Chapter 2 Figure 2.2 Relationship between various reference values Nutrient Requirements Lower Reference Nutrient Intake (LRNI) Estimated Average Requirement (EAR) Reference Nutrilent Intake (RNI) Source: Dietary Reference Values: A Guide, Department of Health, London 1991 The diagram shows the estimated average requirement, which is the mean of the range of individual requirements. It is assumed that individual requirements are normally distributed around that mean. The RNI is set at the mean plus two standard deviations, which means that that amount of the nutrient is enough for almost every individual, even those with high needs. Thus this minimises the chances of assessing an individual as having an adequate intake of the nutrient when in fact they are, deficient. It also shows the lower reference nutrient intake at the mean minus two standard deviations. This is a yardstick which is increasingly being used as indicating an amount of the nutrient which would be enough only for a very small amount of the population. Thus if people are normally eating less than the LNRI, they will almost certainly be deficient in that nutrient. Because it is impossible to tell what an individual's requirements are, with out undertaking expensive laboratory work, it is difficult to say with any accuracy whether an individual has adequate intake of any specific nutrient if their intake lies between the LRNI and the RNI. However, if we are looking at group data, then the larger the group, the more likely that their intake should be at or above the EAR if they are, in fact, adequately nourished. -35 -