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Palimaru AI, Caldwell JI, Cohen DA, Shah D, Kuo T. Food recovery and produce distribution as a system strategy for increasing access to healthy food among populations experiencing food insecurity: lessons for post-pandemic planning. Glob Health Promot 2024; 31:25-35. [PMID: 37661757 DOI: 10.1177/17579759231193354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/05/2023]
Abstract
Using data from an intercept survey of 428 adults who received free surplus produce at five distribution sites and qualitative data from 15 interviews with site personnel, we examined facilitators (e.g. community partnerships, coalition support) and challenges (e.g. limited refrigerated storage, lack of transportation infrastructure) to operating a food recovery and distribution program in Los Angeles County. Overall, this food system intervention appeared to fill an unmet need for recipients, nearly 80% of whom were food insecure and 60% visited a site several months/year or monthly. For many living in this county's underserved communities, this effort was instrumental in increasing access to healthy food before and during the COVID-19 pandemic. To sustain/expand this program's reach, local governments and food assistance programs should provide greater coordination and oversight, and invest more resources into this food recovery and distribution infrastructure.
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Affiliation(s)
| | - Julia I Caldwell
- Nutrition and Physical Activity Program, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, CA, USA
| | - Deborah A Cohen
- Kaiser Permanente Research and Evaluation, Pasadena, CA, USA
| | - Dipa Shah
- Nutrition and Physical Activity Program, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, CA, USA
| | - Tony Kuo
- Department of Family Medicine, David Geffen School of Medicine at University of California, Los Angeles (UCLA), Los Angeles, CA, USA
- Department of Epidemiology, UCLA Fielding School of Public Health, Los Angeles, CA, USA
- Population Health Program, UCLA Clinical and Translational Science Institute, Los Angeles, CA, USA
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2
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Hossain M, Huq MN, Abdulla F. Child nutrition requires affordable healthy food. Science 2023; 380:1115. [PMID: 37319213 DOI: 10.1126/science.adi3972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Affiliation(s)
- Moyazzem Hossain
- Department of Statistics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh
| | - Mohammed Nazmul Huq
- Department of Statistics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh
| | - Faruq Abdulla
- Cancer Care and Research Trust Bangladesh (CCRTB), Dhaka 1204, Bangladesh
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Hyun J, Katz MJ, Derby CA, Roque N, Muñoz E, Sliwinski MJ, Lovasi GS, Lipton RB. Availability of healthy foods, fruit and vegetable consumption, and cognition among urban older adults. BMC Geriatr 2023; 23:302. [PMID: 37198552 PMCID: PMC10189949 DOI: 10.1186/s12877-023-04003-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 04/26/2023] [Indexed: 05/19/2023] Open
Abstract
BACKGROUND . Although prior studies have examined the associations between neighborhood characteristics and cognitive health, little is known about whether local food environments, which are critical for individuals' daily living, are associated with late-life cognition. Further, little is known about how local environments may shape individuals' health-related behaviors and impact cognitive health. The aim of this study is to examine whether objective and subjective measures of healthy food availability are associated with ambulatory cognitive performance and whether behavioral and cardiovascular factors mediate these associations among urban older adults. METHODS . The sample consisted of systematically recruited, community-dwelling older adults (N = 315, mean age = 77.5, range = 70-91) from the Einstein Aging Study. Objective availability of healthy foods was defined as density of healthy food stores. Subjective availability of healthy foods and fruit/vegetable consumption were assessed using self-reported questionnaires. Cognitive performance was assessed using smartphone-administered cognitive tasks that measured processing speed, short-term memory binding, and spatial working memory performance 6 times a day for 14 days. RESULTS . Results from multilevel models showed that subjective availability of healthy foods, but not objective food environments, was associated with better processing speed (estimate= -0.176, p = .003) and more accurate memory binding performance (estimate = 0.042, p = .012). Further, 14~16% of the effects of subjective availability of healthy foods on cognition were mediated through fruit and vegetable consumption. CONCLUSIONS . Local food environments seem to be important for individuals' dietary behavior and cognitive health. Specifically, subjective measures of food environments may better reflect individuals' experiences regarding their local food environments not captured by objective measures. Future policy and intervention strategies will need to include both objective and subjective food environment measures in identifying impactful target for intervention and evaluating effectiveness of policy changes.
