The population distribution of ratios of usual intakes of dietary components that are consumed every day can be estimated from repeated 24-hour recalls

Estimating the population distribution of the usual intake of a nutrient relative to that of another nutrient requires determination of individual-level ratios. If intake data are available on a per-day basis, as with 24-h dietary recalls, those ratios can be determined in 1 of 2 ways: as the usual ratio of intakes or the ratio of usual intakes. Each of these ratios has its own meaning and determination; the ratio of usual intakes is conceptually consistent with determinations obtained from FFQ data. We present a method for estimating the ratio of usual intakes that uses bivariate modeling of the 2 nutrient intakes in question. Application of the method to the NHANES data for the years 2001-2004 yielded estimated distributions for percent of usual energy intake from total fat, percent of usual energy intake from saturated fat, and usual sodium intake per 1000 kcal (4184 kJ) of usual energy intake. Distributions for both the total population and for age-gender subgroups were estimated. Approximately 60% of adults (>19 y) had a usual total fat intake that was within the recommended range of 20-35% of total energy, but only ∼34% had a usual saturated fat intake <10% of total energy. The results changed only minimally when the other definition of usual intake, the usual ratio of intakes, was adopted.