Evidence map›Paper›PMID 37288521›Full record

ArticlePublic health nutrition2023

Comparison of foods and beverages served and consumed in Child and Adult Care Food Program-participating childcare centres to national guidelines.

Rebecca S Mozaffarian, Sonia Carter, Mary C Bovenzi, Erica L Kenney

Abstract read
In one paragraph

Article in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

4 authors.

Rebecca S MozaffarianDepartment of Nutrition, Harvard TH Chan School of Public Health, 665 Huntington Ave, Boston, MA02115, USA.
Sonia CarterBoston Public Health Commission, Boston, MA02118, USA.
Mary C BovenziBoston Public Health Commission, Boston, MA02118, USA.
Erica L KenneyDepartment of Nutrition, Harvard TH Chan School of Public Health, 665 Huntington Ave, Boston, MA02115, USA.

Funding

The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
Identifying an implementation strategy to maximize the public health nutrition impact of the Child and Adult Care Food ProgramK01DK125278 · NIDDK · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI KENNEY, ERICA LAUREN · 2021 to 2025
$743k
NCATS NIH HHS UL1 TR002541NIDDK NIH HHS K01 DK125278
6 · The paper itself

Abstract

objectiveThe federal Child and Adult Care Food Program (CACFP) sets minimum nutrition and portion size standards for meals served in participating childcare programs. CACFP has been associated with more nutritious meals served. It is unclear, however, whether CACFP results in children's dietary intake being aligned with national recommendations. We assess whether children's dietary intake in CACFP-participating childcare centres meets benchmarks set by the Dietary Guidelines for Americans (DGA).

designThis is a cross-sectional study. We used direct observation to estimate quantities of foods/beverages served and consumed per child. Mean amounts served per child per day were compared with CACFP portion size requirements for each component (fruits, vegetables, milk and meat/meat alternate). Mean amounts of foods/beverages consumed were compared with DGA recommendations (energy content, fruits, vegetables, whole/refined grains, dairy, protein and added sugars). One sample t-tests evaluated if quantities served and consumed were different from CACFP and DGA standards, respectively.

settingSix CACFP-participating childcare centres.

participants2-5 year-old children attending childcare.

resultsWe observed forty-six children across 166 child meals. Most meals served met CACFP nutrition standards. Compared with CACFP portion size standards, children were served more grains at breakfast and lunch; more fruits/vegetables at lunch but less at breakfast and snack and less dairy at all eating occasions. Compared with DGA recommendations, children under-consumed every food/beverage category except grains during at least one eating occasion.

conclusionsChildren were served quantities of foods/beverages mostly consistent with CACFP portion size requirements, but had sub-optimal intake relative to DGA. More research is needed to help children consume healthy diets in childcare.

Indexed as

BeveragesChild CareAdultChildChild Day Care CentersChild, PreschoolCross-Sectional StudiesFruitHumansNutrition PolicyVegetablesCACFPChildcareDietary guidelinesHealthNutrition

Identifiers

PMID37288521
PMCPMC10478045

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Registered trials

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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.