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Child and Adult Care Food Program: Aligning Dietary Guidance for All (2011)
Food and Nutrition Board (FNB)

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. "2 The Child and Adult Care Food Program." Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press, 2011.

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Child and Adult Care Food Program: Aligning Dietary Guidance for All
  • Grain/bread, and

  • Meat/meat alternates.

As described below, the combination of meal components differs for breakfast, lunch/supper, and snacks; the minimum required amounts of the meal components differ by age group and, for children and adults, by eating occasion.

Meal Pattern Descriptions

Meal patterns for infants differ markedly from those for children and adults, as shown below.


Infants The current infant lunch/supper meal patterns appear in Table 2-4. Ranges are given because of the wide variability in infants’ needs based on developmental stage and readiness for foods.


Children and adults For children, a general description of the current minimums required in the meal and snack patterns follows. The general meal pattern description for adults is identical to the list given below except that a serving of milk is not required at supper.

TABLE 2-4 Current Infant Meal Pattern for Lunch or Supper

Food Components

Birth through 3 Months

4–7 Months

8–11 Months

Formulaa or breast milkb,c (fl oz)

4–6

4–8

6–8

Infant cereala,d (T)

 

0–3e

2–4

Fruit or vegetable or both (T)

 

0–3e

1–4

Meat or meat alternated

 

 

 

Meat, fish, poultry, egg yolk, cooked dry beans or peas (T)

 

 

1–4

Cheese (oz)

 

 

½–2

Cottage cheese (oz, volume)

 

 

1–4

Cheese food or cheese spread (oz, weight)

 

 

1–4

NOTE: fl oz = fluid ounce; oz = ounce; T = tablespoon.

aInfant formula and dry cereal must be iron-fortified.

bBreast milk or formula, or portions of both, may be served; however, breast milk is recommended from birth through 11 months.

cFor some breastfed infants who regularly consume less than the minimum amount of breast milk per feeding, a serving of less than the minimum amount of breast milk may be offered, with additional breast milk offered if the infant is still hungry.

dMenu may include infant cereal, a meat/meat alternate, or both.

eA serving of this component is required when the infant is developmentally ready to accept it.

SOURCE: Adapted from USDA/FNS, 2010a.

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Front Matter (R1-R14)
Summary (1-14)
1 Introduction (15-24)
2 The Child and Adult Care Food Program (25-44)
3 Methods for Examining Food and Nutrient Intakes (45-60)
4 Nutritional Considerations for Infants and Children (61-76)
5 Nutritional Considerations for Adults (77-88)
6 Process for Developing Recommendations for Meal Requirements (89-112)
7 Recommendations for Meal Requirements (113-136)
8 Meal Cost Implications (137-152)
9 Implementation (153-168)
10 Consistency of Recommendationsfor Meal Requirements and Implementation Strategies with the Committee's Criteria (169-182)
11 Evaluation and Research Recommendations (183-190)
Appendix A: Acronyms, Abbreviations, and Glossary (191-196)
Appendix B: Biographical Sketches of Committee Members (197-204)
Appendix C: Workshop Agenda: February 2010 (205-206)
Appendix D: Critical Issues for Consideration by the Committee to Review Child and Adult Care Food Program Meal Requirements, as Submitted by the U.S. Department of Agriculture (207-212)
Appendix E: Current CACFP Meal Patterns (213-222)
Appendix F: Selected Food Program Descriptions and Websites (223-228)
Appendix G: Data Sources and Analytical Methods (229-234)
Appendix H: MyPyramid Food Groups and Subgroups (235-238)
Appendix I: Food Cost Approach and Methods (239-250)
Appendix J: Nutrient Targets by Meal and Age Group and Comparison of MyPyramid Food Group and Nutrient Targets with Recommended Meal Patterns (251-268)
Appendix K: Sample Menus (269-280)
Appendix L: Options for Breastfeeding Incentives (281-282)
Appendix M: Potential Partnerships to Assist with Technical Training for CACFP (283-284)
Index (285-296)