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Do the contemporary dietary patterns of children align with national food and nutrient recommendations?
J Hum Nutr Diet. 2018 10; 31(5):670-682.JH

Abstract

BACKGROUND

Childhood nutrition is important in optimising growth, development and future health. The present study compared dietary intakes of Australian children aged 4-8 years with (i) Australian Guide to Healthy Eating (AGHE) food group recommendations and (ii) age-specific Nutrient Reference Values (NRVs), in addition to (iii) describing food group intakes of children meeting key NRVs.

METHODS

Data were obtained from a representative sample of children (n = 789) from the National Nutrition and Physical Activity Survey between May 2011 and June 2012. Parent-reported 24-h recall dietary data were disaggregated into five core food groups, along with energy-dense, nutrient-poor (EDNP) foods, with intakes being compared with AGHE recommendations. Food group intakes were compared for children meeting the NRVs for 10 nutrients used for the development of AGHE food groups. Chi-squared and t-tests were performed to determine differences in food group intakes with P < 0.05 considered statistically significant.

RESULTS

Only one child met the recommended daily servings for all AGHE core food groups and none met both core and energy-dense, nutrient-poor (EDNP) food group recommendations. The lowest level of alignment (percentage meeting recommendations) was for vegetables (4.6%) and the highest was for fruit (47.7%). Mean (SD) daily intake of EDNP foods [4.7 (3.2) serves day-1 ] accounted for 38.4% of total energy intakes. Children meeting key NRVs (n = 395) consumed greater daily servings of fruit [2.2 (1.7)], dairy [2.2 (1.2)] and EDNP foods [5.0 (3.4)] compared to the total sample (n = 789).

CONCLUSIONS

Significant discrepancies exist between contemporary dietary patterns of Australian children and national recommendations. Future AGHE revisions should incorporate greater diversity of consumption patterns, including sub-categories of EDNP foods.

Authors+Show Affiliations

Faculty of Health and Medicine, School of Health Sciences, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, Australia.Faculty of Health and Medicine, School of Health Sciences, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, Australia.Faculty of Health and Medicine, School of Health Sciences, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, Australia.

Pub Type(s)

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

Language

eng

PubMed ID

29926993

Citation

Holmes, K-L, et al. "Do the Contemporary Dietary Patterns of Children Align With National Food and Nutrient Recommendations?" Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association, vol. 31, no. 5, 2018, pp. 670-682.
Holmes KL, Rollo ME, Collins CE. Do the contemporary dietary patterns of children align with national food and nutrient recommendations? J Hum Nutr Diet. 2018;31(5):670-682.
Holmes, K. L., Rollo, M. E., & Collins, C. E. (2018). Do the contemporary dietary patterns of children align with national food and nutrient recommendations? Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association, 31(5), 670-682. https://doi.org/10.1111/jhn.12570
Holmes KL, Rollo ME, Collins CE. Do the Contemporary Dietary Patterns of Children Align With National Food and Nutrient Recommendations. J Hum Nutr Diet. 2018;31(5):670-682. PubMed PMID: 29926993.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Do the contemporary dietary patterns of children align with national food and nutrient recommendations? AU - Holmes,K-L, AU - Rollo,M E, AU - Collins,C E, Y1 - 2018/06/21/ PY - 2018/6/22/pubmed PY - 2019/11/7/medline PY - 2018/6/22/entrez KW - children KW - dietary patterns KW - nutrient intakes SP - 670 EP - 682 JF - Journal of human nutrition and dietetics : the official journal of the British Dietetic Association JO - J Hum Nutr Diet VL - 31 IS - 5 N2 - BACKGROUND: Childhood nutrition is important in optimising growth, development and future health. The present study compared dietary intakes of Australian children aged 4-8 years with (i) Australian Guide to Healthy Eating (AGHE) food group recommendations and (ii) age-specific Nutrient Reference Values (NRVs), in addition to (iii) describing food group intakes of children meeting key NRVs. METHODS: Data were obtained from a representative sample of children (n = 789) from the National Nutrition and Physical Activity Survey between May 2011 and June 2012. Parent-reported 24-h recall dietary data were disaggregated into five core food groups, along with energy-dense, nutrient-poor (EDNP) foods, with intakes being compared with AGHE recommendations. Food group intakes were compared for children meeting the NRVs for 10 nutrients used for the development of AGHE food groups. Chi-squared and t-tests were performed to determine differences in food group intakes with P < 0.05 considered statistically significant. RESULTS: Only one child met the recommended daily servings for all AGHE core food groups and none met both core and energy-dense, nutrient-poor (EDNP) food group recommendations. The lowest level of alignment (percentage meeting recommendations) was for vegetables (4.6%) and the highest was for fruit (47.7%). Mean (SD) daily intake of EDNP foods [4.7 (3.2) serves day-1 ] accounted for 38.4% of total energy intakes. Children meeting key NRVs (n = 395) consumed greater daily servings of fruit [2.2 (1.7)], dairy [2.2 (1.2)] and EDNP foods [5.0 (3.4)] compared to the total sample (n = 789). CONCLUSIONS: Significant discrepancies exist between contemporary dietary patterns of Australian children and national recommendations. Future AGHE revisions should incorporate greater diversity of consumption patterns, including sub-categories of EDNP foods. SN - 1365-277X UR - https://www.unboundmedicine.com/medline/citation/29926993/Do_the_contemporary_dietary_patterns_of_children_align_with_national_food_and_nutrient_recommendations L2 - https://doi.org/10.1111/jhn.12570 DB - PRIME DP - Unbound Medicine ER -