Committee to Review Child and Adult Care Food Program Meal Requirements's Books

Child and Adult Care Food Program

Aligning Dietary Guidance for All

By: Institute of Medicine,Food and Nutrition Board,Committee to Review Child and Adult Care Food Program Meal Requirements

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Child and Adult Care Food Program

Aligning Dietary Guidance for All

By: Institute of Medicine,Food and Nutrition Board,Committee to Review Child and Adult Care Food Program Meal Requirements

The Child and Adult Care Food Program (CACFP) is a federally-funded program designed to provide healthy meals and snacks to children and adults while receiving day care at participating family day care homes, traditional child care centers, afterschool facilities, adult care facilities, and emergency shelters. CACFP has the broadest scope of any of the U.S. Department of Agriculture (USDA) food program, serving more than 3 million children and 114,000 adults across the nation. To receive reimbursement for the foods served, participating programs must abide by requirements set by the USDA. Child and Adult Care Food Program assesses the nutritional needs of the CACFP population based on Dietary Guidelines for Americans and the Dietary Reference Intakes (DRIs) and makes recommendations for revisions to the CACFP meal requirements. The book outlines meal requirements that include food specifications that could be used for specific meals and across a full day, covering all age groups from infants to older adults and meal patterns designed for use in a variety of settings, including in-home care and in large centers. By implementing these meal requirements, consumption of fruits, vegetables, and whole-grain rich foods will increase while consumption of solid fats, added sugars, and sodium will decrease. Not only will this address the high prevalence of childhood obesity, it will also help to achieve consistency with the standards and regulations of other USDA nutrition assistance programs, particularly the Supplemental Nutrition Program for Women, Infants, and Children (WIC), and the National School Lunch and School Breakfast programs. Child and Adult Care Food Program makes practical recommendations that would bring CACFP meals and snacks into alignment with current dietary guidance. The book will serve as a vital resource for federal and state public health officials, care providers working in child and adult day care facilities, WIC agencies, officials working with the National School Lunch and School Breakfast programs, and other organizations serving at-risk populations.

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311

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National Academies Press

Published Date

ISBN 10

0309158451

ISBN 13

9780309158459

Review of WIC Food Packages

Proposed Framework for Revisions: Interim Report

By: National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Food and Nutrition Board,Committee to Review WIC Food Packages

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Review of WIC Food Packages

Proposed Framework for Revisions: Interim Report

By: National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Food and Nutrition Board,Committee to Review WIC Food Packages

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) began 40 years ago as a pilot program and has since grown to serve over 8 million pregnant women, and mothers of and their infants and young children. Today the program serves more than a quarter of the pregnant women and half of the infants in the United States, at an annual cost of about $6.2 billion. Through its contribution to the nutritional needs of pregnant, breastfeeding, and post-partum women; infants; and children under 5 years of age; this federally supported nutrition assistance program is integral to meeting national nutrition policy goals for a significant portion of the U.S. population. To assure the continued success of the WIC, Congress mandated that the Food and Nutrition Service of the U.S. Department of Agriculture (USDA) reevaluate the program's food packages every 10 years. In 2014, the USDA asked the Institute of Medicine to undertake this reevaluation to ensure continued alignment with the goals of the Dietary Guidelines for Americans. This, the second report of this series, provides a summary of the work of phase I of the study, and serves as the analytical underpinning for phase II in which the committee will report its final conclusions and recommendations.

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587

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National Academies Press

Published Date

ISBN 10

0309380006

ISBN 13

9780309380003

Review of WIC Food Packages

An Evaluation of White Potatoes in the Cash Value Voucher: Letter Report

By: Institute of Medicine,Food and Nutrition Board,Committee to Review WIC Food Packages

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Review of WIC Food Packages

An Evaluation of White Potatoes in the Cash Value Voucher: Letter Report

By: Institute of Medicine,Food and Nutrition Board,Committee to Review WIC Food Packages

Review of WIC Food Packages: An Evaluation of White Potatoes in the Cash Value Voucher assesses the impact of 2009 regulation to allow the purchase of vegetables and fruits, excluding white potatoes, with a cash value voucher on food and nutrient intakes of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) population and to consider whether white potatoes should be permitted for purchase with the voucher. This report considers the effects on diet quality, the health and cultural needs of the WIC population, and allows for effective and efficient administration nationwide in a cost-effective manner. Review of WIC Food Packages: An Evaluation of White Potatoes in the Cash Value Voucher recommends that the U.S. Department of Agriculture should allow white potatoes as a WIC-eligible vegetable, in forms currently permitted for other vegetables, in the cash value voucher pending changes to starchy vegetable intake recommendations in the 2015 Dietary Guidelines for Americans.