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Affiliation(s)
- Jinshil Hyun
- The Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
| | - Mindy J Katz
- The Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA
| | - Carol A Derby
- The Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA
| | - Nelson Roque
- Department of Psychology, University of Central Florida, Orlando, FL, USA
| | - Elizabeth Muñoz
- Department of Human Development and Family Sciences, University of Texas Austin, Austin, TX, USA
| | - Martin J Sliwinski
- Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA
- Center for Healthy Aging, The Pennsylvania State University, University Park, PA, USA
| | - Gina S Lovasi
- Department of Epidemiology and Biostatistics, Drexel University, Philadelphia, PA, USA
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
| | - Richard B Lipton
- The Saul R. Korey Department of Neurology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA
- Headache Center, Montefiore Medical Center, Bronx, NY, USA
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Houghtaling B, Misyak S, Serrano E, Dombrowski RD, Holston D, Singleton CR, Harden SM. Using the Exploration, Preparation, Implementation, and Sustainment (EPIS) Framework to Advance the Science and Practice of Healthy Food Retail. J Nutr Educ Behav 2023; 55:245-251. [PMID: 36642585 DOI: 10.1016/j.jneb.2022.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 09/12/2022] [Accepted: 10/06/2022] [Indexed: 06/17/2023]
Abstract
Although healthy food retail strategies are widely used, there appears to be a limited understanding of the processes and determinants for successful adoption, implementation, and sustainment. To fill this gap, we recommend the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework to be used to advance the science and practice of healthy food retail. In this perspective, we: (1) introduce EPIS and describe why it was chosen as a recommended implementation science framework for healthy food retail, (2) highlight healthy food retail evidence supporting EPIS, and (3) discuss research and practice needs moving forward.
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Affiliation(s)
- Bailey Houghtaling
- Gretchen Swanson Center for Nutrition, Omaha, NE; Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, VA; School of Nutrition and Food Sciences, Louisiana State University (LSU) & LSU Agricultural Center, Baton Rouge, LA.
| | - Sarah Misyak
- Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, VA
| | - Elena Serrano
- Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, VA
| | - Rachael D Dombrowski
- College of Education, Health and Human Services, California State University San Marcos, San Marcos, CA
| | - Denise Holston
- School of Nutrition and Food Sciences, Louisiana State University (LSU) & LSU Agricultural Center, Baton Rouge, LA
| | - Chelsea R Singleton
- Department of Social, Behavioral, and Population Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
| | - Samantha M Harden
- Department of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, VA
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5
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Defeyter MA, Hetherington M, McKean M, Forsey A. The bungled digitisation of Healthy Start is hampering low income families' access to healthy food. BMJ 2022; 377:o1462. [PMID: 35700986 DOI: 10.1136/bmj.o1462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
| | | | - Mike McKean
- Great North Children's Hospital, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
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Ziso D, Chun OK, Puglisi MJ. Increasing Access to Healthy Foods through Improving Food Environment: A Review of Mixed Methods Intervention Studies with Residents of Low-Income Communities. Nutrients 2022; 14:nu14112278. [PMID: 35684077 PMCID: PMC9182982 DOI: 10.3390/nu14112278] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Revised: 05/22/2022] [Accepted: 05/27/2022] [Indexed: 12/22/2022] Open
Abstract
Food insecurity is a broad and serious public health issue in the United States, where many people are reporting lack of access to healthy foods. The reduced availability of healthy, affordable foods has led to increased consumption of energy-dense and nutrient-poor foods, resulting in increasing the risk for many chronic diseases such as obesity, cardiovascular diseases, and type 2 diabetes mellitus. Thus, identifying promising approaches to increase access to healthy foods through improving the food environment is of importance. The purpose of this review article is to highlight how the food environment affects directly a person’s food choices, and how to increase access to healthy foods through improving environmental approaches. The literature search was focused on finding different approaches to improve food security, primarily those with an impact on food environment. Overall, potential solutions were gathered through multilevel environmental approaches, including nutrition education and peer education, community-based participatory research, and policy changes in supplemental nutrition programs. A recommendation to reduce food insecurity is learning to create meals with a variety of seasonal fruits and vegetables purchased from affordable farmers’ markets.
