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Childhood obesity prevention in the women, infants, and children program: Outcomes of the MA-CORD study.


ABSTRACT:

Objective

To examine the extent to which a Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) intervention improved BMI z scores and obesity-related behaviors among children age 2 to 4 years.

Methods

In two Massachusetts communities, practice changes in WIC were implemented as part of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) initiative to prevent obesity among low-income children. One WIC program was the comparison. Changes in BMI z scores pre and post intervention and prevalence of obesity-related behaviors of WIC participants were assessed. Linear mixed models were used to examine BMI z score change, and logistic regression models were used to examine changes in obesity-related behaviors in each intervention site versus comparison over 2 years.

Results

WIC-enrolled children in both intervention sites (vs. comparison) had improved sugar-sweetened beverage consumption and sleep duration. Compared to the comparison WIC program (n?=?626), no differences were observed in BMI z score among children in Intervention Site #1 (n?=?198) or #2 (n?=?637). In sensitivity analyses excluding Asian children, a small decline was observed in BMI z score (-0.08 units/y [95% confidence interval: -0.14 to -0.02], P?=?0.01) in Intervention Site #2 versus comparison.

Conclusions

Among children enrolled in WIC, the MA-CORD intervention was associated with reduced prevalence of obesity risk factors in both intervention communities and a small improvement in BMI z scores in one of two intervention communities in non-Asian children.

SUBMITTER: Woo Baidal JA 

PROVIDER: S-EPMC5600510 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Publications

Childhood obesity prevention in the women, infants, and children program: Outcomes of the MA-CORD study.

Woo Baidal Jennifer A JA   Nelson Candace C CC   Perkins Meghan M   Colchamiro Rachel R   Leung-Strle Peggy P   Kwass Jo-Ann JA   Gortmaker Steve L SL   Davison Kirsten K KK   Taveras Elsie M EM  

Obesity (Silver Spring, Md.) 20170701 7


<h4>Objective</h4>To examine the extent to which a Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) intervention improved BMI z scores and obesity-related behaviors among children age 2 to 4 years.<h4>Methods</h4>In two Massachusetts communities, practice changes in WIC were implemented as part of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) initiative to prevent obesity among low-income children. One WIC program was the comparison. Changes in  ...[more]

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