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106

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National Academies Press

Published Date

ISBN 10

0309339278

ISBN 13

9780309339278

Dietary Reference Intakes for Sodium and Potassium

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Food and Nutrition Board,Committee to Review the Dietary Reference Intakes for Sodium and Potassium

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Dietary Reference Intakes for Sodium and Potassium

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Food and Nutrition Board,Committee to Review the Dietary Reference Intakes for Sodium and Potassium

As essential nutrients, sodium and potassium contribute to the fundamentals of physiology and pathology of human health and disease. In clinical settings, these are two important blood electrolytes, are frequently measured and influence care decisions. Yet, blood electrolyte concentrations are usually not influenced by dietary intake, as kidney and hormone systems carefully regulate blood values. Over the years, increasing evidence suggests that sodium and potassium intake patterns of children and adults influence long-term population health mostly through complex relationships among dietary intake, blood pressure and cardiovascular health. The public health importance of understanding these relationships, based upon the best available evidence and establishing recommendations to support the development of population clinical practice guidelines and medical care of patients is clear. This report reviews evidence on the relationship between sodium and potassium intakes and indicators of adequacy, toxicity, and chronic disease. It updates the Dietary Reference Intakes (DRIs) using an expanded DRI model that includes consideration of chronic disease endpoints, and outlines research gaps to address the uncertainties identified in the process of deriving the reference values and evaluating public health implications.

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595

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National Academies Press

Published Date

ISBN 10

0309488346

ISBN 13

9780309488341

Finding a Path to Safety in Food Allergy

Assessment of the Global Burden, Causes, Prevention, Management, and Public Policy

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Food and Nutrition Board,Committee on Food Allergies: Global Burden, Causes, Treatment, Prevention, and Public Policy

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Finding a Path to Safety in Food Allergy

Assessment of the Global Burden, Causes, Prevention, Management, and Public Policy

Over the past 20 years, public concerns have grown in response to the apparent rising prevalence of food allergy and related atopic conditions, such as eczema. Although evidence on the true prevalence of food allergy is complicated by insufficient or inconsistent data and studies with variable methodologies, many health care experts who care for patients agree that a real increase in food allergy has occurred and that it is unlikely to be due simply to an increase in awareness and better tools for diagnosis. Many stakeholders are concerned about these increases, including the general public, policy makers, regulatory agencies, the food industry, scientists, clinicians, and especially families of children and young people suffering from food allergy. At the present time, however, despite a mounting body of data on the prevalence, health consequences, and associated costs of food allergy, this chronic disease has not garnered the level of societal attention that it warrants. Moreover, for patients and families at risk, recommendations and guidelines have not been clear about preventing exposure or the onset of reactions or for managing this disease. Finding a Path to Safety in Food Allergy examines critical issues related to food allergy, including the prevalence and severity of food allergy and its impact on affected individuals, families, and communities; and current understanding of food allergy as a disease, and in diagnostics, treatments, prevention, and public policy. This report seeks to: clarify the nature of the disease, its causes, and its current management; highlight gaps in knowledge; encourage the implementation of management tools at many levels and among many stakeholders; and delineate a roadmap to safety for those who have, or are at risk of developing, food allergy, as well as for others in society who are responsible for public health.

