title: Nutrient quality of fast food kids meals.
abstract: BACKGROUND
  Exposure of children to kids meals at fast food restaurants is high; however, the nutrient quality of such meals has not been systematically assessed.
  
  
  OBJECTIVE
  We assessed the nutrient quality of fast food meals marketed to young children, ie, "kids meals."
  
  
  METHODS
  The nutrient quality of kids meals was assessed primarily by using criteria from the National School Lunch Program (NSLP). Analysis compared the nutrient values of meals offered by major fast food companies with restaurants in Houston, TX, with complete publicly available data. Data described every combination of meals offered in the target market. For each meal combination, the following were analyzed: total energy, percentage of energy from fat, total fat, saturated fat, sodium, total carbohydrates, dietary fiber, added sugars, protein, vitamin A, vitamin C, calcium, iron, energy density (food only), and the number of NSLP nutrient criteria met.
  
  
  RESULTS
  Three percent of kids meals met all NSLP criteria. Those that met all criteria offered a side of fruit plus milk. Most were deli-sandwich-based meals. Meals that met the criteria had about one-third the fat, one-sixth the added sugars, twice the iron, and 3 times the amount of vitamin A and calcium as did kids meals that did not meet the criteria (P <or= 0.001). Meals that did not meet the NSLP criteria were more than 1.5 times more energy dense than those that did meet the criteria (P < 0.001).
  
  
  CONCLUSIONS
  Kids meals that met the NSLP criteria are uncommon and are lower in energy density. These meals may contribute to the nutritional status of children.
authors.affiliation: USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
authors.forename: Sharon I
authors.initials: SI
authors.lastname: O'Donnell
authors.forename: Sharon L
authors.initials: SL
authors.lastname: Hoerr
authors.forename: Jason A
authors.initials: JA
authors.lastname: Mendoza
authors.forename: Eugenia
authors.initials: E
authors.lastname: Tsuei Goh
mesh_terms: D002648:Child; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D004041:Dietary Fats / Q000008:administration & dosage*; D002149:Energy Intake / Q000502:physiology*; D005260:Female; D005504:Food Analysis / Q000379:methods*; D006801:Humans; D008297:Male; D015596:Nutrition Assessment; D018673:Nutrition Policy; D009749:Nutrition Surveys; D009752:Nutritional Status; D009753:Nutritive Value; D009765:Obesity / Q000453:epidemiology / Q000209:etiology; D011634:Public Health; D012147:Restaurants
chemical_list: D004041:Dietary Fats