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. 2021 May 29;7:16. doi: 10.1186/s40795-021-00422-6

Table 1.

Number of servings per food category presented according to the 2014 Health Canada’s Surveillance Tool (HCST) Tier System nutrient profiling model, among Canadian children 2–18 years

Category Tier 2–3 Years 4–8 years 9–13 years 9–13 years 14–18 years 14–18 years
Boys Girls Boys Girls
Mean (SEM)
Vegetables and Fruits Tier 1 2.9 (0.1) 2.8 (0.1) 2.4 (0.2) 2.6 (0.2) 2.3 (0.2) 2.5 (0.2)
Tier 2 1.1 (0.1) 1.3 (0.1) 1.1 (0.1) 1.1 (0.1) 1.2 (0.1) 0.8 (0.1)
Tier 3 0.4 (0.1) 0.4 (0.1) 0.4 (0.1) 0.4 (0.1) 0.7 (0.1) 0.4 (0.1)
Tier 4 0 (0) 0 (0) 0 (0) 0.1 (0) 0 (0) 0 (0)
Tier 1–3 4.4 (0.2) 4.4 (0.2) 3.9 (0.2) 4.1 (0.2) 4.1 (0.3) 3.8 (0.2)
Total Tiers 1–4 4.5 (0.2) 4.6 (0.2) 4 (0.2) 4.2 (0.2) 4.2 (0.3) 3.8 (0.2)
EWCFG Rec. 4 5 6 6 8 7
Mean (SEM)
Grain Products Tier 1 1.2 (0.1) 1.1 (0.1) 1.3 (0.2) 1.4 (0.1) 1.3 (0.2) 1.2 (0.1)
Tier 2 2.5 (0.1) 3.1 (0.1) 3.5 (0.2) 3 (0.2) 3.7 (0.2) 2.8 (0.1)
Tier 3 0.8 (0.1) 1.1 (0.1) 1 (0.1) 1 (0.1) 0.8 (0.1) 1 (0.1)
Tier 4 0.7 (0.1) 0.9 (0.1) 1 (0.1) 1.1 (0.1) 0.6 (0.1) 0.7 (0.1)
Tier 1–3 4.4 (0.2) 5.3 (0.2) 5.8 (0.2) 5.3 (0.2) 5.8 (0.3) 5.1 (0.2)
Total Tiers 1–4 5.1 (0.2) 6.2 (0.2) 6.8 (0.2) 6.4 (0.2) 6.4 (0.3) 5.7 (0.2)
EWCFG Rec. 3 4 6 6 7 6
Mean (SEM)
Milk and Alternatives Tier 1 0.2 (0) 0.2 (0) 0.3 (0) 0.3 (0) 0.2 (0) 0.2 (0)
Tier 2 1 (0.1) 0.8 (0) 0.6 (0.1) 0.6 (0.1) 0.6 (0.1) 0.4 (0)
Tier 3 1.7 (0.1) 1.2 (0.1) 1.1 (0.1) 1.2 (0.1) 0.9 (0.1) 1 (0.1)
Tier 4 0.1 (0) 0.1 (0) 0.1 (0) 0.1 (0) 0 (0) 0.1 (0)
Tier 1–3 2.9 (0.1) 2.2 (0.1) 2.0 (0.1) 2.1 (0.1) 1.7 (0.1) 1.7 (0.1)
Total Tiers 1–4 3 (0.1) 2.3 (0.1) 2.1 (0.1) 2.1 (0.1) 1.8 (0.1) 1.8 (0.1)
EWCFG Rec. 2 2 3–4 3–4 3–4 3–4
Mean (SEM)
Meat and Alternatives Tier 1 0.1 (0) 0.1 (0) 0.1 (0) 0.1 (0) 0 (0) 0.1 (0)
Tier 2 0.4 (0) 0.3 (0.1) 0.4 (0.1) 0.4 (0.1) 0.6 (0.1) 0.5 (0.1)
Tier 3 0.8 (0.1) 0.9 (0.1) 0.9 (0.1) 0.8 (0.1) 1.2 (0.1) 1 (0.1)
Tier 4 0.3 (0.1) 0.3 (0.1) 0.2 (0.1) 0.2 (0.1) 0.2 (0.1) 0.3 (0.1)
Tier 1–3 1.3 (0.1) 1.4 (0.1) 1.4 (0.1) 1.2 (0.1) 1.8 (0.1) 1.6 (0.1)
Total Tiers 1–4 1.6 (0.1) 1.6 (0.1) 1.6 (0.1) 1.5 (0.1) 2.1 (0.2) 1.9 (0.1)
EWCFG Rec. 1 1 1–2 1–2 3 2

Tiers are classified according to lower and upper thresholds for nutrients of public health concern: sodium, saturated fats, total fats and sugars. Lower thresholds: total fat: ≤ 3 g/RA, sugars: ≤ 6 g/RA and sodium: ≤ 140 mg/RA [8]. Upper thresholds: total fat: > 10 g/RA, sugars: > 19 g/RA, sodium: > 360 mg/RA, and saturated fats: > 2 g/RA [8]. Tier 1 foods do not exceed any lower thresholds for total fat, sugar and sodium. Tier 2 may exceed one or two lower thresholds but no upper thresholds. Tier 3 Vegetable and Fruit, and Grain Products: exceeds all lower thresholds and no upper thresholds, or only one upper threshold. Tier 3 Milk and Alternatives, and Meat and Alternatives: exceeds all lower thresholds and no upper thresholds, or only one upper threshold for total fat, sugars, or sodium. Tier 4 Vegetable and Fruit, and Grain Products: exceeds two upper thresholds. Tier 4 Milk and Alternatives, and Meat and Alternatives: exceeds upper thresholds for total fat, sugars, or sodium [8]

Data is presented as mean (SEM: standard error of the mean). Servings per/day are classified according to EWCFG: Eating Well with Canada’s Food Guide. Rec: Recommendations

Results are weighted, nationally representative and energy adjusted