Childhood Obesity Prevention in the Women, Infants, and Children Program: Outcomes of the MA-CORD Study

Details

• Alternative Title:
  Obesity (Silver Spring)
• Personal Author:
  Woo Baidal, Jennifer A. ; Nelson, Candace C. ; Perkins, Meghan ; Colchamiro, Rachel ; Leung-Strle, Peggy ; Kwass, Jo-Ann ; Gortmaker, Steve L. ; Davison, Kirsten K. ; Taveras, Elsie M.
• Description:
  Objective
  
  To examine the extent to which a WIC intervention improved BMI z-scores and obesity-related behaviors among children age 2–4 years.
  
  Methods
  
  In two Massachusetts communities, we implemented practice-changes in WIC as part of the MA-CORD initiative to prevent obesity among low-income children. One WIC program was the comparison. We assessed changes in BMI z-scores pre- and post-intervention and prevalence of obesity-related behaviors of WIC participants. We used linear mixed models to examine BMI z-score change and logistic regression models to examine changes in obesity-related behaviors in each intervention site versus comparison over two years.
  
  Results
  
  WIC-enrolled children in both intervention sites (v. Comparison) had improved sugar-sweetened beverage consumption and sleep duration. Compared to the comparison WIC program (n=626), we did not observe differences in BMI z-score among children in Intervention site #1 (n= 198) or #2 (n=637). In sensitivity analyses excluding Asian children, we observed a small decline in BMI z-score (−0.08 units/year [95% CI: −0.14 to −0.02], p=0.01) in Intervention Site #2 v. comparison.
  
  Conclusions
  
  Among children enrolled in WIC, the MA-CORD intervention was associated with reduced prevalence of obesity risk factors in both intervention communities and a small improvement in BMI z-scores in one of two intervention communities in non-Asian children.
  
  
• Subjects:
  Article Body Mass Index Child, Preschool Child Behavior Community Health Cross-Sectional Studies Exercise Female Follow-Up Studies Food Assistance Health Behavior Humans Infant Longitudinal Studies Male Massachusetts Obesity Pediatric Obesity Poverty Prevention Public Health Services Surveys And Questionnaires Treatment Outcome

  More +
• Source:
  Obesity (Silver Spring). 25(7):1167-1174
• Pubmed ID:
  28653498
• Pubmed Central ID:
  PMC5600510
• Document Type:
  Journal Article
• Funding:
  K24 DK105989/DK/NIDDK NIH HHS/United States ; KL2 TR001874/TR/NCATS NIH HHS/United States ; U18 DP003370/DP/NCCDPHP CDC HHS/United States ; UL1 TR001873/TR/NCATS NIH HHS/United States
• Volume:
  25
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:0dfc953018589726e6030a3e0b975fe5e3c2c3d3dbded482bc4706a4e359e411
• Download URL:
  https://stacks.cdc.gov/view/cdc/48222/cdc_48222_DS1.pdf
• File Type:
  [PDF - 692.39 KB ]