Nutrient Contribution of the Dinner Meal Consumed by Low-Income Minority Preschool Children
Keywords:Preschool children, diet, nutrients, Head Start, dinner meal
Objective: To examine the energy and nutrient intake of dinner of low income preschool minority groups, African-Americans and Mexican-Americans, attending Head Start (HS).
Design: Cross-sectional study of intake at dinner using digital photography. Pictorial records were converted to energy and nutrient intakes using NDS-R Nutritional software. MeansÂ±SE for total grams of food and beverages, energy, and macro- and micro-nutrients were determined and compared with recommendations.
Setting: Home assessment dinner of children enrolled in HS in Houston, TX.
Subjects: Low-income children (n=214), 3 to 5 years (mean age 4.4 Â± 0.7 years; 48% boys; 53% Mexican-American).
Results: Energy from food and beverages and food was 350.29Â±10.36 kcals and 302.35Â±10.46 kcals, respectively. Mean protein, carbohydrate, and total fat intakes were 14.22Â±0.52 g (16.32% of total energy), 44.33Â±1.25 g (52.24%), and 13.18Â±0.56 g (32.29%), respectively, which provided 95.4Â±0.52%, 44.5Â±1.25%, and 10.4Â±0.11% of the requirements for protein, carbohydrate, and dietary fiber, respectively; these were consistent with recommendations. Intakes of vitamin D, calcium, and potassium were 0.66Â±0.08 mcg, 102.61Â±5.03 mg, and 404.42Â±13.63 mg, respectively; which constituted only 6.6Â±0.08%, 12.7Â±5.03%, and 10.7Â±13.63% of these nutrients of public health concern.Conclusions: Children participating in HS had low intakes of nutrients of public health concern at the dinner meal. The dinner meal is an integral part of the daily intake of preschool children and this study suggests that micronutrient intakes could be improved. It is important to educate mothers and children as to what constitutes a nutrient-dense meal and to confront barriers to consumption of these meals.
 Institute of Medicine Food and Nutrition Board: Dietary Reference Intakes for calcium, phosphorus, magnesium, vitamin D, and fluoride. Washington DC: National Academy Press 1997.
 Institute of Medicine Food and Nutrition Board: Dietary Reference Intakes for thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, pantothenic acid, biotin, and choline. Washington, DC: National Academy Press 2000.
 Institute of Medicine Food and Nutrition Board: Dietary Reference Intakes for vitamin C, vitamin E, selenium, and carotenoids. Washington DC: National Academy Press 2000.
 Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of Obesity and Trends in Body Mass Index Among US Children and Adolescents, 1999-2010. JAMA 2012; 307: 483-90.
 Acharya K, Feese M, Franklin F, Kabagambe EK. Body mass index and dietary intake among Head Start children and caregivers. J Am Diet Assoc 2011; 111: 1314-21.
 Piziak V, Morgan-Cox M, Tubbs J, Rajab MH. Elevated body mass index in Texas Head Start children: a result of heredity and economics. South Med J 2010; 103: 1219-22.
 Harbaugh BL, Bounds W, Kolbo J, Molaison E, Zhang L. Prevalence estimates of overweight in Head Start preschoolers. J Pediatr Nurs 2009; 24: 350-9.
 Bleich SN, Ku R, Wang YC. Relative contribution of energy intake and energy expenditure to childhood obesity: a review of the literature and directions for future research. Int J Obes (Lond) 2011; 35: 1-15.
 De Craemer M, De Decker E, De Bourdeaudhuij I, et al. Correlates of energy balance-related behaviours in preschool
children: a systematic review. Obes Rev 2010; 13(Suppl 1): 13-28.
 Ford ES, Mokdad AH, Ajani UA. Trends in risk factors for cardiovascular disease among children and adolescents in the United States. Pediatrics 2001; 114: 1534-44.
 Dhuper S, Cohen HW, Daniel J, et al. Utility of the modified ATP III defined metabolic syndrome and severe obesity as predictors of insulin resistance in overweight children and adolescents: a cross-sectional study. Cardiovasc Diabetol 2007; 6: 4.
 Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. JAMA 2003; 289: 1813-19.
 Janssen I, Craig WM, Boyce WF, Pickett W. Associations between overweight and obesity with bullying behaviors in school-aged children. Pediatrics 2004; 13: 1187-94.
 Strauss RS. Childhood obesity and self-esteem. Pediatrics 2000; 105: e15.
