WIC Nutrition Risk Criteria A Scientific Assessment (1996) / Chapter Skim
Currently Skimming:
8 CONCLUSIONS AND RECOMMENDATIONS
8 CONCLUSIONS AND RECOMMENDATIONS
Pages 335-352
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 335... ...
This report is a scientific assessment of the WIC nutrition risk criteria as they are currently used to establish WIC eligibility and the priority of the WIC eligible individuals. Based on this scientific assessment, this final chapter provides general conclusions, recommendations for specific nutrition risk criteria, and recommendations for future research and action.
|
From page 336... ...
Such loosely defined nutrition risk criteria include endocrine disorders, renal disease, chronic and recurrent infections, food allergies' and genetic and congenital disorders. · There is some inconsistency between the WIC program's goals, design' and implementation.
|
From page 337... ...
· There is a need to identify or develop additional nutrition risk criteria that select those individuals who are at risk of developing specific health and nutrition problems if they do not receive WIC benefits. Since the WIC program is believed to be a major contributor to the decline in the prevalence of health and nutrition problems (for example, iron deficiency anemia)
|
From page 338... ...
338 o 5~ o a' Ct 5 o ._ Ct 3 o 3 I_ A_ ._ au Cal a)
|
From page 339... ...
339 .S o ' ~ ~ is ~ 0 0 0 ° ° gel ~ ~ ~ ~ ~o ~ c '= a = ~ ~ e ~ e c - ,~ ~O V ~ V ~ V ~ ~ ~ V ~ ~ A a)
|
From page 340... ...
340 .S s lo on ._ Cal {: -= s ~ o Z Eli .= ~ C)
|
From page 342... ...
342 s ·_ _` s a ,4 _4 x ._ V A: ._ o to 3 £ .= Cal C)
|
From page 344... ...
344 ·_ s a s ~5 ._ so 5: ._ Cot Cal Cot ~ o 3 in ~ .
|
From page 346... ...
For convenience, Table 8-2 lists those nutrition risk criteria that the committee recommends adding and those that it recommends discontinuing. Anthropometric Risk Criteria Anthropometric risk criteria are used in the WIC program to assess individuals for nutrition risk and to monitor their nutrition status or their response to WIC program interventions over time.
|
From page 347... ...
Many biochemical and other medical nutrition risks are documented as the result of diagnosis by a medical care provider of an existing medical condition
|
From page 348... ...
For chronic and recurrent infections, evidence of risk and benefit was available only for certain chronic infections for which there were documented nutrition deficits, and the committee recommends that states should clearly define "chronic" or "recurrent" in determining cutoff points for these indicators. Risk criteria for which there was very limited evidence of nutrition risk or benefit from participation in the WIC program included food intolerance other than lactose intolerance, high age at conception, previous placental abnormalities, history of postterm delivery, high parity, preeclampsia and eclampsia, and prematurity as a risk criterion for children ages 1 to 5 years.
|
From page 349... ...
In the WIC setting, however, diet recalls and food frequency questionnaires that compare estimated nutrient intake with Recommended Dietary Allowances have poor ability to ascertain who actually has inadequate diets. Thus, even though the WIC program is likely to improve dietary intake, the committee recommends discontinuing use of inadequate diets as a nutrition risk criterion because it has a very low yield.
|
From page 350... ...
Invest in the development and validation of practical dietary assessment instruments that can be used across WIC programs for the identification of inappropriate dietary patterns, inadequate dietary intake, and food insecurity, recognizing that adaptations may be needed for culturally diverse populations. Examine the utility of predisposing factors (such as homelessness, migrancy, low level of maternal education, child abuse and neglect, and maternal depression)
|
From page 351... ...
These broad nutrition risk categories include endocrine disorders, renal disease, chronic and recurrent infections, food allergies, and genetic and congenital disorders. They include a broad range of medical problems with varying degrees of nutrition risk or potential to benefit from participation in the WIC program.
|
From page 352... ...
3. Risk criteria that merit lower priority: mild nausea and vomiting, during pregnancy; lack of prenatal care; cigarette, alcohol, and illegal drug used Such a change in the priority system would require disaggregating the current categories (anthropometric, medical, dietary, and predisposing)
|
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.