{"id":73915,"date":"2020-11-09T16:23:57","date_gmt":"2020-11-09T15:23:57","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/?post_type=article_revue&p=73915"},"modified":"2022-04-06T20:08:20","modified_gmt":"2022-04-06T18:08:20","slug":"evolution-des-apports-alimentaires-et-en-nutriments-des-participants-au-programme-wic","status":"publish","type":"article_revue","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/article-revue-equation-nutrition\/evolution-des-apports-alimentaires-et-en-nutriments-des-participants-au-programme-wic\/","title":{"rendered":"\u00c9volution des apports alimentaires et en nutriments des participants au programme WIC"},"content":{"rendered":"

En 2009, la composition et la quantit\u00e9 d\u2019aliments inclus dans le Programme sp\u00e9cial d\u2019aide alimentaire WIC, destin\u00e9 aux femmes, aux nouveau-n\u00e9s et aux enfants, ont \u00e9t\u00e9 r\u00e9vis\u00e9es pour mieux s\u2019aligner sur les recommandations nationales : augmentation des bons d\u2019achat utilisables sur les produits \u00e0 base <\/em>de c\u00e9r\u00e9ales compl\u00e8tes et les F&L, r\u00e9duction pour le lait, le fromage et les jus, et restrictions sur la teneur en mati\u00e8res grasses du lait1<\/sup>.<\/em><\/p>\n

Cette \u00e9tude transversale s’appuie sur les donn\u00e9es de la National Health and Nutrition Examination Survey<\/em> (NHANES) pour \u00e9valuer les changements des apports alimentaires et en nutriments chez les enfants<\/strong> (n=1078, 24-59 mois) et les femmes<\/strong> (n=1025, 19-50 ans) des foyers b\u00e9n\u00e9ficiaires<\/strong> du programme WIC, avant (2005-2008) et apr\u00e8s (2011-2014) la mise en \u0153uvre des r\u00e9visions du panier alimentaire de 2009.<\/p>\n

\u00c9volution des groupes d’aliments et de nutriments chez les enfants apr\u00e8s la r\u00e9vision<\/strong><\/h3>\n

Les modifications du panier alimentaire ont \u00e9t\u00e9 associ\u00e9es \u00e0 une augmentation des apports en fibres<\/strong> (de 10,6 g \u00e0 11,6 g), en vitamine E (de 4,3 mg \u00e0 5,3 mg) et en phosphore<\/strong> (de 1 040 mg \u00e0 1 100 mg) chez les enfants<\/strong> par rapport \u00e0 l’\u00e9chantillon d\u2019avant la r\u00e9vision. L\u2019augmentation des apports en fibres peut s’expliquer en partie par la consommation accrue de c\u00e9r\u00e9ales compl\u00e8tes (de 15 g \u00e0 23,2 g) et de l\u00e9gumineuses (de 0,05 \u00e0 0,08 \u00e9quiv. tasses) qui a \u00e9t\u00e9 \u00e9galement observ\u00e9e puisque la r\u00e9vision des paniers en 2009 comprenait davantage de c\u00e9r\u00e9ales compl\u00e8tes et une plus grande vari\u00e9t\u00e9 d’aliments riches en prot\u00e9ines, tels que les haricots et les l\u00e9gumineuses. De plus, une diminution de la consommation de l\u00e9gumes amylac\u00e9s (de 0,33 \u00e0 0,23 \u00e9quiv. tasses) a \u00e9t\u00e9 not\u00e9e chez les enfants.
\nCes donn\u00e9es sugg\u00e8rent que l\u2019augmentation des vari\u00e9t\u00e9s de c\u00e9r\u00e9ales compl\u00e8tes et de l\u00e9gumineuses dans le panier alimentaire a permis d\u2019accro\u00eetre la consommation de ces produits et contribu\u00e9 \u00e0 am\u00e9liorer les apports en fibres.<\/strong><\/p>\n

