Planning a WIC Research Agenda Workshop Summary (2011) / Chapter Skim
Currently Skimming:
3 WIC and Obesity
3 WIC and Obesity
Pages 25-36
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 25... ...
Whitaker Whitaker covered four key research findings and their implications for future research. In addition, he mentioned structural constraints in WIC that limit potential research designs, and he proposed a research agenda and a potential staged research design.
|
From page 26... ...
Proposal Develop and test the impact of a coordinated communication strategy among WIC, Head Start, and pediatricians on changing behaviors that help prevent obesity among children 12 to 60 months of age. Target Behaiors The target behaviors selected should meet three criteria, namely, that the behavior (1)
|
From page 27... ...
Potential Staged Design Whitaker proposed a multistage research design in which each stage informs the next (Box 3-2)
|
From page 28... ...
, this stage would probably be conducted using a group- or community-randomized design that compares traditional WIC services with WIC services plus an enhanced coordinated communication strategy. The primary outcome should be the target behavior or behaviors.
|
From page 29... ...
WIC fits well with the effort to prevent obesity because of the population groups covered, the structure for screening nutritional status, the nutrition education provided, and the referrals for needed health and social services. Proposed Research Agenda Taveras proposed the following study: Develop and test the impact of coordinated surveillance and communication strategies among
|
From page 30... ...
A very important communication goal would be to counter the myth that the pregnant woman needs to "eat for two." The targets of intervention during infancy would be excessive infant weight gain; breastfeeding initiation, continuation, and exclusivity; responsive feeding; portion sizes of bottles and solid food containers; outdoor physical activity; limiting television viewing and televisions in bedrooms; and improving sleep quality and duration. Taveras called for improved surveillance of infant weight gain using the CDC growth charts in combination with the identification of children at high risk of rapid growth and coordinated communication strategies to counter the myth that "bigger is better." Other possible tactics involve education and support that would be directed mainly toward feeding practices and the promotion of physical activity and healthful sleep.
|
From page 31... ...
Concluding Comments Taveras said that WIC can play a substantial role in efforts to prevent childhood obesity during pregnancy, infancy, and early childhood -- especially when WIC works in collaboration with partners such as obstetricians, home visitation programs, child care providers, and pediatricians. She concluded that those determining the research agenda should consider innovative study designs and methods as a way of overcoming the barriers to wide-scale intervention testing in WIC.
|
From page 32... ...
BOX 3-4 Behavioral Intervention Targetsa Pregnancy Infancy Early Childhood Excess weight gain Excess weight gain Sweetened beverages Family meals Smoking Breastfeeding Pre-pregnancy BMI Portion sizes Portion sizes Gestational diabetes Responsive feeding Play/physical activity Play/physical activity Screen time TV viewing/TV bedroom Sleep quality/duration Sleep quality/duration aBold font indicates the targets for which WIC could have a greater impact.
|
From page 33... ...
" • Formative research related to obesity prevention: This approach has value for 1-year-old children as well as for the older ones. SUMMARY OF SUGGESTED RESEARCH TOPICS The research proposals made during this session focused on developing and testing strategies to change behaviors linked with excess weight among infants and young children.
|
From page 34... ...
2008. Overestimation of infant and toddler energy intake by 24-h re call compared with weighed food records.
|
From page 35... ...
2006a. To what extent is the protective effect of breastfeeding on fu ture overweight explained by decreased maternal feeding restriction?
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.