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Impact of changes to the Child and Adult Care Food Program on children's dietary intake in family child care homes
- Source :
- Public Health Nutr
- Publication Year :
- 2020
-
Abstract
- Objective:To estimate the impact of recent changes to the Child and Adult Care Food Program (CACFP) meal pattern on young children’s diets in family child care homes (FCCHs) serving racially/ethnically diverse children.Design:In a natural experimental study of thirteen CACFP-participating FCCHs, we used digital photographs taken of children’s plates before and after meals matched with menus to measure children’s dietary intake both prior to implementation of the new meal patterns (summer/fall of 2017) and again 1 year later (summer/fall of 2018). Generalised estimating equations tested for change in intake of fruits, vegetables, whole grains, 100 % juice, grain-based desserts, meat/meat alternates and milk, adjusting for clustering of observations within providers.Setting:FCCHs in Boston, MA, USA.Participants:Three- to 5-year-old children attending FCCHs.Results:We observed 107 meals consumed by twenty-eight children at the thirteen FCCHs across an average of 2·5 (sd 1·3) d before the CACFP policy change, and 239 meals consumed by thirty-nine children across 3·8 d (sd 1·4) 1 year later. During lunch, fruit intake increased by about a third of a serving (+0·38 serving, 95 % CI 0·04, 0·73, P = 0·03), and whole grain intake increased by a half serving (+0·50 serving, 95 % CI 0·19, 0·82, P = 0·002). No changes were seen in other meal components.Conclusion:Young children’s dietary intake in CACFP-participating FCCHs improved following the CACFP meal pattern change, particularly for fruits and whole grains, which were targets of the new policy. Additional research should examine impacts of the changes in other child care settings, age groups and locales.
- Subjects :
- 0301 basic medicine
Male
Family child care
Medicine (miscellaneous)
Child Behavior
030209 endocrinology & metabolism
Child and Adult Care Food Program
Whole grains
Nutrition Policy
03 medical and health sciences
Eating
0302 clinical medicine
Age groups
Medicine
Humans
Child Care
Meals
Child care
Meal
030109 nutrition & dietetics
Nutrition and Dietetics
business.industry
Dietary intake
Public Health, Environmental and Occupational Health
Food Services
Health Plan Implementation
Child Day Care Centers
Feeding Behavior
Additional research
Child, Preschool
Female
Diet, Healthy
business
Demography
Program Evaluation
Research Paper
Subjects
Details
- ISSN :
- 14752727 and 13689800
- Volume :
- 23
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Public health nutrition
- Accession number :
- edsair.doi.dedup.....d4a8b4217e1c8d70322d0fff9add817d