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575

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National Academies Press

Published Date

ISBN 10

0309450349

ISBN 13

9780309450348

Sodium Intake in Populations

Assessment of Evidence

By: Institute of Medicine,Board on Population Health and Public Health Practice,Food and Nutrition Board,Committee on the Consequences of Sodium Reduction in Populations

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Sodium Intake in Populations

Assessment of Evidence

By: Institute of Medicine,Board on Population Health and Public Health Practice,Food and Nutrition Board,Committee on the Consequences of Sodium Reduction in Populations

Despite efforts over the past several decades to reduce sodium intake in the United States, adults still consume an average of 3,400 mg of sodium every day. A number of scientific bodies and professional health organizations, including the American Heart Association, the American Medical Association, and the American Public Health Association, support reducing dietary sodium intake. These organizations support a common goal to reduce daily sodium intake to less than 2,300 milligrams and further reduce intake to 1,500 mg among persons who are 51 years of age and older and those of any age who are African-American or have hypertension, diabetes, or chronic kidney disease. A substantial body of evidence supports these efforts to reduce sodium intake. This evidence links excessive dietary sodium to high blood pressure, a surrogate marker for cardiovascular disease (CVD), stroke, and cardiac-related mortality. However, concerns have been raised that a low sodium intake may adversely affect certain risk factors, including blood lipids and insulin resistance, and thus potentially increase risk of heart disease and stroke. In fact, several recent reports have challenged sodium reduction in the population as a strategy to reduce this risk. Sodium Intake in Populations recognizes the limitations of the available evidence, and explains that there is no consistent evidence to support an association between sodium intake and either a beneficial or adverse effect on most direct health outcomes other than some CVD outcomes (including stroke and CVD mortality) and all-cause mortality. Some evidence suggested that decreasing sodium intake could possibly reduce the risk of gastric cancer. However, the evidence was too limited to conclude the converse-that higher sodium intake could possibly increase the risk of gastric cancer. Interpreting these findings was particularly challenging because most studies were conducted outside the United States in populations consuming much higher levels of sodium than those consumed in this country. Sodium Intake in Populations is a summary of the findings and conclusions on evidence for associations between sodium intake and risk of CVD-related events and mortality.

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225

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National Academies Press

Published Date

ISBN 10

0309282985

ISBN 13

9780309282987

A Risk-Characterization Framework for Decision-Making at the Food and Drug Administration

By: Institute of Medicine,National Research Council,Division on Earth and Life Studies,Board on Environmental Studies and Toxicology,Committee on Ranking FDA Product Categories Based on Health Consequences, Phase II

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A Risk-Characterization Framework for Decision-Making at the Food and Drug Administration

With the responsibility to ensure the safety of food, drugs, and other products, the U.S. Food and Drug Administration (FDA) faces decisions that may have public-health consequences every day. Often the decisions must be made quickly and on the basis of incomplete information. FDA recognized that collecting and evaluating information on the risks posed by the regulated products in a systematic manner would aid in its decision-making process. Consequently, FDA and the Department of Health and Human Services (DHHS) asked the National Research Council (NRC) to develop a conceptual model that could evaluate products or product categories that FDA regulates and provide information on the potential health consequences associated with them. A Risk-Characterization Framework for Decision-Making at the Food and Drug Administration describes the proposed risk-characterization framework that can be used to evaluate, compare, and communicate the public-health consequences of decisions concerning a wide variety of products. The framework presented in this report is intended to complement other risk-based approaches that are in use and under development at FDA, not replace them. It provides a common language for describing potential public-health consequences of decisions, is designed to have wide applicability among all FDA centers, and draws extensively on the well-vetted risk literature to define the relevant health dimensions for decision-making at the FDA. The report illustrates the use of that framework with several case studies, and provides conclusions and recommendations.

