Chapter 4: Nutrition and Food Service
4.2 General Requirements
22.214.171.124: Categories of Foods
The early care and education program should ensure the following food groups are being served to children in care. When incorporated into a child’s diet, these food groups make up foundational components of a healthy eating pattern.
|Making Healthy Food Choicesa|
|Food Groups/Ingredients||USDAb||CFOC Guidelines for Young Children|
Includes fresh, frozen, canned (packed in water or 100% fruit juice), and dried varieties that include good sources of potassium (e.g., bananas, dried plums)
100% juice (i.e., without added sugars)
|Vegetables||Includes fresh, frozen, canned, and dried varieties|
Contain the entire grain kernel (e.g., whole wheat flour, bulgur, oatmeal, brown rice)
Enriched grains that have been milled, processed, and stripped of vital nutrients
(Meat and Meat Alternatives)
|Includes food from animal and plant sources (e.g., seafood, lean meat, poultry, eggs, yogurt, cheese, soy products, nuts and seeds, cooked [mature] beans and peas)|
|Dairy||Fat-free or low-fat (1%) milk or soy milk|
|Abbreviations: CFOC, Caring for Our Children: National Health and Safety Performance Standards; USDA, US Department of Agriculture.|
a All foods are assumed to be in nutrient-dense forms, lean or low-fat, and prepared without added fats, sugars, or salt. Solid fats and added sugars may be included up to the daily maximum limit identified in the 2015–2020 Dietary Guidelines for Americans.
b The USDA recommends finding a balance between food and physical activity.
- Trans-fatty acids (trans fat) should be avoided.
- Avoid concentrated sweets such as candy, sodas, sweetened caffeinated drinks, fruit nectars, and flavored milks. Offer foods that have little or no added sugars.
- Limit salty foods such as chips and pretzels. When buying foods, choose no salt added, low-sodium, or reduced sodium versions, and prepare foods without adding salt. Use herbs or no-salt spice mixes instead of salt, soy sauce, ketchup, barbeque sauce, pickles, olives, salad dressings, butter, stick margarine, gravy, or cream sauce with seasonal vegetables and other dishes.
- Avoid caffeine.
- American Academy of Pediatrics. American Academy of Pediatrics recommends no fruit juice for children under 1 year. https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/American-Academy-of-Pediatrics-Recommends-No-Fruit-Juice-For-Children-Under-1-Year.aspx. Published May 22, 2017. Accessed September 19, 2017
- Holt K, Wooldridge N, Story M, Sofka D. Bright Futures: Nutrition. 3rd ed. Elk Grove Village, IL: American Academy of Pediatrics; 2011
- US Department of Agriculture. ChooseMyPlate.gov. Children. http://www.choosemyplate.gov/children. Updated August 26, 2015. Accessed September 19, 2017
- US Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. Washington, DC: US Department of Health and Human Services; 2008. http://www.health.gov/paguidelines/guidelines/default.aspx. Accessed September 19, 2017
- US Department of Health and Human Services, US Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th ed. Washington, DC: US Department of Health and Human Services; 2015. https://health.gov/dietaryguidelines/2015/resources/2015-2020_Dietary_Guidelines.pdf. Accessed September 19, 2017
RATIONALEThe 2015–2020 Dietary Guidelines for Americans and The Surgeon General’s Call to Action to Support Breastfeeding support patterns of healthy eating to promote a healthy weight and lifestyle that, in turn, prevent the onset of overweight and obesity in children (1,2). Incorporating each of the food groups by providing children with appropriate meals and snacks helps set the stage for a lifetime of healthy eating behaviors. Research reinforces the following suggestions as being a practical approach to selecting foods high in essential nutrients and moderate in calories/energy:
- Meals and snacks planned based on the food groups in the Making Healthy Food Choices Table promote normal growth and development of children as well as reduce children’s risk of overweight, obesity, and related chronic diseases later in life. Age-specific guidance for meals and snacks is outlined in the US Department of Agriculture Child and Adult Care Food Program (CACFP) guidelines (3).
- Early care and education settings provide the opportunity for children to learn about the food they eat, to develop and strengthen their fine and gross motor skills, and to engage in social interaction at mealtimes.
- "Energy” or sports beverages are typically high in added sugars and, therefore, not recommended for consumption. They contain many nonnutritive stimulants, such as caffeine, that have a history of harmful effects on a child’s developing heart, brain, and nervous system (4).
COMMENTSEarly care and education settings should encourage mothers to breastfeed their infants. Scientific evidence documents and supports the nutritional and health contributions of human milk.2 For more information on portion sizes and types of food, see the CACFP guidelines.3
TYPE OF FACILITYCenter, Large Family Child Care Home, Small Family Child Care Home
RELATED STANDARDS126.96.36.199 Meal and Snack Patterns
188.8.131.52 100% Fruit Juice
184.108.40.206 Feeding Plans and Dietary Modifications
220.127.116.11 Feeding Infants on Cue by a Consistent Caregiver/Teacher
18.104.22.168 Preparing, Feeding, and Storing Human Milk
22.214.171.124 Preparing, Feeding, and Storing Infant Formula
126.96.36.199 Feeding Cow’s Milk
188.8.131.52 Meal and Snack Patterns for Toddlers and Preschoolers
184.108.40.206 Meal and Snack Patterns for School-Age Children
220.127.116.11 Nutrition Learning Experiences for Children
18.104.22.168 Nutrition Education for Parents/Guardians
Appendix Q: MyPlate: Make It Yours
Appendix R: Choose MyPlate: 10 Tips to a Great Plate
US Department of Health and Human Services, US Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th ed. Washington, DC: US Department of Health and Human Services; 2015. https://health.gov/dietaryguidelines/2015/resources/2015-2020_Dietary_Guidelines.pdf. Accessed September 19, 2017
US Department of Health and Human Services. The Surgeon General’s Call to Action to Support Breastfeeding. Washington, DC: US Department of Health and Human Services, Office of the Surgeon General; 2011. https://www.cdc.gov/breastfeeding/promotion/calltoaction.htm. Updated April 12, 2017. Accessed September 19, 2017
US Department of Agriculture, Food and Nutrition Service. Child and Adult Care Food Program (CACFP). https://www.fns.usda.gov/cacfp/child-and-adult-care-food-program. Published March 29, 2017. Accessed September 19, 2017
Centers for Disease Control and Prevention. Healthy schools. The buzz on energy drinks. https://www.cdc.gov/healthyschools/nutrition/energy.htm. Updated March 22, 2016. Accessed September 19, 2017
Content in the STANDARD was modified on 2/2012 and 11/16/2017.