More Nutritious Food Is Served in Child-Care Homes Receiving Higher Federal Food Subsidies
More Nutritious Food Is Served in Child-Care Homes Receiving Higher Federal Food Subsidies
复制标题
DOI：
10.1016/j.jada.2011.02.007
复制
发表时间：
2011-05-01
影响因子：
--
通讯作者：
Johnson, Donna B.
中科院分区：
文献类型：
--
作者：
Monsivais, Pablo;Kirkpatrick, Shannon;Johnson, Donna B.
美国农业部的儿童和成人护理食品计划（CACFP）为230万儿童提供食品，向参与的儿童护理提供者提供货币补贴。这项横断面研究测试的假设，较高的食品报销率导致较高的食品支出和较高的营养质量的食品在家庭儿童保育院参加CACFP。2008-2009年，从华盛顿金县招募了60名家庭儿童保育提供者。抽样调查中，有一半得到了较高的偿还额，另一半得到了较低的偿还率。参与者提供了5天的膳食/小吃菜单和食品购物收据。从部分标准化菜单的食物供应的营养质量进行评估。营养质量被量化为儿童健康所关注的七种营养素的平均充足率（膳食参考摄入量的平均百分比）。食物支出是通过将菜单与收据联系起来计算的。使用独立样本的学生t检验和一般线性模型检验组间差异。这两组提供者在社会经济和人口统计学上相似，专业背景相似。然而，高报销供应商的菜单支出明显高于低报销组（2.36美元vs 1.96美元/儿童/天; P=0.031）。报销水平与热量差异无关，但较高报销提供者的热量显示出显著较高的平均营养充足率（64.5% vs 56.3%; P=0.033）。偿还率与食品支出和所提供食品的营养质量呈正相关的调查结果表明，提高CACFP偿还率可以改善儿童营养。美国饮食协会杂志2011;111：721-726。
The US Department of Agriculture's Child and Adult Care Food Program (CACFP) serves 2.3 million children by providing monetary subsidies for food to participating child-care providers. This cross-sectional study tested the hypothesis that higher reimbursement rates for food result in higher food expenditures and higher nutritional quality of foods served in family child-care homes participating in CACFP. Sixty family home child-care providers were recruited in 2008-2009 from King County, Washington. Half the sample received higher reimbursements and the other half received the lower rates. Participants provided a 5-day menu of meals/snacks served and food shopping receipts. The nutritional quality of foods served was assessed from portion-standardized menus. Nutritional quality was quantified as the mean adequacy (mean percent of dietary reference intake) for seven nutrients of concern for child health. Food expenditures were calculated by linking menus with receipts. Student's t tests for independent samples and general linear models were used to test for between-group differences. The two groups of providers were socioeconomically and demographically similar with comparable professional backgrounds. However, higher reimbursement providers had significantly greater menu expenditures than the lower reimbursement group ($2.36 vs $1.96/child/day; P=0.031). Reimbursement level was not associated with a difference in calories, but therms of higher reimbursement providers showed a significantly higher mean nutritional adequacy (64.5% vs 56.3%; P=0.033). The finding that reimbursement rates were positively associated with food expenditures and the nutritional quality of foods served suggests that raising CACFP reimbursements can improve child nutrition. J Am Diet Assoc. 2011;111:721-726.