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Dietary Intake in Child Age One To Three
Dietary Intake in Child Age One To Three
Dietary Intake in Child Age One To Three
ABSTRACT
In 2020, for the first time, the Dietary Guidelines for Americans will include recommendations for children from birth to age 24 mo. We examined
average nutrient intakes as well as total vegetable and white potato (WP) consumption among children aged 1–3 y using day 1 dietary data from
the NHANES 2009–2012 and the Food Patterns Equivalents Database 2009–2012. Appropriate survey weights were used to calculate average
daily consumption of total vegetables and WPs, which included French-fried potatoes and chips, for boys and girls aged 1–3 y. We calculated
mean intakes of selected nutrients of concern, including vitamin D, potassium, dietary fiber (DF), and calcium. We also examined intakes of
selected nutrients by major food group. Average intakes of most nutrients, including calcium, by children aged 1–3 y exceeded Dietary Reference
Intakes (DRIs). However, average intakes of potassium, DF, and vitamin D were 67%, 55%, and 49% of DRIs, respectively. Mean total vegetable
intake was less than the recommendation of 1 cup/d. Boys and girls aged 1–3 y consumed an average of 0.58 cup equivalents of total vegetables
on the day of the survey, which included 0.16 cups of WPs. Average vegetable consumption and mean intakes of potassium, DF, and vitamin D
were far below recommendations. The consumption of all vegetables, particularly those that are excellent sources of potassium and DF, such as
potatoes, should be encouraged. Adv Nutr 2016;7(Suppl):241S–6S.
ã2016 American Society for Nutrition. Adv Nutr 2016;7(Suppl):241S–6S; doi:10.3945/an.115.008656. 241S
to use the CVV for purchasing any fruit or vegetable, except added sugars; gram equivalents of solid fats and oils; and number of alco-
for white potatoes (WPs) (4). holic drinks (7, 8). For coding purposes, the FPED groups foods and bev-
erages into the following categories: milk and milk products (dairy);
In 2014, the USDA sponsored another IOM review of meat, poultry, fish, and mixtures (meats); eggs; legumes, nuts, and seeds
the WIC food package with an expedited review of the exclu- (beans and seeds); grain products including whole grains and refined grains
sion of WPs in the WIC program. After its review, the IOM (carbohydrates); fruit; vegetables; fats, oils, and salad dressings (fats); and
committee published a letter report to the USDA on 3 February sugars, sweets, and sugar-sweetened beverages (sweets). The sweets category
2015, recommending that WPs be included in the WIC pro- includes added sugars, which were defined as sugars that were added to
foods as an ingredient during preparation, processing, or at the table. In
gram like any other vegetable (5). The report concluded that, the fruit and vegetable groups, a cup equivalent is the amount of a food con-
“The nutrient profile of white potatoes does not support their sidered to be equivalent to 1 cup of a cut-up fruit or vegetable (7, 8).
exclusion from the CVV because their nutrient content is Appropriate survey weights were used to calculate average daily nutrient
similar to that of other starchy vegetables included in the intakes and consumption of total vegetables, WPs, FFPs, and other starchy veg-
CVV. Increased consumption of white potatoes could im- etables (sweet corn, green peas, and lima beans) for boys and girls aged 1–3 y.
For purposes of this study, WPs included the following: baked, boiled, fried,
prove potassium intake for both women and children.” hash-browned, home-fried, mashed, roasted, salad, scalloped, stuffed, with
TABLE 1 Demographic characteristics by race/ethnicity among children aged 1–3 y: NHANES 2009–20121
All NHWs NHBs MAs OREs
(n = 1313) (n = 370) (n = 304) (n = 320) (n = 319)
Boys, % 52.8 6 2.0 55.4 6 3.3 51.9 6 3.7 52.1 6 3.4 46.4 6 4.1
Age, y 2.0 6 0.03 2.1 6 0.05 2.0 6 0.05 1.9 6 0.05 2.1 6 0.06
Families with annual 29.6 6 1.6 15.4 6 2.0 56.2 6 4.0 47.4 6 3.9 33.2 6 4.2
income ,$25,000, %
Families living in 39.0 6 1.8 23.1 6 2.5 64.0 6 4.1 63.9 6 4.1 42.6 6 4.3
poverty (,130% of PIR), %
1
Values are sample-weighted means or proportions 6 SEs calculated by using STATA, 2006. Children who consumed breast milk on the day of
the survey were excluded from the analysis. MA, Mexican American; NHB, non-Hispanic black; NHW, non-Hispanic white; ORE, other race/eth-
nicity; PIR, poverty-to-income ratio.
