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Suggested Citation:"Front Matter." Institute of Medicine. 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. doi: 10.17226/12959.
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CHILD AND ADULT CARE FOOD PROGRAM

ALIGNING DIETARY GUIDANCE FOR ALL

Committee to Review Child and Adult Care Food Program Meal Requirements

Food and Nutrition Board

Suzanne P. Murphy, Ann L. Yaktine, Carol West Suitor, and Sheila Moats, Editors

INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington D.C.
www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. doi: 10.17226/12959.
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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

This study was supported by Contract No. AG-3198-C-08-0001 between the National Academy of Sciences and the U.S. Department of Agriculture. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.

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Suggested citation: IOM (Institute of Medicine). 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. doi: 10.17226/12959.
×

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INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES


Advising the Nation. Improving Health.

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. doi: 10.17226/12959.
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THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine


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Suggested Citation:"Front Matter." Institute of Medicine. 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. doi: 10.17226/12959.
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COMMITTEE TO REVIEW CHILD AND ADULT CARE FOOD PROGRAM MEAL REQUIREMENTS

SUZANNE P. MURPHY (Chair),

Cancer Research Center of Hawaii, University of Hawaii, Honolulu

NORMA D. BIRCKHEAD,

District of Columbia Office of the State Superintendent of Education, Washington, DC

ALICIA L. CARRIQUIRY,

Department of Statistics, Iowa State University, Ames

RONNI CHERNOFF,

Geriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System; Arkansas Geriatric Education Center, University of Arkansas for Medical Sciences, Little Rock

SONIA COTTO-MORENO,

Teaching and Mentoring Communities, Laredo, TX

KAREN WEBER CULLEN,

Children’s Nutrition Research Center, Baylor College of Medicine, TX

MARY KAY FOX,

Mathematica Policy Research, Inc., Cambridge, MA

GERALDINE HENCHY,

Food Research and Action Center, Washington, DC

HELEN H. JENSEN,

Department of Economics, Iowa State University, Ames

CHARLENE RUSSELL-TUCKER,

Connecticut Department of Education, Middletown

VIRGINIA A. STALLINGS,

The Children’s Hospital of Philadelphia, University of Pennsylvania

KATHERINE L. TUCKER,

Department of Health Sciences, Northeastern University, Boston, MA

Study Staff

ANN YAKTINE, Study Director

SHEILA MOATS, Associate Program Officer

JULIA HOGLUND, Research Associate

HEATHER BREINER, Program Associate

ANTON BANDY, Financial Officer

GERALDINE KENNEDO, Administrative Assistant,

Food and Nutrition Board

LINDA D. MEYERS, Director,

Food and Nutrition Board

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. doi: 10.17226/12959.
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Suggested Citation:"Front Matter." Institute of Medicine. 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. doi: 10.17226/12959.
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Reviewers

This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report:

Denise M. Brown, Department of Nutrition and Food Systems, The University of Southern Mississippi, Hattiesburg

Jean Charles-Azure, Indian Health Service, Rockville, MD

Barbara L. Devaney, Mathematica Policy Research, Inc., Princeton, NJ

Craig Gundersen, Department of Agriculture and Consumer Education, University of Illinois, Urbana

James O. Hill, Center for Human Nutrition, Colorado Clinical Nutrition Research Unit, Denver

Nancy F. Krebs, Department of Pediatrics, Section of Nutrition, University of Colorado, Denver

Joanne R. Lupton, Department of Nutrition and Food Science, Texas A&M University, College Station

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. doi: 10.17226/12959.
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Sandra J. Rhoades, Division of Nutrition, New York State Department of Health, Albany

Nancy S. Wellman, Department of Dietetics and Nutrition, Florida International University, Miami

Walter C. Willett, Department of Nutrition, Harvard School of Public Health, Boston, MA

Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the conclusions or recommendations nor did they see the final draft of the report before its release. The review of this report was overseen by Eileen Kennedy, Friedman School of Nutrition Science and Policy, Tufts University, and Jeanne Brooks-Gunn, Teachers College and College of Physicians and Surgeons, Columbia University. Appointed by the National Research Council and Institute of Medicine, they were responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authoring committee and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. doi: 10.17226/12959.
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Preface

The Child and Adult Care Food Program (CACFP) is a U.S. Department of Agriculture (USDA) food program that is not well-known to either the general public or nutrition professionals. I must admit that I knew little about this program before the Committee to Review CACFP Meal Requirements began its work. I did not know that CACFP

  • Serves almost 3 million children and adults,

  • Has participants ranging in age from small infants to elderly adults, and

  • Can provide over half of the day’s calories for some participants through two meals and a snack, or two snacks and a meal.

Over the past year, as the committee carried out its tasks, my knowledge and appreciation for CACFP have grown enormously. Several members of the committee, including me, had served as members of the authoring committees for two other recent reviews of USDA’s food programs: Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and the National School Lunch and Breakfast Programs. However, we still had much to understand about the uniqueness of CACFP. In this process, we were guided and informed by the expertise of committee members with many years of experience with the program. The resulting report was truly a team effort by experts from many disciplines: nutrition, epidemiology, statistics, economics, and food program implementation. I think I speak for the whole committee in saying it has been a very rewarding experience to participate in the review of the CACFP meal requirements. We hope that the

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. doi: 10.17226/12959.
×

resulting recommendations will help to make this excellent food program even better. Furthermore, given the broad scope of CACFP, these recommendations should be applicable across all age groups, and thus effectively align dietary guidance for all Americans.

The committee could not have done its work without the tireless efforts of the Institute of Medicine study team. The Study Director, Ann Yaktine, kept us focused and on time, and contributed substantially to the writing effort. She was assisted by an able team, including Sheila Moats, Associate Program Officer, who assisted with food pattern analysis; Julia Hoglund, Research Associate, who assisted with the cost analysis and research support; and Heather Breiner, Program Associate, who managed program logistics. Linda Meyers, the Director of the Food and Nutrition Board, provided us with wise advice at crucial points in our deliberations. Last, but certainly not least, Carol Suitor joined us as a consulting editor during the writing phase and made extensive contributions to the final report. I am grateful to all of them.

Other people made important contributions to the many analyses that were necessary for the report. Todd Campbell from Iowa State University developed the software that was used to determine the costs and helped with assigning codes to foods for the purpose of nutrient analyses, and Janice Maras from Northeastern University assisted with the menu analyses. In addition, we held an open session at our second meeting, and we heard from both the CACFP program administrators at the Food and Nutrition Service at USDA and from others with expertise relevant to the committee’s task. Our thanks go to all who contributed to our deliberations.

Finally, as chair, I would like to express my sincere appreciation to the committee members for their commitment to making the report scientifically accurate as well as realistic and practical. The committee added this volunteer effort to their full-time jobs, and that often required working nights and weekends. I thank them for their time and many contributions. It was a pleasure working with each of them.


Suzanne P. Murphy, Chair

Committee to Review Child and Adult Care Food Program Meal Requirements

Suggested Citation:"Front Matter." Institute of Medicine. 2011. Child and Adult Care Food Program: Aligning Dietary Guidance for All. Washington, DC: The National Academies Press. doi: 10.17226/12959.
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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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