Evidence map›Paper›PMID 38258385›Full record

ArticlePediatrics2024

Cost-effectiveness of Improved WIC Food Package for Preventing Childhood Obesity.

Erica L Kenney, Matthew M Lee, Jessica L Barrett, Zachary J Ward, Michael W Long, Angie L Cradock, David R Williams, Steven L Gortmaker

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
15.3field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 18 citations in OpenAlex.

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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

8 authors at 3 institutions in 2 countries.

Erica L KenneyDepartment of Nutrition.
Matthew M LeeDepartment of Nutrition.
Jessica L BarrettDepartment of Social and Behavioral Sciences.
Zachary J WardCenter for Health Decision Science, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Michael W LongDepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, District of Columbia.
Angie L CradockDepartment of Social and Behavioral Sciences.
David R WilliamsDepartment of Social and Behavioral Sciences.
Steven L GortmakerDepartment of Social and Behavioral Sciences.
Institute of Behavioral Sciences · JPGeorge Washington University · USHarvard University · US

Funding

Prevention Research Center on Nutrition and Physical ActivityU48DP006376 · DP · HARVARD SCHOOL OF PUBLIC HEALTH · PI GORTMAKER, STEVEN L · 2018 to 2023
$5.0M
Simulation Modeling and Disparities in Obesity and Chronic DiseaseR01HL146625 · NHLBI · HARVARD SCHOOL OF PUBLIC HEALTH · PI GORTMAKER, STEVEN L · 2019 to 2022
$1.6M
Identifying an implementation strategy to maximize the public health nutrition impact of the Child and Adult Care Food ProgramK01DK125278 · NIDDK · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI KENNEY, ERICA LAUREN · 2021 to 2025
$743k
NCCDPHP CDC HHS U48 DP006376NHLBI NIH HHS R01 HL146625NIDDK NIH HHS K01 DK125278
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) prevents food insecurity and supports nutrition for more than 3 million low-income young children. Our objectives were to determine the cost-effectiveness of changes to WIC's nutrition standards in 2009 for preventing obesity and to estimate impacts on socioeconomic and racial/ethnic inequities.

methodsWe conducted a cost-effectiveness analysis to estimate impacts from 2010 through 2019 of the 2009 WIC food package change on obesity risk for children aged 2 to 4 years participating in WIC. Microsimulation models estimated the cases of obesity prevented in 2019 and costs per quality-adjusted-life year gained.

resultsAn estimated 14.0 million 2- to 4-year old US children (95% uncertainty interval (UI), 13.7-14.2 million) were reached by the updated WIC nutrition standards from 2010 through 2019. In 2019, an estimated 62 700 (95% UI, 53 900-71 100) cases of childhood obesity were prevented, entirely among children from households with low incomes, leading to improved health equity. The update was estimated to cost $10 600 per quality-adjusted-life year gained (95% UI, $9760-$11 700). If WIC had reached all eligible children, more than twice as many cases of childhood obesity would have been prevented.

conclusionsUpdates to WIC's nutrition standards for young children in 2009 were estimated to be highly cost-effective for preventing childhood obesity and contributed to reducing socioeconomic and racial/ethnic inequities in obesity prevalence. Improving nutrition policies for young children can be a sound public health investment; future research should explore how to improve access to them.

Indexed as

Food AssistancePediatric ObesityChildChild, PreschoolCost-Benefit AnalysisCost-Effectiveness AnalysisFemaleFoodHumansInfant

Identifiers

PMID38258385
PMCPMC10827651
OpenAlexW4391142079

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.