National Academy of Sciences | 150 Year Anniversary

Questions? Call 800-624-6242

| Items in cart [0]

The National Academies Press

PAPERBACK
price:$48.00
add to cart

Rights & Permissions

topleft topright

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

Citation Manager

. "6 Process for Developing Recommendations for Meal Requirements." Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press, 2011.

Please select a format:

BibTeX EndNote RefMan


Page
93
bottomleft bottomright

The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy.


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

meal composites and the menus were evaluated for cost and correspondence with the nutrient targets. The menus were also evaluated for acceptability and practicality. This resulted in some changes in the preliminary Meal Requirements. The end product of this iterative process was a set of recommendations for CACFP Meal Requirements.

ESTABLISHING CALORIE AND NUTRIENT TARGETS

The committee developed targets for calories and 24 nutrients and other dietary components for each of the seven specified age groups. These targets served as a guide for developing the new Meal Requirements and helped ensure that they would align well with the Dietary Reference Intakes (DRIs) (IOM, 1997, 1998, 2000, 2001, 2002/2005, 2005) and the 2005 Dietary Guidelines (HHS/USDA, 2005). In setting the targets, the committee used the approach developed and implemented by the School Meals committee (IOM, 2010). As described below, different approaches were used to develop targets for (1) calories, (2) nutrients with Estimated Average Requirements (EARs), (3) nutrients with Adequate Intakes (AIs), and (4) macronutrients. The targets vary by age group and eating occasion.

Calorie Targets

Estimated Energy Requirements

Before nutrient targets could be set for CACFP meals and snacks, it was essential to determine appropriate calorie targets. To do this, the committee first estimated the average daily energy requirements of several age groups of children and adults served by CACFP (see Chapter 3, Table 3-3). The committee used rounded overall means in setting calorie targets for specific meals and snacks and in other calculations related to the Meal Requirements. Of necessity, these calorie levels will be too high for some subgroups (mainly adolescent and older adult females) and too low for others. In using the overall mean, the committee sought to achieve a satisfactory balance between these two extremes, recognizing that gender-specific calorie targets are impractical for use in a group feeding program. As explained in the section “Food Intakes” in Chapter 5, adults ages 19 years and older were considered a single group with a daily calorie target of 2,000 calories per day. Likewise, the 5–10- and 11–13-year age groups were combined, and a mean calorie level of 1,900 calories per day was used in the analyses.

Distribution of Calories Across Eating Occasions

As a first step in setting target calorie levels for CACFP meals and snacks, the committee analyzed data from the National Health and Nutri-

Page
93
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)