[PDF] - The 2009 - 2010 Nat ational al Food an and Nutrition ion PDF Document

SLIDE 1

1

WV WIC Survey y Result lts

The 2009 - 2010 Nat ational al Food an and Nutrition ion Questionn nnai aire

Denise V. Ferris, RD, LD, Dr. P.H. WVDA April 14, 2011

The Institu tute te for Obesity ty Resear arch ch and Progr gram am Evalu luati ation

n exists

s to facilit itate ate research ch collabor

rati

ations

ns and

partne ners rship hips to improv

ve health

th and help preven ent t the increas ased ed inciden ence ce of obesit ity y and associate iated co- morbidit ities ies.

SLIDE 2

2 NATFAN Resear arch Project The purpose of the Nation

nal

al Food and Nutritio ion question ionnai aire re (NATFAN) ) project was to determ rmin ine the effect of the new WIC packag age on consump mptio ion and healt lthy y food choices by participan ipants from states, , territor

rie

ies, , and Indian an Tribal l Organizat ization

ions. The project include

ded three eleme ments: (1 (1) Desig ign, develo lopm pment, admin inis istrat ratio ion, , and analy lysis of NATFAN. The questio ionnai aire re was geare red to obtain infor

rmati

mation

n related to the WIC foods

from participat ipatin ing mothers, , infan ants, , and child ldre ren at WIC clinic ics throughou

ut

the natio ion; (2 (2) Develo lopm pment of an online NATFAN questio ionnai aire re for use by those states/ITOs/ Os/territ ritor

rie

ies that prefer online questio ionnai aires for their participan ipants and/or r staff ff members; ; and (3 (3) Establi lishme ment of a websit ite to provide de state WIC programs ams with infor

rmat

mation ion regar ardi ding the NATFAN questio ionnai aire re, adminis istrati ation

n, and results.

lts.

The study y was conduct cted ed through gh the implemen entat tation ion of question ionna naires res target eting ing women, infants ts and children en who were enrolle led in the WIC progra

ram. The

The question ionna naires res were administ ister ered ed before e (pre-rollou

llout

t question ionna naire) re) and after (post-ro rollou lout t question ionna naire) re) the rollou

ut

t of the new WIC foods s packag kage. e.

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3

71,000 WIC partic icipa ipants ts in 52 programs s

* indicate ates that one or more ITOs within in this state partic icip ipate ated in NATFAN

2010 93,500 WIC participants

Why y revi vise the WIC Food Pac ackag ages?

Change ges s have occurr rred d in the major r healt lth and nutriti ition risks ks faced d by the WIC C target popula latio tion, , inclu ludin ding: g:

Diets

s lacki king g in whole le grains, s, fru ruits its and vegetab table les

Short duration

ion of breastfe stfeedin ding

Overw

rweig ight and obesit ity

SLIDE 4

4

WV W WIC Food Pac ackag age Revi visions ns

Inclusion of fruits and

vegetables

Inclusion of whole grain

breads

Increased amounts of food

available to exclusively breastfeeding women and their infants

Exclusion of whole milk for

recipients over 2 years of age

Expansion of commercial

baby foods available for infants

Availability of soy milk as

an option to accommodate cultural food preferences The WIC foods s package age revision ions s were designe ned to align n the WIC food benefit it with the Dietar ary y Guidelin lines es for American ans s and the American an Academ emy y of Pediatr atric ics s current t dietar ary y guidan ance e for feeding ng infants. s. The overall all goals s of the changes es were to encoura rage e consumpti tion

n of fruits and vegetab

able les, s, emphasiz size e the need for whole e grains s and to lower saturate ated fat intake, e, in addition to promoting the establishment of long‐term breast stfeedi eding ng and adap aptin ing g the food packag ages es to appeal al to divers rse e popul ulation ations. s.

