Assessing MyPlate Familiarity and Typical Meal Composition using Food Models in Children Aged 7-13

Authors

  • Jada L. Willis Department of Nutritional Sciences, Texas Christian University, TCU Box 298600 Fort Worth, TX, 76129 USA
  • Carol J. Howe Harris College of Nursing and Health Sciences, Texas Christian University, TCU Box 298620 Fort Worth, TX, 76129 USA
  • Gina K. Alexander 2Harris College of Nursing and Health Sciences, Texas Christian University, TCU Box 298620 Fort Worth, TX, 76129 USA

DOI:

https://doi.org/10.6000/1929-4247.2019.08.04.3

Keywords:

MyPlate, familiarity, child nutrition, fruit, vegetable.

Abstract

The Dietary Guidelines for Americans serve as a basis for developing federal nutrition education materials for the public, such as MyPlate. MyPlate is a visual cue that uses food groups as a guide to building healthy plates at mealtime. The objective of this study was to determine factors associated with child familiarity with MyPlate guidelines and to determine if typical meals met MyPlate guidelines using food models. A convenience sample of 250 children (aged 7-13 years) and their parent/guardian were recruited at a local science and history museum. Children viewed a picture of the MyPlate icon and were asked to identify the picture. Next, participants used a nine-inch plate to build a typical meal (meals that they would regularly consume) from a buffet of food and beverages models (>65 items to choose from). Research team members took photographs of the plates. A Registered Dietitian Nutritionist determined the percentage of plates that met MyPlate guidelines. Eighty-six percent of children recognized the MyPlate icon upon viewing the image; 7.6% could accurately identify the icon by name. When participants were asked to build a typical meal, however, only 3.43% met MyPlate guidelines. The results of this study suggest that despite being familiar with MyPlate, children built typical meals that did not meet MyPlate guidelines.

References

Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA 2014; 311(8): 806-814. https://doi.org/10.1001/jama.2014.732

O'Connor EA, Evans CV, Burda BU, Walsh ES, Eder M, Lozano P. Screening for obesity and intervention for weight management in children and adolescents: a systematic evidence review for the US Preventative Services Task Force. Evidence Synthesis No. 150. AHRQ Publication No. 15-05219-EF-1. Rockville, MD: Agency for Healthcare Research and Quality: AHRQ 2017.

Ogden CL, Carroll MD, Fryar CD, Flegal KM. Prevalence of obesity among adults and youth: the United States, 2011-2014. NCHS Data Brief 2015; 219: 1-8.

BeLue R, Francis LA, Colaco B. Mental health problems and overweight in a nationally representative sample of adolescents: effects of race and ethnicity. Pediatrics 2009; 123(2): 697-702. https://doi.org/10.1542/peds.2008-0687

Dietz WH. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 1998; 101(3 Pt 2): 518-525.

Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics 1999; 103(6 Pt 1): 1175-1182. https://doi.org/10.1542/peds.103.6.1175

Gilliland FD, Berhane K, Islam T, et al. Obesity and the risk of newly diagnosed asthma in school-age children. Am J Epidemiol 2003; 158(5): 406-415. https://doi.org/10.1093/aje/kwg175

Luppino FS, de Wit LM, Bouvy PF, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry 2010; 67(3): 220-229. https://doi.org/10.1001/archgenpsychiatry.2010.2

Reilly JJ, Methven E, McDowell ZC, et al. Health consequences of obesity. Arch Dis Child 2003; 88(9): 748-752. https://doi.org/10.1136/adc.88.9.748

Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure. Lancet 2002; 360(9331): 473-482. https://doi.org/10.1016/S0140-6736(02)09678-2

Jastreboff AM, Kotz CM, Kahan S, Kelly AS, Heymsfield SB. Obesity as a disease: The Obesity Society 2018 position statement. Obesity (Silver Spring) 2019; 27(1): 7-9. https://doi.org/10.1002/oby.22378

Kumar S, Kelly AS. Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment. Mayo Clin Proc 2017; 92(2): 251-265. https://doi.org/10.1016/j.mayocp.2016.09.017

Watts ML, Hager MH, Toner CD, Weber JA. The art of translating nutritional science into dietary guidance: history and evolution of the Dietary Guidelines for Americans. Nutr Rev 2011; 69(7): 404-412. https://doi.org/10.1111/j.1753-4887.2011.00408.x

Ramsay SA, Eskelsen AK, Branen LJ, Shultz JA, Plumb J. Nutrient intake and consumption of fruit and vegetables in young children. Infant Child Adolesc Nutr 2014; 6(6): 332-344. https://doi.org/10.1177/1941406414549622

U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015-2020 Dietary Guidelines for Americans. 8th Edition. Current eating patterns in the United States. December 2015. [cited 2018 Oct 26] Available from: https://health.gov/dietaryguidelines/2015/guidelines/

Howe CJ, Alexander G, Stevenson J. Parents' underestimations of child weight: implications for obesity prevention. J Pediatr Nurs 2017; 37: 57-61. https://doi.org/10.1016/j.pedn.2017.06.005

The poverty guidelines updated periodically in the Federal Register under the authority of 42 U.S.C. 9902(2). U.S. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation. Published 1/26/2017 [cited 2018 May 10] Available from: https://aspe.hhs.gov/2017-poverty-guidelines#threshholds.

Tagtow A, Raghavan R. Assessing the reach of MyPlate using National Health and Nutrition Examination Survey data. J Acad Nutr Diet 2017; 117(2): 181-183. https://doi.org/10.1016/j.jand.2016.11.015

Townsend MS, Shilts MK, Styne DM, et al. Vegetable behavioral tool demonstrates validity with MyPlate vegetable cups and carotenoid and inflammatory biomarkers. Appetite 2016; 107: 628-638. https://doi.org/10.1016/j.appet.2016.09.002

Agudo A, Cabrera L, Amiano P, et al. Fruit and vegetable intakes, dietary antioxidant nutrients, and total mortality in Spanish adults: findings from the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC-Spain). Am J Clin Nutr 2007; 85(6): 1634-1642. https://doi.org/10.1093/ajcn/85.6.1634

Kim SA, Moore LV, Galuska D, et al. Vital signs: fruit and vegetable intake among children - the United States, 2003-2010. MMWR Morb Mortal Wkly Rep 2014; 63(31): 671-676.

Wall CR, Stewart AW, Hancox RJ, et al. Association between frequency of consumption of fruit, vegetables, nuts and pulses and BMI: analyses of the international study of asthma and allergies in childhood (ISAAC). Nutrients 2018; 10(3). https://doi.org/10.3390/nu10030316

Aller EE, Abete I, Astrup A, Martinez JA, van Baak MA. Starches, sugars and obesity. Nutrients 2011; 3(3): 341-369. https://doi.org/10.3390/nu3030341

Orlando A, Cazzaniga E, Giussani M, Palestini P, Genovesi S. Hypertension in children: role of obesity, simple carbohydrates, and uric acid. Front Public Health 2018; 6: 129. https://doi.org/10.3389/fpubh.2018.00129

McGuire S, Ervin RB, Kit BK, Carroll MD, Ogden CL. Consumption of added sugar among U.S. children and adolescents, 2005-2008. NCHS data brief no 87. Hyattsville, MD: National Center for Health Statistics. Adv Nutr 2012; 3(4): 534. https://doi.org/10.3945/an.112.002279

Libuda L, Kersting M. Soft drinks and body weight development in childhood: is there a relationship? Curr Opin Clin Nutr Metab Care 2009; 12(6): 596-600. https://doi.org/10.1097/MCO.0b013e32833189f6

Nielsen SJ, Popkin BM. Changes in beverage intake between 1977 and 2001. Am J Prev Med 2004; 27(3): 205-210. https://doi.org/10.1016/j.amepre.2004.05.005

Bleich SN, Vercammen KA, Koma JW, Li Z. Trends in beverage consumption among children and adults, 2003-2014. Obesity (Silver Spring) 2018; 26(2): 432-441. https://doi.org/10.1002/oby.22056

Bleich SN, Vercammen KA. The negative impact of sugar-sweetened beverages on children's health: an update of the literature. BMC Obes 2018; 5: 6. https://doi.org/10.1186/s40608-017-0178-9

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Published

2019-11-12

How to Cite

Willis, J. L., Howe, C. J., & Alexander, G. K. (2019). Assessing MyPlate Familiarity and Typical Meal Composition using Food Models in Children Aged 7-13. International Journal of Child Health and Nutrition, 8(4), 128–135. https://doi.org/10.6000/1929-4247.2019.08.04.3

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General Articles