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
State Agency Perspectives on Successes and Challenges of Administering the Child and Adult Care Food ProgramThe federal Child and Adult Care Food Program (CACFP) improves nutrition and reduces food insecurity for young children while helping cover food costs for care providers and families. Despite its important benefits, the program is underutilized. This report uses qualitative interviews with state CACFP administrators representing 28 states to explore federal and state policies and practices that support or discourage CACFP participation among licensed child More