Dietary Intakes of Children Enrolled in US Early Child-Care Programs During Child-Care and Non-Child-Care Days.

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Publisher: Elsevier Science Publishers
Document Type: Report
Length: 565 words

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Keywords Dietary intake; CACFP; Dietary Guidelines for Americans; Preschool-aged children Abstract Background Early-child-care (ECE) programs may substantially influence child diet quality. Objective The Study of Nutrition and Activity in Child Care Settings describes the usual food group intake of preschool-aged children attending ECE programs relative to Dietary Guidelines for Americans (DGA) recommendations, comparing intakes during child-care and non-child-care days. Design Meal observations and parent-completed food diaries in a cross-sectional nationally representative multistage cluster sample of Child and Adult Care Food Program-participating ECE programs. Participants/setting One thousand four hundred sixty-eight children aged 3 to 5 years attending 217 Child and Adult Care Food Program-participating ECE programs (eg, child-care centers and Head Start) during 2017. Main outcome measures Daily energy intake, daily US Department of Agriculture Food Pattern Food Group intakes, and percentage of daily intakes meeting 2015-2020 DGA Food Pattern recommendations. Statistical analyses performed Regression-adjusted usual intakes and percentage of children meeting recommendations were estimated using the National Cancer Institute method. Single-day mean intakes were used to test for statistical differences between child-care and non-child-care days. Results Mean usual energy intake was 1,524 [plus or minus] 19.3 kcal during child-care days and exceeded the recommended range at 1,702 [plus or minus] 30.2 kcal during non-child-care days; single-day means indicated significantly lower energy intake on child-care days (P Conclusions Although there is room to increase nutrient density inside and outside of child care, intakes on child-care days more closely align to DGAs. Author Affiliation: (1) Abt Associates, Cambridge, Massachusetts (2) Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan (3) US Department of Agriculture Food and Nutrition Service, Alexandria, Virginia (4) Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio (5) Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio (6) Mathematica, Cambridge, Massachusetts (7) Westat, Rockville, Maryland (8) Independent Child Nutrition Research Consultant, Massachusetts * Address correspondence to: Meaghan E. Glenn, MS, MPH; Associate, Abt Associates, 10 Fawcett Street, Cambridge, MA 02138. Article History: Received 12 March 2021; Accepted 22 August 2021 (footnote) Supplementary materials: and are available at (footnote) STATEMENT OF POTENTIAL CONFLICT OF INTEREST L. E. W. Olsho is on the Journal of The Academy of Nutrition and Dietetics Board of Editors. (footnote) FUNDING/SUPPORT All phases of this study were supported by the US Department of Agriculture (USDA) Food and Nutrition Service, contract No. AG-3198-C-14-0017. The findings and conclusions in this publication are those of the authors and should not be construed to represent any official USDA or US Government determination or policy. Byline: Meaghan E. Glenn, MS, MPH [] (1,*), Kelly Patlan, MS (1), Patricia Connor, MS (1,8), Chantal Stidsen, BS (1,6), Sarah Ball, MPH, RD (2), Karen E. Peterson, DSc (2), Lauren E.W. Olsho, PhD (1), Alice Ann H. Gola, PhD (3,7), Kristen A. Copeland, MD (4,5)

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Gale Document Number: GALE|A704126103