WIC Food Packages Time for a Change (2006) / Chapter Skim
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6 How the Revised Food Packages Meet the Criteria Specified
6 How the Revised Food Packages Meet the Criteria Specified
Pages 145-165
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From page 145... ...
The committee designed the revised food packages to provide priority nutrients in amounts that would improve overall nutrient consumption, reducing the prevalence of inadequate or excessive nutrient intakes among the WIC participants. The impact of the revised food packages on nutrient intakes was evaluated in two ways.
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From page 146... ...
. Most of the priority nutrients changed in the desired direction in the revised food packages.
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From page 147... ...
Iron + Zinc + Vitamin E ++ Vitamin A, preformed Potassium Sodium Fiber ++ Food energy Pregnant and partially breastfeeding women (Food Package V) Calcium Sodium Iron + Food energy Magnesium + Total fat Vitamin E ++ Fat as % of food Potassium + energy intake Fiber ++ Vitamin A + Vitamin C Vitamin D Vitamin B6 + Folate + continues
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From page 148... ...
in the revised food packages above the committee's estimates. Indeed, considering various choices among commonly consumed foods (that is, foods used in the nutrient analyses)
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From page 149... ...
. This is one reason the revised Food Packages IV through VII include fresh fruits and vegetable with processed fruits and vegetables as an option.
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From page 150... ...
Tables detailing changes in intake of over 30 micro- and macronutrients plus cholesterol and food energy for each of the current and revised WIC food packages are in Appendix B -- Nutrient Profiles of Current and Revised Food Packages. Following is a summary of the potential changes in intake for the priority nutrients.
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From page 151... ...
because of a reduction in the amount of milk and milk products in the package, and the fraction the population with predicted intakes of vitamin C that are inadequate increases by 11 percentage points (observed %Inadequate is 33 percent; predicted %Inadequate with revised Food Package V is 44 percent ) (see Table D-1A)
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From page 152... ...
The recommendations address seven of the nine general topics. The committee considered messages regarding physical activity and alcoholic beverages not to be relevant to WIC food packages.
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From page 153... ...
group Variety: choices allowed within the food groups Food energy: reduced-calorie options allowed for some foods Limiting intakes: packages provide much smaller amounts of saturated fat and cholesterol and slightly less salt, and food specifications place certain restrictions on added sugars and added salt. The current and revised food packages contain insignificant amounts of industrial trans fats -- the source of trans fat deemed to be of concern by the Dietary Guidelines Advisory Committee (DHHS/ USDA, 2004)
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From page 154... ...
aDoes not apply to Food Package III for individuals with special dietary needs. b Based on recommendation from the Dietary Guidelines Advisory Committee; applies only to Food Package VII for fully breastfeeding women.
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From page 155... ...
Table 6-4 provides a side-by-side comparison of how the revised food packages for infants and young children meet the established recommendations. The major revisions center on changes to the infants' food packages to help meet the developmental needs of infants (e.g., delaying the provision of complementary foods until 6 months of age; inclusion of commercial baby food for infants 6 months of age and older to introduce older infants to a wider variety of foods in appropriate forms)
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From page 156... ...
inclusion of fruits and vegetables with very few restrictions on choice.7 The committee urges administrators in the WIC program at various levels to 7The committee recommendation not to allow potatoes (with the exception of yams and sweet potatoes) is based on the data that these starchy vegetables already are very widely consumed.
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From page 157... ...
~ indicates approximate amounts. Amounts are rounded, and amounts from the revised food package are based on yields of specified foods.
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From page 158... ...
the Established Recommendation Breastfeeding Breastfeeding is the preferred New policies, for which pilot testing and method of infant feeding because randomized, controlled trials are recommended, of the nutritional value and encourage full breastfeeding: health benefits of human milk. · Delay the provision of formula for breast-fed infants during the crucial first month postpartum as mother/infants pairs initiate breastfeeding;a · For fully breastfeeding mother/infant pairs, the value of the revised food packages is increased substantially over the value of the current food packages; and, · Compared with formula-using pairs, and the relative value of food packages for fully breastfeeding mother/infant pairs is increased substantially.
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From page 159... ...
readily available through nutrition assistance programs such as the WIC program. Feeding Other Foods to Infants and Young Children Introduce semisolid Semisolid foods are provided in the food package complementary foods gradually for infants beginning at age 6 mo (Food beginning around 6 mo of age.
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From page 160... ...
Packages provide more food types, such as fruits and vegetables and whole grains, and more choices among allowed foods. Prepare complementary foods Specification for allowed foods limit added sugars without added sugars or salt.
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From page 161... ...
Promoting Food Safety Avoid feeding hard, small, The revised food packages for infants provide only particulate foods up to age 23 y strained, pureed, or diced commercial baby food to reduce risk of choking. or fresh bananas (intended to be mashed)
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From page 162... ...
The committee considered the administrative and logistical impact of each of the revised changes in the WIC food packages for program staff at state and local levels and for retail food vendors serving the WIC population. The committee received numerous public comments from these stake
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From page 163... ...
Current WIC foods are widely available and retained in packages. The options for fresh produce obtained with cash-value voucher(s)
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From page 164... ...
and education of participants; but if they address concerns effectively, the changes will be welcome. WIC Local Agencies Current food packages aren't Revised packages are more consistent with the consistent with dietary guidance, Dietary Guidelines, with current dietary making nutrition education guidance for infants and young children, and difficult with current information on nutritional deficits and needs.
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From page 165... ...
WIC state and local agencies will have more flexibility in developing prescriptions, and the food packages can reinforce the WIC nutrition education efforts, and vice versa. Finally, allowing two types of food instruments -- a cash-value voucher for fresh produce and the standard (itemized)
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