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A cross-sectional study was conducted to (1) examine breastfeeding initiation and continuation rates, and; (2) investigate association between food insecurity and breastfeeding status, among low-income mothers. Mothers of infants two-months or younger were recruited from a local pediatric clinic serving primarily low-income families. Upon giving consent, mothers were interviewed in-person or over the phone in either English or Spanish. Of the total 92 mothers interviewed, 90% initiated breastfeeding, but only 24% were doing exclusive breastfeeding at 2 months of infant's age. After controlling for socio-demographics, it was found that food-insecure mothers were less likely to continue with breastfeeding (β = −1.51, p =.024). Future research is warranted to understand pathways through which food insecurity affects breastfeeding and how this disparity can be prevented to ensure a safe and secure start for infants worldwide. [ABSTRACT FROM AUTHOR]

Rapid weight gain (RWG) in infants increases the risk for obesity later in life. The main goal of the study was to examine prevalence of RWG and its association with feeding practices among low-income infants. Mother-infant dyads (n = 216) were recruited from a pediatric clinic that mainly served Medicaid recipients. Mothers were interviewed and 24-h feeding recalls were conducted at 6 and 9 months of infant's age. Infant's weight and length measurements were retrieved from the clinic's medical records. RWG was defined as a change of more than 0.67 standard deviations in weight-for-age z-score between 6 and 12 months. Utilizing NDSR program, total calorie intake, calories from formula/bottle feeding vs. breastmilk vs. complementary foods, were calculated. Descriptives and bivariate t-test were conducted using SPSS v. 28.0.1.1(15). Of the total participants, 37% and 39% were African American and Latino, respectively. Most (79%) of the participants were receiving WIC. About 39% of infants (n=75) at 9 months were receiving breastmilk (either fully or in addition to formula). About 23% of the infants had RWG between 6 and 12 months. In comparison, significant differences in total calorie and calories from formula were found at 6 and 9 months between those who had RWG versus who did not. For instance, at 6-month, average calorie intake among RWG group was 560.65 (+/- 315.78) vs. no RWG group (392.53 +/- 346.94, p<0.05). In examining the pattern, the frequency of formula intake was significantly higher while number of times breastfed was lower among RWG group compared to their counterparts ie, no RWG. Formula feeding is associated with increased energy intake and RWG in late infancy. Continuation of breastfeeding post 6 months can help reduce the risk for RWG among infants. Nutrition education on formula and related feeding practices is vital in ensuring normal growth rate during infancy. NIH [ABSTRACT FROM AUTHOR]

Objective: To examine the association between food insecurity, dietary intake, and body mass index among Somali refugee women living in the United States. Methods: Cross-sectional study utilizing the snowball sampling method. Results: Most (67%) participants experienced some level of food insecurity, which was common among recent arrivals and those who spoke only Somali at home (P < .05). Intake of meat and eggs was higher, whereas intake of fruits and vegetables was lower, among food insecure than secure participants. Food insecurity was positively related to overweight and obesity (odds ratio: 2.66; confidence interval: 1.25-5.69; P

Low-income women were interviewed and their post-natal records were retrieved (n= 160) to assess prevalence of excess gestational weight gain and its socio-demographic predictors. More than half of the women (64%) gained excess weight during pregnancy, with an average of 10 lbs in excess of Institute of Medicine guidelines. Logistic regression indicated that women that started pregnancy at an obese body mass index; who were African American or having an unplanned pregnancy were at significant risk of gaining excess weight in pregnancy. Intervention to prevent excess weight gain during pregnancy is critical in addressing obesity epidemic in the United States and worldwide. [ABSTRACT FROM AUTHOR]

To examine the relationships among food insecurity, breastfeeding, and other related feeding practices by race/ethnicity among US infants and toddlers. National Health and Nutrition Examination Surveys 2009–2014, a nationally representative cross-sectional survey. Infants and toddlers aged 0–24 months with complete data on household food security status (n = 2,069). Initiation of breastfeeding (yes or no), duration of breastfeeding, and age of introduction to foods/drinks. Differences in feeding practices by food security status were tested in survey-weighted, stratified multiple regression models. Breastfeeding initiation rates among non-Hispanic whites, Hispanics, and non-Hispanic blacks were estimated at 80.0%, 77.5%, and 57.4%, respectively (P <.001). A total of 43% of infants and toddlers were introduced to foods/drinks before 4 months. After adjusting for household income, education, and other covariates, food insecurity was not a significant predictor of poor feeding behaviors. Racial/ethnic disparities existed, with non-Hispanic black infants at the highest risk for never being breastfed, nor to continue through the recommended period of breastfeeding. Food insecurity was not shown to affect breastfeeding and other infant feeding practices directly. Further investigation is needed to understand whether food insecurity, through stress and other sociostructural pathways, mediates poor infant feeding practices. [ABSTRACT FROM AUTHOR]

The present study planned and implemented a new farmers’ market (FM) at a WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) clinic in North Carolina, of which WIC FM Nutrition Program (FMNP) participants were the main priority population. The purpose of this FM was to provide convenience and improve access to locally grown fresh fruits and vegetables in the community and to increase the FMNP coupon redemption rate. The main objective of this study was to describe the overall process and key strategies involved in implementing a FM at a WIC clinic. A community-based participatory research design using different formative methods documented the process and key inputs in FM implementation. Local farmers, program administrators, and community advocates were involved in documenting the implementation process. Multiple formative methods included direct observation and semistructured interviews with staff and farmers (n = 13). A community partnership was key in implementing the FM. The market operated weekly over the course of 24 weeks, involved 12 WIC-approved farmers, and featured over 50 types of fresh fruits and vegetables. The FMNP coupon redemption rate at the county level increased from 51.3% to 62.9%. The results demonstrate that a FM can be successfully located near a WIC clinic with positive effects of increasing availability to fresh fruits and vegetables for a low-income population and revenue for local farmers. [ABSTRACT FROM AUTHOR]