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Nilsson M, Emilsson C, Jonsson A, Tomson G, Meijer S, Östman L, Magnusson U. Stronger efforts are needed to safeguard the nutrition of school aged children. BMJ 2022; 376:o623. [PMID: 35264329 DOI: 10.1136/bmj.o623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Maria Nilsson
- Department of Epidemiology and Global Health, Umeå University, Sweden
| | - Cecilia Emilsson
- Swedish Institute for Global Health Transformation (SIGHT), Royal Swedish Academy of Sciences, Sweden
| | | | | | - Sebastiaan Meijer
- Department of Biomedical Engineering and Health Systems, KTH Royal Institute of Technology, Sweden
| | - Leif Östman
- Department of Education, Uppsala University, Sweden
| | - Ulf Magnusson
- Department of Clinical Sciences, Swedish University of Agricultural Sciences, Sweden
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8
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Pinder J. Equitable Access to Healthy Food Nourishes Unnoticed Communities. N C Med J 2022; 83:119-120. [PMID: 35256472 DOI: 10.18043/ncm.83.2.119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Jamilla Pinder
- Assistant director, Healthy Communities, Cone Health, Greensboro, North Carolina.
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Seijo M, Spira C, Chaparro M, Elorriaga N, Rubinstein A, García-Elorrio E, Irazola V. Development of physical activity and food built environment quality indicators for chronic diseases in Argentina. Health Promot Int 2021; 36:1554-1565. [PMID: 33608705 DOI: 10.1093/heapro/daaa138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Although obesity and non-communicable disease (NCD) prevention efforts to-date have focused mainly on individual level factors, the social and physical environments in which people live are now widely recognized as important social determinants of health. Obesogenic environments promote higher dietary energy intakes and sedentary behaviors, thus contributing to the obesity/NCD burden. To develop quality indicators (QIs) for measuring food and physical activity (PA)-built environments in municipalities. A literature review was conducted. Based on the best practices identified from this review, a draft set of candidate QI was retrieved. The initial 67 QIs were then evaluated by a modified Delphi panel of multidisciplinary health professionals (n = 40) to determine their relevance, validity, and feasibility in 3 rounds of voting and threaded discussion using a modified RAND/University of California, Los Angeles Appropriateness Methodology. Response rate for the panel was 89.4%. All final 42 QIs were rated as highly relevant, valid, and feasible (median rating ≥ 7 on a 1-9 scale), with no significant disagreement. The final QI set addresses for the PA domain: (i) promotion of PA; and (ii) improvements in the environment to strengthen the practice of PA; and for Food environment domain: (i) promotion of healthy eating; (ii) access to healthy foods; and (iii) promotion of responsible advertising. We generated a set of indicators to evaluate the PA and food built environment, which can be adapted for use in Latin American and other low- and middle-income countries.
