Online Program

Impact of the institute of medicine's recommendations to the child and adult care food program on preschoolers' intake

Tuesday, November 5, 2013 : 10:30 a.m. - 10:50 a.m.

Meghan O'Connell, MPH, Yale University School of Nursing, Orange, CT
Danielle Correia, MPH, University of Arizona College of Medicine, Tucson, AZ
Kathryn E. Henderson, PhD, Rudd Center for Food Policy & Obesity, Yale University, New Haven, CT
Introduction: The US Department of Agriculture is preparing to release the first update to the Child and Adult Care Food Program (CACFP) nutrition standards since the 1980s. The new standards are expected to closely mirror the recommendations of the Institute of Medicine (IOM), and include increased offerings of whole grains, fruits and vegetables, and decreases in sodium and saturated fat. This study aimed to assess the impact of IOM's proposed changes on the dietary intake of preschoolers. Methods: A within-subjects randomized design was used to collect meal consumption data (plate waste) on 57 children from one racially/ethnically diverse preschool in southern CT. Consumption of meal components was compared across conditions, with the control meal meeting current CACFP regulations and the IOM meal reflecting IOM's recommendations. Paired t-tests were used to test for differences. Results: There was a significant increase in fiber intake (+2.03g; p=<0001), while significant reductions were made in total calories (-31.80; p=<0001), total and saturated fat (total: -2.93g; p=<0001; sat fat: -1.08 p=<0001), sodium (-301.26mg; p=<0001) and protein (-7.21g; p=<0001). Fruit intake nearly doubled (6.7% to 30% of calories, control vs IOM) and vegetable intake more than doubled (4.9% to 14.2% of calories, control vs IOM). During the IOM meal, 81% consumed a full CACFP serving of fruit, compared to 51% (control); 69% consumed a full CACFP serving of vegetable, compared to 51% (control). Discussion: Study findings suggest that the IOM's proposed changes to CACFP nutrition standards would improve nutrition quality for children in child care.

Learning Areas:

Public health or related laws, regulations, standards, or guidelines
Public health or related research

Learning Objectives:
Compare the current CACFP nutrition standards to IOM recommended standards Identify the likely dietary impact the IOM standards will have, if fully implemented by the USDA Identify additional research needed to aid child care centers/preschools in implementing proposed regulations

Keyword(s): Child Care, Nutrition

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been designing and conducting child nutrition research since 2000 and in my current position since 2006. My work focuses on nutrition policies in schools and child care centers and is currently devoted to evaluating the potential impact new policies may have on dietary intake of children in these settings.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.