Impact of the New WIC Food Package on 100% Fruit Juice Consumption in One through Four-Year-Old WIC Participating Children in Georgia Público

Tucker, Elizabeth Foard (2011)

Permanent URL: https://etd.library.emory.edu/concern/etds/f1881m078?locale=pt-BR
Published

Abstract

Purpose. Two through five-year-olds' obesity rates doubled from the 1970s to the 2000s. Childhood obesity may be associated with excess 100% fruit juice intake. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food package was revised in 2009, including reduced juice subsidization for one through four-year-olds. This study aims to determine if the new food package resulted in decreased juice consumption among WIC participating children in Georgia compared to the old package.

Methods. Three surveys were conducted (baseline and one and four weeks after baseline) with 77 women receiving new WIC vouchers from two Atlanta WIC clinics during October 2009. Fifty women completed all three surveys, reporting the number of times in the past week she and her oldest WIC enrolled child consumed specific foods including juice. Child's juice intake was recorded as a continuous variable and recategorized as a dichotomous variable (≤ 1 time/day or > 1 time/day). The main exposure was the WIC food package in which the child was enrolled, old versus new package. Main outcomes were child's mean juice intake and mean difference from baseline in child's juice intake at one and four weeks.

Results. The baseline number of children drinking juice ≤ 1 time/day (36%) was not significantly different from that at one week (46%, p=0.30) or four weeks (38%, p=1.00). Child's baseline mean juice intake (12.9 times/week (Standard Deviation(SD)=8.1)) was not significantly different from that at one week (11.1 times/week (SD=6.8), p=0.07) or four weeks (11.9 times/week (SD=6.5), p=0.36). A covariate adjusted multivariate paired t-test demonstrated the difference from baseline in child's juice intake was not significant (p=0.09) at one week (mean difference=-1.8 times/week (SD=7.0)) or four weeks (mean difference=-1.0 times/week (SD=7.6)).

Conclusions. This study demonstrates the new WIC Food Package is not associated with decreased juice intake for enrolled children compared to the old package. Future studies could examine a larger sample size, more precise juice intake measurement, the impact of juice intake education, long term juice consumption changes, juice consumption importance for families, and WIC recipient Body Mass Index changes with Food Package changes.

Table of Contents

Introduction………………………………………………………………………………………...1


Methods……………………………………………………………………….…………………...11

Results…………………………………………………………………………..………………….18

Discussion………………………………………………………………………………………...21

References…………………………………………………………………….………………...25

Table 1……………………………………………………………………………..………………32

Table 2………………………………………………………………………………..……………34

Table 3…………………………………………………………………………………..…………35

Table 4……………………………………………………………………………………..………37

Appendix A……………………………………………………………………………………….38

Appendix B……………………………………………………………………………………….39

Appendix C……………………………………………………………………………………….40

About this Master's Thesis

Rights statement
  • Permission granted by the author to include this thesis or dissertation in this repository. All rights reserved by the author. Please contact the author for information regarding the reproduction and use of this thesis or dissertation.
School
Department
Degree
Submission
Language
  • English
Research Field
Palavra-chave
Committee Chair / Thesis Advisor
Partnering Agencies
Última modificação

Primary PDF

Thumbnail Title Date Uploaded Actions
Impact of the New WIC Food Package on 100% Fruit Juice Consumption in One through Four-Year-Old WIC Participating Children in Georgia () 2018-08-28 10:33:47 -0400

Supplemental Files

Thumbnail Title Date Uploaded Actions