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Affiliation(s)
- Mariana Seijo
- Metabolic Bone Diseases Laboratory, Immunology, Genetic and Metabolism Institute (INIGEM)
- School of Pharmacy and Biochemistry, Clinical Hospital "José de San Martín"
- National Council for Scientific and Technologic Research (CONICET)/Buenos Aires University (UBA), Buenos Aires, Argentina
| | - Cintia Spira
- Department of Health Care Quality and Patient Safety, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
| | - Martín Chaparro
- South American Center of Excellence for Cardiovascular Health (CESCAS), Department of Research in Chronic Diseases, Institute for Clinical Effectiveness and Health Policy (IECS)
| | - Natalia Elorriaga
- South American Center of Excellence for Cardiovascular Health (CESCAS), Department of Research in Chronic Diseases, Institute for Clinical Effectiveness and Health Policy (IECS)
- Center for Research in Epidemiology and Public Health (CIESP-IECS), National Scientific and Technical Research Council (CONICET)
| | - Adolfo Rubinstein
- South American Center of Excellence for Cardiovascular Health (CESCAS), Department of Research in Chronic Diseases, Institute for Clinical Effectiveness and Health Policy (IECS)
- Center for Research in Epidemiology and Public Health (CIESP-IECS), National Scientific and Technical Research Council (CONICET)
| | - Ezequiel García-Elorrio
- Department of Health Care Quality and Patient Safety, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
| | - Vilma Irazola
- South American Center of Excellence for Cardiovascular Health (CESCAS), Department of Research in Chronic Diseases, Institute for Clinical Effectiveness and Health Policy (IECS)
- Center for Research in Epidemiology and Public Health (CIESP-IECS), National Scientific and Technical Research Council (CONICET)
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Sharma SV, McWhorter JW, Chow J, Danho MP, Weston SR, Chavez F, Moore LS, Almohamad M, Gonzalez J, Liew E, LaRue DM, Galvan E, Hoelscher DM, Tseng KC. Impact of a Virtual Culinary Medicine Curriculum on Biometric Outcomes, Dietary Habits, and Related Psychosocial Factors among Patients with Diabetes Participating in a Food Prescription Program. Nutrients 2021; 13:nu13124492. [PMID: 34960044 PMCID: PMC8707163 DOI: 10.3390/nu13124492] [Citation(s) in RCA: 26] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 12/08/2021] [Accepted: 12/13/2021] [Indexed: 11/16/2022] Open
Abstract
Culinary medicine is an evidence-based approach that blends the art of cooking with the science of medicine to inculcate a healthy dietary pattern. Food prescription programs are gaining popularity in the Unites States, as a means to improve access to healthy foods among patient populations. The purpose of this paper is to describe the implementation and preliminary impact of A Prescription for Healthy Living (APHL) culinary medicine curriculum on biometric and diet-related behavioral and psychosocial outcomes among patients with diabetes participating in a clinic-led food prescription (food Rx) program. We used a quasi-experimental design to assess APHL program impact on patient biometric outcome data obtained from electronic health records, including glycosylated hemoglobin (HbA1c), body mass index (BMI), and blood pressure (n = 33 patients in the APHL group, n = 75 patients in the food Rx-only group). Pre-post surveys were administered among those in the APHL group to monitor program impact on psychosocial and behavioral outcomes. Results of the outcome analysis showed significant pre-to-post reduction in HbA1c levels among participants within the APHL group (estimated mean difference = -0.96% (-1.82, -0.10), p = 0.028). Between-group changes showed a greater decrease in HbA1c among those participating in APHL as compared to food Rx-only, albeit these differences were not statistically significant. Participation in APHL demonstrated significant increases in the consumption of fruits and vegetables, fewer participants reported that cooking healthy food is difficult, increased frequency of cooking from scratch, and increased self-efficacy in meal planning and cooking (p < 0.01). In conclusion, the results of our pilot study suggest the potential positive impact of a virtually-implemented culinary medicine approach in improving health outcomes among low-income patients with type 2 diabetes, albeit studies with a larger sample size and a rigorous study design are needed.
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Affiliation(s)
- Shreela V. Sharma
- Department of Epidemiology, Human Genetics & Environmental Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, 1200 Pressler, Houston, TX 77030, USA; (J.C.); (M.P.D.); (F.C.); (M.A.)
