标题：Foods and beverages available to children in settings outside of the home: Research, policy, and monitoring considerations/Les aliments et boissons auxquels les enfants ont acces hors de la maison : aspects a considerer lies a la recherche, aux politiques et a la surveillance.
摘要：The provision of healthy food and beverage choices within settings in which children learn and play is critical to their development of healthy eating patterns. In this issue of CJPH, Ward et al. (1) report on the healthfulness of foods offered within child care settings in two provinces. Specifically, the authors assessed the nutritional profile of lunches, with a focus on food groups from Canada's Food Guide and dietary components that are the focus of current policy attention, including sugars and sodium. (2) Lunch offerings were generally suboptimal, lacking in fruits, vegetables, meat and alternates, and fibre. The authors found that, according to the standards employed, levels of fats (total, saturated, and trans) and sugars were within recommended amounts, while those of sodium were not. While there have been efforts to reduce trans fats in the food supply, sugars and sodium content remains high, particularly in packaged and processed foods. The conflicting findings for sugars and sodium may reflect uptake among centre staff of sugar-related public health and media messaging, whereas for sodium, attention has arguably focused more strongly on reformulation. (2) Further exploration of child care centre practices in terms of reliance on packaged and processed foods could provide interesting insights into sources of sodium. In any case, despite possible attention to levels of fats and sugars in lunches served to young children outside of the home, the overall nutritional profile was low, underscoring the need to promote healthy dietary patterns holistically (3) as opposed to a narrow emphasis on specific aspects of foods and beverages.
