Dietary Risk Assessment in the WIC Program (2002) / Chapter Skim
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9 Findings and Recommendations
9 Findings and Recommendations
Pages 129-136
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From page 129... ...
, which recommended using failure to meet Dietary Guidelines as a risk criterion for WIC eligibility and also recommended research to develop practical and valid assessment tools. The current committee evaluated available dietary assessment methods, scientific literature regarding the tools these methods employ, and the strengths and limitations of these methods and tools to establish eligibility for WIC based on dietary risk.
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From page 130... ...
A dietary risk criterion that uses the WIC applicant's usual intake of the five basic Pyramid food groups as the indicator and the recommended numbers of servings based on energy needs as the cut-off points is consistent with failure to meet Dietary Guidelines. Prevalence of Dietary Risk Based on the Food Guide Pyramid Recommendations In the United States, more than 96 percent of individuals, and an even higher percentage of low-income individuals (such as those served by WIC)
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From page 131... ...
Physical Activity Assessment The committee considered physical activity assessment as a part of dietary risk assessment for two reasons. First, the Dietary Guidelines include a quantitative recommendation for physical activity levels for adults and for children 2 years of age and older.
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From page 132... ...
Target behavioral indicators are not suitable for eligibility determination unless they also are surrogate indicators. Building on the example above, if families could be encouraged to eat meals together more frequently, and if family meals resulted in improved dietary intake, then frequency of eating meals as a family would be both a surrogate indicator and a potential target indicator for change.
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From page 133... ...
Tools currently used for dietary risk assessment appear to have very high sensitivity in that they identify nearly everyone as failing to meet the Dietary Guidelines, but low specificity poor ability to identify persons who are not at dietary risk. No known dietary or physical activity assessment methods or behavioral indicators of diet or physical activity hold promise of accurately identifying the small percentage of women and children who do meet the proposed criterion based on the Food Guide Pyramid or the physical activity recommendation.
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From page 134... ...
For example, FFQs and recalls can be used to identify dietary patterns in a WIC population and patterns needing improvement. Repeated collection of dietary recalls or FFQs also may be used to monitor change over time at the group level or to assess effects of nutrition education interventions.
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From page 135... ...
Further, due to the complex nature of dietary patterns, it is unlikely that a tool will be developed to fulfill its intended purpose within WIC: to classify individuals accurately with respect to their true dietary risk. Thus, any tools adopted would result in misclassification of the eligibility status of some, potentially many, individuals.
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