Impact of a Pediatric Produce Prescription Intervention on Food Security and Perceived Nutrition-Related Behaviors: A Mixed-Methods Study DOI Creative Commons
Hemen Muleta, Laura Fischer, Qadira Ali

et al.

Journal of Primary Care & Community Health, Journal Year: 2024, Volume and Issue: 15

Published: Jan. 1, 2024

Objectives: Poor Food security (FS) is associated with risk of diet-related diseases and rising healthcare costs. Produce Prescription Interventions (PRx) are emerging clinical tools to improve FS diet quality, but their impact in families children not well established. This study evaluates the a pediatric PRx on nutrition-related behaviors. Methods: Adult caregivers (0-18) were enrolled within 6-month produce delivery nutrition education intervention. A validated food survey was administered pre/post intervention determine scores “Food Secure” status. Statistical analyses tested pre-post differences proportion range. Semi-structured interviews performed post-intervention explore families’ experiences low healthy behaviors thematically analyzed. Results: Between October 2021 December 2022, 82 enrolled, 65 completed at baseline 54 it post-intervention. improved ( P < .05) greater household- child-level fell range .05). Twenty-eight Three salient themes identified: (1) value healthcare-based screening intervention, (2) motivate behavior change, (3) perceptions lifestyle sustainability. Conclusions: Participation improvements attitudes can be implemented by health systems for diseases. Longer-term support may needed maintain changes participation.

Language: Английский

Food inequity and insecurity and MASLD: burden, challenges, and interventions DOI
Shira Zelber‐Sagi, Patrizia Carrieri, Juan M. Pericàs

et al.

Nature Reviews Gastroenterology & Hepatology, Journal Year: 2024, Volume and Issue: 21(10), P. 668 - 686

Published: July 29, 2024

Language: Английский

Citations

8
Geospatial Analysis of Food Insecurity and Adverse Human Health Outcomes in the United States DOI Creative Commons
Naveen Joseph

GeoHealth, Journal Year: 2025, Volume and Issue: 9(2)

Published: Feb. 1, 2025

Abstract Previous studies have reported that around 33 million people in the United States are food insecure, potentially leading to several health outcomes. This study aimed evaluate geospatial variation of insecurity and its association with adverse human outcomes at state resolution States. The include diabetes cardiovascular diseases. Data sets on diseases were compiled from Centers for Disease Control Prevention Wonder database chronic conditions. data was accessed USDA, which compiles responses household surveys Census Bureau. Mixed‐effects regression models used this analyze relationships between diabetes, incidence rate ratio also estimated 95% confidence intervals both diseases, comparing high profiles low profiles. Food insecurity, showed significantly higher rates southern part relative other regions. significant associations a p ‐value < 0.001. interval as [1.198 1.234] [1.033 1.091] indicating increase while moving profile.

Language: Английский

Citations

0
Food Insecurity and Its Cardiovascular Implications in Underresourced Communities DOI Creative Commons
Esther Porras‐Pérez, Juan Luis Romero‐Cabrera, Alberto Díaz‐Cáceres

et al.

Journal of the American Heart Association, Journal Year: 2025, Volume and Issue: unknown

Published: March 13, 2025

Background Food insecurity is linked to poorer cardiovascular health (CVH) outcomes, particularly in underresourced communities, where social determinants of play a critical role. Despite the recognized connections, there remains lack empirical evidence delineating implications food on CVH. CVH, broader concept than disease, encompasses overall well‐being system and supported by favorable lifestyle choices physiological metrics. Particularly study CVH could provide valuable insights for early intervention targeted public initiatives. This aimed fill this knowledge gap. Methods Results We conducted cross‐sectional analysis baseline data from E‐DUCASS (Educational Strategy Vulnerable Population Improve Cardiovascular Health Insecurity) program (NCT05379842), 24‐month randomized targeting participants at risk insecurity. was assessed using Life's Essential 8 score. The sample included 451 aged 12 80 years, stratified age (30.6% children [aged 12–19 years], 35.9% young adults 20–39 33.5% 40–80 years]) sex (42.1% men 57.9% women). mean score 65.1 (95% CI, 63.9–66.4), with diet, physical activity, nicotine exposure, body mass index being lowest‐scoring significantly influenced CVH; those severe had lower scores without (effect size, −2.83 [95% −5.10 −0.56]; P <0.05). Conclusions Our findings highlight negative association between Mediterranean communities. These results underscore need strategies reducing risk, potentially through literacy programs like E‐DUCASS, that focus improving alleviating Registration URL: https://www.clinicaltrials.gov ; Unique Identifier: NCT05379842.

Language: Английский

Citations

0
Federally Qualified Health Center-Based Food is Medicine Intervention Associated With Improved Health and Nutritional Outcomes DOI
Katelin M. Hudak,

Lauren Squires,

Amanda R Feighner

et al.

Journal of Nutrition Education and Behavior, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

Language: Английский

Citations

0
Participation in a community-based food cooperative impacts self-reported food security status and dietary intake in Australian adults. DOI Creative Commons
Katherine Kent, Cristy Brooks, Tuki Attuquayefio

et al.

