Robson Shannon M, Khoury Jane C, Kalkwarf Heidi J, Copeland Kristen
J Acad Nutr Diet. 2015 Sep;115(9):1472-8. doi: 10.1016/j.jand.2015.02.029. Epub 2015 Apr 20.
The Academy of Nutrition and Dietetics recommends children attending full-time child care obtain one-half to two-thirds of daily nutrient needs during their time at the child-care center, leaving one-third to one-half to be consumed away from the center. Although there are guidelines to optimize dietary intake of children attending child care, little is known about what these children consume away from the center.
To describe the dietary intake away from the child-care center for preschool-aged children relative to the expected one-third to one-half proportion of recommended intake, and to examine the relationships between energy intake away from the center with weight status, food group consumption, and low-income status.
Cross-sectional study conducted between November 2009 and January 2011.
PARTICIPANTS/SETTING: Participants (n=339) attended 30 randomly selected, licensed, full-time child-care centers in Hamilton County, OH.
Child weight status and dietary intake (food/beverages consumed outside the child-care setting from the time of pickup from the center to the child's bedtime), including energy and servings of fruits, vegetables, milk, 100% juice, sugar-sweetened beverages, and snack foods.
Generalized linear mixed models were used to examine independent associations of food group servings and low-income status to energy intake and energy intake to child weight status.
The mean energy intake consumed away from the center (685±17 kcal) was more than the recommended target range (433 to 650 kcal). Intakes of fruits, vegetables, and milk were less than recommended. Food group servings and overweight/obesity status were positively associated with energy intake while away from the center.
Preschool-aged children consume more energy and less fruits, vegetables, and milk outside of child-care centers than recommended. Overweight status was associated with children's dietary intake after leaving the child-care center. It may be beneficial to include parents in obesity prevention efforts targeting children attending child-care centers.
营养与饮食学会建议，全日制托育机构的儿童在托育中心期间应满足其每日营养需求的二分之一至三分之二，其余三分之一至二分之一的营养需求则在托育中心以外的时间摄取。尽管有指导方针可优化托育机构儿童的饮食摄入量，但对于这些儿童在托育中心以外的时间里的饮食情况却知之甚少。
描述学龄前儿童在托育中心以外的饮食摄入量与推荐摄入量的预期三分之一至二分之一比例的关系，并研究托育中心以外的能量摄入量与体重状况、食物组摄入量及低收入状况之间的关系。
2009年11月至2011年1月进行的横断面研究。
参与者/研究地点：参与者（n = 339）来自俄亥俄州汉密尔顿县随机选取的30家获得许可的全日制托育中心。
儿童体重状况和饮食摄入量（从托育中心接孩子到孩子就寝期间在托育中心以外食用的食物/饮料），包括能量以及水果、蔬菜、牛奶、100%果汁、含糖饮料和休闲食品的摄入量。
使用广义线性混合模型来检验食物组摄入量和低收入状况与能量摄入量以及能量摄入量与儿童体重状况之间的独立关联。
托育中心以外摄入的平均能量（685±17千卡）超过了推荐目标范围（433至650千卡）。水果、蔬菜和牛奶的摄入量低于推荐量。托育中心以外时，食物组摄入量和超重/肥胖状况与能量摄入量呈正相关。
学龄前儿童在托育中心以外摄入的能量比推荐量多，而水果、蔬菜和牛奶的摄入量比推荐量少。超重状况与儿童离开托育中心后的饮食摄入量有关。让家长参与针对托育中心儿童的肥胖预防工作可能会有益处。
