[Estimating prevalence of inadequate nutrient intake].
In assessing food intake patterns in groups of individuals, it is usually important to know how many of these individuals present nutrient intakes above or below a determined criterion. This information is relevant for planning healthcare actions, both in monitoring and in assessing such interventions, and also for the purposes of regulating commercial activities. This paper discusses a new methodology for estimating the prevalence of inadequate nutrient intake, with the Dietary Reference Intakes as the reference values. The utilization of diet surveys that allow the most accurate quantitative estimate possible is dealt with. These should use repeated measurements of food intake, on non-consecutive days. The food intake should be adjusted for between-person and within-person variance, so as to obtain a corrected distribution for the nutrient intake values. After constructing this distribution curve based on the corrected estimated parameters (average and standard deviation), the EAR method (Estimated Average Requirement) can be used as a cutoff point for verifying the proportion of individuals that has inadequate nutrient intake. This corresponds to the area of the curve below this reference value. It is concluded that this new approach minimizes the error in the calculation of the prevalence of inadequate nutrient intake, since it takes into consideration the random characteristics of the diet.
Departamento de Nutrição, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil. bslater@usp.br
Betzabeth
B
Slater
Dirce Lobo
DL
Marchioni
Regina Mara
RM
Fisberg
D001938:Brazil / Q000453:epidemiology; D004032:Diet / Q000706:statistics & numerical data*; D015930:Diet Records; D004034:Diet Surveys; D002149:Energy Intake / Q000502:physiology; D006801:Humans; D009748:Nutrition Disorders / Q000453:epidemiology*; D018673:Nutrition Policy; D009751:Nutritional Requirements; D015995:Prevalence