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Review of WIC Food Packages Proposed Framework for Revisions: Interim Report (2016) / Chapter Skim
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8 Meeting Diverse Dietary Needs and Preferences: Considerations for the WIC Food Packages
Pages 265-278

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From page 265...
... This chapter considers the issuance of food package III for certain medical conditions, the extent to which WIC food packages accommodate the dietary needs of individuals with food allergies and other food-triggered sensitivities, and the availability of WIC package food items to accommodate varying food preferences (i.e., vegetarian and vegan diets) and food-related religious practices (i.e., Kosher and Halal dietary practices)
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From page 266...
... Nutrition plays a pivotal role in the health of medically fragile individuals, especially children, with appropriate nutrition preventing or mitigating significant neurodevelopmental deficiencies and being potentially life-­ aving. s Depending on an individual's specific medical needs, food package III can be tailored by including non-contract1 infant formulas with unique nutritional composition or WIC-eligible medical foods (see Box 8-1)
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From page 267...
... formulas. Food-Triggered Immune-Mediated Sensitivities All of the food packages, including food package III, can support the nutritional needs of several different types of food-triggered immunemediated sensitivities, including food allergies, celiac disease, non-celiac gluten sensitivity (NCGS)
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From page 268...
... The symptoms of IgE-mediated food allergy include cutaneous, ocular, respiratory, gastrointestinal, cardiovascular, and other miscellaneous effects. Diagnoses of IgE-mediated allergies are made using food elimination diets and oral food challenges (i.e., symptoms resolve when the causative food is removed from the diet and recur following an oral challenge)
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From page 269...
... . WIC food package options for individuals with food allergies  In sum, with respect to food allergy, the committee's review of the literature indicated that most experts recommend breastfeeding for approximately 6 months and the provision of hydrolyzed protein formula for non-breastfed infants who are at risk of developing allergy.
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From page 270...
... Soy is excluded because the baseline food packages do not contain soy products. The WIC food categories "mature legumes" and "juice" were excluded from the table because they are suitable for all cases covered in this table.
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From page 271...
... systematic review indicated that women with undiagnosed celiac disease who follow a gluten-free diet have an increased risk of adverse pregnancy outcomes (evidence graded as fair)
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From page 272...
... . The final rule for the WIC food packages does not require that states provide a gluten-free option for cereals, although the provision allows state agencies to offer corn or rice-based cereals which may be appropriate for participants who must avoid gluten (USDA/FNS, 2014)
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From page 273...
... VARYING FOOD PREFERENCES AND PRACTICES The committee considered how WIC food packages accommodate preferences for vegetarian and vegan diets and food-related religious practices (e.g., Kosher and Halal diets)
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From page 274...
... Kosher or Halal Diets Regarding the extent to which the 2009 revised food packages accommodate food-related religious practices, some states offer options for Kosher or Halal foods prepared in accordance with Jewish and Islamic dietary laws, respectively. Eliasi and Dwyer (2002)
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From page 275...
... WIC state plans, vendor manuals, and grocery shopping guides were also reviewed. The most recent WIC Food Packages Policy Options Study (USDA/ FNS, 2015b)
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From page 276...
... 2013. Prevalence of gluten-free diet adherence among individuals without celiac disease in the USA: Results from the Continuous National Health And Nutrition Examination Survey 2009–2010.
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From page 277...
... 2005. Risk of celiac disease au toimmunity and timing of gluten introduction in the diet of infants at increased risk of disease.
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From page 278...
... 2011. WIC food packages policy options study, final report.
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Key Terms

  • food packages
  • food package
  • celiac disease
  • food allergies
  • package iii

  • lactose intolerance
  • food allergy
  • wic participants
  • medical foods
  • infant formula

  • wic foods
  • infant formulas
  • vegan diets
  • final rule
  • package options

  • packages policy
  • medical conditions
  • allergenic foods
  • policy options
  • including food

  • packages accommodate
  • peanut allergy
  • protein infant
  • exempt infant
  • avoid gluten

  • allowed kosher
  • options study
  • halal foods
  • religious practices
  • hydrolyzed protein


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