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

项目摘要 生活在粮食无保障家庭的儿童，其定义是在过去一年的某个时候， 有足够的食物、金钱或资源来养活家庭的人，新鲜水果和蔬菜（FV）的摄入量很低， 以及成年后肥胖和慢性疾病风险增加的轨迹。在夏威夷， 的夏威夷原住民（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（30%和50%，分别对18%）和NHOPI成年人遭受 不成比例的慢性疾病。制定处方计划，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疾病风险的有前途的策略， 粮食不安全人口。这项研究的长期目标是减少与营养有关的健康 通过基于临床社区的方案规划来消除差异。Keiki（儿童）产品处方（KPRx）计划 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 Waitheads Coast Comprehensive Health Center（WCCHC）附近的景点目前的研究建立在 社区-学术伙伴关系，以实现以下具体目标1）制定和验证一个定量， NHOPI儿童的食物频率问卷（FFQ）（HCFFQ）和2）测量KPRx的有效性 在100个亲子配对中， 在夏威夷的一个以NHOPI为主的社区，家庭粮食不安全。一个NHOPI富豪 将利用儿童健康生活计划研究的特定人群饮食数据库， 制定有效、可靠的夏威夷儿童食物频率问卷（HCFFQ）（目标1）。一个基于社区 参与性研究方法，进行随机对照试验，测量KPRx的效果 关于儿童饮食和微生物组，以及父母/照顾者饮食和健康相关生物标志物的100名父母-儿童 将在家庭粮食不安全的情况下开展"双组"活动（目标2）。社区知情 研究将提供数据，为地方和州卫生保健和营养援助规划提供信息 这些政策旨在减少NHOPI和少数民族人口之间的粮食不安全和健康差距。

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.