Consumption of recommended food groups among children from medically underserved communities

Abstract

This cross-sectional study of 2 to 12 year olds living in medically underserved areas examined the proportion of children meeting the food group intake recommendations for fruits, vegetables, total grains, dairy, and meat/meat alternatives by age group and body weight status. Based on 24-hour recalls collected between July 2004 and March of 2005, mean food group intake and deviation from the recommended intake amount were determined (actual intake minus recommended intake). Measured weight and height were used to calculate body mass index z-scores using the Centers for Disease Control and Prevention (CDC) growth charts. Analyses were conducted for two age groups (2 to 5 and 6 to 12 year olds) (n=214), by weight status categories (underweight or healthy weight (<85th percentile), overweight (85 to 94th percentile), or obese (> 95th percentile)), and repeated for the subset of children with biologically plausible reports. The majority of children lived in lowincome households. More 2 to 5 year olds met intake recommendations compared to 6 to 12 year olds. Overall, the proportion of children meeting the food group intake recommendations was low with the exception of the meat group, which was met by 52% to 93% of children. There was a positive association between the proportion of younger children meeting the fruits or total grains recommendation and increasing body weight. The data support the importance of community-level nutrition intervention programs to improve children's diet quality in low income, medically underserved areas and suggest that such interventions may help reduce the risk of obesity. Originally published Journal of the American Dietetic Association, Vol. 109, No. 4, Apr 2009