 United States Department of Agriculture. 2010 Dietary Guidelines for Americans. http://www.cnpp.usda.gov/dgas2010-policydocument.htm. (accessed April 11, 2012).
 Williams CL, Strobino BA. Childhood diet, overweight, and CVD risk factors: the Healthy Start project. Prev Cardiol 2008; 11: 11-20.
 Lee WT, Ip KS, Chan JS, Lui NW, Young BW. Increased prevalence of constipation in pre-school children is attributable to under-consumption of plant foods: A community-based study. J Paediatr Child Health 2008; 44: 170-75.
 Loening-Baucke V. Functional constipation. Semin Pediatr Surg 1995; 4: 26-34.
 Ekbote VH, Khadilkar AV, Chiplonkar SA, Khadilkar VV. Determinants of bone mineral content and bone area in Indian preschool children. J Bone Miner Metab 2011; 29: 334-41.
 Boreham CA, McKay HA. Physical activity in childhood and bone health. Br J Sports Med 2011; 45: 877-879.
 Stang J, Bayerl CT. American Dietetic Association. Position of the American Dietetic Association: child and adolescent nutrition assistance programs. J Am Diet Assoc 2010; 110: 791-99.
 Nicklas TA, Dwyer J, Feldman HA, Luepker RV, Kelder SH, Nader PR. Serum cholesterol levels in children are associated with dietary fat and fatty acid intake. J Am Diet Assoc 2002; 102: 511-17.
 Law M. Dietary fat and adult diseases and the implications for childhood nutrition: an epidemiological approach. Am J Clin Nutr 200; 72: 1291S-1296S.
 Feinman RD. Saturated fat and health: recent advances in research. Lipids 2010; 45: 891-92.
 Siri-Tarino PW, Sun Q, Hu FB, Krauss RM. Meta-analysis of prospective cohort studies evaluating the association of saturated fat with cardiovascular disease. Am J Clin Nutr 2010; 91: 535-46.
 He FJ, Marrero NM, Macgregor GA. Salt and blood pressure in children and adolescents. J Hum Hypertens 2008; 22: 4-11.
 Bucholz EM, Desai MM, Rosenthal MS. Dietary intake in Head Start vs non-Head Start preschool-aged children: results from the 1999-2004 National Health and Nutrition Examination Survey. J Am Diet Assoc 2011; 111; 1021-30.
 United States Department of Agriculture. What We Eat in America. http://www.ars.usda.gov/Services/docs.htm? docid=18349. (accessed April 11, 2012).
 Martin C, Correa J, Han H, et al. Validity of the Remote Food Photography Method (RFPM) for estimating energy and nutrient intake in near real-time. Obesity (Silver Spring) 2010; 20: 891-99.
 Martin C, Han H, Coulon S, Allen H, Champagne C, Anton S. A novel method to remotely measure food intake of free-living individuals in real time: the remote food photography method. Br J Nutr 2009; 101: 446-56.
 Nicklas TA, O'Neil C, Stuff J, Goodell LS, Liu Y, Martin C. Validity and feasibility of a digital diet method for use with preschool children: A Pilot Study. J Nutr Educ Behav 2012 Jun 22. [Epub ahead of print].
 Martin CK, Newton RL Jr., Anton SD, et al. Measurement of children's food intake with digital photography and the effects of second servings upon food intake. Eat Behav 2007; 8: 148-56.
 Goodell LS, Tsuei E, Hughes S, Nicklas TA. Validation of the use of digital photography for estimating portion sizes. FASEB J 2008; 22(452.1.).
 Lohman TG, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. Champaign, IL: Human Kinetics Books 1988.
 Centers for Disease Control and Prevention. Growth Charts. http://www.cdc.gov/growthcharts. (accessed April 11, 2012).
 Ledikwe JH, Blanck HM, Khan LK, et al. Dietary energy density determined by eight calculation methods in a nationally representative United States population. J Nutr 2005; 135: 273-78.
 Birch LL. Children's preferences for high-fat foods. Nutr Rev 1992; 50: 249-55.
 Birch LL, McPhee L, Sullivan S. Conditioned flavor preferences in young children. Physiol Behav 1990; 47: 501-505.
 Birch LL. Dimensions of preschool children's food preferences. J Nutr Educ 1979; 11: 91-95.
 Birch LL, Zimmerman SI, Hind H. The influence of social-affective context on the formation of children's food preferences. Child Dev 1980; 51: 856-61.
 Cashdan E. A sensitive period for learning about food. Hum Nat 1994; 5: 279-91.
