Rk. Johnson et Ta. Nicklas, Position of The American Dietetic Association: Dietary guidance for healthy children aged 2 to 11 years, J AM DIET A, 99(1), 1999, pp. 93-101
It is the position of The American Dietetic Association that children aged
2 to 11 years should achieve healthful eating habits and participate in reg
ular physical activity to promote optimal physical and cognitive developmen
t, attain a healthful weight, and reduce the risk of chronic disease. The h
ealth status of US children has generally improved over the past 3 decades;
however, the number of children who are overweight more than doubled. This
change has broadened the focus of dietary guidance to address nutrient ove
rconsumption, physical activity patterns, and the attainment of optimal hea
lth through chronic disease prevention. This position reviews what US child
ren are eating and explores trends in dietary, food, and nutrient intakes,
and the impact of school meals on children's diets. Dietary recommendations
, guidelines, and the impact of physical activity are also presented. The p
osition outlines the roles of parents and caregivers in influencing the dev
elopment of healthful eating behaviors. Public policy implications provide
guidance to dietetics and other health professionals. The position calls fo
r The American Dietetic Association to join forces with other health and fo
od industry professionals for translating dietary recommendations and guide
lines into achievable and healthful messages. Specific directions are provi
ded to improve the nutritional well-being of children.