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Association of WIC Participation and Growth and Developmental Outcomes in High-Risk Infants
Ashwini Lakshmanan1,2,3, Ashley Y Song1,2, Nicole Flores-Fenlon4
1Fetal and Neonatal Medicine, Division of Neonatology, Department of Pediatrics, Children's Hospital Los Angeles; Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
Insights
Enrollment in nutrition programs like WIC and SNAP is linked to better infant growth and neurodevelopment. These programs support high-risk infants, showing positive impacts on weight, cognitive, and adaptive scores.
Area of Science:
- Nutrition Science
- Pediatric Health
- Developmental Psychology
Background:
- Maternal and infant nutrition programs play a crucial role in child development.
- Understanding the impact of public health nutrition assistance is vital for optimizing child outcomes.
- The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) and the Supplemental Nutrition Assistance Program (SNAP) serve vulnerable populations.
Purpose of the Study:
- To investigate the association between enrollment in WIC and/or SNAP and infant growth and neurodevelopmental outcomes.
- To quantify the impact of these nutrition programs on key developmental indicators.
Main Methods:
- Bivariate analyses and linear regression were employed.
- Infant growth was assessed using weight Z-scores.
- Neurodevelopmental outcomes were measured using the Bayley Scales of Infant and Toddler Development-Third Edition (Bayley-III) and Vineland Adaptive/Behavior Scale-II (VABS-II).
Main Results:
- Children enrolled in WIC or WIC/SNAP showed significantly higher weight Z-scores.
- Enrollment was associated with higher Bayley-III cognitive scores.
- Participants in these programs also demonstrated improved VABS-II composite scores.
Conclusions:
- Participation in WIC or WIC/SNAP is positively associated with enhanced infant growth and neurodevelopmental outcomes.
- These findings underscore the importance of these nutrition programs for high-risk infants.
- Increased advocacy for WIC and SNAP enrollment is supported for families with vulnerable infants.
Abstract:
The objective of this study was to describe the association of enrollment in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC), the Supplemental Nutrition Assistance Program (SNAP), and infant growth and neurodevelopmental outcomes. Z scores and Bayley Scales of Infant and Toddler Development-Third Edition (Bayley-III) and Vineland Adaptive/Behavior Scale-II (VABS-II) scores represented primary outcomes. We conducted bivariate analyses and linear regression. Children who were enrolled in WIC or WIC/SNAP had weight z scores U (95% confidence interval [CI]) that were 1.32 (0.42-2.21) or 1.19 (0.16-2.23) units higher. Enrollment in WIC or WIC/SNAP was associated with a higher score (95% CI) of 11.7 U (1.2-22.2 U) or 11.5 (0.1-22.9) for Bayley-III cognitive score and 10.1 U (1.9-19.1 U) or 10.3 (0.9-19.7) for the VABS-II composite score. These findings support increased advocacy for participation in WIC or WIC/SNAP for families with high-risk infants.
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