Prenatal WIC Participation Is Associated with Gestational Weight Gain: A Secondary Analysis of United States Birth Records
Year: 2025
Type: article
Abstract: Background: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides breastfeeding support, nutritious supplemental foods, referrals to health care and social services, and nutrition counseling to eligible pregnant women. Evidence on maternal weight outcomes associated with prenatal WIC participation remains sparse. Objectives: This study aims to estimate the association between prenatal WIC participation and gestational weight gain (GWG). Methods: -scores (GWG z-scores) from prepregnancy-BMI-class-specific references, and categorized into tertiles (low, middle, high). GWG rate (pounds gained/per week during the 2nd and 3rd trimesters) was categorized as slow, adequate, or accelerated. We used propensity scores (PS) weighting to create a balanced comparison group of WIC-eligible non-WIC-participant mothers. Using PS-weighted log binomial regression, we estimated risk ratios (RR) and 95% confidence intervals (CIs) for high/accelerated and low/slow (compared with middle/adequate GWG as reference) GWG associated with prenatal WIC participation. Results: < 0.0001) was observed. Conclusions: Prenatal WIC participation provided support to modestly reduce low weight gain among WIC-eligible United States women, which may have limited clinical implications.
Authors: Susana L Matias, Caitlin D French
Institution: University of California, Berkeley
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $5,000
OpenAlex ID: W4410091258