SLIDE 5

5 The pre‐food package change questionnaire was completed by WIC participan ipants prior to February ary 2009, in advan ance of the new food package roll‐out on October 1, 2009. The questionnaire focused on WIC client demograph aphics with relatio ion to prefere rences, feedi ding and consump mption ion practic ices, with particula lar focus on the follow

win

ing areas as:

Fruits and Vegetab

able les

Whole

le Grain Foods

Lower

r Fat Milk

Adult Eating Practic

ices

Infan

ant Eating Practic ices

Child

ld Eating Practic ices

Cultural

al Prefere rences

NATFAN: Women State Agency Report Pre-Food Package ge Rollout t Questio ionna naire Fall 2009

State: : West Virginia

Number

r of participants who complete ted part or all of the question

nnaire: 386

386

Number

r of participants who complete ted the English version

n:

: 383

Number

r of participants who complete ted the Spanish version: 3

SLIDE 6

6 NATFAN: Women State Agency Report Post-Food Package ge Rollout ut Questio ionna naire Spring g 2010

State: : West Virginia

Number

r of participants who complete ted part or all of the question

nnaire: 364

364

Number

r of participants who complete ted the English version

n:

: 362

Number

r of participants who complete ted the Spanish version: 2

Women’s Demographic Information

7.2 42.3 30.3 12.9 7.4 7.0 47.4 29.7 9.4 6.3

5 10 15 20 25 30 35 40 45 50 <18 years 18 -23 years 24 - 29 years 30 - 34 years >34 years Pre-Rollout Post-Rollout

0.3 4.7 18.1 37.1 39.8 0.0 8.4 18.0 35.2 38.1

5 10 15 20 25 30 35 40 45 Pre-Rollout Post Rollout

Age Education

Percent Percent

SLIDE 7

7

Women’s Demographic Information

98.7 0.3 0.5 0.5 98.0 1.4 0.3 0.3 10 20 30 40 50 60 70 80 90 100 English Spanish & English Spanish Other Pre-Rollout Post-Rollout Percent 89.6 1.3 4.4 0.8 87.0 2.7 6.3 0.0 10 20 30 40 50 60 70 80 90 100 White, Non-Hisp White, Hispanic Black, Non-Hisp. Black, Hispanic Pre-Rollout Post Rollout Percent

Language at Home Race

9. 9. Ho How ma many cups of mi milk do you dri rink in a day?

4.5% 10.9% 20.0% 29.9% 20.8% 13.9% 5.0% 14.6% 21.6% 33.2% 16.3% 9.0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% I do not drink milk Less than 1 cup 1 cup 2 cups 3 cups 4 or more cups % of Participants Quantity

Chart 1. Quantity of Milk Consumed

Pre-Rollout Post-Rollout

SLIDE 8

8

4.7% 33.2% 48.8% 7.8% 0.0% 5.0% 0.6% 3.6% 17.2% 65.2% 6.9% 0.0% 6.9% 0.0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% I do not drink cow's milk Whole milk 2% milk 1% milk ½% milk Skim (fat free) milk I do not know % of Participants Milk Fat Percentage

Chart 2. Type of Cow's Milk Consumed

Pre-Rollout Post-Rollout

11. What

t type of cow’s milk do you usually drink?

12. I am

m willing to to dri rink 2% mil % milk.

16.3% 9.6% 7.5% 6.2% 76.3% 84.0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of Participants

Chart 1. Willingness to Drink 2% Milk

Disagree Neutral Agree

SLIDE 9

9

12. I am

m willing to dri to drink 1% % mi milk.

40.4% 35.5% 17.1% 17.4% 42.5% 46.9% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of Participants

Chart 1. Willingness to Drink 1% Milk

Disagree Neutral Agree

12. I am

m willing to to dri rink sk skim mil m milk.

62.0% 61.3% 13.6% 11.2% 24.3% 27.3% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of Participants

Chart 1. Willingness to Drink Skim Milk

Disagree Neutral Agree

SLIDE 10

10

15. How often do you do

the following?

