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Cited by 26Maternal and Neonatal HealthcarePublic Health and NutritionFood Security and Health in Diverse Populations

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A Primary Care-Based Early Childhood Nutrition Intervention: Evaluation of a Pilot Program Serving Low-Income Hispanic Women

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Watt, Toni Terling, Appel, Louis, Lopez, Veronica, Flores, Bianca, Lawhon, Brittany·2015·Journal of Racial and Ethnic Health Disparities
DOI 10.1007/s40615-015-0102-2
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Abstract

Nutrition in early childhood can significantly impact physical and mental health outcomes for children. However, research on broadly defined pre/postnatal nutrition interventions is sparse. The present study is a process and outcome evaluation of a primary care-based nutrition intervention targeting low-income Hispanic women. Pregnant women enrolled in the program were in their first trimester and received services through their 6-month well child check. The program provided vouchers for fruits and vegetables from the local farmers' market, nutrition classes, cooking classes, and lactation counseling. We conducted a prospective study of program participants (n = 32) and a comparable group of women for whom the program was not available (n = 29). Panel survey data measured maternal diet, exercise, stress, depression, social support, infant feeding practices, and demographics. Outcome measures obtained from medical records included pregnancy weight gain, infant weight at 6 and 12 months, and infant development at 9 months. Findings reveal that the program was not associated with infant weights. However, despite similar profiles at baseline, women in the intervention group were more likely than women in the comparison group to have significant improvements in diet, exercise, and depression (p ≤ .05). In addition, participants were more likely to breastfeed (p = .07) and their infants were more likely to pass the ages and stages developmental screen (p = .06) than women in the comparison group. The study was limited by a lack of random assignment and small samples. However, the breadth and size of the effects suggest pre/postnatal nutrition interventions integrated into primary care warrant additional investigation.

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Metadata

Authors
Watt, T. T., Appel, L., Lopez, V., Flores, B., & Lawhon, B.
Affiliations
Texas State University (US)
Corresponding author
Watt, Toni Terling
ORCID
Watt, Toni Terling
Venue
Journal of Racial and Ethnic Health Disparities
Publisher
Springer Science and Business Media LLC
Published
2015-04-01
Volume
2
Issue
4
Pages
537-547
ISSN
  • 2196-8837 (ISSN-L)
  • 2197-3792
DOI
10.1007/s40615-015-0102-2
OpenAlex
W1995110401
Cited by
26
References
8
Citations by year
2026: 2 · 2025: 6 · 2024: 3 · 2023: 4 · 2022: 1 · 2021: 5 · 2020: 3 · 2019: 2
FWCI
0.00
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Journal of Racial and Ethnic Health Disparities (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Public Health and Nutrition
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
Keywords
early childhood nutrition, primary care, pregnant women, farmers' markets, nutrition education, cooking classes, breastfeeding counseling, breastfeeding, infant weight, infant development, maternal depression, maternal diet, maternal physical activity, social support, gestational weight gain
MeSH terms
Adult, Female, Hispanic or Latino, Humans, Infant, Nutritional Status, Pilot Projects, Poverty, Pregnancy, Primary Health Care, Prospective Studies, Program Evaluation, Early Medical Intervention

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Watt, T. T., Appel, L., Lopez, V., Flores, B., & Lawhon, B. (2015). A Primary Care-Based Early Childhood Nutrition Intervention: Evaluation of a Pilot Program Serving Low-Income Hispanic Women. Journal of Racial and Ethnic Health Disparities. https://doi.org/10.1007/s40615-015-0102-2