Impact of the 2017 Child and Adult Care Food Program Meal Pattern Requirement Change on Menu Quality in Tribal Early Care Environments: The Food Resource Equity and Sustainability for Health Study.
CACFP
Early Care and Education
Native American
community-based participatory research
dietary intake
food program
menu
preschool
tribal
young children
Journal
Current developments in nutrition
ISSN: 2475-2991
Titre abrégé: Curr Dev Nutr
Pays: United States
ID NLM: 101717957
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
14
12
2018
revised:
28
05
2019
accepted:
06
08
2018
entrez:
8
4
2020
pubmed:
8
4
2020
medline:
8
4
2020
Statut:
epublish
Résumé
Native American (NA) children have a high prevalence of obesity contributing to lifespan health disparities. Dietary intake is important to promote healthy weight gain, growth, and development. In 2017, the USDA enforced changes to the Child and Adult Care Food Program (CACFP). The CACFP provides reimbursement to qualifying Early Care and Education (ECE) programs that serve foods that uphold the program's nutrition requirements. This study had the following 2 objectives: This longitudinal study is within a larger community-based participatory research study. Menus and meals served were evaluated for 1 wk at each of 9 programs before and after enforcement of the revised meal patterns. Nutrient analysis, CACFP requirement and best practice compliance, and substitution quality were evaluated. Differences were determined using a paired Total grams of fiber consumed increased (5.0 ± 1.2 compared with 5.9 ± 0.8 g, This study provides early evidence to support the beneficial impact of the revised CACFP requirements. Understanding barriers to compliance within rural NA communities would be an important next step in enhancing the health of vulnerable children.
Sections du résumé
BACKGROUND
BACKGROUND
Native American (NA) children have a high prevalence of obesity contributing to lifespan health disparities. Dietary intake is important to promote healthy weight gain, growth, and development. In 2017, the USDA enforced changes to the Child and Adult Care Food Program (CACFP). The CACFP provides reimbursement to qualifying Early Care and Education (ECE) programs that serve foods that uphold the program's nutrition requirements.
OBJECTIVE
OBJECTIVE
This study had the following 2 objectives:
METHODS
METHODS
This longitudinal study is within a larger community-based participatory research study. Menus and meals served were evaluated for 1 wk at each of 9 programs before and after enforcement of the revised meal patterns. Nutrient analysis, CACFP requirement and best practice compliance, and substitution quality were evaluated. Differences were determined using a paired
RESULTS
RESULTS
Total grams of fiber consumed increased (5.0 ± 1.2 compared with 5.9 ± 0.8 g,
CONCLUSIONS
CONCLUSIONS
This study provides early evidence to support the beneficial impact of the revised CACFP requirements. Understanding barriers to compliance within rural NA communities would be an important next step in enhancing the health of vulnerable children.
Identifiants
pubmed: 32258995
doi: 10.1093/cdn/nzz094
pii: nzz094
pmc: PMC7101482
doi:
Banques de données
ClinicalTrials.gov
['NCT03251950']
Types de publication
Journal Article
Langues
eng
Pagination
12-22Subventions
Organisme : NIMHD NIH HHS
ID : R01 MD011266
Pays : United States
Informations de copyright
Copyright © The Author(s) 2019.
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