ArticleJournal of the Academy of Nutrition and Dietetics2018
Nutritional Quality of Meals and Snacks Served and Consumed in Family Child Care.
Article in Journal of the Academy of Nutrition and Dietetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of interventions to improve the dietary intake, physical activity and weight status of children attending family day care services.Public health nutrition · 2020Pooled it
- Three- and Twelve-Month Changes in Child and Adult Care Food Program Best Practices and Preschool Children's Dietary Intake in Family Child Care Homes after the Happy Healthy Homes Randomized Controlled Trial.Childhood obesity (Print) · 2025Trial
- A multi-component tailored intervention in family childcare homes improves diet quality and sedentary behavior of preschool children compared to an attention control: results from the Healthy Start-Comienzos Sanos cluster randomized trial.The international journal of behavioral nutrition and physical activity · 2022Trial
- Fruit and Vegetable Preparation Style in Family Child Care Homes in Oklahoma.Childhood obesity (Print) · 2026Article
- Diet Quality and Nutritional Assessment of Menus Served in Spanish Defense Ministry Preschool Canteens.Nutrients · 2025Observational
- Family child care home providers' perceived difficulty in serving vegetables to children: findings from a multi-method study.Journal of nutritional science · 2025Article
- ABC Grow Healthy Practices and Obesity-Related Health Behaviours in Family Child Care Homes in South Carolina.Child: care, health and development · 2025Article
- Infant diet quality index predicts nutrients of concern and ultra-processed food intake in low-income children in the United States.Current developments in nutrition · 2024Article
- Mediation of the association between social environmental characteristics of family childcare home and weight status in children by diet quality.BMC public health · 2023Article
- Young Children's Dietary Quality in Family Child Care and in Their Own Home.Journal of the Academy of Nutrition and Dietetics · 2023Article
- Facilitators and barriers to family child care home participation in the U.S. Child and Adult Care Food Program (CACFP).Preventive medicine reports · 2022Article
- Correlates of children's dietary intake, physical activity and sedentary behavior in home-based childcare: A systematic review.Preventive medicine reports · 2022Review
- The Nutritional Adequacy and Diet Quality of Vegetarian Menu Substitutions in Urban Kansas Childcare Centers.Nutrients · 2022Article
- Dietary Intake among Children Attending Childcare Centers: Impact of the New CACFP Meal Guidelines.Nutrients · 2022Article
- Family child care home providers' self-reported nutrition and physical activity practices, self-efficacy, barriers and knowledge: baseline findings from happy healthy homes.Public health nutrition · 2022Article
- Quality of Nutrition Environments, Menus and Foods Served, and Food Program Achievement in Oklahoma Family Child Care Homes.Nutrients · 2021Article
- Family Child Care Providers' Nutrition Practices and Policies: Happy Healthy Homes.Journal of nutrition education and behavior · 2021Article
- Foods provided to children in family day care: an observational study.Public health nutrition · 2021Observational
- Article
- Impact of changes to the Child and Adult Care Food Program on children's dietary intake in family child care homes.Public health nutrition · 2020Observational
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundImproving the nutritional quality of food, including beverages, served in early care and education settings should enhance children's diet quality. However, few studies have explored the relationship between what is served and consumed in family child-care homes (FCCHs).
objectiveTo describe the nutritional quality of food served to children in FCCHs and to assess the extent to which children eat what is served.
designThis study was a cross-sectional analysis using baseline data (n=166) from a cluster-randomized controlled trial (2013-2016). PARTICIPANTS/
settingEligible FCCHs in central North Carolina had to have at least two children between 18 months and 4 years, have been in business for at least 2 years, and serve at least one meal and one snack.
main outcome measuresFood was captured using the Diet Observation at Child Care protocol. STATISTICAL ANALYSES: Frequencies, means, and multivariate analysis were used to examine the relationship between food served and consumed by food groups and by Healthy Eating Index (HEI-2010).
resultsChildren consumed between 61% and 80% of what was served, with vegetables having the lowest percent consumed (61.0%). Total HEI-2010 score for food served was 63.6 (10.4) and for food consumed was 61.7 (11.5) out of a 100-point maximum. With regards to food served, FCCH providers came close to meeting HEI-2010 standards for dairy, whole fruit, total fruit, and empty calories. However, providers appeared to fall short when it came to greens and beans, seafood and plant proteins, total vegetables, whole grains, and fatty acids. They also exceeded recommended limits for sodium and refined grains.
conclusionsAlthough FCCHs are serving some healthy food, mainly fruit, dairy, and few empty calories, there is room for improvement with regards to vegetables, grains, seafood and plant protein, fatty acids, and sodium. Future trainings should help providers find ways to increase the serving and consumption of these foods.
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