Tableau <\/strong>1 <\/strong>: Apports alimentaires des enfants participant au programme WIC avant et apr\u00e8s la r\u00e9vision du panier <\/strong><\/span><\/p>\n\n\n\n\n\n\n
Cat\u00e9gorie de nutriment \/ d’aliment<\/strong><\/td>\nAvant la r\u00e9vision\u00a0 (n=569)<\/strong><\/td>\nApr\u00e8s la r\u00e9vision (n=509)<\/strong><\/td>\nValeur-p<\/strong><\/p>\n

(signification statistique)<\/strong><\/td>\n<\/tr>\n

Nutriments \u00e0 augmenter<\/strong><\/p>\n

– Fibres (g)<\/span><\/p>\n

– Vitamine K (mg)<\/p>\n

– Calcium (mg)<\/p>\n

– Fer (mg)<\/p>\n

– Zinc (mg)<\/td>\n

\n

10,6<\/span><\/p>\n

2\u00a0104<\/p>\n

936<\/p>\n

11,8<\/p>\n

8,6<\/td>\n

\n

11,6<\/span><\/p>\n

2\u00a0058<\/p>\n

985<\/p>\n

11,8<\/p>\n

8,1<\/td>\n

\n

0,004**<\/span><\/p>\n

0,348<\/p>\n

0,192<\/p>\n

0,948<\/p>\n

0,061<\/td>\n<\/tr>\n

Autres nutriments importants<\/strong><\/p>\n

– Vitamine E (mg AR)<\/span><\/p>\n

– Vitamine A (\u03bcg RAE)<\/p>\n

– Phosphore (mg)<\/span><\/td>\n

\n

4,3<\/span><\/p>\n

547<\/p>\n

1\u00a0040<\/span><\/td>\n

\n

5,3<\/span><\/p>\n

562<\/p>\n

1\u00a0100<\/span><\/td>\n

\n

<0,001***<\/span><\/p>\n

0,510<\/p>\n

0,012**<\/span><\/td>\n<\/tr>\n

Groupes d’aliments prioritaires<\/strong><\/p>\n

– Total l\u00e9gumes (\u00e9quiv. tasses)<\/p>\n

– Total l\u00e9gumes amylac\u00e9s (\u00e9quiv. tasses)<\/span><\/p>\n

– L\u00e9gumineuses comptabilis\u00e9es\u00a0comme l\u00e9gumes (\u00e9quiv. tasses)<\/span><\/p>\n

– C\u00e9r\u00e9ales compl\u00e8tes (g)<\/span><\/p>\n

– Total fruits (\u00e9quiv. tasses)<\/p>\n

– Total produits laitiers (\u00e9quiv. tasses)<\/td>\n

\n

0,71<\/p>\n

0,33<\/span><\/p>\n

0,05<\/span><\/p>\n

0,53<\/span><\/p>\n

1,7<\/p>\n

2,15<\/td>\n

\n

0,65<\/p>\n

0,23<\/span><\/p>\n

0,08<\/span><\/p>\n

0,82<\/span><\/p>\n

1,6<\/p>\n

2,12<\/td>\n

\n

0,307<\/p>\n

0,042*<\/span><\/p>\n

0,013*<\/span><\/p>\n

0,001**<\/span><\/p>\n

0,788<\/p>\n

0,869<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

*P<0,05; **P<0,01; ***P<0,01.<\/em><\/p>\n

\u00c9volution des groupes d’aliments et de nutriments chez les femmes apr\u00e8s la r\u00e9vision<\/strong><\/h3>\n

Une augmentation des apports en fibres<\/strong> a \u00e9galement \u00e9t\u00e9 observ\u00e9e chez les femmes<\/strong> (de 14,6 g \u00e0 16,4 g), qui peut \u00e9galement s’expliquer par la consommation accrue de c\u00e9r\u00e9ales compl\u00e8tes (de 17,5 g \u00e0 25,2 g) observ\u00e9e apr\u00e8s la r\u00e9vision, m\u00eame si elle n’\u00e9tait pas tr\u00e8s significative.
\nLes participantes au programme WIC ont d\u00e9clar\u00e9 des apports plus \u00e9lev\u00e9s en sodium apr\u00e8s la r\u00e9vision (3 342 mg contre 3 096 mg pour l\u2019\u00e9chantillon d\u2019avant la r\u00e9vision).<\/p>\n

