Pediatric Weight Management

PWM: Balanced Macronutrient Diets: Children Ages 2-5 (2006)

American Dietetic Association Pediatric Weight Management Evidence Analysis Project

Balanced Macronutrient: Children Ages 2-5

A prescribed diet was considered to be macronutrient "balanced" if the macronutrient composition fell within DRI ranges:

“Adults should get 45 percent to 65 percent of their calories from carbohydrates, 20 percent to 35 percent from fat, and 10 to 35 percent from protein. Acceptable ranges for children are similar to those for adults, except that infants and younger children need a slightly higher proportion of fat (25 %-40%).”*

*Institute of Medicine, Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (available at

  • Intervention
    In children ages 2-5, what is the effectiveness of using balanced macronutrient, reduced calorie dietary interventions for treating childhood obesity?
    • Conclusion

      No studies were identified that used a reduced-calorie, balanced-macronutrient intervention to treat pediatric obesity in pre-school children (ages two to five).

    • Grade: V
      • Grade I means there is Good/Strong evidence supporting the statement;
      • Grade II is Fair;
      • Grade III is Limited/Weak;
      • Grade IV is Expert Opinion Only;
      • Grade V is Not Assignable.
      • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
      • Moderate (B) means we are moderately confident in the effect estimate;
      • Low (C) means our confidence in the effect estimate is limited;
      • Very Low (D) means we have very little confidence in the effect estimate.
    • Search Plan and Results: Diet Therapy: Balanced Macronutrient 2005