在COVID-19期间实施食品处方计划:好处和障碍
David Himmelgreen1,2, Nancy Romero-Daza1,2, William Alex Webb1,2
1Department of Anthropology, University of South Florida, Tampa, FL 33620, USA.
Healthcare (Basel, Switzerland)
|January 23, 2024
概括
食品处方计划在对食物不安全的人群中管理2型糖尿病和高血压等慢性疾病方面表现有前途. 该研究发现参与者的HbA1c和血压有显著改善,突出显示了Food Rx倡议的有效性.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 食品处方计划 (Food Rx) 为粮食不安全人口中与饮食相关的慢性疾病的管理提供了一个潜在的战略.
- 治疗的疾病包括2型糖尿病 (T2D),高血压和高体重指数 (BMI).
研究的目的:
- 评估佛罗里达州两个社区诊所实施的食品Rx计划的有效性.
- 评估该计划对粮食不安全,临床结果和患者人口统计学的影响.
主要方法:
- 数据收集包括研究人员管理的调查 (粮食不安全,人口统计,社会经济变量) 和生物识别数据 (HbA1c,血压,BMI).
- 进行了统计分析,以确定各种因素对计划利用和健康结果的重要性.
主要成果:
- 西班牙裔患者使用该计划比黑人和白人患者更多 (p < 0.001).
- 老年患者 (≥50岁) 的食物赎回率更高.
- 改善的粮食安全与食品赎回率有关 (r2 = -0.184,p = 0.036).
- 具有较高基线HbA1c (>9%) 的糖尿病患者显示显著减少 (p = 0.011).
- 被纳入≥6个月的患者的静脉血压显著降低 (p = 0.051).
- 体重指数的变化与赎回率没有显著关联.
结论:
- 食品Rx计划可以有效地改善慢性疾病的食物不安全患者的健康结果,包括HbA1c和血压.
- 计划实施需要考虑人口因素,如种族和年龄,以获得最佳的覆盖和参与.
- 需要进一步的研究来探索挑战,并优化在各种服务不足的人群中实施食品Rx计划.
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