Child and Adult Care Food Program: Aligning Dietary Guidance for All

few pregnant and lactating women are likely to participate in the adult care portion of CACFP, their requirements were not considered separately. Their nutrient needs would be somewhat higher than those for most women.

Determination of Body Weights and Heights

Body weight is used to estimate both calorie requirements and protein requirements, and height (length for infants and young children) is also needed to estimate calorie requirements. Therefore, the mean and median body weights and heights were calculated for each age group using anthropometric measures from NHANES 2003–2004. Table 3-2 shows the results by gender and age group.

Estimation of Calorie Requirements

To compare food group intakes with those recommended by MyPyramid, it was necessary to select an appropriate MyPyramid pattern for each age group. Because the patterns are determined by calorie requirements, an estimation of calorie needs was made for each CACFP age group, based on

TABLE 3-2 Calculated Mean and Median Body Weights and Heights by Age Group Based on NHANES 2003–2004

Age and Gender Group	Mean Body Weight (kg)	Median Body Weight (kg)	Mean Height (cm)	Median Height (cm)
1 year	11.6	11.5	82.2^a	81.8^a
2–4 years	16.1	15.9	99.2	99.1
5–10 years
Males	30.6	28.5	129.1	129.1
Females	31.2	27.9	129.5	128.9
11–13 years
Males	54.3	51.8	157.5	156.7
Females	53.6	51.4	155.7	155.6
14–18 years
Males	73.0	69.7	174.7	175.2
Females	63.2	59.5	161.9	161.9
19–59 years
Males	88.0	85.7	177.0	177.3
Females	75.3	70.7	163.1	163.1
≥ 60 years
Males	87.3	85.5	174.7	174.8
Females	73.0	70.3	160.4	160.1
NOTE: kg = kilogram; NA = not applicable; NHANES = National Health and Nutrition Examination Survey. ^aRecumbent lengths are given for children 1 year old. SOURCE: NHANES 2003–2004.

Table of Contents

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

Determination of Body Weights and Heights

Estimation of Calorie Requirements