Never or less than once per week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day Number (%)

Drink 100% juice such as

range, apple, or tomato.

n = 375

27 (7.2%) 94 (25.1%) 62 (16.5%) 67 (17.9%) 63 (16.8%) 40 (10.7%) 22 (5.9%) Drink artificially sweetened drinks such as diet cola, diet soda, or Crystal Light.

n = 374

178 (47.6%) 70 (18.7%) 34 (9.1%) 32 (8.6%) 29 (7.8%) 13 (3.5%) 18 (4.8%) Drink sugar sweetened drinks such as Kool-Aid, soda, cola, sport drinks, or sugar sweetened tea.

n = 374

58 (15.5%) 92 (24.6%) 51 (13.6%) 51 (13.6%) 47 (12.6%) 36 (9.6%) 39 (10.4%)

(Percentages taken from total number of participants who responded)

Wome men who answered questi tions about t beverage consump mpti tion reported ted the the following:

Pre Pre- Rollou

ut

(Percentages taken from total number of participants who responded)

Wome men who answered questi tions about t beverage consump mpti tion reported ted the the following:

Post- Rollout

ut

SLIDE 11

11

4.3% 21.6% 17.5% 21.8% 18.1% 10.5% 6.2% 3.1% 19.6% 18.7% 21.0% 19.8% 10.2% 7.3% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Never or less than once per week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day % of Partcipants Frequency

Chart 4. Frequency of Fruit Consumption

Pre-Rollout Post-Rollout

16.

16. Ho

How often ten do you eat t fruit? t? This does not t include juice.

4.3% 18.1% 22.9% 18.4% 23.9% 8.2% 4.3% 3.1% 19.6% 18.7% 21.0% 19.8% 10.2% 7.3% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Never or less than

nce per

week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day % of Partcipants Frequency

Chart 4. Frequency of Vegetable Consumption

Pre-Rollout Post-Rollout

17.

17. How ofte

ten do you eat t vegeta tables s su such as s salad, carrots ts, or r sweet t pota tatoe toes? This does not t include pota tatoe toes, French fri ries, or r pota tato to chips.

SLIDE 12

12

87.0% 87.0% 83.0% 82.0% 89.0% 87.0% 83.0% 78.0% 76.0% 86.0% 84.0% 84.0% 84.0% 88.0% 87.0% 82.0% 77.0% 76.0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of Partcipants Frequency

Chart 4. Variety of Fruit and Vegetable Consumption

Pre-Rollout Post-Rollout

18. Duri

ring the the past t year, which fruits ts and vegeta tables did you usually eat? t?

16.4% 25.2% 20.1% 14.5% 12.3% 5.9% 5.6% 19.9% 28.7% 21.9% 11.3% 11.1% 4.2% 2.5% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Never or less than

nce per

week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day % of participants Frequency

Chart 6. Frequency of White Bread Consumption

Pre-Rollout Post-Rollout

24. Ho

How ma many ti time mes do you eat t white te bread?

SLIDE 13

13

27.9% 25.7% 15.1% 15.7% 11.4% 1.1% 3.2% 18.8% 30.8% 19.3% 17.6% 10.3% 2.2% 0.5% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Never or less than

nce per

week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day % of participants Frequency

Chart 6. Frequency of Whole-Wheat or Whole Grain Consumption

Pre-Rollout Post-Rollout

25. Ho

How ma many ti time mes do you eat t whole-wheat t or r whole grain bread?

NATFAN: Infants ts State Agency Repor

rt

Pre-Foo

od Package

age Rollou

ut

t Question ionna naire re Fall 2009

State: : West Virginia Total number r of participants who completed the questionnaire re: : 293 Number r of participa pants ts who completed the English version: : 290 290 Number r of participa pants ts who completed the Spanish version: : 3 3

SLIDE 14

14 NATFAN: Infants ts State Agency Repor

rt

Post -Food Packag kage e Rollout

ut Questionn
nnair

aire Spring g 2010

State: : West Virginia Total number r of participan pants ts who complete ted d the questionnaire re: : 413 413 Number r of participa pants ts who completed the English version: : 410 410 Number r of participa pants ts who completed the Spanish version: : 3 3

