Document Detail

Consumption of recommended food groups among children from medically underserved communities.
MedLine Citation:
PMID:  19328266     Owner:  NLM     Status:  MEDLINE    
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 [< 85 th percentile], overweight [85 th to 94 th percentile], or obese [> or = 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.
Sibylle Kranz; Diane C Mitchell; Helen Smiciklas-Wright; Shirley H Huang; Shiriki K Kumanyika; Nicolas Stettler
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the American Dietetic Association     Volume:  109     ISSN:  1878-3570     ISO Abbreviation:  J Am Diet Assoc     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-30     Completed Date:  2009-04-10     Revised Date:  2014-09-08    
Medline Journal Info:
Nlm Unique ID:  7503061     Medline TA:  J Am Diet Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  702-7     Citation Subset:  AIM; IM    
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MeSH Terms
Age Distribution
Body Mass Index
Body Weight
Child Nutritional Physiological Phenomena / physiology*
Child, Preschool
Cross-Sectional Studies
Diet / standards*
Diet Surveys*
Health Promotion
Medically Underserved Area*
Nutrition Policy*
Nutritional Requirements
Obesity / prevention & control
Grant Support
5-M01-RR-00240/RR/NCRR NIH HHS; 5P60MD00209-02/MD/NIMHD NIH HHS; HL 07433/HL/NHLBI NIH HHS; K23 RR 16073/RR/NCRR NIH HHS; K23 RR016073/RR/NCRR NIH HHS; K23 RR016073-05/RR/NCRR NIH HHS

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