Poster Topical Area: Maternal, Perinatal and Pediatric Nutrition

Location: Hall D

Poster Board Number: 357

P13-099 - Energy and nutrient intake in children with and without intellectual disabilities

Sunday, Jun 10
8:00 AM – 6:00 PM

Objectives: Despite considerable research in typically developing (TD) children, little is known about the nutrient profiles of children with intellectual disabilities (ID). We hypothesized that children with ID would consume more calorie-dense, nutrient-poor foods, consume fewer fruits and vegetables, and have a more limited food repertoire than TD children, and that this would impact their nutrient intake.

Methods: We assessed nutrient intakes in 55 children with ID and 49 TD children, aged 3-8 years. Parents completed a 3-day food diary that included 2 weekdays and 1 weekend day. Mean intakes extracted from the Nutrition Data Systems for Research (NDSR) were compared between the two groups using t-tests.

Results: Energy and macronutrient intakes were similar between the groups. Added sugar intake was slightly higher in the TD group compared to the ID group (49.1 g vs. 40 g), though this difference was of borderline statistical significance (p<0.06). Overall, micronutrient intake did not differ statistically between the groups. Children in both groups met the estimated average requirement (EAR) for folate, thiamin, riboflavin, niacin, B6, phosphorus, magnesium, and iron. A small percentage of children in both groups did not meet the EARs for vitamin A and C and, in children with ID, a few (6%) did not meet EARs for vitamin B12. In addition, a substantial proportion of children in both groups did not meet the EARs for vitamins E, K, D, and/or calcium. Only 2 TD children met the adequate intake (AI) for potassium.

Conclusion: Although the nutrient intakes of children with ID and TD children were not statistically different, the fact that children in both groups showed inadequate intakes of several nutrients is of concern. We suggest providers screen to identify children at risk for micronutrient deficiencies and provide appropriate follow-up care. Further research to investigate dietary patterns and nutritional adequacy in this population is needed.

Funding Source: HRSA/MCHB 1R40MC25678

NICHD P30 HD004147-38


CoAuthors: Sarah Phillips, MS,MPH – Rivier University; Aviva Must, PhD – Tufts University Medical School; Laura Jay, MS, RDN – Boston Children's Hospital ; Carol Curtin, PhD – University of Massachusetts Medical School; Linda Bandini, PhD, RDN – University of Massachusetts Medical School/Boston University

Jessica Perelli

Graduate student/Registered Dietitian
Boston University
Boston, Massachusetts