We appreciate the comments on our article published in the February issue of the Archives.1 Once again we emphasize that children in STRIP were not on low-fat diets, but the families in the intervention group were advised to reduce the intake of saturated fat and cholesterol of the child's diet. Fat intake by the intervention and control children were markedly below values recommended for the first 2 years of life and also markedly less than expected.
The Nordic nutrition recommendations2 state that, "a too low fat content of the diet will often result in a low energy density and bulky diet and the child may not eat enough to cover his/her energy requirement." So, the recommended energy of intake as fat for children 6 to 12 months of age in Finland is 35% to 45%; 1 to 3 years of age, 30% to 35%; and for children older
Lagström H, Jokinen E, Seppänen R, Rönnemaa T, Viikari J, Välimäki I, Venetoklis J, Myyrinmaa A, Niinikoski H, Lapinleimu H, Simell O. Nutrient Intakes by Young Children in a Prospective Randomized Trial of a Low—Saturated Fat, Low-Cholesterol Diet-Reply. Arch Pediatr Adolesc Med. 1997;151(9):963-964. doi:10.1001/archpedi.1997.02170460100027