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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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. "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.

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

BOX 6-2

Formula for Determining Target Calorie Levels for Meals and Snacks

The general formula used to identify target calorie levels is


Target meal calories =

Mean energy requirement for age group × mean % of calories in meal.


For example, for children ages 2–years, the NHANES data indicated that children in this age range obtain an average of 20 percent of total calories from breakfast. Using this information the target calorie level for breakfast for this age group was calculated as follows:


Breakfast calories 1,300 calories × 0.2 = 260 calories.

some of the eating occasions were adjusted slightly to 32 percent for lunch and supper and 14 percent for snacks. This was done to allow for more calories in snacks and, for reasons of practicality, to make the target calorie levels for lunch and supper the same.

The committee recognizes that some children and adults with limited access to food or with substantially higher calorie needs might benefit from meals or snacks that provide substantially more calories (and nutrients). In the committee’s view, however, this situation does not provide the basis for increasing the target calorie levels for CACFP meals and snacks. For children ages 5 years and older and for adults, however, the committee proposed an enhanced snack (see Chapter 7). In addition, family-style meal service, which currently is an option for child care facilities, offers the opportunity to balance the needs of those who need less food (because they are smaller or less hungry) with those who need more. To address the higher needs of vulnerable children and adults, child and adult care programs should use other mechanisms such as referrals to other community nutrition assistance programs (especially including the Supplemental Nutrition Assistance Program) to help ensure that they and their households have access to sufficient food.

Nutrient Targets for Protein, Vitamins, and Minerals

In setting the nutrient targets for CACFP meals and snacks, the committee followed the methodology developed and implemented by the School Meals committee (IOM,2010). This methodology—referred to as the “Target Median Intake Approach ”—was based on the methods recommended

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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)