Milk is a substantial contributor of essential nutrients that are required for normal growth and development in children and adolescents. Despite its nutrient dense profile, most children and adolescents fail to consume the recommended amounts of milk and milk products each day which could contribute to poor diet quality. Flavored milk contains the same essential nutrients as plain milk; however, there is concern that the added sugar and higher caloric content may negatively impact overall diet quality and body weight. The goal of this project was to examine the relationship between flavored milk consumption, diet quality [using the Health Eating Index‐2010 (HEI)], body weight and BMI z‐score in children (2–5 y, 6–11 y, and 12–17 y) from different ethnic backgrounds (Mexican Americans, Non‐Hispanic Whites, Non‐Hispanic Blacks). Data from the dietary component of the 2001–2002 through 2011–2012 National Health and Nutrition Examination Survey (NHANES) were used in this study. Usual intake of plain and flavored milk was determined using the National Cancer Institute method with those with a usual intake of flavored milk of ≥0.25 cups/d defined as consumers. Food group/nutrient data from NHANES was used to determine an HEI score. Total HEI scores decreased across age groups examined (2–5 < 6–11 < 12–17 y) regardless of flavored milk consumption. For most age and ethnic groups, there was no difference in total diet quality between flavored milk consumers and non‐consumers. In Mexican males 12–17 y and in non‐Hispanic white girls 2–5, non‐consumers had a significantly higher HEI score than consumers of flavored milk. In contrast, non‐Hispanic black females 12–17 who consumed flavored milk had significantly greater HEI scores than non‐consumers. However, the dairy component score for the HEI was significantly greater in flavored milk consumers as compared to non‐consumers across all age and ethnic groups examined, suggesting milk consumption was closer to recommended levels in flavored milk consumers. Across ethnicity groups, children and adolescents who consumed flavored milk did not have increased body weight, BMI, or BMI z‐score compared to non‐consumers. Waist circumference was higher (51.4±0.3 cm vs. 50.1±0.2 cm, p=0.000) in non‐Hispanic black male consumers 2–5 y, but no difference was found among other ethnicities or age groups. Overall, these results show that flavored milk consumption is not related to increased body weight or BMI z‐score in American children and adolescents, while contributing to better dairy‐related HEI scores as compared to non‐consumers. These data continue to demonstrate that flavored milk represents an important option for children and adolescents to meet dairy and nutrient recommendations.Support or Funding InformationThis work was funded by the National Dairy Council.
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