Tableau <\/strong>2 <\/strong>: Apports alimentaires des femmes participant au programme WIC avant et apr\u00e8s la r\u00e9vision du panier<\/strong><\/span><\/p>\n\n\n\n\n\n\n
Cat\u00e9gorie de nutriment \/ d\u2019aliment<\/strong><\/td>\nAvant la r\u00e9vision (n=537)<\/strong><\/td>\nApr\u00e8s la r\u00e9vision (n=488)<\/strong><\/td>\nValeur-p<\/strong><\/p>\n

(signification statistique)<\/strong><\/td>\n<\/tr>\n

Nutriments \u00e0 augmenter<\/strong><\/p>\n

– Fibres (g) <\/span><\/p>\n

– Potassium (mg)<\/p>\n

– Calcium (mg)<\/p>\n

– Fer (mg)<\/p>\n

– Folate (\u03bcg)<\/td>\n

\n

14,6<\/span><\/p>\n

2\u00a0303<\/p>\n

881<\/p>\n

14,4<\/p>\n

351<\/td>\n

\n

16,4<\/span><\/p>\n

2\u00a0402<\/p>\n

935<\/p>\n

14,1<\/p>\n

380<\/td>\n

\n

0,013*<\/span><\/p>\n

0,145<\/p>\n

0,157<\/p>\n

0,642<\/p>\n

0,112<\/td>\n<\/tr>\n

Nutriments \u00e0 limiter<\/strong><\/p>\n

– Sucres ajout\u00e9s (\u00e9quiv. c. \u00e0 th\u00e9)<\/p>\n

– Graisses satur\u00e9es (%\u00e9nergie)<\/p>\n

– Sodium (mg) <\/span><\/td>\n

\u00a0<\/strong><\/p>\n

21,1<\/p>\n

10,9<\/p>\n

3\u00a0096<\/span><\/td>\n

\n

17,8<\/p>\n

10,9<\/p>\n

3\u00a0342<\/span><\/td>\n

\n

0,068<\/p>\n

0,956<\/p>\n

0,002**<\/span><\/td>\n<\/tr>\n

Groupes d’aliments prioritaires<\/strong><\/p>\n

– Total l\u00e9gumes (\u00e9quiv. tasses)<\/p>\n

– Total l\u00e9gumes amylac\u00e9s (\u00e9quiv. tasses)<\/p>\n

– L\u00e9gumineuses comptabilis\u00e9es comme l\u00e9gumes (\u00e9quiv. tasses)<\/p>\n

– C\u00e9r\u00e9ales compl\u00e8tes (g)<\/p>\n

– Total fruits (\u00e9quiv. tasses)<\/p>\n

– Total produits laitiers (\u00e9quiv. tasses)<\/td>\n

\n

1,36<\/p>\n

0,37<\/p>\n

0,14<\/p>\n

0,62<\/p>\n

0,91<\/p>\n

1,53<\/td>\n

\n

1,45<\/p>\n

0,40<\/p>\n

0,18<\/p>\n

0,89<\/p>\n

1<\/p>\n

1,69<\/td>\n

\n

0,375<\/p>\n

0,609<\/p>\n

0,438<\/p>\n

0,087<\/p>\n

0,672<\/p>\n

0,334<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

*P<0.05; **P<0.01.<\/em><\/p>\n

Des \u00e9l\u00e9ments importants \u00e0 consid\u00e9rer pour les futures modifications du panier<\/strong><\/h3>\n