Parent/Caregiver Demographic Information

4.5 44.6 31.2 12.6 7.1 4.0 45.7 31.8 11.7 6.5

5 10 15 20 25 30 35 40 45 50 <18 years 18 -23 years 24 - 29 years 30 - 34 years >34 years Pre-Rollout Post-Rollout

0.0 7.0 15.4 42.6 34.9 0.2 7.7 13.0 35.6 43.3

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0 Pre-Rollout Post Rollout

Age Education

Percent Percent

SLIDE 15

15

7.4% 10.2% 21.1% 12.7% 6.7% 11.3% 23.6% 7.0% 7.4% 14.8% 19.2% 7.9% 8.9% 13.8% 21.2% 6.4% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Less than 1 month

ld

1 to 2 months 3 to 4 months 5 months 6 months 7 to 8 months 9 to 10 months 11 months % of participants Frequency Pre-Rollout Post-Rollout

8. Ho

How old is your r infant? t?

45.1% 15.2% 15.2% 1.2% 1.8% 2.4% 0.6% 18.3% 47.3% 21.1% 8.4% 3.4% 1.5% 0.7% 0.0% 17.3% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% %of Participants Age of Infant

Chart 1. Age of Infant at Breastfeeding Cessation

Pre-Rollout Post-Rollout

13. What was the age of your infant when you

stopped breastfeeding?

SLIDE 16

16

9.9% 85.0% 1.5% 1.1% 1.8% 0.7% 13.4% 78.2% 3.8% 1.5% 1.2% 1.5% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% My infant does not eat this Less than 4 months old 4-5 months old 6 months old 7-8 months old 9-11 months old % of Participants Age of Infant

Chart 2. Age of Infant at First Formula Feeding

Pre- Rollout Post- Rollout

14. At

t what t age did you first t feed your r infant t formu mula?

50.7% 15.6% 8.9% 13.8% 6.7% 3.2% 1.1% 53.8% 22.0% 5.6% 9.7% 5.8% 1.7% 1.0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Never or less than once per week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day % of Participants Frequency

Chart 4. Frequency of Infant Consuming 100% Juice and Other Drinks

Pre-Rollout Post-Rollout

20. 20.How ofte ten does s your r infant t dri rink 100% % juice such as apple, orange, or r toma tomato to juice?

SLIDE 17

17

89.9% 5.4% 2.2% 1.4% 0.7% 0.4% 0.0% 90.9% 6.4% 0.7% 0.2% 0.7% 0.7% 0.0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Never or less than once per week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day % of Participants Frequency

Chart 4. Frequency of Infant Consuming Other Drinks

Pre-Rollout Post-Rollout

21. 21.Ho How often ten does your r infant t dri rink othe ther r dri rinks such as Kool-Aid, sugar r water ter, soda, cola, sports ts dri rinks, or r sweet t tea tea?

62.6% 1.8% 9.7% 11.2% 11.5% 3.2% 67.2% 0.7% 5.9% 11.9% 9.3% 4.6% 0% 10% 20% 30% 40% 50% 60% 70% 80% My infant does not eat this Less than 4 months old 4-5 months old 6 months old 7-8 months old 9-11 months

ld

% of Participants Age

Chart 6. Age of Infant at Introduction to Meats

Pre-Rollout Post-Rollout

24. At

t what t age did you first st feed your r infant t me meats ts?

SLIDE 18

18

21.0% 37.4% 34.9% 4.6% 1.4% 0.7% 26.3% 38.5% 25.0% 8.7% 0.7% 0.5% 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% My infant does not eat this Less than 4 months old 4-5 months

ld

6 months old 7-8 months

ld

9-11 months

ld

% of Participants Age

Chart 6. Age of Infant at Introduction to Cereals

Pre-Rollout Post-Rollout

25. At

t what t age did you first t feed your r infant t cereal?

