Trends in dietary intake among US 2- to 6-year-old children, 1989-2008

Christopher N Ford1, Meghan M Slining, Barry M Popkin

  • 1Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC 27516, USA.

Insights

Childhood obesity rose as children aged 2-6 consumed more savory snacks, pizza, sweets, and fruit juice. Total daily calorie intake increased significantly between 1989 and 2008.

Area of Science:

  • Pediatric Nutrition
  • Public Health
  • Dietary Habits

Background:

  • Childhood obesity rates significantly increased across all age groups between 1989 and 2008.
  • Dietary patterns in young children may be a contributing factor to the rise in obesity.

Purpose of the Study:

  • To examine changes in the dietary intake of U.S. children aged 2 to 6 years from 1989 to 2008.
  • To identify specific food consumption trends that may correlate with increased childhood obesity during this period.

Main Methods:

  • Analysis of dietary data from 10,647 children aged 2-6 years across five national surveys (1989-2008).
  • Dietary intake data categorized using the University of North Carolina-Chapel Hill approach.
  • Statistical comparison of mean intakes across survey years using weighted 24-hour dietary recalls (P<0.05 significance).

Main Results:

  • Per capita intake increased for savory snacks (+51 kcal), pizza/calzones (+32 kcal), sweet snacks/candy (+25 kcal), mixed Mexican dishes (+22 kcal), and fruit juice (+18 kcal).
  • Total daily energy intake rose by 109 kcal (1,475 to 1,584 kcal; P<0.05).
  • Significant dietary shifts occurred between 1994-1998 and 2003-2004 surveys.

Conclusions:

  • Consumption of foods high in added sugars and solid fats, including savory snacks, pizza, and fruit juice, increased significantly.
  • These dietary changes likely contributed to the observed rise in childhood obesity from 1989 to 2008.
Abstract

Related Concept Videos

Cancer Prevention02:59

Cancer Prevention

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
Regulation of Food Intake01:30

Regulation of Food Intake

Short-term regulation of food intake primarily involves neural signals from the gastrointestinal (GI) tract, blood nutrient levels, and GI tract hormones. Communication between the gut and brain via vagal nerve fibers plays a significant role in evaluating the contents of the gut. Clinical studies have shown that protein ingestion produces a more prolonged response in these nerve fibers compared to an equivalent amount of glucose. Additionally, the activation of stretch receptors caused by GI...
Dietary Connections01:23

Dietary Connections

In biological systems, most metabolic pathways are interconnected. The cellular respiration processes that convert glucose to ATP—such as glycolysis, pyruvate oxidation, and the citric acid cycle—tie into those that break down other organic compounds. As a result, various foods—from apples to cheese to guacamole—end up as ATP. In addition to carbohydrates, food also contains proteins and lipids—such as cholesterol and fats. All of these organic compounds are used as energy sources to produce...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...