Observational studyPublic health nutrition2020
Impact of changes to the Child and Adult Care Food Program on children's dietary intake in family child care homes.
Observational study in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Policy, system, and environmental interventions addressing obesity and diet-related outcomes in early childhood education settings: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023Pooled it
- Contribution of Meals and Snacks Provided Through the Child and Adult Care Food Program on Young Children's Total Dietary Intake.Journal of the Academy of Nutrition and Dietetics · 2026Observational
- From preschool to policy: A scoping review of recommended interventions for a systems approach to improve dietary intake in early childhood.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Association of household food insecurity with diet quality in a nationally representative sample of United States toddlers: a cross-sectional study.The American journal of clinical nutrition · 2025Article
- Implementation strategies used in policy, systems, and environmental interventions addressing obesity-related outcomes in early childhood education settings: a systematic review.Implementation science communications · 2025Review
- ABC Grow Healthy Practices and Obesity-Related Health Behaviours in Family Child Care Homes in South Carolina.Child: care, health and development · 2025Article
- Comparison of foods and beverages served and consumed in Child and Adult Care Food Program-participating childcare centres to national guidelines.Public health nutrition · 2023Article
- Young Children's Dietary Quality in Family Child Care and in Their Own Home.Journal of the Academy of Nutrition and Dietetics · 2023Article
- The USDA's Actions to Promote and Elevate Nutrition Security During the First 1000 Days.American journal of public health · 2022Article
- Article
- Dietary Intake among Children Attending Childcare Centers: Impact of the New CACFP Meal Guidelines.Nutrients · 2022Article
- Food Desert Status of Family Child Care Homes: Relationship to Young Children's Food Quality.International journal of environmental research and public health · 2022Article
- Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo estimate the impact of recent changes to the Child and Adult Care Food Program (CACFP) meal pattern on young children's diets in family child care homes (FCCHs) serving racially/ethnically diverse children.
designIn a natural experimental study of thirteen CACFP-participating FCCHs, we used digital photographs taken of children's plates before and after meals matched with menus to measure children's dietary intake both prior to implementation of the new meal patterns (summer/fall of 2017) and again 1 year later (summer/fall of 2018). Generalised estimating equations tested for change in intake of fruits, vegetables, whole grains, 100 % juice, grain-based desserts, meat/meat alternates and milk, adjusting for clustering of observations within providers.
settingFCCHs in Boston, MA, USA.
participantsThree- to 5-year-old children attending FCCHs.
resultsWe observed 107 meals consumed by twenty-eight children at the thirteen FCCHs across an average of 2·5 (sd 1·3) d before the CACFP policy change, and 239 meals consumed by thirty-nine children across 3·8 d (sd 1·4) 1 year later. During lunch, fruit intake increased by about a third of a serving (+0·38 serving, 95 % CI 0·04, 0·73, P = 0·03), and whole grain intake increased by a half serving (+0·50 serving, 95 % CI 0·19, 0·82, P = 0·002). No changes were seen in other meal components.
conclusionYoung children's dietary intake in CACFP-participating FCCHs improved following the CACFP meal pattern change, particularly for fruits and whole grains, which were targets of the new policy. Additional research should examine impacts of the changes in other child care settings, age groups and locales.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.