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Comparing Current Practice to Recommendations for the Child and Adult Care Food Program.
Child Obes. 2015 Oct; 11(5):491-8.CO

Abstract

BACKGROUND

The federal Child and Adult Care Food Program (CACFP) assists child care centers serving low-income preschoolers and regulates the quality and quantity of food served. The aim of this study was to assess the nutritional quality of lunches served at 38 child care centers and examine how current practices compare to proposed meal pattern recommendations.

METHODS

Preschool-aged children (n = 204) were observed eating lunch in 38 CACFP-participating preschools. All foods served and consumed were measured and compared to the 2011 Institute of Medicine (IOM) recommendations to improve CACFP and the 2015 Proposed Rule issued by the USDA.

RESULTS

All centers provided access to all required lunch components, but not all components were served (i.e., placed on the child's plate). Vegetables were significantly less likely to be served than meat or grains. Compared with CACFP recommended portion sizes, servings of meat and grain were high, whereas milk was low. Compared with IOM recommendations, average calorie consumption was appropriate, but saturated fat, protein, and sodium intake were high and dietary fiber was low. Meals that offered children both a fruit and a vegetable led to significantly higher produce consumption than meals that offered only one fruit or one vegetable.

CONCLUSIONS

Child care centers generally comply with current CACFP regulations, but do not provide lunches consistent with the 2011 IOM recommendations for saturated fat, protein, fiber, and sodium. Decreased use of beef and cheese and increased provision of whole grains, fruits, and vegetables are recommended.

Authors+Show Affiliations

1 Rudd Center for Food Policy and Obesity, University of Connecticut , Hartford, CT.2 Henderson Consulting , Guilford, CT.3 Public Health Management Corporation, Philadelphia, PA.1 Rudd Center for Food Policy and Obesity, University of Connecticut , Hartford, CT.4 Prevention Research Center, Harvard University , Cambridge, MA.1 Rudd Center for Food Policy and Obesity, University of Connecticut , Hartford, CT.5 IMPAQ International, LLC, Oakland, CA.

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26376047

Citation

Schwartz, Marlene B., et al. "Comparing Current Practice to Recommendations for the Child and Adult Care Food Program." Childhood Obesity (Print), vol. 11, no. 5, 2015, pp. 491-8.
Schwartz MB, Henderson KE, Grode G, et al. Comparing Current Practice to Recommendations for the Child and Adult Care Food Program. Child Obes. 2015;11(5):491-8.
Schwartz, M. B., Henderson, K. E., Grode, G., Hyary, M., Kenney, E. L., O'Connell, M., & Middleton, A. E. (2015). Comparing Current Practice to Recommendations for the Child and Adult Care Food Program. Childhood Obesity (Print), 11(5), 491-8. https://doi.org/10.1089/chi.2015.0041
Schwartz MB, et al. Comparing Current Practice to Recommendations for the Child and Adult Care Food Program. Child Obes. 2015;11(5):491-8. PubMed PMID: 26376047.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparing Current Practice to Recommendations for the Child and Adult Care Food Program. AU - Schwartz,Marlene B, AU - Henderson,Kathryn E, AU - Grode,Gabrielle, AU - Hyary,Maia, AU - Kenney,Erica L, AU - O'Connell,Meghan, AU - Middleton,Ann E, Y1 - 2015/09/16/ PY - 2015/9/17/entrez PY - 2015/9/17/pubmed PY - 2016/8/16/medline SP - 491 EP - 8 JF - Childhood obesity (Print) JO - Child Obes VL - 11 IS - 5 N2 - BACKGROUND: The federal Child and Adult Care Food Program (CACFP) assists child care centers serving low-income preschoolers and regulates the quality and quantity of food served. The aim of this study was to assess the nutritional quality of lunches served at 38 child care centers and examine how current practices compare to proposed meal pattern recommendations. METHODS: Preschool-aged children (n = 204) were observed eating lunch in 38 CACFP-participating preschools. All foods served and consumed were measured and compared to the 2011 Institute of Medicine (IOM) recommendations to improve CACFP and the 2015 Proposed Rule issued by the USDA. RESULTS: All centers provided access to all required lunch components, but not all components were served (i.e., placed on the child's plate). Vegetables were significantly less likely to be served than meat or grains. Compared with CACFP recommended portion sizes, servings of meat and grain were high, whereas milk was low. Compared with IOM recommendations, average calorie consumption was appropriate, but saturated fat, protein, and sodium intake were high and dietary fiber was low. Meals that offered children both a fruit and a vegetable led to significantly higher produce consumption than meals that offered only one fruit or one vegetable. CONCLUSIONS: Child care centers generally comply with current CACFP regulations, but do not provide lunches consistent with the 2011 IOM recommendations for saturated fat, protein, fiber, and sodium. Decreased use of beef and cheese and increased provision of whole grains, fruits, and vegetables are recommended. SN - 2153-2176 UR - https://www.unboundmedicine.com/medline/citation/26376047/Comparing_Current_Practice_to_Recommendations_for_the_Child_and_Adult_Care_Food_Program_ L2 - https://www.liebertpub.com/doi/10.1089/chi.2015.0041?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -