Objective
To describe food and nutrient intake for low-income, urban African American children and adolescents to highlight the need for further nutrition intervention programs and appropriate tools to address overweight and obesity.
Methods
This was a cross sectional study using interviewer-administered single 24-hour dietary recalls. Participants were low income African American boys and girls aged 5–16 years or their caregivers in Baltimore City. Frequency of food consumption and dietary intakes were analysed by gender and age groups.
Results
Eighty-one participants were included for analysis. Mean daily energy intakes exceeded Dietary Reference Intakes (DRIs) from 10 to 71% across all gender-age groups: 2,304 kcal for children aged 5–8 years; 2,429 kcal and 2,732 kcal for boys and girls aged 9–13 years, respectively; and 3,339 kcal and 2,846 kcal for boys and girls aged 14–16 years, respectively. The most frequently reported consumed foods were sweetened drinks, chips, candies, and milk across all age groups. The majority of participants (79–100%) did not meet the DRIs for dietary fiber and vitamin E across all gender-age groups. Milk accounted for 14%, 17%, and 21% of energy, fat, and protein intake, respectively, among children 5–8 years of age, while pizza was the top source of energy, fat, and protein (11%, 13%, and 18%, respectively) among 14–16 year old adolescents. Sweetened drinks and sweetened juices were major sources of sugar, contributing 33% for 5–8 year olds, 29% for 9–13 year olds and 35% for 14–16 year olds.
Conclusions
Mean daily energy intake exceeded dietary recommendations across all gender-age groups. This study has provided previously unavailable information on diet and highlights foods to be targeted in nutrition intervention programs.