"食谱4健康"的有效性:一个准实验性评估
Lisa G Rosas1, Steven Chen2, Lan Xiao3
1Department of Epidemiology and Population Health, Stanford University, Palo Alto, California; Department of Medicine, Stanford University, Palo Alto, California.
American journal of preventive medicine
|November 4, 2024
概括
Recipe4Health计划改善了饮食和关键健康标志物,如非HDL胆固醇和HbA1c在患有粮食不安全和慢性疾病的患者中. 这种食物作为药物的方法显示出对临床健康结果的希望.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 食品作为药物 (FaM) 被认为是解决粮食不安全和慢性疾病的问题.
- 粮食管理局将营养干预措施纳入医疗保健,以预防和治疗疾病.
- 关于FAM干预措施有效性的证据仍然有限.
研究的目的:
- 为了评估全面的食品作为药物计划,Recipe4Health (R4H) 的有效性.
- 评估R4H对脆弱患者群体的饮食摄入量和临床健康结果的影响.
主要方法:
- 在加利福尼亚州的4个联邦合格健康中心进行了一项准实验性研究.
- 参与者可以单独接受"食品药房" (产品交付) 或与"行为药房" (团体访问) 合作.
- 对2,643名患者和对照组进行了前后调查 (4个月) 和倾向分数匹配的EHR数据 (12个月) 的分析.
主要成果:
- "食品药房"加上"行为药房" (每天0.41份) 观察到农产品消费的显著增加.
- 与12个月的对照组相比,单独对"食品药房"和联合干预的非HDL胆固醇的改善.
- 与对照组相比,12个月后仅使用"食品药房"观察到HbA1c显著下降.
结论:
- "食谱4健康"计划证明了对饮食习惯的积极影响.
- R4H干预导致了临床健康结果的显著改善,包括非HDL胆固醇和HbA1c.
- 这项研究支持在医疗保健机构内整合食品作为药物计划.
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