Project 1: Keiki Produce Prescription (KPRx) Program: Improving Diet Assessment and Quantifying Health Impacts

项目总结 生活在粮食不安全的家庭中的儿童，定义为在过去一年的某个时候他们的家庭没有 食物、金钱或资源足以养活家庭的新鲜水果和蔬菜(FV)摄入量较低， 以及成年后肥胖和慢性病风险增加的轨迹。在夏威夷，更高的比例 夏威夷原住民(NH)和其他太平洋岛民(OPI)儿童生活在粮食不安全的家庭中 与州平均水平(分别为30%和50%对18%)相比，诺皮族成年人遭受的痛苦 不成比例地死于慢性病。制作处方计划，向个人提供代金券 购买新鲜的FV，是改善饮食质量和降低慢性病风险的有希望的策略之一 粮食不安全的人群。这项研究的长期目标是减少与营养相关的健康 通过以临床社区为基础的规划实现差异。Keiki(儿童)生产处方(KPRx)计划 是通过招募大学和社区研究人员以及医疗保健提供者来开发和实施的 在Waianae海岸综合卫生中心(WCCHC)。目前的研究建立在 社区-学术伙伴关系以实现以下具体目标1)开发和验证量化的、 诺皮儿童食物频率调查问卷(HFFQ)和2)衡量KPRx的有效性 上海地区100名亲子二人组膳食纤维摄入量、肠道微生物群组成及健康相关生物标志物的研究 来自夏威夷一个以诺皮人为主的社区的家庭粮食不安全的背景I.一个诺皮人丰富的ʻ 来自儿童健康生活计划研究的特定人群饮食数据库将被用于 制定一份有效、可靠的夏威夷儿童食物频率调查问卷(目标1)。以社区为基础 采用参与性研究方法进行随机对照试验，以衡量KPRX的效果 儿童饮食与微生物组、父母/照料者饮食与健康相关生物标志物对100名亲子的影响 将在家庭粮食不安全的情况下进行二元化(目标2)。社会消息灵通 研究研究将提供数据，为地方和州的医疗保健和营养援助规划提供信息 旨在减少诺皮人和少数群体之间的粮食不安全和健康差距的政策。

PROJECT SUMMARY Children living in food-insecure homes, defined as at some time during the last year their household not having enough food, money, or resources to feed the family experience low intake of fresh fruits and vegetables (FV), and a trajectory for increased risk of obesity and chronic diseases in adulthood. In Hawai‘i, a higher proportion of Native Hawaiian (NH) and other Pacific Islander (OPI) children live in food-insecure households when compared with the state average (30% and 50%, respectively vs. 18%) and NHOPI adults suffer disproportionately from chronic disease. Produce prescription programs, provide vouchers to individuals to purchase fresh FV, are promising strategies to improve diet quality and reduce chronic disease risk among food insecure populations. The long-term objective of this research is to reduce nutrition-related health disparities via clinical-community based programming. The Keiki (child) Produce Prescription (KPRx) program was developed and implemented by enlisting University and community researchers and health care providers at the Waianae Coast Comprehensive Health Center (WCCHC). The current study builds on the community-academic partnership to achieve the following specific aims 1) develop and validate a quantitative, food frequency questionnaire (FFQ) for NHOPI children (HCFFQ) and 2) measure effectiveness of the KPRx on FV intake, gut microbiome composition, and health related biomarkers in 100 parent-child dyads in the context of household food insecurity from a predominantly NHOPI community in Hawaiʻi. An NHOPI-rich population-specific dietary database from the Children’s Healthy Living Program study will be utilized to develop a valid, reliable Hawaii Child Food Frequency Questionnaire (HCFFQ) (Aim 1). A community based participatory research approach to carry out a randomized controlled trial that measures the effect of the KPRx on child diet and microbiome, and parent/caregiver diet and health-related biomarkers on 100 parent-child dyads in the context of household food insecurity will be conducted (Aim 2). The community-informed research study will provide data to inform local and state healthcare and nutrition assistance programming policies aimed at reducing food insecurity and health disparities among NHOPI and minority populations.