Project 1: Keiki Produce Prescription (KPRx) Program: Improving Diet Assessment and Quantifying Health Impacts
Project 1: Keiki Produce Prescription (KPRx) Program: Improving Diet Assessment and Quantifying Health Impacts
批准号:
10594463
负责人:
Monica Kazlausky Esquivel
金额:
$32.91万
依托单位国家:
美国
项目类别:
财政年份:
2022
资助国家:
美国
项目状态:
未结题
起止时间:
2022-03-20 至 2027-01-31
关键词:
8 year oldAdultAffectAnimalsAssessment toolBiological MarkersCaloriesCaregiversChildChildhoodChronic DiseaseClinicClinicalCommunitiesConsumptionCountryDataDatabasesDevelopmentDietDiet HabitsDietary InterventionDietary PracticesDietary intakeDiseaseDoctor of PhilosophyFamilyFamily health statusFeasibility StudiesFoodFrequenciesFruitGoalsHawaiiHealthHealth BenefitHealth PersonnelHealth PromotionHealthcareHomeHouseholdHumanImprove AccessIndividualInfluentialsIntakeInterventionIntervention TrialInterviewKnowledgeLife ExpectancyLife StyleMeasuresMethodsMinority GroupsNative Hawaiian or Other Pacific IslanderNutrientNutritionalNutritional StudyObesityOverweightParentsParticipantPatientsPoliciesPopulationProviderQuestionnairesRandomizedRandomized, Controlled TrialsRecordsReportingResearchResearch PersonnelResearch Project GrantsResourcesRuralScienceSiteSurveysTimeTrustUnited States National Institutes of HealthUniversitiesVegetablesWorkcommunity based participatory researchcommunity based researchcostdensitydietarydisorder riskearly childhoodeconomic disparityeffectiveness evaluationeffectiveness measureexperiencefarmers marketsfood insecurityfruits and vegetablesgut microbiomehealth disparityhigh riskimprovedinnovationmembermicrobiomemicrobiome compositionneighborhood disadvantagenutritionobesity riskpediatricianprecision nutritionprofessorprogramsresearch studyvoucher
中文摘要
项目总结
英文摘要
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.
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