Dietary Reference Intakes contribute to our ability to plan or assess nutritional adequacy in groups and individuals. However, they contribute only a portion to what today’s pediatric clinician needs to know about nutritional status and, perhaps more importantly, to guiding children’s lifestyles toward healthy adult living. Various recommendations for physical activity, exercise, and cardiorespiratory fitness are largely consistent but lack a rigorous scientific basis. Concerns regarding implementing child nutrition and fitness recommendations now increasingly focus on the very significant impact of social determinants of health and on the reality that the nutrition-related habits and probably activity-related habits developed in childhood may have a lifelong effect on individual well-being.

After reading this article, readers should be able to:

  1. Understand the role of diet and nutrition in preventing disease.

  2. Recognize how nutrition-related health disparities can impact vulnerable patients.

  3. Identify areas in need of nutritional improvement in our pediatric population.

  4. Understand the use...

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