Healthy Mediterranean-style dietary pattern for children and adults

* Patterns at 1000, 1200, and 1400 kcal levels are designed to meet the nutritional needs of children ages 2 through 8 years. Patterns from 1600 to 3200 kcal are designed to meet the nutritional needs of children 9 years and older and adults. If a child 4 through 8 years of age needs more energy and, therefore, is following a pattern at 1600 calories or more, their recommended amount from the dairy group should be 2½ cup eq per day. Amount of dairy for children ages 9 through 18 is 3 cup eq per day regardless of calorie level. The 1000 and 1200 kcal level patterns are not intended for children 9 and older or adults. The 1400 kcal level is not intended for children ages 10 and older or adults.

¶ Food group amounts shown in cup equivalents (cup eq) or ounce equivalents (ounce eq). Oils are shown in grams. Quantity equivalents for each food group are: Vegetables, fruits (1 cup eq): 1 cup raw or cooked vegetable or fruit; 1 cup vegetable or fruit juice; 2 cups leafy salad greens; ½ cup dried fruit or vegetable. Grains (1 ounce eq): ½ cup cooked rice, pasta, or cereal; 1 ounce dry pasta or rice; 1 medium (1 ounce) slice bread, tortilla, or flatbread; 1 ounce of ready-to-eat cereal (about 1 cup of flaked cereal). Dairy (1 cup eq): 1 cup milk, yogurt, or fortified soymilk; 1½ ounces natural cheese such as cheddar cheese or 2 ounces of processed cheese. Protein foods (1 ounce eq): 1 ounce lean meats, poultry, or seafood; 1 egg; ¼ cup cooked beans or tofu; 1 tbsp nut or seed butter; ½ ounce nuts or seeds.

Δ Amounts of dairy recommended for children and adolescents are as follows, regardless of the calorie level of the pattern: for age 2 years, 2 cup eq per day; for ages 3 through 8 years, 2½ cup eq per day; for ages 9 through 18 years, 3 cup eq per day.

◊ The US Food and Drug Administration (FDA) and the US Environmental Protection Agency (EPA) provide joint advice regarding seafood consumption to limit methylmercury exposure for women who might become or are pregnant or lactating, and children. Depending on body weight, some women and children should choose seafood lowest in methylmercury or eat less seafood than the amounts in the healthy US-style dietary Pattern. For more information, see the FDA and EPA websites.

§ Foods are assumed to be in nutrient-dense forms; lean or low-fat; and prepared with minimal added sugars, refined starches (which are a source of calories but few or no other nutrients), saturated fat, or sodium. If all food choices to meet food group recommendations are in nutrient-dense forms, a small number of calories remain within the overall limit of the pattern (ie, limit on calories for other uses). The amount of calories depends on the total calorie level of the pattern and the amounts of food from each food group required to meet nutritional goals. Calories up to the specified limit can be used for added sugars, saturated fat, and/or alcohol (for nonpregnant adults of legal drinking age only) or to eat more than the recommended amount of food in a food group.