Maternal prepregnancy obesity class is an important predictor of exclusive breastfeeding status at hospital discharge among overweight and obese Latinas.
Electronic health records that are weighted and adjusted to account for intrinsic bias may create an opportunity for comparing regional disparities with precision. In PHINEX patient's, childhood obesity disparities were measurable from a young age, highlighting the need for early intervention for at-risk children
After the package change, usual energy intakes exceeded recommended levels for infants but fell below recommended levels for toddlers. Also after the package change, mean usual intake of vitamin D was below the EAR for toddlers, and mean usual intakes of vitamin A and zinc exceeded the Tolerable Upper Intake Level for all groups.
Eighteen months following the WIC food package revisions, significant decreases in total fat and saturated fat and increases in dietary fiber and overall diet quality were observed among Hispanic children only. No significant changes in nutrient intake or diet quality were observed for any other group.
Compared to their African American counterparts, diets of Hispanic mothers and children were lower in percentage of calories from fat, added sugars, sodium, and sweetened beverages, but higher in vitamin A, calcium, whole grains, fruit, and total dairy. However, no groups met national recommendations for percentage of calories from saturated fat, fiber, sodium, whole grains, vegetables, and total dairy.
Results suggest the WIC policy revision contributed to modest reductions in F/V prices. WIC participants’ purchasing power can differ depending on the type and neighborhood of the WIC vendor used.
The availability of healthful food increased significantly in stores, overall, with more substantial increases in WIC-authorized stores
Fruit consumption increased among Hispanic mothers and low-fat dairy intake increased among Hispanic mothers, Hispanic children and African-American children. Changes in home food availability were not significantly correlated with changes in diet.