 Head Start. 1304.23 Child Nutrition. http://eclkc.ohs.acf.hhs.gov/hslc/standards/Head%20Start%20Requirements/1304/1304.23%20Child%20nutrition..htm. (accessed May 21, 2012).
 Bollella MC, Spark A, Boccia LA, Nicklas TA, Pittman BP, Williams CL. Nutrient intake of Head Start children: home vs. school. J Am Coll Nutr 1999; 18: 108-14.
 Anzman SL, Rollins BY, Birch LL. Parental influence on children’s early eating environments and obesity risk: implications for prevention. Int J Obesity 2010; 34: 1116-24.
 Hart CN, Raynor HA, Jelalian E, Drotar D. The association of maternal food intake and infants’ and toddlers’ food intake. Child Care Health Dev 2010; 36: 396-403.
 Northstone K, Emmett P. Are dietary patterns stable throughout early and mid-childhood? A birth cohort study. Br J Nutr 2008; 100: 1069-76.
 Mikkila V, Rasanen L, Raitakari OT, Pietinen P, Viikari J. Consistent dietary patterns identified from childhood to adulthood: the Cardiovascular Risk in Young Finns study. Br J Nutr 2005; 93: 923-31.
 Roblin L. Childhood obesity: food, nutrient, and eating-habit trends and influences. Appl Physiol Nutr Metab 2007; 32: 635-45.
 Basch CE, Shea S, Arliss R, et al. Validation of mothers' reports of dietary intake by four to seven year-old children. Am J Public Health 1990; 80: 1314-17.
 Baranowski T, Sprague D, Baranowski JH, Harrison JA. Accuracy of maternal dietary recall for preschool children. J Am Diet Assoc 1991; 91: 669-74.
 Schoeller DA. How accurate is self-reported dietary energy intake? Nutr Rev 1990; 48: 373-79.
 Mendoza JA, Drewnowski A, Cheadle A, Christakis DA. Dietary energy density is associated with selected predictors of obesity in U.S. Children. J Nutr 2006; 136: 1318-22.
 Pérez-Escamilla R, Obbagy JE, Altman JM, et al. Dietary Energy Density and Body Weight in Adults and Children: A Systematic Review. J Acad Nutr Diet 2012; 112: 671-84.
 Kranz S, Brauchla M, Slavin JL, Miller KB. What do we know about dietary fiber intake in children and health? The effects of fiber intake on constipation, obesity, and diabetes in children? Adv Nutr 2012; 3: 47-53.
 Slavin JL. Position of the American Dietetic Association: health implications of dietary fiber. J Am Diet Assoc 2008; 108: 1716-31. Erratum in: J Am Diet Assoc 2009; 109: 350.
 Institute of Medicine. Food and Nutrition Board. Dietary Reference Intakes: Water, Potassium, Sodium, Chloride, and Sulfate. 2004. Washington, DC: National Academies Press. http://iom.edu/Reports/2004/Dietary-Reference-Intakes-Water-Potassium-Sodium-Chloride-and-Sulfate.aspx. (accessed September 12, 2011).
 USDA Nutrient Database. Fluid Milk. http://ndb.nal.usda.gov/ndb/foods/show/77?fg=&man=&lfacet=&count=&max=&qlookup=&offset=&sort=&format=Abridged&_action_show=Apply+Changes&Qv=1&Q246=1.0&Q247=6.0&Q248=1.0. (accessed May 28, 2012).
 McCarron DA, Heaney RP. Estimated healthcare savings associated with adequate dairy food intake. Am J Hypertens 2004; 17: 88-97.
 Matkovic V, Goel PK, Badenhop-Stevens NE, et al. Calcium supplementation and bone mineral density in females from childhood to young adulthood: A randomized controlled trial. Am J Clin Nutr 2005; 81: 175-88.
 United States Department of Agriculture. MyPlate. http://www.choosemyplate.gov/food-groups. (accessed September 4, 2012).
 Thompson FE, Subar AF. Dietary assessment methodology. In: Coulston AM, Rock CL, eds. Nutrition in the Prevention and Treatment of Disease. 2nd ed. San Diego: Academic Press 2001; pp. 3-300.
 Center for Disease Control. NHANES Dietary Web Tutorial: Dietary Data Overview: NHANES Dietary Data Collection.Task 2: Key Concepts about NHANES Dietary Data Collection. http://www.cdc.gov/nchs/tutorials/dietary/ SurveyOrientation/DietaryDataOverview/Info2.htm. (accessed February 21, 2012).
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