Abstract

WWEIA data were used to assess energy intake and food sources of energy in the diets of children 2-19 years of age (N1⁄418,363) over the last decade. Regression analyses were conducted to determine a p-for-trend across the NHANES data releases (2001-2002, 2003-2004, 2005-2006, 2007-2008, and 2009-2010). Covariate adjusted energy intake was 2020 9 kcal/d. Major contributors of energy (mean SE, kcal/d) in the diet across the decade were Grains (790 8); Meat, Poultry, Fish and Mixtures (321 4); Milk and Milk Products (300 4); and Sugars, Sweets and Beverages (282 4). Energy intake decreased across the five NHANES releases; there was a significant (p<0.0001) p-for-trend of -44 kcal/d per release (-42 in those 2-11 yrs and -45 in those 12-19 yrs). The largest decrease in energy was from Sugars, Sweets and Beverages (-20 kcal/d per release, p<0.0001). There were smaller decreases (kcal/d per release) in Milk and Milk Products (-7; p<0.01), Vegetables (-5; p<0.001), and Fats, Oils and Salad Dressings (-3; p<0.0001). The largest decrease (p<0.0001) in energy was in Soft Drinks (Carbonated) of -15 kcal/d per release (-9 in those 2-11 yrs and -22 in those 12-19 yrs). There were smaller decreases (p<0.01) (kcal/d per release) in Cereals, Not Cooked (-7), Milks and Milk Drinks (-6), Cakes, Cookies, Pies, Pastries (-5), White Potatoes and Starchy Vegetables (-5), Sugars and Sweets (-4), Salad Dressings (-3), and Beef (-3). Energy intake decreased in children over the decade and warrants monitoring over time to assess if this leads to better weight status for American children.

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