Title: Dietary Reference Values (DRVs)
Key words:
Date: Jan 2001
Category: 18. Directory
Type: Article
Author: Kate Neil (NS3)
Dietary Reference Values (DRVs)
(based upon the 1991 COMA report)
Essentially, the 1991 COMA report on DRVs does not make dietary
recommendations. Instead, the DRVs are estimates of requirements for a
population or group to provide guidance* rather than
recommendations.
1
To attain validity the claim would need to include the following
criteria:
- be taken as being a reasonable representation of the true
situation
2
assumes no errors in the way the data are collected, analysed, and
interpreted2
the new or test measure of exposure is usually compared with another
measure which is considered from previous research to be more accurate (the
reference measure) than the new measure2
The Panel openly disclose that:
in some instances the evidence for the DRV’s are limited to anecdotal data
of various persuasiveness3
for most nutrients the Panel found insufficient data to establish any of
the DRVs with great confidence3
there are inherent errors in some of the data, for instance in
individuals’ reports of their food intake, and the day-to-day variation in
nutrient intakes also complicates interpretation3
even given complete accuracy of a dietary record, its relation to habitual
intake remains uncertain, however long the recording period3
It would seem more appropriate to claim that the 1991 COMA report on DRVs
has improved the scientific basis for making dietary recommendations for the
following reasons:
it is far broader than previous reports in that it includes the health
consequences of nutrient intakes other than from the point of view of
avoidance of deficiency diseases1
it takes a new approach by defining more than one figure for each
nutrient, thus recognising the broad range of requirements of individuals
within a population1
although the criteria used was imperfect, they were judged to be the best
available on which to base DRV so that they were relevant to prevailing
circumstances1
From a scientific perspective it would appear that the word ‘validity’ does
not accurately describe the improved scientific basis for making dietary
‘recommendations’ or indeed ‘guidelines’, based on the 1991 COMA report on
DRVs.*
As far as advice to the public is concerned, the DRVs and subsequent COMA
reports provide the scientific basis for the following dietary messages:
- if a varied diet including low-fat milk and dairy foods, lean meat, fish
and alternatives, bread, other cereals and potatoes, fruits and vegetables are
eaten, then the requirements for vitamins and minerals should be
met
1
increase consumption of fibre-rich starch foods1
increase consumption of fruit and vegetables1
cut down on saturated fats from animal sources and those added to cakes,
biscuits and pastries1
use oils rich in monounsaturates or polyunsaturates3
decrease intake of ‘added’ sugars1
for most of the population vitamin and mineral supplements are not
required1
The Panel felt that setting a range of intakes for a given nutrient, based on
the distribution of requirements rather than just one figure would help users
interpret dietary information on both groups and individuals.
1 The Panel were aware the
RDIs and RDAs had been frequently misinterpreted and used
inappropriately.1
References:
- Scientific Basis of Nutrition Education – Nutrition Briefing Paper 1996
- Design Concepts in Nutritional Epidemiology, Margetts and Nelson, Oxford
Press, 2nd Edition, 1998
- Dietary Reference Values for Food Energy and Nutrients for the United
Kingdom, DOH 41, Stationery Office, 1997