Literature search and review related to specific preparatory work in the establishment of Dietary Reference Values for Phosphorus, Sodium and Chloride

Eeuwijk, Jennifer; Oordt, A.J. van der Houven van; Noordegraaf‐Schouten, Marije Vonk

doi:10.2903/sp.efsa.2013.en-502

Cited by 2 publications

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“…A comprehensive search of the literature published between 1990 and September 2012 was performed as preparatory work to the present Opinion, to identify relevant health outcomes upon which DRVs for phosphorus may potentially be based (Eeuwijk et al, 2012). This literature search has been updated to cover the time from September 2012 to December 2014.…”

Section: Phosphorus Intake and Health Consequencesmentioning

confidence: 99%

Scientific Opinion on Dietary Reference Values for phosphorus

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2015

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Following a request from the European Commission, the Panel on Dietetic Products, Nutrition and Allergies derived Dietary Reference Values (DRVs) for phosphorus. The Panel considered data from balance studies, losses of phosphorus from the body and intestinal absorption for possible use in a factorial approach, and studies on phosphorus intake and long-term health outcomes. The Panel concluded that these data were insufficient for setting DRVs for phosphorus. Data on the calcium to phosphorus ratio in bones of healthy adults, adjusted for the proportion of phosphorus found outside bone, and data on whole-body calcium and phosphorus contents in Caucasian adults indicate that the calcium to phosphorus molar ratio in the body ranges from 1.4:1 to 1.9:1. Although the fractional absorption of phosphorus is higher than that of calcium, the Panel considered that the actual amounts of calcium and phosphorus that are available for absorption from the diet cannot be determined; therefore, the whole-body calcium to phosphorus ratio was used to set DRVs. The data were considered insufficient to derive Average Requirements and Population Reference Intakes. Based on the DRVs for calcium and considering a molar calcium to phosphorus ratio of 1.4:1 to 1.9:1, amounts of phosphorus were calculated. The Panel chose the lower bound of this range (a ratio of 1.4:1, which results in a higher phosphorus intake value) for setting an Adequate Intake (AI), taking into account estimated phosphorus intakes in Western countries, which are considerably higher than the values calculated. The AI is 160 mg/day for infants (7-11 months) and between 250 and 640 mg/day for children. For adults, the AI is 550 mg/day. Taking into consideration adaptive changes in phosphorus metabolism that occur during pregnancy and lactation, it was considered that the AI for adults also applies to pregnant and lactating women. Phosphorus is involved in many physiological processes, such as in the cell's energy cycle, in regulation of the body's acid-base balance, as a component of the cell structure, in cell regulation and signalling, and in the mineralisation of bones and teeth. About 85 % of the body's phosphorus is in bones and teeth, 14 % is in soft tissues, including muscle, liver, heart and kidney, and only 1 % is present in extracellular fluids. Phosphorus homeostasis is intricately linked to that of calcium because of the actions of calcium-regulating hormones, such as parathyroid hormone (PTH) and 1,25-dihydroxy-vitamin D (1,25(OH) 2 D), at the level of the bone, the gut and the kidneys. © EuropeanPhosphorus absorption occurs through passive diffusion and sodium-dependent active transport and via paracellular and cellular pathways. In adults, limited data suggest that net phosphorus absorption ranges from 55 to 80 % of intake. Phosphorus absorption is affected by the total amount of phosphorus in the diet and also by the type of phosphorus (organic versus inorganic), the food origin (animalversus plant-derived) and the ratio of phosphorus to oth...

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Section: Phosphorus Intake and Health Consequencesmentioning

confidence: 99%

Scientific Opinion on Dietary Reference Values for phosphorus

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2015

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“…To identify relevant health outcomes upon which DRVs for chloride could be based (Section 5.5), a comprehensive search of the literature published between 1990 and September 2012 was commissioned from Pallas health research and consultancy (Eeuwijk et al., ).…”

Section: Methodsmentioning

confidence: 99%

Dietary reference values for chloride

Turck

Castenmiller²,

Henauw

et al. 2019

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Following a request from the European Commission, the EFSA Panel on Nutrition, Novel Foods and Food Allergens (NDA) has derived dietary reference values (DRVs) for chloride. There are no appropriate biomarkers of chloride status, no balance studies and no adequate evidence on the relationship between chloride intake and health outcomes that can be used to set DRVs for chloride. There is a close relationship between sodium and chloride balances in the body. Sodium chloride is the main source of both electrolytes in European diets and similar urinary excretion levels of sodium and chloride (on a molar basis) are typically observed in Western populations. Hence, the Panel considered that reference values for chloride can be set at values equimolar to the reference values for sodium for all population groups, and are as follows: 1.7 g/day for children aged 1–3 years, 2.0 g/day for children aged 4–6 years, 2.6 g/day for children aged 7–10 years, 3.1 g/day for children aged 11–17 years and 3.1 g/day for adults including pregnant and lactating women. Consistent with the reference values for sodium, these levels of chloride intake are considered to be safe and adequate for the general EU population, under the consideration that the main dietary source of chloride intake is sodium chloride. For infants aged 7–11 months, an adequate intake of 0.3 g/day is set.

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Literature search and review related to specific preparatory work in the establishment of Dietary Reference Values for Phosphorus, Sodium and Chloride

Cited by 2 publications

References 58 publications

Scientific Opinion on Dietary Reference Values for phosphorus

Scientific Opinion on Dietary Reference Values for phosphorus

Dietary reference values for chloride

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