Food prescription pilots: feasibility, acceptability and affordability of improving diet through menu planning and grocery delivery.
Food prescription pilots: feasibility, acceptability and affordability of improving diet through menu planning and grocery delivery.
复制标题
食品处方试点：通过菜单规划和杂货配送改善饮食的可行性、可接受性和负担能力。
DOI：
10.1111/jhn.13142
复制
发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Hashmi,Sean
中科院分区：
文献类型：
--
作者：
Cohen,DeborahA;Estrada,ErikaL;Montes,Monica;Voorhees,AllisonC;Inzhakova,Galina;Rios,Claudia;Hsieh,Timothy;Tayag,Justin;Castillo,Amorette;Hashmi,Sean
背景缺乏坚持是人们不能保持健康饮食或减肥的主要原因。多种环境因素，包括积极的营销和营养不良食品的便利性，破坏了人们的最佳意图。其目的是评估食品处方的可行性，可接受性和影响，其中参与者的接触商业食品店减少，因为杂货提供每周菜单计划和recipes.MethodsThis是一系列的前-后试点概念验证研究。我们招募了37名对改善饮食或减肥感兴趣的Kaiser Permanente成员。满足90%以上推荐膳食津贴的每周膳食计划被设计为低成本，符合补充营养援助计划（SNAP）津贴。五个不同的试点针对不同的人群。参与者被要求在干预之前和干预期间提供24小时饮食回忆（ASA 24）。体重管理试点参与者的身高，体重和血压测量之前和之后4周的飞行员，并遵循可持续发展的指导方针，限制肉类和奶制品。对于体重管理飞行员，大多数参与者体重减轻（男性平均10.3磅，女性5.7磅; 95% CI-10.2，-5.4）。大多数参与者喜欢的程序，并认为这是最简单的减肥program they ever tried.ConclusionsThese试点表明，膳食计划和杂货店送货可以负担得起的和可接受的，并最终可能对饮食相关的慢性疾病产生重大影响。需要更长期的研究来确认依从性能持续多久。
BackgroundLack of adherence is a primary reason people fail to maintain a healthy diet or lose weight. Multiple environmental factors, including aggressive marketing and convenience of nutrient‐poor food, undermine people's best intentions. The aim was to assess the feasibility, acceptability and impact of food prescriptions in which participants' exposure to commercial food outlets is reduced, because the groceries are delivered with weekly menu plans and recipes.MethodsThis is a series of pre‐post pilot proof‐of‐concept studies. We recruited 37 members of Kaiser Permanente interested in improving their diet or losing weight. Weekly meal plans meeting more than 90% of recommended dietary allowances were designed to be low cost, in line with Supplemental Nutrition Assistance Program (SNAP) allowances. Five separate pilots targeted different populations. Participants were required to provide 24‐h dietary recalls (ASA24) before and during the interventions. Weight management pilot participants had height, weight and blood pressure measured before and after 4‐week pilots and followed sustainability guidelines, limiting meat and dairy.ResultsAcross pilots, the healthy eating index improved (+21.1 points; 95% CI [confidence interval] 15.9, 26.3). For the weight management pilots, most participants lost weight (average 10.3 lbs for men, 5.7 lbs for women; 95% CI −10.2, −5.4). The majority of participants liked the programme and considered it the easiest weight loss programme they ever tried.ConclusionsThese pilots suggest that meal planning and grocery delivery can be affordable and acceptable and could ultimately have a major impact on diet‐related chronic diseases. Longer‐term studies are needed to confirm how long compliance will endure.