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206

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National Academies Press

Published Date

ISBN 10

0309212804

ISBN 13

9780309212809

Child and Adult Care Food Program

Aligning Dietary Guidance for All

By: Institute of Medicine,Food and Nutrition Board,Committee to Review Child and Adult Care Food Program Meal Requirements

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Child and Adult Care Food Program

Aligning Dietary Guidance for All

By: Institute of Medicine,Food and Nutrition Board,Committee to Review Child and Adult Care Food Program Meal Requirements

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311

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National Academies Press

Published Date

ISBN 10

0309158451

ISBN 13

9780309158459

Feeding Infants and Children from Birth to 24 Months

Summarizing Existing Guidance

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Food and Nutrition Board,Committee on Scoping Existing Guidelines for Feeding Recommendations for Infants and Young Children Under Age 2

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Feeding Infants and Children from Birth to 24 Months

Summarizing Existing Guidance

Recommendations for feeding infants and young children have changed substantially over time owing to scientific advances, cultural influences, societal trends, and other factors. At the same time, stronger approaches to reviewing and synthesizing scientific evidence have evolved, such that there are now established protocols for developing evidence-based health recommendations. However, not all authoritative bodies have used such approaches for developing infant feeding guidance, and for many feeding questions there is little or no sound evidence available to guide best practices, despite the fact that research on infant and young child feeding has expanded in recent decades. Summarizing the current landscape of feeding recommendations for infants and young children can reveal the level of consistency of existing guidance, shed light on the types of evidence that underpin each recommendation, and provide insight into the feasibility of harmonizing guidelines. Feeding Infants and Children from Birth to 24 Months collects, compares, and summarizes existing recommendations on what and how to feed infants and young children from birth to 24 months of age. This report makes recommendations to stakeholders on strategies for communicating and disseminating feeding recommendations.

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349

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National Academies Press

Published Date

ISBN 10

0309675383

ISBN 13

9780309675383

Research Methods to Assess Dietary Intake and Program Participation in Child Day Care

Application to the Child and Adult Care Food Program: Workshop Summary

By: Institute of Medicine,Food and Nutrition Board

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Research Methods to Assess Dietary Intake and Program Participation in Child Day Care

Application to the Child and Adult Care Food Program: Workshop Summary

By: Institute of Medicine,Food and Nutrition Board

More than 16 million children in the United States live in food-insecure households where they are unable to obtain enough food to meet their needs. At the same time, a growing number of children are overweight or obese. Because of these challenges, improving child nutrition has emerged as one of the nation's most urgent public health needs. The Child and Adult Care Food Program (CACFP), a U.S. Department of Agriculture (USDA) food program, served about 3.3 million children in 2011, as well as more than 124,000 adults who require daily supervision or assistance. Since many children rely on CACFP for the majority of their daily food, the quality of foods provided has the potential to greatly improve the health of the children's diets. The USDA asked the IOM to review and recommend improvements, as necessary, to the CACFP meal requirements in order to keep them aligned with other federally funded food assistance programs and with the Dietary Guidelines for Americans. The 2011 IOM report, Child and Adult Care Food Program Aligning Dietary Guidance for All, reviewed the program in detail and provided recommendations for improvement. In February 2012, at the request of the USDA, the IOM conducted an additional workshop to examine research methods and approaches that could be used to design and conduct a nationally representative study assessing children's dietary intake and participation rates in child care facilities, including CACFP-sponsored child care centers and homes. Research Methods to Assess Dietary Intake and Program Participation in Child Day Care: Application to the Child and Adult Care Food Program Workshop Summary is the report that summarizes the workshop.

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106

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National Academies Press

Published Date

ISBN 10

030925731X

ISBN 13

9780309257312

Book's by Committee to Review Child and Adult Care Food Program Meal Requirements

Child and Adult Care Food Program

Child and Adult Care Food Program

Review of WIC Food Packages

Review of WIC Food Packages

Review of WIC Food Packages

Review of WIC Food Packages

Dietary Reference Intakes for Sodium and Potassium

Dietary Reference Intakes for Sodium and Potassium

Finding a Path to Safety in Food Allergy

Finding a Path to Safety in Food Allergy

Sodium Intake in Populations

Sodium Intake in Populations

A Risk-Characterization Framework for Decision-Making at the Food and Drug Administration

A Risk-Characterization Framework for Decision-Making at the Food and Drug Administration

Child and Adult Care Food Program

Child and Adult Care Food Program

Feeding Infants and Children from Birth to 24 Months

Feeding Infants and Children from Birth to 24 Months

Research Methods to Assess Dietary Intake and Program Participation in Child Day Care

Research Methods to Assess Dietary Intake and Program Participation in Child Day Care

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