OBJECTIVE: To investigate the associations between energy density (ED) and macronutrient composition in the National Diet and Nutrition Survey of Children aged 1 1 2 ± 4 1 2 y, hypothesizing that high-ED diets tend to be high in sugars as well as fat. DESIGN: Further analysis of data from a cross-sectional dietary survey of 1675 children with complete 4-day weighed dietary records. Differences in diet composition and food choice between children with diets of high, medium and low ED (de®ned as kJag of all food and drink) were identi®ed. The possibility of confounding by water, or by soft drinks, was also explored in age-adjusted correlations. RESULTS: High-ED diets ( b 3.7 kJag of total diet) were proportionately richer in fat and lower in carbohydrate, compared with diets of low ED (`2.9 kJag). In contrast to the hypothesis, high-ED diets were found to be proportionately lower in sugars, and higher in starch. Children with high-ED diets consumed more of a whole range of foods: meat, eggs, potatoes, cereal products, confectionery, sugarapreserves and savoury snacks, but consumed less soft drinks, water and fruit. CONCLUSION: The inverse relationship observed between sugars and energy density may be partly attributable to the reciprocal relationship between sugars and fat, expressed as a proportion of energy. It may also re¯ect developing preferences in young childhood for a more adult-type, energy-dense, diet. Further work is required to verify EDamacronutrient relationships in other age groups, as the results have potential implications for obesity prevention and for food product development.