ArticleThe American journal of clinical nutrition2020
Dietary quality among children from 6 months to 4 years, NHANES 2011-2016.
Article in The American journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Universal Subconstructs of a Healthy Diet for Children and Adolescents: A Critical Review.Advances in nutrition (Bethesda, Md.) · 2025Pooled it
- Indexes to assess feeding practices of children under 2 years old: a systematic review.Public health nutrition · 2021Pooled it
- Randomized Controlled Clinical Trial of Pediatric Pneumococcus and Hepatitis A Vaccinations With or Without a High-Dose Oral Vitamin A Supplement.Biomolecules · 2025Trial
- Dietary Outcomes of the 'Healthy Youngsters, Healthy Dads' Randomised Controlled Trial.Nutrients · 2021Trial
- Healthy Diet Metrics for Children and Adolescents and Their Suitability for Global Monitoring: A Critical Review.Advances in nutrition (Bethesda, Md.) · 2026Review
- Measuring Dietary Quality Among Toddlers in the Feeding Infants and Toddlers Study, 2016, Using the New Healthy Eating Index-Toddlers-2020.Journal of the Academy of Nutrition and Dietetics · 2025Article
- Barriers and facilitators to healthy eating during post-partum among non-Hispanic Black mothers.Maternal & child nutrition · 2025Article
- Trends in Toddler Diet Quality in the United States: 1999 to 2018.Pediatrics · 2024Article
- Associations between child eating behaviors with eating patterns and diet quality in preschool-aged children.Appetite · 2024Article
- Replicability, adaptability and long-term impact of the 'Healthy Youngsters, Healthy Dads' program in Newcastle, Australia.Health promotion international · 2024Article
- Adherence to dietary guidelines associated with lower medical service utilization in preschoolers: a longitudinal study.Nutrition & diabetes · 2024Article
- Article
- Comparing Diet Quality Indices for Low-Income 24-Month-Old Toddlers: Exploring Changes Driven by 2020-2025 Dietary Guidelines for Americans.The Journal of nutrition · 2023Article
- Patterns in Mothers' Recollection of Health Care Providers' Young Child Feeding Recommendations.Journal of nutrition education and behavior · 2022Article
- Adaptation of a Modified Diet Quality Index to Quantify Healthfulness of Food-Related Toy Sets.Childhood obesity (Print) · 2022Article
- Food Preparation Practices for Infants Aged From 7 to 13 Months.Journal of nutrition education and behavior · 2022Article
- Development of a stand-alone index for the assessment of diet quality in elementary school-aged children.Public health nutrition · 2021Article
- Methodological Aspects of Diet Quality Indicators in Childhood: A Mapping Review.Advances in nutrition (Bethesda, Md.) · 2021Review
- Associations between advertisement-supported media exposure and dietary quality among preschool-age children.Appetite · 2021Article
- Total Fat and Fatty Acid Intake among 1-7-Year-Old Children from 33 Countries: Comparison with International Recommendations.Nutrients · 2021Article
Corrections and comments
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2 authors.
Funding
Abstract
backgroundThe US Dietary Guidelines for Americans provide dietary recommendations for individuals aged ≥2 y and metrics exist to assess alignment. Nonfederal feeding recommendations exist for children <2 y, but limited metrics and assessment of dietary quality are available.
objectiveWe aimed to assess dietary quality of children aged 6 mo-4 y using a modified Diet Quality Index Score (DQIS).
methodsNHANES 2011-2016 dietary data were used to estimate the dietary quality of children 6 mo-4 y old using a modified DQIS. Differences in mean modified DQIS by demographics were assessed using linear regression.
resultsMean modified DQIS ± SE was 22.4 ± 0.23 out of 45 possible points (50%) for children 6 mo-4 y of age on a given day. Modified DQIS scores on a given day decreased with age (27.7 ± 0.27 for 6- to 11-mo-olds, 23.9 ± 0.31 for 1-y-olds, 21.4 ± 0.26 for 2- to 3-y-olds, and 20.6 ± 0.49 for 4-y-olds; P < 0.0001 for trend). Children 6-11 mo old had 16% higher overall modified DQIS scores than 1-y-olds (P < 0.0001) and higher modified DQIS subcomponent scores for refined grains and protein, indicating higher age-appropriate intakes (P < 0.05). Similarly, children 6-11 mo old also had higher modified DQIS subcomponent scores, indicating no or limited intake, for 100% fruit juice, sugar-sweetened beverages, other added sugars, and salty snacks (P < 0.02).
conclusionsDietary quality declines with age and may begin as early as 1 y. The modified DQIS tool could help assess the dietary quality of young children. This may be important when identifying programmatic and policy efforts aimed at establishing and maintaining healthy dietary patterns beginning at an early age.
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