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TABLE 2 Mean daily intakes of energy and selected nutrients by gender and race/ethnicity among children aged 1–3 y: NHANES 2009–
20121
All Boys Girls NHWs NHBs MAs OREs
(n = 1313) (n = 693) (n = 620) (n = 370) (n = 304) (n = 320) (n = 319) DRI2
Energy, kcal/d 1400 6 14.3 1440 6 17.5 1370* 6 25.7 1410 6 29.1
b
1520 6 38.9
a
1340 6 35.8
b
1350 6 33.0
b
—
Protein, g/d 51.9 6 0.7 52.3 6 0.9 51.6 6 1.1 52.0 6 1.3 52.7 6 1.2 51.8 6 1.4 51.2 6 1.7 13
Total fat, g/d 50.5 6 0.7 51.4 6 1.0 49.6 6 1.1 50.5a,b 6 1.5 56.1a 6 2.2 49.9b 6 1.7 46.4b 6 1.5 30–40
SFAs, g/d 18.9 6 0.3 18.9 6 0.5 18.9 6 0.4 19.4a 6 0.7 19.0a,b 6 0.7 19.1a 6 0.7 17.2b 6 0.6 —
Cholesterol, mg/d 167 6 5.2 167 6 9.1 168 6 4.9 153c 6 7.8 184a,b 6 9.3 198a 6 8.1 163b,c 6 12.0 —
Dietary fiber, g/d 10.5 6 0.2 10.8 6 0.3 10.2 6 0.3 10.7 6 0.4 10.5 6 0.4 9.91 6 0.5 10.6 6 0.5 19
Vitamin C, mg/d 83.1 6 3.9 86.3 6 5.6 79.8 6 3.9 78.2b,c 6 6.0 102a 6 6.8 73.7c 6 4.7 89.6a,b 6 5.4 15
Vitamin A, μg/d 576 6 13.9 589 6 21.9 563 6 19.4 597 6 21.8 540 6 24.5 589 6 38.2 537 6 21.2 300
Vitamin D, μg/d 7.4 6 0.2 7.3 6 0.2 7.5 6 0.2 7.5a 6 0.3 6.3b 6 0.3 8.1a 6 0.4 7.5a 6 0.3 15
Vitamin E,3 mg/d 5.1 6 0.1 5.4 6 0.2 4.7* 6 0.1 5.1a,b 6 0.2 5.6a 6 0.3 4.7b 6 0.2 4.9b 6 0.2 6
Folate, μg/d 266 6 5.1 268 6 8.0 263 6 8.3 260a,b 6 7.3 278a,b 6 9.2 252b 6 8.1 283a 6 12.4 150
Calcium, mg/d 1020 6 22.6 1030 6 32.7 1010 6 26.9 1070a 6 43.2 885b 6 30.1 1030a 6 36.7 992a 6 30.6 700
Intake of nutrients. The mean energy intake for this sample lower than the IOM’s DRIs. Mean potassium intake among
of 1- to 3-y-old children was ;1400 kcal/d—on the higher children aged 1–3 y was ;2000 mg/d—two-thirds of the AI.
end of the range established for 2- to 3-y-old children by Mean intake of vitamin D was 7.4 mg/d, whereas the RDA
the 2010 DGA (Table 2). Mean protein and total fat intakes for vitamin D is 15 mg/d.
were greater than the RDA and Acceptable Macronutrient Dis- Boys and girls in this age group had few significant differ-
tribution Range, whereas average DF intake, 10.5 g DF/d, was ences in intakes of most nutrients, including protein, total
lower than the recommended Adequate Intake (AI) (14). fat, saturated fat, cholesterol, folate, iron, DF, vitamin A, vi-
Mean intakes of most micronutrients by children aged 1–3 y tamin C, vitamin D, calcium, potassium, and sodium. On
exceeded the DRIs (13, 15–19) (Figure 1). For example, average, boys consumed more total energy and vitamin E
mean vitamin C intake was >500% of the RDA. Mean vitamin than did girls (Table 2).
A, calcium, and iron intakes were ;150–200% of RDAs. The Across race/ethnicity we found no significant differences
mean intake of vitamin E was 5.1 mg/d, lower than the RDA in mean intakes of the following nutrients: protein, DF, vi-
of 6 mg/d. Mean intakes of potassium and vitamin D were tamin A, and potassium (Table 2). MAs and OREs had
significantly lower intakes of total fat than did NHB chil- ;1.5 cup equivalents of starchy vegetables/wk (Table 3). On
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recommendations. NHB toddlers had a significantly lower 7. Bowman SA, Clemens JC, Thoerig RC, Friday JE, Shimizu M, Moshfegh
intake of vitamin D than did all other toddlers. AJ. Food patterns equivalents database 2009–10: methodology and user
guide [online]. Beltsville (MD): Food Surveys Research Group, Beltsville
Although the intake of calcium was above the Estimated
Human Nutrition Research Center, Agricultural Research Service,
Average Requirement and RDA for all races, lower intakes of USDA; 2013. [cited 2014 Mar 11]. Available from: http://www.ars.usda.
calcium by NHB children begins in toddlerhood and persists gov/ba/bhnrc/fsrg.
into adolescence and adulthood. NHB adolescent and adult 8. Bowman SA, Clemens JC, Friday JE, Thoerig RC, Moshfegh AJ. Food
females, in particular, have significantly lower intakes of cal- Patterns Equivalents Database 2011–12: methodology and user guide
[online]. Beltsville (MD): Food Surveys Research Group, Beltsville
cium and lower consumption of milk and milk products
Human Nutrition Research Center, Agricultural Research Service,
than do other races/ethnicities (22–24). The mean intake USDA; 2014. [cited 2014 Mar 12]. Available from: http://www.ars.
of potassium and DF in toddlers was approximately half of usda.gov/nea/bhnrc/fsrg.
the AI for these nutrients, suggesting the need for greater 9. USDA, Agricultural Research Service. USDA Automated Multiple-Pass
consumption of foods that are good sources of these nutri- Method [cited 2014 Mar 12]. Available from: http://www.ars.usda.gov/
Services/docs.htm?docid=7710.
ents, such as milk, fruit/fruit juices, and WPs. As shown pre-
10. US Department of Health and Human Services; National Center for
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