研究农产品处方 (PPR) 计划的粮食安全、水果和蔬菜摄入量以及心血管疾病风险结果：系统回顾。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior Pub Date : 2024-11-01 DOI:10.1016/j.jneb.2024.06.012

Zoe Harper MS, RD , Adriana Verdezoto Alvarado PhD , Sarah E. Katz MS , Alisha J. Rovner PhD , Elizabeth Anderson Steeves PhD, RD , Hollie A. Raynor PhD, RD , Shannon M. Robson PhD, MPH, RD

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引用次数: 0

摘要

目的：农产品处方（PPR）计划是 "食物即药物 "干预措施的典范，其结果尚未得到综合。本研究旨在开展一项系统性综述，研究农产品处方计划对食品安全、果蔬摄入量和/或心血管风险因素（HbA1c、血压和血脂）的影响：设计：在三个数据库（PubMed、CINAHL 和 Web of Science）中进行检索。符合条件的研究发表于 2012 年 8 月至 2023 年 4 月之间，在美国进行，针对儿童/家庭或成人群体，以英语撰写，并以 PPR 计划作为暴露对象：结果：共纳入了 20 项研究，研究时间从 6 周到 24 个月不等。在分析食品安全状况变化的 5 项研究（3 项针对儿童/家庭，4 项针对成人）中，所有研究都报告称，在实施 PPR 计划后，食品安全状况有了显著改善（P < 0.05）。在纳入的研究中，约有一半发现水果、蔬菜和/或 FV 摄入量有明显增加（P < 0.05）。只有针对成年人群的研究纳入了心血管风险因素的结果。在这些研究中，报告的结果参差不齐；但是，当 PPR 计划纳入 2 型糖尿病患者时，HbA1c 有了显著改善（P < 0.05）：PPR计划为改善儿童/家庭和成年人的食品安全提供了机会。至于在 HbA1c 较高的成年人群中，PPR 计划是否能增加 FV 摄入量并改善 HbA1c 以外的心血管疾病风险因素，目前还不太清楚。

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Examining Food Security, Fruit and Vegetable Intake, and Cardiovascular Disease Risk Outcomes of Produce Prescription (PPR) Programs: A Systematic Review

Objective

Outcomes from produce prescription (PPR) programs, an exemplar of a Food is Medicine intervention, have not been synthesized. The objective of this study was to conduct a systematic review to examine the impact of PPR programs on food security, fruit and vegetable (FV) intake, and/or cardiovascular risk factors (HbA1c, blood pressure, and blood lipids).

Design

Searches were conducted across three databases (PubMed, CINAHL, and Web of Science). Eligible studies were published between August 2012 and April 2023, conducted in the US in child/family, or adult populations, written in English and had a PPR program as an exposure.

Outcomes Variables Measured

Food security, FV intake, and/or cardiovascular risk factors.

Results

Twenty studies ranging from a duration of between 6 weeks to 24 months were included. Of the 5 studies (3 in child/family and 4 in adult populations) that analyzed changes in food security status, all reported significant (P < 0.05) improvements after the PPR program. Approximately half of the included studies found significant (P < 0.05) increases in fruit, vegetable, and/or FV intake. Only studies in adult populations included cardiovascular risk factor outcomes. In these studies, mixed findings were reported; however, there were significant (P < 0.05) improvements in HbA1c when PPR programs enrolled individuals with type 2 diabetes.

Conclusions and Implications

PPR programs provide an opportunity to improve food security in child/family, and adult populations. Evidence to support whether PPR programs increase FV intake and improve cardiovascular disease risk factors outside of HbA1c in adult populations with high HbA1c upon enrollment is less known.

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来源期刊

Journal of Nutrition Education and Behavior 医学-学科教育

CiteScore

4.20

自引率

11.50%

发文量

379

审稿时长

44 days

期刊介绍： The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas. The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.