Les r\u00e9visions du panier alimentaire ont \u00e9t\u00e9 associ\u00e9es \u00e0 une consommation accrue de c\u00e9r\u00e9ales compl\u00e8tes et une augmentation des apports en fibres \u00e0 la fois pour les enfants et les femmes. Chez les enfants, on constate une am\u00e9lioration des apports en vitamine E et en phosphore ainsi que la consommation de plus de l\u00e9gumineuses et de moins de f\u00e9culents. Aucun changement dans la consommation totale de fruits, de fruits entiers ou de jus de fruits n’a \u00e9t\u00e9 observ\u00e9, alors que les r\u00e9visions du panier comprenaient une incitation \u00e0 acheter des fruits frais via des bons d’achat. Les recommandations sur la suppression des jus de fruits et la r\u00e9affectation du budget correspondant aux bons d\u2019achat pour des produits frais2,3<\/sup> sont des \u00e9l\u00e9ments importants qui devront \u00eatre pris en consid\u00e9ration pour les futures modifications du panier.<\/p>\n","protected":false},"template":"","class_list":["post-73915","article_revue","type-article_revue","status-publish","hentry"],"acf":{"auteur":[{"ID":73916,"post_author":"9","post_date":"2020-11-09 16:23:16","post_date_gmt":"2020-11-09 15:23:16","post_content":"","post_title":"Jacqueline A. Vernarelli","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"jacqueline-a-vernarelli","to_ping":"","pinged":"","post_modified":"2020-11-09 16:23:16","post_modified_gmt":"2020-11-09 15:23:16","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/?post_type=auteur_revue&p=73916","menu_order":0,"post_type":"auteur_revue","post_mime_type":"","comment_count":"0","filter":"raw"}],"source":"D'apr\u00e8s : Zimmer, M., & Vernarelli, J. (2019). Changes in nutrient and food group intakes among children and women participating in the Special Supplemental Nutrition Program for Women, Infants, and Children: Findings from the 2005\u20132008 and 2011\u20132014 National Health and Nutrition Examination Surveys. Public Health Nutrition, 22(18), 3309-3314.","revue":[{"ID":73912,"post_author":"4","post_date":"2020-11-10 09:10:12","post_date_gmt":"2020-11-10 08:10:12","post_content":"","post_title":"210 - Octobre 2020","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"recentes-etudes-programme-aide-alimentaire-femmes-enfants","to_ping":"","pinged":"","post_modified":"2022-04-06 20:21:29","post_modified_gmt":"2022-04-06 18:21:29","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/?post_type=revue&p=73912","menu_order":97,"post_type":"revue","post_mime_type":"","comment_count":"0","filter":"raw"}],"position":"1","references":"

1. Institute of Medicine (2006) WIC Food Packages: Time for a Change. Washington, DC: National Academies Press<\/a>.
\n2. Ferris HA, et al. (2017) Time for an end to juice in the Special Supplemental Nutrition Program for Women, Infants, and Children. JAMA Pediatr 171, 509\u2013510<\/a>.
\n3. Nagata JM, et al. (2016) The option of replacing the Special Supplemental Nutrition Program for Women, Infants, and Children fruit juice supplements with fresh fruits and vegetables. JAMA Pediatr 170, 823-824<\/a>.<\/p>\n"},"yoast_head":"\nWIC : \u00e9volution des apports alimentaires et nutritionnels des participants<\/title>\n<meta name=\"description\" content=\"La composition et la quantit\u00e9 d\u2019aliments inclus dans le Programme sp\u00e9cial d\u2019aide alimentaire WIC ont \u00e9t\u00e9 r\u00e9vis\u00e9es pour mieux s\u2019aligner sur les recommandations nationales\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/aprifel-pp.mentalworks.biz\/fr\/article-revue-equation-nutrition\/evolution-des-apports-alimentaires-et-en-nutriments-des-participants-au-programme-wic\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00c9volution des apports alimentaires et en nutriments des participants au programme WIC \u00c9quation Nutrition\" \/>\n<meta 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