TY - JOUR
T1 - Consumption of Recommended Food Groups among Children from Medically Underserved Communities
AU - Kranz, Sibylle
AU - Mitchell, Diane C.
AU - Smiciklas-Wright, Helen
AU - Huang, Shirley H.
AU - Kumanyika, Shiriki K.
AU - Stettler, Nicolas
N1 - Funding Information:
This work was supported by the Health Resources and Services Administration Regional Divisions II (New York City) and III (Philadelphia), The Nutrition Center of The Children's Hospital of Philadelphia, The Penn-Cheyney Center for Excellence in Partnerships for Community Outreach, Research on Health Disparities and Training (Project EXPORT Grant 5P60MD00209-02), the General Clinical Research Center of The Children's Hospital of Philadelphia (Grant 5-MO1-RR-00240), and a seed grant by the Children, Youth, and Family Consortium of the Pennsylvania State University. Two authors were supported, in part, by National Institutes of Health Institutional Training Grant HL 07433 and the National Institutes of Health Grant K23 RR 16073.
PY - 2009/4
Y1 - 2009/4
N2 - This cross-sectional study of 2- to 12-year-olds living in medically underserved areas examined the proportion of children meeting the food group intake recommendations for fruits, vegetables, total grains, dairy, and meat/meat alternatives by age group and body weight status. Based on 24-hour recalls collected between July 2004 and March of 2005, mean food group intake and deviation from the recommended intake amounts were determined (actual intake minus recommended intake). Measured weight and height were used to calculate body mass index z scores using the Centers for Disease Control and Prevention growth charts. Data analyses were done for two age groups (2- to 5-year-olds and 6- to 12-year-olds) (n=214), by weight status categories (underweight or healthy weight [<85th percentile], overweight [85th to 94th percentile], or obese [≥95th percentile]), and were repeated for the subset of children with biologically plausible reports. The majority of children lived in low-income households. More 2- to 5-year-olds met intake recommendations compared with 6- to 12-year-olds. Overall, the proportion of children meeting the food group intake recommendations was low with the exception of the meat group, which was met by 52% and 93% of the 2- to 5- and 6- to 12-year-old children, respectively. There was a positive association between the proportion of younger children meeting the fruits or total grains recommendation and increasing body weight. The data support the importance of community-level nutrition intervention programs to improve children's diet quality in low-income, medically underserved areas and suggest that such interventions may help reduce the risk of obesity.
AB - This cross-sectional study of 2- to 12-year-olds living in medically underserved areas examined the proportion of children meeting the food group intake recommendations for fruits, vegetables, total grains, dairy, and meat/meat alternatives by age group and body weight status. Based on 24-hour recalls collected between July 2004 and March of 2005, mean food group intake and deviation from the recommended intake amounts were determined (actual intake minus recommended intake). Measured weight and height were used to calculate body mass index z scores using the Centers for Disease Control and Prevention growth charts. Data analyses were done for two age groups (2- to 5-year-olds and 6- to 12-year-olds) (n=214), by weight status categories (underweight or healthy weight [<85th percentile], overweight [85th to 94th percentile], or obese [≥95th percentile]), and were repeated for the subset of children with biologically plausible reports. The majority of children lived in low-income households. More 2- to 5-year-olds met intake recommendations compared with 6- to 12-year-olds. Overall, the proportion of children meeting the food group intake recommendations was low with the exception of the meat group, which was met by 52% and 93% of the 2- to 5- and 6- to 12-year-old children, respectively. There was a positive association between the proportion of younger children meeting the fruits or total grains recommendation and increasing body weight. The data support the importance of community-level nutrition intervention programs to improve children's diet quality in low-income, medically underserved areas and suggest that such interventions may help reduce the risk of obesity.
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U2 - 10.1016/j.jada.2008.12.018
DO - 10.1016/j.jada.2008.12.018
M3 - Article
C2 - 19328266
AN - SCOPUS:62749121592
VL - 109
SP - 702
EP - 707
JO - Journal of the Academy of Nutrition and Dietetics
JF - Journal of the Academy of Nutrition and Dietetics
SN - 2212-2672
IS - 4
ER -