Appetite, Journal Year: 2025, Volume and Issue: unknown, P. 108030 - 108030

Published: April 1, 2025

Language: Английский

Citations

0
Feasibility of self-investment in a medically tailored meals program by a large health enterprise: Cleveland Clinic experience DOI
Eliot N. Haddad,

R.J. Miles,

Marilyn Alejandro‐Rodriguez

et al.

Nutrition and Health, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 24, 2025

Background: Medically tailored meals (MTMs) are personalized designed to meet the therapeutic needs of patients with chronic diseases. Most MTM programs rely on philanthropic support, and optimal parameters for these not well-defined. Aim: To assess feasibility an program developed by a major healthcare institution using internal investments online platform meal ordering. Methods: Single-arm prospective cohort project implemented between August 2021 June 2022. Each participant received 14 frozen per week over 3 months via courier system. Participants answered several questionnaires utilization was abstracted from electronic medical records up 6 post-intervention. Results: Sixty participants were enrolled. Emergency department (ED) visits inpatient days significantly decreased in 180 post-intervention compared pre-intervention (ED visits: 1.2 vs 1.7, P = 0.005; days: 3.2 5.1, 0.02). saved average $12,046 costs. Despite challenges implementation, including upfront costs sustainability, client service outcomes highly favorable. Patients overwhelmingly satisfied program, although there no quantitative improvement global mental health (GMH) or physical (GPH) scores. Conclusion: run institutions can enhance patient satisfaction, reduce hospital visits, lower costs, particularly vulnerable populations. Providing healthy, extended period is feasible, though it requires significant initial investment. Large should consider implementing such prioritize primary prevention US

Language: Английский

Citations

0
Narrative review: food as medicine across the pediatric age continuum DOI Creative Commons
Laura Fischer, Hemen Muleta, Kofi Essel

et al.

Current Opinion in Pediatrics, Journal Year: 2023, Volume and Issue: 36(1), P. 23 - 32

Published: Nov. 15, 2023

Poor diet and food insecurity contribute to the dramatic rise in diet-related chronic disease increasing cost of healthcare. The Food as Medicine (FAM) framework describes food-based interventions designed prevent, manage, treat diseases. However, FAM have not been widely implemented or evaluated pediatric populations, so critical questions remain about their optimal delivery design, efficacy, funding opportunities. We reviewed recent literature offer insights into potential implementation strategies for healthcare providers.

Language: Английский

Citations

8
Understanding food insecurity risk in the United States: A longitudinal analysis DOI Creative Commons
Seth A. Berkowitz, Hilary K. Seligman, Deepak Palakshappa

et al.

SSM - Population Health, Journal Year: 2023, Volume and Issue: 25, P. 101569 - 101569

Published: Dec. 9, 2023

Food insecurity, lack of consistent access to the food needed for an active, healthy life, harms population health. Although substantial biomedical evidence examines connections between insecurity and health, fewer studies examine why occurs.

Language: Английский

Citations

8
Household Food Security Status and Allostatic Load among United States Adults: National Health and Nutrition Examination Survey 2015–2020 DOI Creative Commons
Ryan Saelee, Dayna S. Alexander,

Stephen Onufrak

et al.

Journal of Nutrition, Journal Year: 2023, Volume and Issue: 154(2), P. 785 - 793

Published: Dec. 28, 2023

Language: Английский

Citations

6
Design, protocol and baseline data of Nurturing Healthy Teachers, a cluster non-randomized controlled trial to improve the health, well-being, and food security of preschool and elementary school teachers in Houston, Texas DOI Creative Commons
Shreela V. Sharma, Mackenzie K. Senn,

Angela Zieba

et al.

Preventive Medicine Reports, Journal Year: 2024, Volume and Issue: 40, P. 102674 - 102674

Published: March 1, 2024

We present the conceptual framework, design, and study measures of Nurturing Healthy Teachers, a quasi-experimental to examine short- long-term effectiveness Teachers (NHT) nutrition intervention on food insecurity, dietary behaviors, mental health cardiometabolic among preschool elementary school teachers. A convenience sample 28 schools with pre-kindergarten classrooms were recruited in Houston, Texas. Teacher includes Brighter Bites, an evidence-based coordinated program that combines access fresh produce education, Create Futures, web-based education targets knowledge, self-efficacy, mindfulness, social support create healthy habits The primary outcome is insecurity. Secondary outcomes include diet quality, health, health. Metabolic markers skin carotenoid levels assessed using in-person assessments, while all other obtained via questionnaire. At baseline, most participants female, 63 % identified as Hispanic, highly educated, had mean age 42.6 years. Overall, 50 teachers classified being obese 20 high cholesterol. baseline HbA1c (%) 5.6 %. Moderate severe depression was experienced by 18 23 moderate anxiety. results this will inform next steps towards future implementation evaluation teacher-focused interventions.

Language: Английский

Citations

0