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Issue spotlights: breastfeeding disparities & childhood obesity
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DNPAO Publication List - September 2024
















Nutrition
Continued collaboration needed to reduce breastfeeding disparities and meet Healthy People 2030 goals
Breastmilk is the best source of nutrition for most infants and has important health benefits. The American Academy of Pediatrics recommends exclusive breastfeeding for the first 6 months and continued breastfeeding until 2 years or beyond. Healthy People 2030 (HP2030), a U.S. Department of Health and Human Services initiative, sets national health targets. These include increasing the proportion of infants:  Exclusively breastfeeding through 6 months of age (target: 42.4%).Receiving any breastmilk at 1 year (target: 54.1%).
A recent CDC-led study assessed the gains needed to achieve national HP2030 targets among different sociodemographic groups. Nationally, a gain of roughly 17 percentage points was needed to meet each HP2030 target among children born between 2019 and 2020.


No sociodemographic subgroup reached the HP2030 breastfeeding targets. The gains needed to achieve them ranged widely. Subgroups needing gains of more than 20 percentage points to meet targets included:Non-Hispanic Black children.Participants of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).Children with household incomes less than 100% federal poverty level.Children with unmarried parents.Children with mothers without any college.Children with mothers aged less than 30 years.
Federal and local partners need to continue to collaborate to reduce disparities and help achieve the HP2030 national breastfeeding targets.


Noiman A, Kim C, Chen J, Elam-Evans LD, Hamner HC, Li R. Gains needed to achieve Healthy People 2030 breastfeeding targets. Pediatrics. 2024 Aug 23:e2024066219. doi: 10.1542/peds.2024-066219. Epub ahead of print. PMID: 39175458.



















Also see:

Marks, KJ, Gosdin, L, O’Connor, LE, Hamner, HC, Grossniklaus, DA. Changes in Maternity Care Policies and Practices that Support Breastfeeding as Measured by the Ten Steps to Successful Breastfeeding — United States, 2018–2022. BMC Pregnancy and Childbirth. 24, 475 (2024). doi: 10.1186/s12884-024-06672-z


Mei Z, Addo OY, Jefferds MED, Flores-Ayala RC, Brittenham GM. Physiologically based trimester-specific serum ferritin thresholds for iron deficiency in US pregnant women. Blood Adv. 2024 Jul 23;8(14):3745-3753. doi: 10.1182/bloodadvances.2024013460. PMID: 38781318.


Jenkins M, Jefferds MED, Aburto NJ, Ramakrishnan U, Hartman TJ, Martorell R, Addo OY. Development of a Population-Level Dichotomous Indicator of Minimum Dietary Diversity as a Proxy for Micronutrient Adequacy in Adolescents Aged 10-19 Y in the United States. J Nutr. 2024 Jun 23:S0022-3166(24)00341-9. doi: 10.1016/j.tjnut.2024.06.002. Epub ahead of print. PMID: 38917947.


Williams BD, Pitts SJ, Onufrak SJ, Sirois E, Utech A, Wood M, Silverman J, Ajenikoko F, Murphy M, Lowry Warnock A. A qualitative exploration of barriers, facilitators and best practices for implementing environmental sustainability standards and reducing food waste in veterans affairs hospitals. J Hum Nutr Diet. 2024 Aug 4. doi: 10.1111/jhn.13357. Epub ahead of print. PMID: 39099188.


Karakochuk CD, Dary O, Flores-Urrutia MC, Garcia-Casal MN, Hayashi C, Jefferds MED, Johnston R, Larson LM, Mapango C, Mazariegos Cordero DI, Moorthy D, Namaste S, Rogers LM, Saha K, Wuehler S. Perspective: Emerging evidence and critical issues with the use of single-drop capillary blood for the measurement of hemoglobin concentration in population-level anemia surveys. Adv Nutr. 2024 Aug 14:100290. doi: 10.1016/j.advnut.2024.100290. Epub ahead of print. PMID: 39151753.



















































ObesityEditorial: Scale proven Family Healthy Weight Programs so all U.S. children grow up healthy and strong
Many children and families in the United States still have trouble getting affordable, effective, and safe help for preventing and treating obesity. In 2023, the American Academy of Pediatrics released its first Clinical Practice Guideline (CPG) for evaluating and treating obesity in children. The guideline helped raise awareness about effective ways to address this issue. 















An editorial by CDC authors outlines how to spread and scale ways to support healthy childhood growth. CDC has supported adapting and packaging existing, effective Family Healthy Weight Programs (FHWPs) that deliver CPG-recommended intensive behavioral treatment for kids. CDC and other national partners are working to bring these research-tested FHWPs into public health practice. This involves implementing FHWPs in more than 60 communities across the United States and making improvements to infrastructure at a national level.
Goodman AB, Bosso E, Petersen R, Blanck HM. Moving Beyond Research to Public Health Practice: Spread And Scale of Interventions that Support Healthy Childhood Growth. Child Obes. 2024 Aug 30. doi: 10.1089/chi.2024.0255. Epub ahead of print. PMID: 39213255.Also see:Weng X, Kompaniyets L, Buchacz K, Thompson-Paul AM, Woodruff RC, Hoover KW, Huang YA, Li J, Jackson SL. Hypertension Prevalence and Control Among People With and Without HIV - United States, 2022. Am J Hypertens. 2024 Aug 14;37(9):661-666. doi: 10.1093/ajh/hpae048. PMID: 38668635.
Thompson-Paul AM, Kraus EM, Porter RM, Pierce SL, Kompaniyets L, Sekkarie, A, Goodman AB, Jackson SL. Pediatric Lipid Screening Prevalence Using Nationwide Electronic Medical Records. JAMA Netw Open. 2024;7(7):e2421724. doi:10.1001/jamanetworkopen.2024.21724
Rincón-Guevara O, Wallace B, Kompaniyets L, Barrett CE, Bull-Otterson L. Association between SARS-CoV-2 infection during pregnancy and gestational diabetes: a claims-based cohort study. Clin Infect Dis. 2024 Aug 19:ciae416. doi: 10.1093/cid/ciae416. Epub ahead of print. PMID: 39162200.
Doing your own research?

The interactive database, Data, Trends, and Maps, includes information on physical activity, diet, and breastfeeding behaviors and their environmental or policy supports as well as weight status. Please Note: DNPAO author names are in bold. The findings and conclusions in these reports are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Access to articles is dependent on journal subscription status. Dates reflect when publications first became available.  
Also see a bibliography of publications from 2015 through 2024 with DNPAO authors.
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