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Dietary Risk Assessment in the WIC Program (2002) / Chapter Skim
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1 Introduction
Pages 13-26

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From page 13...
... Part of establishing program eligibility (see later section, "Nutrition Risk Criteria") requires the determination of nutritional risk.
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From page 14...
... Nutrition risk categories include anthropometric, biochemical, medical, and dietary risks, as well as some predisposing conditions (see Box 1-1
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From page 15...
... However, if prioritization were necessary because of limited funding, services would be offered according to a seven-level priority system (Box 1-2~. NUTRITION RISK CRITERIA Nutritional risk is composed of five broad categories: anthropometric, biochemical, clinical/health/medical, dietary, or other.
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From page 16...
... With regard to dietary risk, the report reviewed three major categories: inappropriate dietary patterns, inadequate diet, and food insecurity. Documenting clear health and nutrition risks associated with selected inappropriate dietary patterns, the report concluded that individuals at risk for these patterns have a high potential to benefit from participation in the WIC program.
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From page 17...
... 1~1~IVI~al~l~ ~ ~ ~'~ -- ~-—~—I-—~—~——~ ~—~ ~—~—- -a—~ ~—~ ~ ~~ ~ ~ ~—~ ~—~~ ~—-I—~———~—~ ~ ~~—~ -- I—~——~ I -- —~ ~ a- -—~~ ~ ~——~ -- ~ - -—~-~—~~——~ ~ ~—~—~—- -a—~—-I ~ ~~ ~ ~—~——~—~ ~ ~—-—~—~—I -- —~—~7~ ~ ~ ~ ~ :~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~:~ ~~enetlc~ ctl~sorOer.~miectlous~Ol~seas~e~.~c~l~cal~m~allmtrm~on.~lalmm~to~t~7~;~ significance of food insecurity as a potential contributing factor to dietary risk and nutritional risk, but it did not specifically address the question of assessing food insecurity within the WIC population for several reasons: (1) the available
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From page 19...
... DIETARY RISK The focus of this report falls within one category of nutrition risk: dietary risk. More specifically, it focuses on methods or tools used to assess risk of an individual according to two specific dietary risk criteria: failure to meet Dietary Guidelines and inadequate diet.
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From page 20...
... A portion of this increase reflects the growth of WIC increased funding allowed WIC to serve more children in priority level 5 (Box 1-2~. Defining Dietary Risk As defined by the Code of Federal Regulations, dietary risk refers to dietary deficiencies that impair or endanger health, such as inadequate dietary patterns assessed by a 24-hour dietary recall, dietary history, or food frequency checklist (7CFR Subpart C, Section 246.7(e)
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From page 21...
... or low in food group servings as specified in the Dietary Guidelines (see Chapter 4~. · Excessive dietary intake is a subgroup of inappropriate dietary patterns and refers to overconsumption of energy, nutrients, or food group servings as specified in the Dietary Guidelines)
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From page 22...
... History of the Indicator Failure to Meet Dietary Guidelines The 1996 IOM report documented evidence to support the use of Dietary patterns that fail to meet the Dietary Guidelines as an indicator of both health risk and benefit in the WIC program. Consequently, it recommended the use of the 1995 Dietary Guidelines (USDA/HHS, 1995)
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From page 23...
... More specifically, the committee was charged with the following tasks: . proposal of a framework for assessing dietary risk among WIC program applicants, focusing on failure to meet Dietary Guidelines as a risk criterion, .
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From page 24...
... Chapters 1-3 set the stage for the report—giving an overview of the committee's statement of task and issues at hand, including a brief introduction to the WIC program and nutrition risk criteria, dietary risk and potential program
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From page 25...
... . Chapters 4-8 discuss the committee's framework for evaluating possible methods to assess dietary risk among WIC program applicants and review data bearing on the ability of food-based, physical activity-based, and behavioralbased assessment tools to classify individuals correctly on the basis of dietary risk.
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Key Terms

  • nutrition risk
  • wic program
  • risk criteria
  • dietary guidelines
  • dietary assessment

  • dietary patterns
  • meet dietary
  • food insecurity
  • nutritional risk
  • inadequate diet

  • inappropriate dietary
  • assessment tools
  • inadequate dietary
  • iom report
  • scientific assessment

  • dietary pattern
  • nutrition act
  • child nutrition
  • fns contracted
  • assessment methodology

  • food frequency
  • dietary intake
  • policy memorandum
  • patterns assessed
  • program based

  • dietary deficiencies
  • approved nutrition
  • nutrition risks
  • dietary history
  • comprehensive scientific


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