Fruit, Vegetable, and Sugar-Sweetened Beverage Intake Among Young Children, by State - United States, 2021
- PMID: 36795611
- PMCID: PMC9949846
- DOI: 10.15585/mmwr.mm7207a1
Fruit, Vegetable, and Sugar-Sweetened Beverage Intake Among Young Children, by State - United States, 2021
Abstract
Good nutrition in early childhood supports optimal growth, development, and health (1). Federal guidelines support a dietary pattern with daily fruit and vegetable consumption and limited added sugars, including limited consumption of sugar-sweetened beverages (1). Government-published dietary intake estimates for young children are outdated at the national level and unavailable at the state level. CDC analyzed data from the 2021 National Survey of Children's Health (NSCH)* to describe how frequently, according to parent report, children aged 1-5 years (18,386) consumed fruits, vegetables, and sugar-sweetened beverages, nationally and by state. During the preceding week, approximately one in three (32.1%) children did not eat a daily fruit, nearly one half (49.1%) did not eat a daily vegetable, and more than one half (57.1%) drank a sugar-sweetened beverage at least once. Estimates of consumption varied by state. In 20 states, more than one half of children did not eat a vegetable daily during the preceding week. In Vermont, 30.4% of children did not eat a daily vegetable during the preceding week, compared with 64.3% in Louisiana. In 40 states and the District of Columbia, more than one half of children drank a sugar-sweetened beverage at least once during the preceding week. The percentage of children drinking sugar-sweetened beverages at least once during the preceding week ranged from 38.6% in Maine to 79.3% in Mississippi. Many young children are not consuming fruits and vegetables daily and are regularly consuming sugar-sweetened beverages. Federal nutrition programs and state policies and programs can support improvements in diet quality by increasing access to and availability of fruits and vegetables and healthy beverages in places where young children live, learn, and play.
Conflict of interest statement
All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.
Figures

Similar articles
-
Paternal modeling, household availability, and paternal intake as predictors of fruit, vegetable, and sweetened beverage consumption among African American children.Appetite. 2015 Feb;85:171-7. doi: 10.1016/j.appet.2014.11.008. Epub 2014 Nov 11. Appetite. 2015. PMID: 25447009
-
Diet Quality and Fruit, Vegetable, and Sugar-Sweetened Beverage Consumption by Household Food Insecurity among 8- to 12-Year-Old Children during Summer Months.J Acad Nutr Diet. 2019 Oct;119(10):1695-1702. doi: 10.1016/j.jand.2019.03.004. Epub 2019 May 2. J Acad Nutr Diet. 2019. PMID: 31056369 Free PMC article.
-
Beverage intake among preschool children and its effect on weight status.Pediatrics. 2006 Oct;118(4):e1010-8. doi: 10.1542/peds.2005-2348. Pediatrics. 2006. PMID: 17015497
-
Indian Academy of Pediatrics Guidelines on the Fast and Junk Foods, Sugar Sweetened Beverages, Fruit Juices, and Energy Drinks.Indian Pediatr. 2019 Oct 15;56(10):849-863. Epub 2019 Aug 10. Indian Pediatr. 2019. PMID: 31441436 Review.
-
Are Fruit Juices Healthier Than Sugar-Sweetened Beverages? A Review.Nutrients. 2019 May 2;11(5):1006. doi: 10.3390/nu11051006. Nutrients. 2019. PMID: 31052523 Free PMC article. Review.
Cited by
-
Factors Associated with Sugar-Sweetened Beverage Intake Among Young Children - United States, 2021.Prev Chronic Dis. 2024 Mar 21;21:E17. doi: 10.5888/pcd21.230354. Prev Chronic Dis. 2024. PMID: 38512779 Free PMC article.
-
Examining Food Security, Fruit and Vegetable Intake, and Cardiovascular Disease Risk Outcomes of Produce Prescription (PPR) Programs: A Systematic Review.J Nutr Educ Behav. 2024 Nov;56(11):794-821. doi: 10.1016/j.jneb.2024.06.012. Epub 2024 Aug 31. J Nutr Educ Behav. 2024. PMID: 39217534
-
Examining the 2021 Cash Value Benefit Increase and WIC Participant Food Purchases.Am J Prev Med. 2024 Dec;67(6):906-915. doi: 10.1016/j.amepre.2024.07.013. Epub 2024 Jul 19. Am J Prev Med. 2024. PMID: 39032521
-
Associations between Preschool Teachers' Food-Based Learning Frequency, Level of Personal Priority and Identified Resources and Challenges: A Needs Assessment.Nutrients. 2024 Jul 4;16(13):2140. doi: 10.3390/nu16132140. Nutrients. 2024. PMID: 38999887 Free PMC article.
-
A Food-Based Science, Technology, Engineering, Arts, and Mathematics Learning Program May Improve Preschool Children's Science Knowledge and Language Skills in Rural North Carolina.Nutrients. 2025 Apr 30;17(9):1523. doi: 10.3390/nu17091523. Nutrients. 2025. PMID: 40362832 Free PMC article.
References
-
- US Department of Agriculture. Dietary guidelines for Americans 2020–2025. Alexandria, VA: US Department of Agriculture, Food and Nutrition Service; 2020. https://www.dietaryguidelines.gov/sites/default/files/2020-12/Dietary_Gu...
MeSH terms
LinkOut - more resources
Full Text Sources