ArticleJournal of the Academy of Nutrition and Dietetics2020
Contributions of Early Care and Education Programs to Diet Quality in Children Aged 3 to 4 Years in Central North Carolina.
Article in Journal of the Academy of Nutrition and Dietetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 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
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic Review of Reflection Spectroscopy-Based Skin Carotenoid Assessment in Children.Nutrients · 2023Pooled it
- Trial
- Food provision in daycare: perspective of daycare staff and parents in association with nutrient intake and dietary diversity of under-five children.Journal of nutritional science · 2026Article
- Young Children's Dietary Quality in Family Child Care and in Their Own Home.Journal of the Academy of Nutrition and Dietetics · 2023Article
- Metabolic Syndrome Is Associated with Low Diet Quality Assessed by the Healthy Eating Index-2015 (HEI-2015) and Low Concentrations of High-Density Lipoprotein Cholesterol.Biomedicines · 2022Article
- Dietary Intake among Children Attending Childcare Centers: Impact of the New CACFP Meal Guidelines.Nutrients · 2022Article
- Associations between advertisement-supported media exposure and dietary quality among preschool-age children.Appetite · 2021Article
- Nutrition Provided to Infants in Licensed Childcare Centers and Homes: A Descriptive Study.Maternal and child health journal · 2020Article
- Healthy Eating Policy Improves Children's Diet Quality in Early Care and Education in South Carolina.Nutrients · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundParents and early care and education (ECE) are the key influencers of young children's diets, but there is limited information about how each contribute to children's overall diet quality.
objectiveThis study aimed to determine what proportion of children's dietary intake occurs within the ECE setting and whether diet quality is higher at ECE centers and, consequently, on weekdays than weekends.
designThis cross-sectional analysis of a larger cluster randomized controlled trial used multiple 24-hour dietary intakes measured through a combination of the Dietary Observation in Child Care protocol and parent-reported food diaries. PARTICIPANTS/
settingParticipants (N=840) included children aged 3 to 4 years enrolled in ECE centers in central North Carolina for whom 24-hour dietary intake was captured via observation of meals and snacks consumed at ECE and parent-report of all remaining meals and snacks. Data were collected from 2015 to 2016.
main outcome measuresDiet quality at ECE and elsewhere was evaluated using the Healthy Eating Index 2015. STATISTICAL ANALYSES PERFORMED: Mixed-effects models were used to determine differences in mean Healthy Eating Index 2015 component and total scores. Models were adjusted for children's age and sex and accounted for clustering within ECE centers and families.
resultsChildren consumed approximately 40% of daily energy, nutrients, and food groups at ECE centers. The mean total Healthy Eating Index 2015 score was higher for foods and beverages consumed at ECE centers (58.3±0.6) than elsewhere (52.5±0.6) (P<0.0001). The mean total Healthy Eating Index 2015 score was also higher on weekdays (58.5±0.5) than on weekends (51.3±0.5) (P<0.0001).
conclusionsChildren consume a majority of dietary intake away from ECE centers. Overall, diet quality is low, but the quality of foods consumed by children at ECE centers is higher than that consumed elsewhere. ECE centers remain an important source of nutrition and further investigation is warranted to identify ways to support both ECE centers and families to provide healthier eating environments.
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