幼儿教育与营养质量外文文献Predictors of Nutrition Quality in Early Child Education Settings in Connecticut.pdfVIP

Research Article Predictors of Nutrition Quality in Early Child Education Settings in Connecticut 1,2 3 4 Tatiana Andreyeva, PhD ; Erica L. Kenney, ScD ; Meghan O’Connell, MPH ; 1 5 Xiaohan Sun, MA ; Kathryn E. Henderson, PhD ABSTRACT Objective: This study assessed the dietary quality of lunches and feeding practices (family-style service, teacher role modeling) in Connecticut child care centers and made comparisons by center participation in the federal Child and Adult Care Food Program (CACFP). Design: Plate waste methods and visual observation of lunches served and consumed. Setting: A total of 97 randomly selected licensed Connecticut child care centers (53 CACFP and 44 non-CACFP). Participants: A total of 838 preschool-aged children. Main Outcome Measures: Total energy intake, macronutrient intake, and intake by CACFP meal com- ponent as well as use of family-style dining, management of additional helpings, and whether and what teachers consumed in view of children. Analysis: Child dietary intake at lunch was compared with dietary and CACFP recommendations using a mixed linear regression model. Results: The CACFP centers were more likely to offer family-style service and have staff eat the same foods as the children. Children in non-CACFP centers consumed more saturated fat (4.1 vs 2.7 g; P .001) and trans fats (0.1 vs 0.1 g; P = .02) and less milk (3.5 vs 2.7 oz; P .001) than did children in CACFP centers. Caloric intake