Study finds early introduction of hot dogs, chips, sweets, and juice is common in rural America

A study of over 10,000 children in rural Pennsylvania revealed that a large proportion of children were fed foods that are high in sugar and salt in their first years of life.

Over half (53%) of the children in the study received high-sodium meats such as hot dogs, 37% received salty snacks such as potato chips, and one-third (34%) received cakes, cookies, or pudding before age 2. In addition, over one-quarter (27%) of babies received juice before their first birthday. 

“Given that these foods are not recommended for children, these numbers are concerning,” said Carolyn F. McCabe, PhD, staff scientist in the Department of Population Health Sciences and the Center for Obesity and Metabolic Research at Geisinger. “Early exposure to foods and beverages high in sugar, fat, and sodium can potentially have negative consequences for the healthy growth and development of infants and children.”

McCabe will present the findings at NUTRITION 2023, the flagship annual meeting of the American Society for Nutrition held July 22–25 in Boston.

Current U.S. dietary guidelines recommend waiting until at least age 1 to introduce 100% fruit or vegetable juices, and that families avoid foods and beverages with added sugars and limit those high in sodium for children younger than 2. These recommendations are designed to lower the risk of overweight and obesity, diabetes, asthma, and other chronic health conditions.

According to experts, exposing young children to overly sweet or salty foods can shape their taste preferences and lead to unhealthy eating habits in the long term.

“Early life is such a critical period for establishing eating habits and food preferences, and these preferences and behaviors around food can persist as children grow,” said McCabe. She added that early exposure to these foods may mean some children are not getting enough of the healthy foods they need for proper nutrition. “Infants and toddlers have small stomachs, so it is important to make every bite count.”

For the study, researchers analyzed questionnaires given at well-child visits for 10,614 children up to 26 months of age who visited Geisinger, a rural-serving health system in Pennsylvania between 2016-2020. In addition to early introduction of foods high in sugar, fat, and sodium, the study revealed that less than half (46%) of babies exclusively consumed human milk and/or formula for the first six months of life as dietary guidelines recommend. Twenty-nine percent of children received sweetened cereal and 1 in 10 received sugar-sweetened beverages before age 2.

Children living in rural areas face many health and socioeconomic disparities. One in 5 rural children live in poverty and children in rural areas are 25% more likely to experience obesity compared with nonrural children. These disparities make it even more important to ensure rural families are aware of dietary guidelines for children and have the resources they need to follow them, McCabe said.

McCabe will present this research at 9 a.m. on Sunday, July 23, during the Milk to Meals: Feeding from Birth to Childhood Oral Session in the Sheraton Boston, Constitution B (abstract; presentation details).

Please note that abstracts presented at NUTRITION 2023 were evaluated and selected by a committee of experts but have not generally undergone the same peer review process required for publication in a scientific journal. As such, the findings presented should be considered preliminary until a peer-reviewed publication is available.

About NUTRITION 2023

NUTRITION 2023 is the flagship meeting of the American Society for Nutrition and the premier educational event for nutritional professionals around the globe. NUTRITION brings together lab scientists, practicing clinicians, population health researchers, and community intervention investigators to identify solutions to today’s greatest nutrition challenges. Our audience also includes rising leaders in the field – undergraduate, graduate, and medical students. NUTRITION 2023 will be held July 22-25, 2023 in Boston. #Nutrition2023

About the American Society for Nutrition (ASN)

ASN is the preeminent professional organization for nutrition research scientists and clinicians around the world. Founded in 1928, the society brings together the top nutrition researchers, medical practitioners, policy makers and industry leaders to advance our knowledge and application of nutrition. ASN publishes four peer-reviewed journals and provides education and professional development opportunities to advance nutrition research, practice, and education. Since 2018, the American Society of Nutrition has presented NUTRITION, the leading global annual meeting for nutrition professionals.

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