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Changing eating and physical activity patterns of US children

Published online by Cambridge University Press:  28 February 2007

Rachel K. Johnson*
Affiliation:
Department of Nutrition and Food Sciences, 108 Morrill Hall, The University of Vermont, Burlington, VT 05405, USA
*
Corresponding author: Dr Rachel K. Johnson, fax +1 802 656 0290, email [email protected]
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Abstract

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The number of US children who are overweight has more than doubled over the last decade. This change has broadened the focus of dietary guidance for children to address nutrient overconsumption and physical activity patterns. Total fat consumption expressed as a percentage of energy intake has decreased among US children. However, this decrease is largely the result of increased total energy intake in the form of carbohydrates and not necessarily due to decreased fat consumption. The majority of children aged 5–17 years are not meeting recommendations for Ca intakes. Much of this deficit is attributed to changing beverage consumption patterns, characterized by declining milk intakes and substantial increases in soft-drink consumption. On average, US children are not eating the recommended amounts of fruits and vegetables. US adolescents become less active as they get older, and one-quarter of all US children watch 4 h television each day, which is positively associated with increased BMI and skinfold thickness. There is an urgent need in the USA for effective prevention strategies aimed at helping children grow up with healthful eating and physical activity habits to achieve optimal health.

Type
Symposium on ‘Growing up with good nutrition: a focus on the first two decades’
Copyright
Copyright © The Nutrition Society 2000

