Evidence map›Paper›PMID 27244804›Full record

ArticlePediatrics2016

Revised WIC Food Package and Children's Diet Quality.

June M Tester, Cindy W Leung, Patricia B Crawford

Registry-linked trialAbstract read
In one paragraph

Article in Pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04986046 (Fruit and Vegetable Rx + Home Plate, a Multilevel Intervention to Improve Dietary Disparities Among Low-income Children and Families), which is not on this map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04986046 nacompletednot on this mapstarted 2022, after this paper: background citation

Fruit and Vegetable Rx + Home Plate, a Multilevel Intervention to Improve Dietary Disparities Among Low-income Children and Families

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2022 to 2024Enrolled120ConditionsFood InsecurityArmsHome Plate Lite, Home Plate, Fruit and Vegetable prescription
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. From preschool to policy: A scoping review of recommended interventions for a systems approach to improve dietary intake in early childhood.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  8. From preschool to policy: A scoping review of recommended interventions for a systems approach to improve dietary intake in early childhood.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

June M TesterDepartment of Endocrinology. University of California San Francisco (UCSF) Benioff Children's Hospital Oakland, Oakland, California; jtester@chori.org.
Cindy W LeungCenter for Health & Community, University of California, San Francisco, San Francisco, California; and.
Patricia B CrawfordNutrition Policy Institute, Agriculture and Natural Resources, University of California, Berkeley, Berkeley, California.

Funding

The impact of concurrent food insecurity and obesity in childrenK23HD075852 · NICHD · CHILDREN'S HOSPITAL & RES CTR AT OAKLAND · PI TESTER, JUNE M · 2014 to 2018
$756k
Understanding the risk of obesity in food-insecure children: the hidden role of stressK99HD084758 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEUNG, CINDY · 2015 to 2016
$270k
NICHD NIH HHS K23 HD075852NICHD NIH HHS K99 HD084758
6 · The paper itself

Abstract

BACKGROUND AND

objectivesIn October 2009, the Special Supplemental Nutrition Program for Women, Infant, and Children (WIC) food package was revised to include more fruits, vegetables, whole grains, and lower-fat milk. We examined the impact of the WIC food package revisions on the diet quality of children in households using WIC.

methodsA total of 1197 children aged 2 to 4 years from low-income households were studied from before and after the policy implementation (using the 2003-2008 and 2011-2012 National Health and Nutrition Examination Survey). The Healthy Eating Index-2010 (HEI-2010) was calculated using two 24-hour diet recalls. Linear regression was used to examine the difference in HEI-2010 score attributable to the food package change, adjusting for baseline and secular trends among WIC participants and nonparticipants, as well as child and household characteristics. Component scores of the HEI-2010 index were analyzed with generalized linear models.

resultsAverage HEI-2010 scores for participants and nonparticipants were 52.4 and 50.0 at baseline, and 58.3 and 52.4 after the policy change, respectively. The WIC food package revisions were associated with an adjusted average of 3.7 additional HEI-2010 points (95% confidence interval, 0.6-6.9) for WIC participants compared with nonparticipants. In particular, the revisions were associated with a 3.4-fold relative increase (95% confidence interval, 1.3-9.4) in the Greens and Beans component score for WIC participants compared with nonparticipants.

conclusionsResults from this national sample indicate that the WIC food package revisions were associated with higher diet quality for children participating in WIC.

Indexed as

DietFood AssistanceChild, PreschoolFruitHumansMilk, HumanNutrition SurveysPovertyUnited StatesVegetablesWhole Grains

Identifiers

PMID27244804
PMCPMC4845874

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.