NUTRITION IN CHILDREN
FEEDING INFANTS AND TODDLERS STUDY 2008: PROGRESS, CONTINUING CONCERNS, AND IMPLICATIONS


Source: J Am Diet Assoc. 2010;110 (12 Suppl):S60-7
The Feeding Infants and Toddlers Survey (FITS) 2008 reveal both progress and some continuing concerns about feeding American infants and toddlers in the 21st century. Many toddlers and preschoolers were consuming diets with less than the acceptable macronutrient distribution range (AMDR) level of 30% to 40% of fat for children aged 1 to 3 years. However intake of folate, preformed vitamin A, zinc, and sodium were excessive compared to the Dietary Reference Intakes (DRIs). Twenty-five percent of the toddlers were on multivitamin-mineral dietary supplements. Children older than 1 year of usually ate nutrient poor snacks, sweets, sodas, and sweetened drinks. In fact, 30% of toddlers ate no vegetable on the survey day, and 25% ate no fruit. French fries were still the most popular vegetable among toddlers older than age 12 months. Preschoolers are likely not meeting their requirements for n-3 and n-6 fatty acids. Preschoolers aged 24 to 47 months were being fed lower-fat milks, and the switch to low-fat milks was evident even among 2-year-olds. About a quarter of preschoolers failed to eat a single serving of a fruit or vegetable on the survey day. In contrast, many preschoolers ate many high-energy, low-nutrient foods, such as sweets, sweetened carbonated beverages, and french fries.
The authors concluded that the relatively high intakes of sodium in toddlers and preschoolers bode poorly for healthy, lower-sodium eating patterns later in life. The lack of fruits and vegetables at the very time when food preferences are being learned and eating habits are being formed is also of concern. Toddlers and preschoolers relatively low total fat intakes and high saturated fat intakes suggest the need for a focus on healthy fats. Starting life with good feeding habits is vital, but sustaining, enhancing, and adapting healthy eating patterns through toddlerhood and into the preschool years is also imperative to increase the chance of healthy eating in adulthood. Multivitamin-mineral supplements are required among toddlers who do not consume adequate milk or milk substitutes.
The Feeding Infants and Toddlers Survey (FITS) 2008 reveal both progress and some continuing concerns about feeding American infants and toddlers in the 21st century. Many toddlers and preschoolers were consuming diets with less than the acceptable macronutrient distribution range (AMDR) level of 30% to 40% of fat for children aged 1 to 3 years. However intake of folate, preformed vitamin A, zinc, and sodium were excessive compared to the Dietary Reference Intakes (DRIs). Twenty-five percent of the toddlers were on multivitamin-mineral dietary supplements. Children older than 1 year of usually ate nutrient poor snacks, sweets, sodas, and sweetened drinks. In fact, 30% of toddlers ate no vegetable on the survey day, and 25% ate no fruit. French fries were still the most popular vegetable among toddlers older than age 12 months. Preschoolers are likely not meeting their requirements for n-3 and n-6 fatty acids. Preschoolers aged 24 to 47 months were being fed lower-fat milks, and the switch to low-fat milks was evident even among 2-year-olds. About a quarter of preschoolers failed to eat a single serving of a fruit or vegetable on the survey day. In contrast, many preschoolers ate many high-energy, low-nutrient foods, such as sweets, sweetened carbonated beverages, and french fries.
The authors concluded that the relatively high intakes of sodium in toddlers and preschoolers bode poorly for healthy, lower-sodium eating patterns later in life. The lack of fruits and vegetables at the very time when food preferences are being learned and eating habits are being formed is also of concern. Toddlers and preschoolers relatively low total fat intakes and high saturated fat intakes suggest the need for a focus on healthy fats. Starting life with good feeding habits is vital, but sustaining, enhancing, and adapting healthy eating patterns through toddlerhood and into the preschool years is also imperative to increase the chance of healthy eating in adulthood. Multivitamin-mineral supplements are required among toddlers who do not consume adequate milk or milk substitutes.
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