Title
Child-care environment and dietary intake of 2- and 3-year-old children
Author
Gubbels, J.S.
Kremers, S.P.J.
Stafleu, A.
Dagnelie, P.C.
de Vries, N.K.
Thijs, C.
TNO Kwaliteit van Leven
Publication year
2010
Abstract
Background: Previous research has shown that children in child-care do not comply with dietary intake recommendations (i.e. either exceeding or not meeting recommendations), which may be attributable to specific features of the child-care environment. The present study explored the relationship between the social and physical child-care (day-care) environment and dietary intake of 2- and 3-year-olds in Dutch child-care centres. Methods: The dietary intake of 135 children, aged 2 and 3 years, who were in child-care was assessed by observing randomly selected children at three meals (morning snack, lunch and afternoon snack) to determine dietary intake (i.e. saturated fat, dietary fibre and energy intake). The environment was observed using the Environment and Policy Assessment and Observation checklist, a structured instrument assessing the physical and social environment. Results: Children consumed a mean of 486 kJ (116 kcal) during the morning snack, 2043 kJ (488 kcal) during lunch and 708 kJ (169 kcal) during the afternoon snack. There were some gender and age differences in dietary intake. Several environmental factors (e.g. serving style and staff's model dietary behaviour) were significantly associated with the children's dietary intake. Conclusions: Overall, energy intake was in the upper range of recommended intake for children in child-care. The associations of several environmental factors with dietary intake stress the importance of the child-care environment for children's dietary behaviour. Intervening in this setting could possibly contribute to the comprehensive prevention of childhood obesity. © 2009 The Authors. Journal compilation © 2009 The British Dietetic Association Ltd.
Subject
Nutrition
Physiological Sciences
Child
Child-care
Day care
Dietary intake
Meals
Social environment
To reference this document use:
http://resolver.tudelft.nl/uuid:a2fc41c1-1053-4104-93ce-3c4588ded255
DOI
https://doi.org/10.1111/j.1365-277x.2009.01022.x
TNO identifier
275957
ISSN
0952-3871
Source
Journal of Human Nutrition and Dietetics, 23 (1), 97-101
Document type
article