Comparison of foods and beverages served and consumed in Child and Adult Care Food Program-participating childcare centres to national guidelines.
Comparison of foods and beverages served and consumed in Child and Adult Care Food Program-participating childcare centres to national guidelines.
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DOI：
10.1017/s136898002300109x
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发表时间：
2023-09
影响因子：
3.2
通讯作者：
Kenney EL
中科院分区：
文献类型：
--
作者：
Mozaffarian RS;Carter S;Bovenzi MC;Kenney EL
联邦儿童和成人护理食品计划（CACFP）为参与儿童保育计划的膳食设定了最低营养和份量标准。CACFP与提供更有营养的膳食有关。然而，目前尚不清楚CACFP是否会导致儿童的膳食摄入量与国家建议一致。我们评估参与cacfp的托儿中心的儿童膳食摄入量是否符合美国人膳食指南（DGA）设定的基准。这是一项横断面研究。我们使用直接观察来估计每个儿童提供和消耗的食物/饮料的数量。每个儿童每天的平均摄取量与CACFP对每种成分（水果、蔬菜、牛奶和肉类/肉类替代品）的份量要求进行了比较。将食用的食物/饮料的平均量与DGA建议量（能量含量、水果、蔬菜、全谷物/精制谷物、乳制品、蛋白质和添加糖）进行比较。一个样本t检验分别评估了供货量和消费量是否不同于CACFP和DGA标准。六间参与本计划的幼儿中心。2-5岁的幼儿。我们观察了166份儿童餐中的46名儿童。大多数餐点都符合CACFP的营养标准。与CACFP份量标准相比，儿童在早餐和午餐时提供更多的谷物；午餐多吃水果/蔬菜，早餐和零食少吃，在任何进食场合都少吃奶制品。与DGA的建议相比，儿童在至少一次饮食中摄入了除谷物以外的所有食品/饮料。为儿童提供的食物/饮料的数量与CACFP的份量要求基本一致，但相对于DGA的摄入量却不是最佳的。需要更多的研究来帮助儿童在育儿过程中摄入健康的饮食。
The federal Child and Adult Care Food Program (CACFP) sets minimum nutrition and portion size standards for meals served in participating childcare programs. CACFP has been associated with more nutritious meals served. It is unclear, however, whether CACFP results in children’s dietary intake being aligned with national recommendations. We assess whether children’s dietary intake in CACFP-participating childcare centres meets benchmarks set by the Dietary Guidelines for Americans (DGA). This is a cross-sectional study. We used direct observation to estimate quantities of foods/beverages served and consumed per child. Mean amounts served per child per day were compared with CACFP portion size requirements for each component (fruits, vegetables, milk and meat/meat alternate). Mean amounts of foods/beverages consumed were compared with DGA recommendations (energy content, fruits, vegetables, whole/refined grains, dairy, protein and added sugars). One sample t-tests evaluated if quantities served and consumed were different from CACFP and DGA standards, respectively. Six CACFP-participating childcare centres. 2–5 year-old children attending childcare. We observed forty-six children across 166 child meals. Most meals served met CACFP nutrition standards. Compared with CACFP portion size standards, children were served more grains at breakfast and lunch; more fruits/vegetables at lunch but less at breakfast and snack and less dairy at all eating occasions. Compared with DGA recommendations, children under-consumed every food/beverage category except grains during at least one eating occasion. Children were served quantities of foods/beverages mostly consistent with CACFP portion size requirements, but had sub-optimal intake relative to DGA. More research is needed to help children consume healthy diets in childcare.
影响因子：
5.5
作者：
Kenney EL;Austin SB;Cradock AL;Giles CM;Lee RM;Davison KK;Gortmaker SL
通讯作者：
Gortmaker SL