Evidence map›Paper›PMID 34049592›Full record

ArticleBMC nutrition2021

Nutritional quality of the food choices of Canadian children.

Salma Hack, Mahsa Jessri, Mary R L'Abbé

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07309536 (Mediterranean Diet Uptake and Nutrition on Child Health, Inflammation, and Early-life Symbiosis), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT07309536 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Mediterranean Diet Uptake and Nutrition on Child Health, Inflammation, and Early-life Symbiosis (MUNCHIES): A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of New BrunswickRan2026 to 2027Enrolled40ConditionsGut Microbiome, Body Composition, Adherence, MetabolitesArmsMediterranean Diet Nutrition Program, Standard Diet Education Program
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. The potential of a national school food program to reduce dietary inequalities among children in Canada.Canadian journal of public health = Revue canadienne de sante publique · 2026
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  9. The association between exposure to food marketing and dietary intake among youth in six countries.The international journal of behavioral nutrition and physical activity · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Salma HackDepartment of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, M5S 1A8, Canada.
Mahsa JessriFood Nutrition and Health Program, The University of British Columbia, Vancouver, V6T 1Z4, Canada.
Mary R L'AbbéDepartment of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, M5S 1A8, Canada. mary.labbe@utoronto.ca.
University of Toronto · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe release of the Canadian Community Health Survey (CCHS), Nutrition 2015 provides a unique opportunity since CCHS 2004 to investigate food choices of Canadian children and adolescents at a national level.

objectiveThis study examined the quality and quantity of food choices of children ages 2-8 years and adolescents 9-18 years, using Health Canada's Surveillance Tool Tier System 2014. It is hypothesized that Canadian children and adolescents are consuming diets poor in nutritional quality based on evidence from the last national nutrition survey in 2004.

designIntakes from CCHS 2015, 24-h dietary recall were categorized into Health Canada's Tiers 1-4, based on CNF/CFG classification system and thresholds for nutrients to limit i.e., total fat, saturated fats, sugars, and sodium to assess quality of food choices. Additionally, dietary intakes were grouped according to Canada's 2007 food guide servings as the 2019 food guide was not available.

resultsMajority of foods reported by children 2-18 years were categorized as Tier 2 and Tier 3 foods. Investigation of energy contributions from the Tier 4 and "other foods" represented 21-25% of daily calorie intake and of these foods, high fat and/or high sugar foods contributed majority of daily calories to these categories.

conclusionsThis study showed Canadian children 2-18 years are consuming diets high in nutrients recommended to limit. Evidence from this study provides a unique opportunity to improve the nutritional quality of foods, and the food choices of children.

Indexed as

Canada’s food guideDietary intakesDiet qualityHealth Canada’s Surveillance Tool, Tier SystemNutrition policyThe Canadian Community Health Survey, Nutrition 2015

Identifiers

PMID34049592
PMCPMC8164219
OpenAlexW3164991629

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.