References

Alaimo, K, McDowell, MA, Briefel, RR, Bischof, AM, Cauphman, CR, Loria, CM & Johnson, CL (1994)Dietary Intake of Vitamins, Minerals, and Fiber of Persons Ages 2 Months and Over in the United States: Third National Health and Nutrition Examination Survey, Phase I, 1988–1991. Advance Data from Vital and Health Statistics no. 258.Hyattsville, Md: National Center for Health Statistics.Google Scholar
AmericanAcademy of Pediatrics Committee on Nutrition (1998) Cholesterol in Children. Pediatrics 101, 141147.CrossRefGoogle Scholar
Anand, RS & Basiotis, PP (1998) Is total fat consumption really decreasing? Family Economics and Nutrition Review 11, 5860.Google Scholar
Anand, RS, Basiotis, P & Klein, BW (1999) Profile of Overweight Children. Nutrition Insights. Insight no. 13. Washington, DC: USDA Center for Nutrition Policy and Promotion.Google Scholar
Andersen, RE, Crespo, CJ, Bartlett, SJ, Cheskin, LJ & Pratt, M (1998) Relationship of physical activity and television watching with body weight and level of fatness among children: results from the Third National Health and Nutrition Examination Survey. Journal of the American Medical Association 279, 938942.CrossRefGoogle ScholarPubMed
Baranowski, T, Smith, M, Davis, HM, Lin, LS, Baranowski, J, Doyle, C, Resnicow, K & Wang, DT (1997) Patterns in children's fruit and vegetable consumption by meal and day of the week. Journal of the American College of Nutrition 15, 216223.CrossRefGoogle Scholar
Birch, LL & Deysher, M (1986) Caloric compensation and sensory specific satiety: Evidence of self-regulation of food intake by young children. Appetite 7, 323331.Google ScholarPubMed
Birch, LL & Fisher, JO (1995) Appetite and eating behavior in children. Pediatric Clinics of North America 42, 931953.CrossRefGoogle ScholarPubMed
Birch, LL & Fisher, JO (1998) Development of eating behaviors among children and adolescents. Pediatrics 101, Suppl., 539549.CrossRefGoogle ScholarPubMed
Birch, LL, Johnson, SL, Andersen, G, Peters, JC & Schulte, MC (1991) The variability of young children's energy intake. New England Journal of Medicine 324, 232235.Google Scholar
Birch, LL & Marline, DW (1982) I don't like it; I never tried it: Effects of exposure to food on two-year-old children's food preferences. Appetite 4, 353360.CrossRefGoogle Scholar
Centers for Disease Control and Prevention (1996) Physical Activity and Health: A Report by the Surgeon General. Atlanta, GA: Centers for Disease Control and Prevention.Google Scholar
Centres for Disease Control and Prevention (1997) Guidelines for school and community health programs to promote lifelong physical activity among young people Morbidity and Mortality Weekly Report 46, RR–6.Google Scholar
Chan, GM, Hoffman, K & McMurry, M (1995) Effects of dairy products on bone and body composition in pubertal girls. Journal of Pediatrics 126, 551556.CrossRefGoogle Scholar
Elbon, SM, Johnson, MA & Fischer, JG (1996) Predictors of milk consumption in older Americans. FASEB Journal 10, A725.Google Scholar
Food and Nutrition Board (1989) Recommended Dietary Allowances, 10th ed. Washington, DC: National Academy Press.Google Scholar
Food and Nutrition Board (1997) Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington, DC: National Academy Press.Google Scholar
Gerrior, S, Putnam, J & Bente, L (1998) Milk and milk products: their importance in the American diet. Food Review May-August issue 2937.Google Scholar
Harnack, L, Stang, J & Story, M (1999) Soft drink consumption among U.S. children and adolescents: nutritional consequences. Journal of the American Dietetic Association 99, 436441.Google Scholar
Jacobson, MF (1998) Liquid Candy – How Soft Drinks are Harming Americans' Health. Washington, DC: Center for Science in the Public Interest.Google Scholar
Johnson, RK & Nicklas, TA (1999) Position of the American Dietetic Association: Dietary guidance for healthy children aged 2 to 11 years. Journal of the American Dietetic Association 99, 93101.Google Scholar
Johnson, RK, Panely, C & Wang, MQ (1998) The association between noon beverage consumption and the diet quality of school-age children. Journal of Child Nutrition and Management 22, 95100.Google Scholar
Johnson, SL & Birch, LL (1994) Parents' and children's adiposity and eating style. Pediatrics 94, 653661.CrossRefGoogle ScholarPubMed
Johnston, CC, Miller, JZ, Slemenda, CW, Reister, TK, Hui, S, Christian, JC & Peacock, M (1992) Calcium supplementation increases in bone mineral density in children. New England Journal of Medicine 327, 8287.Google Scholar
Kasmin-Karakas, SE (1998) Dietary fat controversy: is it also applicable to children? American Journal of Clinical Nutrition 67, 11061107.CrossRefGoogle Scholar
Kelder, SH, Perry, CL, Knut-Inge, K & Lytle, LL (1994) Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. American Journal of Public Health 84, 11211126.Google Scholar
Kennedy, E & Goldberg, J (1995) What are American children eating? Implications for public policy. Nutrition Review 53, 111126.Google Scholar
Kirby, S, Baranowski, T, Reynolds, K, Taylor, G & Binkley, D (1995) Children's fruit and vegetable intake: socioeconomic, adult, child, regional, and urban-rural influences. Journal of Nutrition Education 27, 261271.CrossRefGoogle Scholar
Kotz, K & Story, M (1994) Food advertisements during children's Saturday morning television programming: Are they consistent with dietary recommendations? Journal of the American Dietetic Association 94, 12961300.Google Scholar
