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Child Beverage Consumption in US Early Care and Education Settings, 2008-2020

Daniel A Zaltz1, Roni A Neff2, Lorrene D Ritchie3

  • 1Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Department of Nutritional Sciences, University of Toronto Temerty Faculty of Medicine, Toronto, ON.

Journal of Nutrition Education and Behavior
|February 1, 2025
PubMed

Insights

Young children in early care and education (ECE) settings consume too much juice and sugar-sweetened beverages (SSBs). Findings suggest policies to limit juice and SSB intake, promoting healthier beverage choices like water.

Area of Science:

  • Pediatric Nutrition
  • Public Health Policy
  • Early Childhood Education

Background:

  • Beverage consumption patterns in early care and education (ECE) settings significantly impact children's health.
  • Understanding current beverage intake is crucial for developing targeted interventions.
  • Previous research highlights the need to assess trends in ECE beverage consumption.

Purpose of the Study:

  • To describe young children's beverage intake in ECE settings across multiple US states.
  • To analyze beverage consumption data between 2008 and 2020.
  • To identify areas for improvement in children's diets within ECE environments.

Main Methods:

  • Analysis of multivariable-adjusted, age-stratified estimates of beverage consumption.
  • Study included children aged 12-60 months (n=4,457) in ECE centers and homes (n=846).
  • Data collected from various states in the US between 2008 and 2020.

Main Results:

  • Younger children in ECE had high per-meal probabilities for milk (79.7%) and notable intake of 100% juice (19.8%) and sugar-sweetened beverages (SSBs) (3.2%).
  • Older children in ECE showed increased milk consumption (87.2%) but also higher intake of SSBs (4.2%) and juice (2.9%).
  • Mean intake of SSBs and 100% juice was substantial, particularly for older children in ECE settings.

Conclusions:

  • There is a significant opportunity to enhance beverage choices within ECE settings.
  • Recommendations include increasing water consumption and reducing intake of juice and SSBs.
  • Findings support the implementation of policies to restrict or ban juice in ECE to promote healthier habits.
Abstract

Keywords:
beverageschild caredietary intakedirect observation

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