62.1% 2.9% 14.3% 11.1% 7.1% 2.5% 70.0% 2.3% 7.0% 2.6% 7.2% 3.3% 0% 10% 20% 30% 40% 50% 60% 70% 80% My infant does not eat this Less than 4 months old 4-5 months

ld

6 months old 7-8 months

ld

9-11 months

ld

% of Participants Age

Chart 6. Age of Infant at Introduction to Desserts

Pre-Rollout Post-Rollout

26. At

t what t age did you first st feed your r infant t desserts ts?

SLIDE 19

19

37.0% 9.5% 34.1% 17.4% 1.2% 0.5% 32.5% 9.5% 37.8% 15.9% 3.5% 0.7% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% My infant does not eat this Less than 4 months old 4-5 months

ld

6 months old 7-8 months

ld

9-11 months

ld

% of Participants Age

Chart 7. Age of Infant at Introduction to Fruits

Post-Rollout Pre-Rollout

27. At

t what t age did you first t feed your r infant t fruit? t?

32.9% 9.2% 37.1% 16.3% 3.5% 1.1% 39.6% 7.4% 34.0% 17.1% 1.2% 0.5% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% My infant does not eat this Less than 4 months old 4-5 months old 6 months old 7-8 months old 9-11 months

ld

% of Participants Age

Chart 7. Age of Infant at Introduction to Vegetables

Pre-Rollout Post-Rollout

28. At

t what t age did you first st feed your r infant t vegeta tables?

SLIDE 20

20

NATFAN: N: Childr ldren State Agency Report rt Pre-Food d Package age Rollout Quest stio ionnair ire Fall 2009

State: : West Virginia

Total number

r of participan pants ts who completed d the questionnaire: : 798

Number

r of participants who completed the English version: : 792

Number

r of participants who completed the Spanish version: : 6

NATFAN: N: Childr ldren State Agency Report rt Post-Food Packa kage ge Rollout t Questio stionnai aire re Spring g 2010

State: : West Virginia

Total number

r of participan pants ts who completed d the questionnaire: : 786 786

Number

r of participants who completed the English version: : 779

Number

r of participants who completed the Spanish version: : 7

SLIDE 21

21 Parent/Caregiver Demographic Information

0.8 25.6 35.0 19.6 18.9 1.0 26.6 37.9 17.7 17.0

5 10 15 20 25 30 35 40 <18 years 18 -23 years 24 - 29 years 30 - 34 years >34 years Pre-Rollout Post-Rollout

0.5 5.6 11.5 36.9 45.5 0.5 5.0 15.2 41.9 37.1

5 10 15 20 25 30 35 40 45 50 Pre-Rollout Post Rollout

Age Education

Percent Percent

11. I am w

m willing to to give my my child who is s tw two years s

ld or

r older r 2% % mi milk.

12.8% 11.3% 15.8% 9.7% 71.4% 78.8% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2% milk % of Participants

Chart 1. Willingness to Give Child 2% Milk

Disagree Neutral Agree

SLIDE 22

22

12. I am

m willing to giv to give my my child who is tw two years

ld or

r older r 1% % mi milk.

40.2% 36.9% 23.4% 26.2% 36.4% 36.8% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of Participants

Chart 1. Willingness to Give Child 1% Milk

Disagree Neutral Agree

12. I am willing to give my child who is two years

rs old or older skim milk.

55.0% 53.8% 23.6% 21.9% 21.3% 24.1% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of Participants

Chart 1. Willingness to Give Child Skim Milk

Disagree Neutral Agree

SLIDE 23

23

17. How often does your

child do the following?

