This study aimed to evaluate the population-level impact of substituting low-fat and skim milk for whole, reduced-fat, and flavored milk (milk eligible for replacement [MER]) on energy, macronutrient and nutrient intakes, and diet cost. Analyses were based on data from 8,112 children and adolescents (ages 2-19) who completed a 24-hour dietary recall through the National Health and Nutrition Examination Survey (NHANES). Researchers created a series of substitution models to estimate energy, nutrient intake, and diet cost after complete replacement of MER with either skim or low-fat milk. The results indicate that substitution of MER could reduce calorie and saturated fat intake with no impact on diet costs or intake of calcium and potassium. Replacement with skim milk resulted in a 64-kilocalorie decrease for all children and a 113-kilocalorie decrease among children consuming whole or reduced-fat milk. Replacement with low-fat milk resulted in decreases of 44 kilocalories and 77 kilocalories among all children and consumers of MER, respectively. Percent energy from saturated fat was significantly reduced among children consuming MER by 2.5 percent for the skim model and 1.4 percent for the low-fat model.
Potential Population-Level Nutritional Impact of Replacing Whole and Reduced-Fat Milk With Low-Fat and Skim Milk Among US Children Aged 2‑19 Years
Potential Nutritional and Economic Effects of Replacing Juice with Fruit in the Diets of Children in the United States
One hundred percent fruit juice makes up a substantial part of the total fruit intakes of children and is a major contributor to their total nutrient intake. However, fruit juices have energy densities similar to sugar-sweetened beverages and might contribute to excess energy intake, obesity, and weight gain. This paper … More
Nutritional and Monetary Impact Analysis of Replacing Whole Milk and Fruit Juice in the Diets of Children in the United States
Dietary guidance and nutrition policies have moved toward recommending whole fruit over juice and low- or non-fat milk over whole milk and flavored milk. However, little is known about the potential for these changes to reduce total energy intake in the diets of children. This project explored and quantified the … More
Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach
Bottle-fed infants are at greater risk for overfeeding and rapid weight gain (RWG), so evidence-based strategies for promoting healthy bottle-feeding practices are needed. The aim of this study was to assess whether policy, systems, and environmental (PSE) strategies for promoting responsive bottle-feeding practices within the Special Supplemental Nutrition Program for … More