What are the CHILD-1 (Cardiovascular Health Integrated Lifestyle Diet–1) recommendations?

Updated: Jun 27, 2019
  • Author: Henry J Rohrs, III, MD; Chief Editor: Stuart Berger, MD  more...
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Answer

The NHLBI guidelines accepted use of the 2010 Dietary Guidelines for Americans (DGA) and have built on both the DGA and NCEP recommendations to create the CHILD-1 (Cardiovascular Health Integrated Lifestyle Diet–1), a diet consisting of evidence-based recommendations for dietary changes to reduce cardiovascular risk in pediatric patients. [19, 20]

CHILD-1

The CHILD-1 encompasses five different age groups, from birth to age 21 years. [20] Table 4 summarizes these recommendations for each group.

Table 4. Summary of Evidence Based Recommendations for the CHILD-1 (Open Table in a new window)

Age

Dietary Recommendations

Birth to 6 months

  • Infants should be exclusively breastfed until age 6 months

6-12 months

  • Continue breastfeeding until at least 12 months of age (or feed iron-fortified formula if unable to breastfeed), gradually adding solid foods

  • No restriction in fat intake without medical recommendation

  • Water should be encouraged

  • Limit other types of drinks to 100% fruit juice, intake of which should be limited to 4 ounces/day or less

  • No sweetened beverages

12-24 months

  • Switch to reduced fat milk (2% to fat free)

  • Limit or avoid sugar-sweetened drinks

  • Water should be encouraged

  • Transition to table food with total fat content of 30% of daily kcal/estimated energy requirement (EER), saturated fat content of 8-10% of daily kcal/EER, and monounsaturated and polyunsaturated fat content of up to 20% of daily kcal/EER

  • Avoid trans fat as much as possible

  • Total daily cholesterol less than 300 mg

2-10 years

  • Fat-free milk

  • Limit or avoid sugar-sweetened drinks

  • Water should be encouraged

  • Limit total fat to 25-30% of daily kcal/EER, saturated fat to 8-10% of daily kcal/EER, and monounsaturated and polyunsaturated fat to up to 20% of daily kcal/EER

  • Avoid trans fat as much as possible

  • Total daily cholesterol less than 300 mg

  • Encourage high dietary fiber intake from foods

11-21 years

  • Fat-free milk

  • Limit or avoid sugar-sweetened drinks

  • Water should be encouraged

  • Limit total fat to 25-30% of daily kcal/EER, saturated fat to 8-10% of daily kcal/EER, and monounsaturated and polyunsaturated fat to up to 20% of daily kcal/EER

  • Avoid trans fat as much as possible

  • Total daily cholesterol less than 300 mg

  • Encourage high dietary fiber intake from foods


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