Dietary Risk Assessment in the WIC Program (2002)
Chapter: Appendix A Allowed Nutrition Risk Criteria
A
Allowed Nutrition Risk Criteria
|
ANTHROPOMETRIC |
|
|
100 |
Low Weight for Height |
|
101 |
Pre-pregnancy Underweight |
|
102 |
Postpartum Underweight |
|
103 |
Underweight or At Risk of Becoming Underweight (Infants and Children)* |
|
110 |
High Weight for Height |
|
111 |
Pre-pregnancy Overweight |
|
112 |
Postpartum Overweight |
|
113 |
Overweight (Children 2–5 years of Age)* |
|
114 |
At Risk of Becoming Overweight (Infants and Children)* |
|
120 |
Short Stature |
|
121 |
Short Stature (infants, children) |
|
130 |
Inappropriate Growth/Weight Gain Pattern |
|
131 |
Low Maternal Weight Gain* |
|
132 |
Maternal Weight Loss During Pregnancy |
|
133 |
High Maternal Weight Gain* |
|
134 |
Failure to Thrive |
|
135 |
Inadequate Growth |
|
140 |
Low Birth Weight/Premature Birth |
|
141 |
Low Birth Weight |
|
142 |
Prematurity |
|
150 |
Other Anthropometric Risk |
|
151 |
Small for Gestational Age |
|
152 |
Low Head Circumference |
|
153 |
Large for Gestational Age |
|
BIOCHEMICAL |
|
|
200 |
Hematocrit or Hemog1obin Below State Criteria |
|
201 |
Low Hematocrit/Low Hemoglobin [formerly entitled Anemia] |
|
210 |
Other Biochemical Test Results Which Indicate Nutritional Abnormality |
|
211 |
Elevated Blood Lead Levels |
|
CLINICAL/HEALTH/MEDICAL |
|
|
300 |
Pregnancy-Induced Conditions |
|
301 |
Hyperemesis Gravidarum |
|
302 |
Gestational Diabetes |
|
303 |
History of Gestational Diabetes |
|
310 |
Delivery of Low-Birthright/Premature Infant |
|
311 |
History of Preterm Delivery |
|
312 |
History of Low Birthweight |
|
320 |
Prior Stillbirth, Fetal, or Neonatal Death |
|
321 |
History of Spontaneous Abortion, Fetal or Neonatal Loss |
|
330 |
General Obstetrical Risks |
|
331 |
Pregnancy at a Young Age |
|
332 |
Closely Spaced Pregnancies |
|
333 |
High Parity and Young Age |
|
334 |
Lack of Adequate Prenatal Care |
|
335 |
Multifetal Gestation |
|
336 |
Fetal Growth Restriction |
|
337 |
History of Birth of a Large for Gestational Age Infant |
|
338 |
Pregnant Woman Currently Breastfeeding |
|
339 |
History of Birth with Nutrition-Related Congenital or Birth Defect |
|
340 |
Nutrition-Related Risk Conditions (e.g.. Chronic Disease, Genetic Disorder Infection) |
|
341 |
Nutrient Deficiency Diseases |
|
342 |
Gastro-Intestinal Disorders |
|
343 |
Diabetes Mellitus |
|
344 |
Thyroid Disorders |
|
345 |
Hypertension (Includes Chronic and Pregnancy Induced) |
|
346 |
Renal Disease |
|
347 |
Cancer |
|
348 |
Central Nervous System Disorders |
|
349 |
Genetic and Congenital Disorders |
|
350 |
Pyloric Stenosis |
|
351 |
Inborn Errors of Metabolism |
|
352 |
Infectious Diseases (Bronchiolitis added) |
|
353 |
Food Allergies |
|
354 |
Celiac Disease |
|
355 |
Lactose Intolerance |
|
356 |
Hypoglycemia |
|
357 |
Drug-Nutrient Interactions |
|
358 |
Eating Disorders |
|
359 |
Recent Major Surgery, Trauma, Burns |
|
360 |
Other Medical Conditions |
|
361 |
Depression |
|
362 |
Developmental, Sensory, or Motor Disabilities Interfering with the Ability to Eat |
|
370 |
Substance Abuse (Drugs, Alcohol, Tobacco) |
|
371 |
Maternal Smoking |
|
372 |
Alcohol and Illegal Drug Use |
|
380 |
Other Health Risks |
|
381 |
Dental Problems |
|
382 |
Fetal Alcohol Syndrome |
|
DIETARY |
|
|
400 |
Inadequate/Inappropriate Nutrient Intake |
|
401 |
Failure to Meet USDA/DHHS Dietary Guidelines for Americans |
|
402 |
Vegan Diets |
|
403 |
Highly Restrictive Diets |
|
410 |
Other Dietary Risk |
|
411 |
Inappropriate Infant Feeding |
|
412 |
Early Introduction of Solid Foods |
|
413 |
Feeding Cow’s Milk During First 12 Months |
|
414 |
No Dependable Source of Iron for Infants at 6 Months of Age or Later |
|
415 |
Improper Dilution of Formula |
|
416 |
Feeding Other Foods Low in Essential Nutrients |
|
417 |
Lack of Sanitation in Preparation/Handling of Nursing Bottles |
|
418 |
Infrequent Breastfeeding as Sole Source of Nutrients |
|
419 |
Inappropriate Use of Nursing Bottles |
|
420 |
Excessive Caffeine Intake (Breastfeeding Women) |
|
421 |
Pica |
|
422 |
Inadequate Diet |
|
423 |
Inappropriate or Excessive Intake of Dietary Supplements Including Vitamins, Minerals and Herbal Remedies |
|
424 |
Inadequate Vitamin/Mineral Supplementation |
|
425 |
Inappropriate Feeding Practices for Children |
|
426 |
Inadequate Folic Acid Intake to Prevent NTD’s, Spina Bifida and Anencephaly |
|
OTHER RISKS |
|
|
500 |
Regression/Transfer/Presumptive Eligibility |
|
501 |
Possibility of Regression |
|
502 |
Transfer of Certification |
|
503 |
Presumptive Eligibility for Pregnant Women |
|
600 |
Breastfeeding Mother/Infant Dyad |
|
601 |
Breastfeeding Mother of Infant at Nutritional Risk |
|
602 |
Breastfeeding Complications (Women) |
|
603 |
Breastfeeding Complications (Infants) |
|
700 |
Infant of a WIC-Eligible Mother or Mother at Risk During Pregnancy |
|
701 |
Infant Up to 6 Months Old of WIC Mother, or of a Woman Who Would Have Been Eligible During Pregnancy |
|
702 |
Breastfeeding Infant of Woman at Nutritional Risk |
|
703 |
Infant Born of Woman with Mental Retardation or Alcohol or Drug Abuse During Most Recent Pregnancy |
|
800 |
Homelessness/Migrancy |
|
801 |
Homelessness |
|
802 |
Migrancy |
|
900 |
Other Nutritional Risks |
|
901 |
Recipient of Abuse |
|
902 |
Woman, or Infant/Child of Primary Caregiver with Limited Ability to Make Feeding Decisions and/or Prepare Food |
|
903 |
Foster Care |
