BACKGROUND Improving the nutritional quality of food, including beverages, served in early care and education settings should enhance children's diet quality. However, few studies have explored the relationship between what is served and consumed in family child-care homes (FCCHs). OBJECTIVE To describe the nutritional quality of food served to children in FCCHs and to assess the extent to which children eat what is served. DESIGN This study was a cross-sectional analysis using baseline data (n=166) from a cluster-randomized controlled trial (2013-2016). PARTICIPANTS/SETTING Eligible FCCHs in central North Carolina had to have at least two children between 18 months and 4 years, have been in business for at least 2 years, and serve at least one meal and one snack. MAIN OUTCOME MEASURES Food was captured using the Diet Observation at Child Care protocol. STATISTICAL ANALYSES Frequencies, means, and multivariate analysis were used to examine the relationship between food served and consumed by food groups and by Healthy Eating Index (HEI-2010). RESULTS Children consumed between 61% and 80% of what was served, with vegetables having the lowest percent consumed (61.0%). Total HEI-2010 score for food served was 63.6 (10.4) and for food consumed was 61.7 (11.5) out of a 100-point maximum. With regards to food served, FCCH providers came close to meeting HEI-2010 standards for dairy, whole fruit, total fruit, and empty calories. However, providers appeared to fall short when it came to greens and beans, seafood and plant proteins, total vegetables, whole grains, and fatty acids. They also exceeded recommended limits for sodium and refined grains. CONCLUSIONS Although FCCHs are serving some healthy food, mainly fruit, dairy, and few empty calories, there is room for improvement with regards to vegetables, grains, seafood and plant protein, fatty acids, and sodium. Future trainings should help providers find ways to increase the serving and consumption of these foods.

中文翻译：

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家庭托儿所提供和消费的膳食和零食的营养质量

背景 改善早期护理和教育环境中提供的食物（包括饮料）的营养质量应该会提高儿童的饮食质量。然而，很少有研究探讨家庭托儿所 (FCCH) 所提供和消费之间的关系。目的 描述 FCCH 中提供给儿童的食物的营养质量，并评估儿童食用所提供食物的程度。设计 本研究是一项横断面分析，使用来自整群随机对照试验（2013-2016 年）的基线数据（n=166）。参与者/设置 北卡罗来纳州中部符合条件的 FCCH 必须至少有两个 18 个月到 4 岁的孩子，至少经营 2 年，并且至少提供一顿饭和一份小吃。主要结果测量使用托儿所的饮食观察协议捕获食物。统计分析 使用频率、平均值和多变量分析来检查食物组和健康饮食指数 (HEI-2010) 提供和消耗的食物之间的关系。结果 儿童消费了所提供食物的 61% 到 80%，蔬菜的消费百分比最低（61.0%）。HEI-2010 食物总分是 63.6 (10.4)，食物总分是 61.7 (11.5)，满分为 100 分。在提供的食物方面，FCCH 供应商几乎达到了 HEI-2010 的乳制品、全果、总水果和空卡路里标准。然而，供应商在蔬菜和豆类、海鲜和植物蛋白、蔬菜总量、全谷物和脂肪酸方面似乎不足。它们还超过了钠和精制谷物的推荐限量。结论 尽管 FCCH 提供一些健康食品，主要是水果、乳制品和少量空卡路里，但在蔬菜、谷物、海鲜和植物蛋白、脂肪酸和钠方面仍有改进的余地。未来的培训应该帮助提供者找到增加这些食物的供应和消费的方法。