Bottle-fed infants are at greater risk for overfeeding and rapid weight gain (RWG), so evidence-based strategies for promoting healthy bottle-feeding practices are needed. The aim of this study was to assess whether policy, systems, and environmental (PSE) strategies for promoting responsive bottle-feeding practices within the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) were associated with lower risk for RWG. In a randomized trial, PSE strategies were implemented at 3 WIC clinics in Los Angeles County. PSE clinics were compared with 3 matched control clinics. Infants in WIC clinics wherein PSE strategies were implemented had 64% lower likelihood of exhibiting rapid weight gain compared with infants in control clinics. Prevalence of exclusive and any breastfeeding was similar for mothers in the PSE and control clinics, suggesting the PSE strategies did not negatively affect breastfeeding support.
Published: June 2021
Journal: J Acad Nutr Diet
Authors: Ventura AK, Garcia KS, Meza M, Rodriguez E, Martinez CE, Whaley SE
Focus Areas: Beverages, Early Childhood, Nutrition Policy & Programs
State: California
Keywords: Infant Feeding, Women, Infants, and Children (WIC)
Resource Type: Journal Article
Age Group: Pregnant women, infants and toddlers (ages 0 to 2)
Related Research
November 2025
Informing equitable implementation of SNAP food restriction waivers
SNAP is the largest federally funded nutrition assistance program in the U.S., providing support to more than 40 million Americans. This study aims to provide tangible information, insights, and resources grounded in SNAP participants’ preferences and feedback to support the implementation and communication of SNAP Food Restriction waivers, minimizing barriers to SNAP participation and benefit MoreNovember 2025
Forecasting WIC funding needs: Supporting families, strengthening access
WIC serves more than 50% of all infants born in the U.S. The goal of this study is to build a forecasting model to estimate national WIC funding needs under various policy and economic conditions through fiscal year 2027. The model will also be designed to allow for updates to forecast funding needs for future MoreSeptember 2025