Association of WIC Participation and Growth and Developmental Outcomes in High-Risk Infants

Ashwini Lakshmanan; Ashley Y. Song; Nicole Flores-Fenlon; Urvashi Parti; Douglas L. Vanderbilt; Philippe S. Friedlich; Roberta Williams; Michele Kipke

doi:10.1177/0009922819884583

Association of WIC Participation and Growth and Developmental Outcomes in High-Risk Infants

Ashwini Lakshmanan, Ashley Y. Song, Nicole Flores-Fenlon, Urvashi Parti, Douglas L. Vanderbilt, Philippe S. Friedlich, Roberta Williams, Michele Kipke

Research output: Contribution to journal › Article › peer-review

Abstract

The objective of this study was to describe the association of enrollment in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC), the Supplemental Nutrition Assistance Program (SNAP), and infant growth and neurodevelopmental outcomes. Z scores and Bayley Scales of Infant and Toddler Development–Third Edition (Bayley-III) and Vineland Adaptive/Behavior Scale–II (VABS-II) scores represented primary outcomes. We conducted bivariate analyses and linear regression. Children who were enrolled in WIC or WIC/SNAP had weight z scores U (95% confidence interval [CI]) that were 1.32 (0.42-2.21) or 1.19 (0.16-2.23) units higher. Enrollment in WIC or WIC/SNAP was associated with a higher score (95% CI) of 11.7 U (1.2-22.2 U) or 11.5 (0.1-22.9) for Bayley-III cognitive score and 10.1 U (1.9-19.1 U) or 10.3 (0.9-19.7) for the VABS-II composite score. These findings support increased advocacy for participation in WIC or WIC/SNAP for families with high-risk infants.

Original language	English (US)
Pages (from-to)	53-61
Number of pages	9
Journal	Clinical pediatrics
Volume	59
Issue number	1
DOIs	https://doi.org/10.1177/0009922819884583
State	Published - Jan 1 2020
Externally published	Yes

Keywords

Growth
WIC
development
outcomes

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

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10.1177/0009922819884583

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@article{36d8decfe3d1403f94c686c0c3c4d0ce,

title = "Association of WIC Participation and Growth and Developmental Outcomes in High-Risk Infants",

abstract = "The objective of this study was to describe the association of enrollment in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC), the Supplemental Nutrition Assistance Program (SNAP), and infant growth and neurodevelopmental outcomes. Z scores and Bayley Scales of Infant and Toddler Development–Third Edition (Bayley-III) and Vineland Adaptive/Behavior Scale–II (VABS-II) scores represented primary outcomes. We conducted bivariate analyses and linear regression. Children who were enrolled in WIC or WIC/SNAP had weight z scores U (95% confidence interval [CI]) that were 1.32 (0.42-2.21) or 1.19 (0.16-2.23) units higher. Enrollment in WIC or WIC/SNAP was associated with a higher score (95% CI) of 11.7 U (1.2-22.2 U) or 11.5 (0.1-22.9) for Bayley-III cognitive score and 10.1 U (1.9-19.1 U) or 10.3 (0.9-19.7) for the VABS-II composite score. These findings support increased advocacy for participation in WIC or WIC/SNAP for families with high-risk infants.",

keywords = "Growth, WIC, development, outcomes",

author = "Ashwini Lakshmanan and Song, {Ashley Y.} and Nicole Flores-Fenlon and Urvashi Parti and Vanderbilt, {Douglas L.} and Friedlich, {Philippe S.} and Roberta Williams and Michele Kipke",

note = "Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was sponsored and supported by the Packard Foundation for Children{\textquoteright}s Health, the Saban Research Career Development Award, and the Confidence Foundation. Dr Lakshmanan is supported by grant KL2TR001854 from the National Center for Advancing Translational Science (NCATS) of the US National Institutes of Health. Publisher Copyright: {\textcopyright} The Author(s) 2019.",

year = "2020",

month = jan,

day = "1",

doi = "10.1177/0009922819884583",

language = "English (US)",

volume = "59",

pages = "53--61",

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T1 - Association of WIC Participation and Growth and Developmental Outcomes in High-Risk Infants

AU - Lakshmanan, Ashwini

AU - Song, Ashley Y.

AU - Flores-Fenlon, Nicole

AU - Parti, Urvashi

AU - Vanderbilt, Douglas L.

AU - Friedlich, Philippe S.

AU - Williams, Roberta

AU - Kipke, Michele

N1 - Funding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was sponsored and supported by the Packard Foundation for Children’s Health, the Saban Research Career Development Award, and the Confidence Foundation. Dr Lakshmanan is supported by grant KL2TR001854 from the National Center for Advancing Translational Science (NCATS) of the US National Institutes of Health. Publisher Copyright: © The Author(s) 2019.

PY - 2020/1/1

Y1 - 2020/1/1

N2 - The objective of this study was to describe the association of enrollment in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC), the Supplemental Nutrition Assistance Program (SNAP), and infant growth and neurodevelopmental outcomes. Z scores and Bayley Scales of Infant and Toddler Development–Third Edition (Bayley-III) and Vineland Adaptive/Behavior Scale–II (VABS-II) scores represented primary outcomes. We conducted bivariate analyses and linear regression. Children who were enrolled in WIC or WIC/SNAP had weight z scores U (95% confidence interval [CI]) that were 1.32 (0.42-2.21) or 1.19 (0.16-2.23) units higher. Enrollment in WIC or WIC/SNAP was associated with a higher score (95% CI) of 11.7 U (1.2-22.2 U) or 11.5 (0.1-22.9) for Bayley-III cognitive score and 10.1 U (1.9-19.1 U) or 10.3 (0.9-19.7) for the VABS-II composite score. These findings support increased advocacy for participation in WIC or WIC/SNAP for families with high-risk infants.

AB - The objective of this study was to describe the association of enrollment in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC), the Supplemental Nutrition Assistance Program (SNAP), and infant growth and neurodevelopmental outcomes. Z scores and Bayley Scales of Infant and Toddler Development–Third Edition (Bayley-III) and Vineland Adaptive/Behavior Scale–II (VABS-II) scores represented primary outcomes. We conducted bivariate analyses and linear regression. Children who were enrolled in WIC or WIC/SNAP had weight z scores U (95% confidence interval [CI]) that were 1.32 (0.42-2.21) or 1.19 (0.16-2.23) units higher. Enrollment in WIC or WIC/SNAP was associated with a higher score (95% CI) of 11.7 U (1.2-22.2 U) or 11.5 (0.1-22.9) for Bayley-III cognitive score and 10.1 U (1.9-19.1 U) or 10.3 (0.9-19.7) for the VABS-II composite score. These findings support increased advocacy for participation in WIC or WIC/SNAP for families with high-risk infants.

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Association of WIC Participation and Growth and Developmental Outcomes in High-Risk Infants

Abstract

Keywords

ASJC Scopus subject areas

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