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Serum Vitamin C (mg/dl) by Salad Intake

Serum Vitamin C (mg/dl) by Salad Intake. Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention. Tara L. LaRowe, PhD: University of Wisconsin-Madison (UW)

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Serum Vitamin C (mg/dl) by Salad Intake

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  1. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Tara L. LaRowe, PhD: University of Wisconsin-Madison (UW) Alexandra K. Adams, MD, PhD: UW Jared B. Jobe, PhD: National Heart, Lung, and Blood Institute Kate A. Cronin, MPH: UW Ronald J. Prince, MS: UW JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  2. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Background • American Indian (AI) children, ages 2-5 years, have the highest rates of overweight and obesity (37%) compared to 30% in all ethnic groups combined. • Healthy eating and physical activity are strategies for preventing obesity. However, very few children are meeting national dietary and physical activity recommendations. • Few studies have examined food intake and physical activity among young AI children and even fewer interventions have targeted young AI children. • The Healthy Children Strong Families (HCSF) intervention was developed for preschool aged children and their families living in AI communities that focus on: • Increasing fruit and vegetable intake • Decreasing sweetened beverage and sugar intake • Increasing physical activity • Decreasing television watching JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  3. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Objectives • To report baseline dietary intake and physical activity among preschool aged children living in rural AI communities prior to the start of the HCSF intervention. • To compare dietary intake and physical activity to current recommendations from the USDA MyPyramid, American Heart Association, and the American Academy of Pediatrics. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  4. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Study Population & Methods • 135 children (52.7% boys) , aged 2-5 years, provided complete diet and physical activity data. • Diet and television watching was assessed through 3, 24-hour recalls • Physical activity was assessed via accelerometry • 94% of children were AI and 48.1% of children had a BMI ≥ 85th percentile. • Nutrients, food groups and physical activity, and added sugar intake were compared to established recommendations from the Dietary Reference Intakes (DRI), MyPyramid, and the American Heart Association, respectively. • Television watching was compared to the recommendations of the American Academy of Pediatrics. • Diet and physical activity was also compared between normal and overweight/obese children. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  5. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Baseline mean nutrient intakes among preschool children in the Healthy Children Strong Families Study compared to dietary reference intakes a SE = Standard error. b DRI = dietary reference intakes for children aged 1-3 years and 4-8 years, include two sets of values that serve as goals for nutrient intake: estimated average requirement (EAR) and adequate intake (AI). Blank spaces indicate that no dietary reference value is established. c Acceptable macronutrient distribution range. d Indicates statistically significant difference in means between children aged 2-3 and 4-5 years. * P < 0.05. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  6. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Baseline mean nutrient intakes among preschool children in the Healthy Children Strong Families Study compared to dietary reference intakes(cont’d) a SE = Standard error. b DRI = dietary reference intakes for children aged 1-3 years and 4-8 years, include two sets of values that serve as goals for nutrient intake: estimated average requirement (EAR) and adequate intake (AI). Blank spaces indicate that no dietary reference value is established. c Acceptable macronutrient distribution range. d Indicates statistically significant difference in means between children aged 2-3 and 4-5 years. * P < 0.05. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  7. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Comparison of mean baseline dietary data from the Healthy Children Strong Families Study with the MyPyramida,b recommendations a Based on a 1,200 kcal diet as recommended by MyPyramid for a 3-year-old girl, active 30-60 minutes per day (reference 16). b Based on a 1,400 kcal diet as recommended by MyPyramid for a 4-5-year-old girl and boy, active 30-60 minutes per day (reference 16). c SE = Standard error. d American Heart Association recommendation (reference 27). e Indicates statistically significant difference in means between children aged 2-3 and 4-5 years. f Indicates statistically significant difference in means between children with BMI < 85th percentile and ≥ 85th percentile. g. Rec=Recommendation * P < 0.05. ** P < 0.01. *** P < 0.001. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  8. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Comparison of mean baseline dietary data from the Healthy Children Strong Families Study with the MyPyramida,b recommendations(con’td) a Based on a 1,200 kcal diet as recommended by MyPyramid for a 3-year-old girl, active 30-60 minutes per day (reference 16). b Based on a 1,400 kcal diet as recommended by MyPyramid for a 4-5-year-old girl and boy, active 30-60 minutes per day (reference 16). c SE = Standard error. d American Heart Association recommendation (reference 27). e Indicates statistically significant difference in means between children aged 2-3 and 4-5 years. f Indicates statistically significant difference in means between children with BMI < 85th percentile and ≥ 85th percentile. g. Rec=Recommendation * P < 0.05. ** P < 0.01. *** P < 0.001. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  9. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Comparison of mean baseline dietary data from the Healthy Children Strong Families Study with the MyPyramida,b recommendations(con’td) a Based on a 1,200 kcal diet as recommended by MyPyramid for a 3-year-old girl, active 30-60 minutes per day (reference 16). b Based on a 1,400 kcal diet as recommended by MyPyramid for a 4-5-year-old girl and boy, active 30-60 minutes per day (reference 16). c SE = Standard error. d American Heart Association recommendation (reference 27). e Indicates statistically significant difference in means between children aged 2-3 and 4-5 years. f Indicates statistically significant difference in means between children with BMI < 85th percentile and ≥ 85th percentile. g. Rec=Recommendation * P < 0.05. ** P < 0.01. *** P < 0.001. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  10. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Comparisons of mean baseline physical activity data from the Healthy Children Strong Families Study with the American Academy for Pediatrics and MyPyramid recommendations a SE = Standard error. b American Academy for Pediatrics recommendation (reference 28). c MyPyramid recommendation (reference 16). d n = 52 for 2-3 year-old children; n = 56 for 4-5 year-old children. e Indicates statistically significant difference in mean comparing children BMI < 85th percentile and ≥ 85th percentile. f. Rec=Recommendation ** P < 0.01. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  11. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Comparison of mean dietary and physical activity data from the Healthy Children Strong Families Study by body mass index percentile a SE = Standard error. b n = 59 for children with BMI < 85th percentile; n = 49 for children with BMI ≥ 85th percentile. ** P < 0.01 JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  12. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Comparison of mean dietary and physical activity data from the Healthy Children Strong Families Study by body mass index percentile (cont’d) a SE = Standard error. b n = 59 for children with BMI < 85th percentile; n = 49 for children with BMI ≥ 85th percentile. ** P < 0.01 JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

  13. Serum Vitamin C (mg/dl) by Salad Intake Dietary Intakes and Physical Activity among Preschool Aged Children living in Rural American Indian Communities Prior to a Family-based Healthy Lifestyle Intervention Conclusions • Preschool children living in rural AI communities are not meeting MyPyramid recommendations, including fruits and vegetables, and are exceeding recommended amounts of added sugar. • Recommendations for physical activity were not met and television watching was reaching the upper limits of no more than 2 hours/day. • Baseline data showed that overweight children consumed more sweetened beverages and were exposed to more TV time than normal weight children. • The HCSF intervention has the potential to improve healthy eating and physical activity among young AI children. JOURNAL OFTHE AMERICAN DIETETICASSOCIATION LaRowe T, et al. J Am Diet Assoc; 2010; Volume 110 (July).

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