Lytle, L, Ebzery, MK, Nicklas, T, Montgomery, D, Zive, M, Evans, M, Snyder, P, Nichaman, M, Kelder, S, Reed, D, Busch, E & Mitchell, P (1996) Nutrient intakes of third graders: Results from the Child and Adolescent Trial for Cardiovascular Health (CATCH) Baseline Survey. Journal of Nutrition Education 28, 338347.Google Scholar
Luepker, RV, Perry, DL, McKinlay, SM, Nader, PR, Parcel, GS, Stone, EJ, Webber, LS, Elder, JR, Feldan, HA, Johnson, CC, Kelder, SH & Wu, M (1996) Outcomes of a field trial to improve children's dietary patterns and physical activity: The Child and Adolescent Trial for Cardiovascular Health (CATCH). Journal of the American Medical Association 275, 768776.CrossRefGoogle ScholarPubMed
McPherson, RS, Montgomery, DH & Nichaman, MZ (1990) Nutritional status of children: what do we know? Journal of Nutrition Education 27, 225234.Google Scholar
Matkovic, V & Ilich, JZ (1993) Calcium requirements for growth: are current recommendations adequate? Nutrition Review 51, 171180.Google Scholar
Mei, Z, Scanlon, KS, Grummer-Strawn, LM, Freedman, DS, Yip, R & Trowbridge, FL (1998) Increasing prevalence of overweight among US low-income preschool children: the Centers for Disease Control and Prevention Pediatric Nutrition Surveillance, 1983 to 1995. Pediatrics 101, E12.Google Scholar
Morton, JF & Guthrie, JF (1998) Changes in children's total fat intakes and their food group sources of fat, 1989–91 versus 1994–95: implications for diet quality. Family Economics and Nutrition Review 11, 4457.Google Scholar
Munoz, KA, Krebs-Smith, SM, Ballard-Barbash, R & Cleveland, LE (1997) Food intakes of U.S. children and adolescents compared with recommendations. Pediatrics 100, 323329.Google Scholar
Nicklas, TA, Farris, RP, Myers, L & Berenson, GS (1995) Dietary fiber intake of children and young adults: the Bogalusa Heart Study. Journal of the American Dietetic Association 95, 209214.CrossRefGoogle Scholar
Niinikoski, H, Viikari, J, Ronnemaa, T, Jokinen, E, Seppanen, R, Terho, P, Tuinene, J, Valimaki, I & Simell, O (1997) Growth until 3 years of age in a prospective, randomized trial of a diet with reduced saturated fat and cholesterol. Pediatrics 99, 687694.Google Scholar
Obarzanek, E, Hunsberger, SA, Van, Horn L, Hartmuller, VV, Barton, BA, Stevens, VJ, Kwiterovich, PO, Franklin, FA, Kimm, SYS, Lasser, NL, Simons-Morton, DG & Lauer, RM (1997) Safety of fat-reduced diet: the Dietary Intervention Study in Children (DISC). Pediatrics 100, 5159.Google Scholar
Oliveria, S, Ellison, R, Moore, L & Gillman, M (1992) Parent-child relationships in nutrient intake: the Framingham Children's Study. American Journal of Clinical Nutrition 56, 594598.Google Scholar
Peterson, S & Sigman-Grant, M (1997) Impact of adopting lower-fat food choices on nutrient intake of American children. Pediatrics (serial online) http://www.pediatrics.org/dgi/content/full/100/3/e4.Google Scholar
Public Health Service, US Department of Health and Human Services (1994) Mid-Term Review of Nutrition Objectives 2000. Washington, DC: Government Publishing Office.Google Scholar
Singer, MR, Moore, LL, Garrahie, EJ & Ellison, RC (1995) The tracking of nutrient intake in young children: The Framingham Children's Study. American Journal of Public Health 85, 16731677.Google Scholar
Troiana, RP & Flegal, KM (1998) Overweight children and adolescents; description, epidemiology, and demographics. Pediatrics 101, 497504.Google Scholar
Troiana, RP, Flegal, KM, Kuczmarski, RJ, Campbell, SM & Johnson, CL (1995) Overweight prevalence and trends for children and adolescents–the National Health and Nutrition Examination Surveys, 1963–1991. Archives of Pediatrics and Adolescent Medicine 149, 10851091.Google Scholar
Ulrich, C, Georgiou, C, Snow-Hearter, C & Gillis, D (1996) Bone mineral density in mother-daughter pairs: relations to lifetime exercise, lifetime milk consumption, and calcium supplements. American Journal of Clinical Nutrition 63, 72.Google Scholar
US Department of Agriculture (1992) Food Guide Pyramid: A Guide to Food Choice. Home and Garden Bulletin no. 252.Washington, DC: Human Nutrition Information Service.Google Scholar
US Department of Agriculture (1998) Food and nutrient intakes by individuals in the United States, by sex and age, 19941996.Washington, DC: US Department of Agriculture.Google Scholar
US Department of Agriculture (1999) Tips for Using the Food Guide Pyramid for Young Children 2 to 6 years old. Department of Agriculture, Center for Nutrition Policy and Promotion Program Aid no. 1647. http://www.usda.gov/cnppGoogle Scholar
US Department of Agriculture Agricultural Research Service (1995) Food and Nutrition Intakes by Individuals, 1 Day, 1989–91. NFS Report no. 91–2.Bettsville, MD: US Department of Agriculture.Google Scholar
US Department of Agriculture, Food and Nutrition Service (1998) YourSELF , Washington, DC: US Department of Agriculture.Google Scholar
US Department of Agriculture, Human Nutrition Information Service (1991) Nationwide Food Consumption Survey 1987–88 Individual Intake (data tape, accession no. BP90504044). Springfield, VA: National Technical Information Service.Google Scholar
Williams, CL (1995) Importance of dietary fiber in childhood. Journal of the American Dietetic Association 95, 11401146.CrossRefGoogle ScholarPubMed
Williams, CL, Bollella, M, Boccia, L & Spark, A (1998) Dietary fat and children's health. Nutrition Today 33, 144155.CrossRefGoogle Scholar
Wilson, JAW, Enns, CS & Goldman, JD (1997) Data tables: combined results from USDA's 1994 and 1995 continuing Survey of Food Intake of Individuals (On-line). http://www.barc.usda.gov/bhnrc/foodsurvey/home.htm.Google Scholar