They inform national guidelines like the Dietary Guidelines for Americans, provide the basis for Daily Values on food labels, and guide food fortification efforts.
Comparison of DRI Values
| DRI Component | Target Population | Definition | Main Purpose |
|---|---|---|---|
| EAR | Groups | Estimated to meet the needs of 50% of the population. | Assess population intake adequacy and plan for group diets. |
| RDA | Individuals | Sufficient to meet the needs of 97-98% of healthy people. | Plan and counsel individuals for adequate intake. |
| AI | Individuals/Groups | Observed or experimentally determined average intake of healthy people. | Set intake goals when insufficient data exists for an EAR/RDA. |
| UL | Individuals/Groups | Maximum daily intake level unlikely to cause adverse health effects. | Assess risk of adverse effects from excessive intake. |
The Evolving Landscape of DRIs
DRIs have evolved since the 1990s to consider chronic disease risk in addition to preventing deficiencies. Updates continue to incorporate new scientific findings.
Conclusion
DRIs offer a comprehensive approach to nutritional needs and are essential for researchers, public health officials, and health professionals. Using values like EAR, RDA, AI, and UL facilitates informed decisions to support optimal health and prevent both inadequate and excessive nutrient intakes. The scientific foundation of DRIs makes them a critical component of nutritional science and public health planning. For further details on the science behind DRIs, consult the {Link: National Academies Press https://www.ncbi.nlm.nih.gov/books/NBK222330/}.