Abstract：
OBJECTIVE:Assess if diet quality (DQ) differs among 3 lunch measures commonly used to assess DQ in early care and education (ECE) centers, which include what is listed on the menu, served, and consumed. DESIGN:This quantitative observational study measured DQ of food and beverage items listed on the menu, what children were served, and what they consumed during one lunch meal. SETTING:Alabama ECE centers. PARTICIPANTS:ECE centers (n = 28) with attendance of ≥10 children ages 3 to 5 years and provided lunch daily. MAIN OUTCOME MEASURE(S):DQ measured through Healthy Eating Index-2015 (HEI) scores, which were calculated for the menu, served, and consumed lunch measures. ANALYSIS:Menu, served, and consumed HEI scores compared using either Kruskal-Wallis or ANOVA. Dunn Bonferroni or Duncan post hoc tests identified which group differed. RESULTS:Total HEI scores were significantly higher among menus, compared with served and consumed (P = .001). Served and consumed total HEI scores were not different. CONCLUSIONS AND IMPLICATIONS:Menu DQ differed from both the served and consumed lunch measures. These findings support the need for nutrition education on the importance of menu adherence in ECE centers.
journal_name
J Nutr Educ Behavjournal_title
Journal of nutrition education and behaviorauthors
Kroeger EN,Fernandez J,Jones P,Bertrand Bdoi
10.1016/j.jneb.2019.10.007subject
Has Abstractpub_date
2020-01-01 00:00:00pages
39-44issue
1eissn
1499-4046issn
1878-2620pii
S1499-4046(19)31071-1journal_volume
52pub_type
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journal_title：Journal of nutrition education and behavior
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