ResultsĬomparing July to December in 20, increases were observed in breastfeeding initiation (72.2-77.5%) delaying introduction of solid foods until after 4 months of age (90.1-93.8%) daily fruit (87.0-91.6%), vegetable (78.1-80.8%), and whole grain consumption (59.0-64.4%) by children aged 1-4 years and switches from whole milk to low-/nonfat milk by children aged 2-4 years (66.4-69.4%). Behavioral data in WICSIS were obtained from parent interview by WIC staff at mandatory certification and recertification visits. In this cross-sectional study, >3.5 million administrative records in the NYS WIC Statewide Information System (WICSIS) were analyzed at 6-month intervals from July to December 2008 (pre-implementation) through July to December 2011. In January 2009, NYS was the first to implement these revisions, which added fruits, vegetables, and whole grains and replaced whole milk with low(1%)-/nonfat milk for children 2- to 4-year-old. This study assessed the impact of revisions to the USDA Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food packages on nutritional behavior and obesity in children 0- to 4-years-old participating in the New York State (NYS) WIC program.
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