Participation in a farmers' market fruit and vegetable prescription program at a federally qualified health center improves hemoglobin A1C in low income uncontrolled diabetics.
Participation in a farmers' market fruit and vegetable prescription program at a federally qualified health center improves hemoglobin A1C in low income uncontrolled diabetics.
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DOI：
10.1016/j.pmedr.2017.06.006
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发表时间：
2017-09-01
影响因子：
2.8
通讯作者：
Miller-Matero, Lisa R
中科院分区：
文献类型：
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作者：
Bryce, Richard;Guajardo, Claudia;Miller-Matero, Lisa R
水果和蔬菜处方计划已被证明增加了新鲜农产品的消费，但它们是否对医疗结果有影响尚不清楚。这项研究的目的是在密歇根州底特律的一家联邦合格健康中心(FQHC)考察参加农贸市场和水果蔬菜处方计划对未控制的2型糖尿病患者的血红蛋白A1C(HbA1C)、血压(BP)和体重变化的作用。为期13周的新鲜处方计划(2015年6月至2015年10月)旨在改善低收入2型糖尿病患者对农产品的获取和消费。该计划拨款高达40美元(每周10美元，最多四周)，用于从FQHC位于农贸市场的农产品购买。有2型糖尿病病史且在新开处方前三个月内HbA1C>；6.5升高的成年非妊娠患者有资格参加。HgA1c、BP和体重在项目开始后三个月内和完成后三个月内收集。有65名符合条件的参与者拥有完整的生物特征数据。HbA1C下降9.54%至8.83%，差异有统计学意义(p=0.001)。然而，体重(208.3磅。至209.0磅。)血压(135.1/79.3 mm Hg至135.8/77.6 mm Hg)研究前后无明显变化(p>；0.05)。在13周的时间里，获得水果和蔬菜处方计划导致生活在以社会经济地位较低为主的城市地区的未受控制的2型糖尿病患者的HbA1C浓度降低。
Fruit and vegetable prescription programs have been shown to increase consumption of fresh produce, but whether they have an impact on medical outcomes is unknown. The purpose of this study was to examine the role of participation in a farmers' market and fruit and vegetable prescription program on changes in hemoglobin A1C (HbA1C), blood pressure (BP) and weight in patients with uncontrolled type 2 diabetes at a federally qualified health center (FQHC) in Detroit, MI. The 13-week Fresh Prescription program (June 2015-October 2015) was designed to improve access and consumption of produce among low-income patients with uncontrolled type 2 diabetes. The program allotted up to $40 ($10 per week for up to four weeks) for purchase of produce from a FQHC located farmers' market. Adult, non-pregnant patients with a history of type 2 diabetes that had an elevated HbA1C>6.5 within three months before Fresh Prescription program were eligible to participate. HgA1c, BP and weight were collected within three months of program start and within three months of completion. There were 65 eligible participants with complete biometric data. A statistically significant (p=0.001) decrease in HbA1C was found (9.54% to 8.83%). However, weight (208.3lbs. to 209.0lbs.) and BP (135.1/79.3mmHg to 135.8/77.6mmHg) did not change from pre- to post-study (p>0.05). Access to a fruit and vegetable prescription program over a 13-week period led to decreased HbA1C concentrations in uncontrolled type 2 diabetic patients living in an urban area of predominately-lower socioeconomic status.