Never or less than once per week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day

Number (%)

Drink 100% juice such as

range, apple, or tomato.

n=782 25 (3.2%) 121 (15.5%) 97 (12.4%) 130 (16.6%) 239 (30.6%) 120 (15.3%) 50 (6.4%) Drink artificially sweetened drinks such as diet cola, diet soda, or Crystal Light. n=785 566 (72.1%) 158 (20.1%) 18 (2.3%) 27 (3.4%) 11 (1.4%) 2 (0.3%) 3 (0.4%) Drink sugar sweetened drinks such as Kool-Aid,

soda, cola, sport drinks,

r sugar sweetened tea.

n=783 266 (34.0%) 326 (41.6%) 65 (8.3%) 51 (6.5%) 53 (6.8%) 13 (1.7%) 9 (1.1%)

Bevera rages

Pre- Rollou

ut

Bevera rages

Post- Rollout

ut

SLIDE 24

24

1.4% 11.6% 18.0% 19.2% 29.3% 13.2% 7.3% 1.9% 11.8% 15.7% 16.7% 25.7% 17.3% 10.6% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Never or less than

nce per

week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day % of Participants Frequency

Chart 2. Frequency of Child's Fruit Consumption

Pre-Rollout Post-Rollout

18. Ho

How often ten does your r child eat t fruit? t? This does NO NOT T include juice.

3.1% 15.1% 17.0% 18.7% 28.0% 11.8% 6.4% 3.0% 13.7% 15.5% 18.9% 25.2% 13.5% 9.9% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Never or less than

nce per

week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day % of Participants Frequency

Chart 2. Frequency of Child's Vegetable Consumption

Pre-Rollout Post-Rollout

19. How ofte

ten does s your r child eat t vegeta tables s such as salad, carrots ts, or r sweet t pota tatoe toes? This does not t include pota tatoe toes, French fri ries, or r pota tato to chips.

SLIDE 25

25

91% 94% 82% 79% 77% 85% 89% 90% 83% 89% 92% 78% 80% 71% 82% 86% 86% 81% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % of Partcipants Frequency

Chart 4. Variety of Fruit and Vegetable Consumption

Pre-Rollout Post-Rollout

20. Duri

ring the the past t year, which fruits ts did your r child usually eat? t?

17.8% 31.2% 20.7% 16.3% 8.7% 3.6% 0.9% 28.8% 33.2% 14.7% 14.3% 5.3% 2.2% 1.1% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Never or less than

nce per

week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day % of participants Frequency

Chart 6. Frequency of White Bread Consumption

Pre-Rollout Post-Rollout

26. Ho

How ma many ti time mes does your r child eat t white te bread?

SLIDE 26

26

23.6% 33.2% 17.8% 12.6% 10.2% 1.8% 0.9% 15.3% 28.7% 18.8% 18.5% 13.7% 3.0% 1.5% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Never or less than

nce per

week 1 to 3 times per week 4 to 6 times per week 1 time per day 2 times per day 3 times per day 4 or more times per day % of participants Frequency

Chart 6. Frequency of Whole-Wheat or Whole Grain Consumption

Pre-Rollout Post-Rollout

27. Ho

How ma many ti time mes does your r child eat t whole-wheat t

r

r whole grain bread?

The N NATF TFAN AN projec ject was s an e excit iting ing

pportunity to examine WIC participants’

food an and beverage choice ices s and has s si signifi ificant i imp mpli lication ions s for nation ional l and st state WIC WIC program m poli licies ies and nutrit ition ion education ion practice ices. s. NATF TFAN AN was s amo mong the fi first st nation ional-le level l reviews of WIC participants’ food choices an and d attitud udes es abo bout ut who hole g e grain ain foo

ods,

ds, mil milk and formu mula pr la products, s, and a v a variet iety y

f fr

fruit its s and vegetables. les.

SLIDE 27

27 Observations

WV not much different than National results
Increase in lower fat milk consumption reported post-rollout
Increase in willingness to drink lower fat milk
Increase in whole grain/wheat bread
We see the effects of limiting formula to breastfed infants, and

eliminating juice in all infants in the new WIC food package Action Steps

Decrease sugared beverages and juice more than once a day
Increase fruit and vegetable consumption, and whole grains
Adding brown rice, tortillas in future
Expand types of fruits and vegetables in future (frozen)