Disclosure: The authors declared no conflict of interest.
Changing WIC changes what children eat
Article first published online: 22 MAY 2013
Copyright © 2013 The Obesity Society
Volume 21, Issue 7, pages 1423–1429, July 2013
How to Cite
Chiasson, M.A., Findley, S.E., Sekhobo, J.P., Scheinmann, R., Edmunds, L.S., Faly, A.S. and McLeod, N.J. (2013), Changing WIC changes what children eat. Obesity, 21: 1423–1429. doi: 10.1002/oby.20295
Funding source: This project was supported by grants from The Robert Wood Johnson Foundation Statewide Evaluations of Childhood Obesity Prevention Policies and the New York State Health Foundation.
- Issue published online: 12 AUG 2013
- Article first published online: 22 MAY 2013
- Accepted manuscript online: 8 JAN 2013 11:41AM EST
- Manuscript Accepted: 30 NOV 2012
- Manuscript Received: 14 SEP 2012
- The Robert Wood Johnson Foundation Statewide Evaluations of Childhood Obesity Prevention Policies
- The New York State Health Foundation
This study assessed the impact of revisions to the USDA Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food packages on nutritional behavior and obesity in children 0- to 4-years-old participating in the New York State (NYS) WIC program. In January 2009, NYS was the first to implement these revisions, which added fruits, vegetables, and whole grains and replaced whole milk with low(1%)-/nonfat milk for children 2- to 4-year-old.
Design and Methods
In this cross-sectional study, >3.5 million administrative records in the NYS WIC Statewide Information System (WICSIS) were analyzed at 6-month intervals from July to December 2008 (pre-implementation) through July to December 2011. Behavioral data in WICSIS were obtained from parent interview by WIC staff at mandatory certification and recertification visits.
Comparing July to December in 2008 and 2011, increases were observed in breastfeeding initiation (72.2-77.5%); delaying introduction of solid foods until after 4 months of age (90.1-93.8%); daily fruit (87.0-91.6%), vegetable (78.1-80.8%), and whole grain consumption (59.0-64.4%) by children aged 1-4 years; and switches from whole milk to low-/nonfat milk by children aged 2-4 years (66.4-69.4%). In 1-year-old children, the proportion ≥95th percentile weight-for-recumbent length decreased from 15.1 to 14.2%; the proportion of children 2- to 4-year-old with body mass index (BMI) ≥95th percentile decreased from 14.6 to 14.2%.
These findings demonstrate that positive changes in dietary intake and reductions in obesity followed implementation of the USDA-mandated cost-neutral revisions to the WIC food package for the hundreds of thousands of young children participating in the NYS WIC program.