- Correspondence: ; Tel.: +1-713-500-9344
| | - John W. McWhorter
- Department of Health Promotion Behavioral Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, 1200 Pressler, Houston, TX 77030, USA; (J.W.M.); (S.R.W.); (L.S.M.)
| | - Joanne Chow
- Department of Epidemiology, Human Genetics & Environmental Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, 1200 Pressler, Houston, TX 77030, USA; (J.C.); (M.P.D.); (F.C.); (M.A.)
| | - Melisa P. Danho
- Department of Epidemiology, Human Genetics & Environmental Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, 1200 Pressler, Houston, TX 77030, USA; (J.C.); (M.P.D.); (F.C.); (M.A.)
| | - Shannon R. Weston
- Department of Health Promotion Behavioral Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, 1200 Pressler, Houston, TX 77030, USA; (J.W.M.); (S.R.W.); (L.S.M.)
| | - Fatima Chavez
- Department of Epidemiology, Human Genetics & Environmental Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, 1200 Pressler, Houston, TX 77030, USA; (J.C.); (M.P.D.); (F.C.); (M.A.)
| | - Laura S. Moore
- Department of Health Promotion Behavioral Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, 1200 Pressler, Houston, TX 77030, USA; (J.W.M.); (S.R.W.); (L.S.M.)
| | - Maha Almohamad
- Department of Epidemiology, Human Genetics & Environmental Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas School of Public Health, 1200 Pressler, Houston, TX 77030, USA; (J.C.); (M.P.D.); (F.C.); (M.A.)
| | - Jennifer Gonzalez
- Population Health, Harris Health System, 4800 Fournace Place, Bellaire, TX 77401, USA; (J.G.); (D.M.L.); (E.G.); (K.C.T.)
| | - Esther Liew
- Food For Change Health Partnerships, Houston Food Bank, 535 Portwall Street, Houston, TX 77029, USA;
| | - Denise M. LaRue
- Population Health, Harris Health System, 4800 Fournace Place, Bellaire, TX 77401, USA; (J.G.); (D.M.L.); (E.G.); (K.C.T.)
| | - Esperanza Galvan
- Population Health, Harris Health System, 4800 Fournace Place, Bellaire, TX 77401, USA; (J.G.); (D.M.L.); (E.G.); (K.C.T.)
| | - Deanna M. Hoelscher
- Department of Health Promotion Behavioral Sciences, Michael & Susan Dell Center for Healthy Living, Austin Regional Campus, University of Texas School of Public Health, 1616 Guadalupe, Austin, TX 78701, USA;
| | - Karen C. Tseng
- Population Health, Harris Health System, 4800 Fournace Place, Bellaire, TX 77401, USA; (J.G.); (D.M.L.); (E.G.); (K.C.T.)
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Lichtenstein AH, Appel LJ, Vadiveloo M, Hu FB, Kris-Etherton PM, Rebholz CM, Sacks FM, Thorndike AN, Van Horn L, Wylie-Rosett J. 2021 Dietary Guidance to Improve Cardiovascular Health: A Scientific Statement From the American Heart Association. Circulation 2021; 144:e472-e487. [PMID: 34724806 DOI: 10.1161/cir.0000000000001031] [Citation(s) in RCA: 298] [Impact Index Per Article: 99.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
Poor diet quality is strongly associated with elevated risk of cardiovascular disease morbidity and mortality. This scientific statement emphasizes the importance of dietary patterns beyond individual foods or nutrients, underscores the critical role of nutrition early in life, presents elements of heart-healthy dietary patterns, and highlights structural challenges that impede adherence to heart-healthy dietary patterns. Evidence-based dietary pattern guidance to promote cardiometabolic health includes the following: (1) adjust energy intake and expenditure to achieve and maintain a healthy body weight; (2) eat plenty and a variety of fruits and vegetables; (3) choose whole grain foods and products; (4) choose healthy sources of protein (mostly plants; regular intake of fish and seafood; low-fat or fat-free dairy products; and if meat or poultry is desired, choose lean cuts and unprocessed forms); (5) use liquid plant oils rather than tropical oils and partially hydrogenated fats; (6) choose minimally processed foods instead of ultra-processed foods; (7) minimize the intake of beverages and foods with added sugars; (8) choose and prepare foods with little or no salt; (9) if you do not drink alcohol, do not start; if you choose to drink alcohol, limit intake; and (10) adhere to this guidance regardless of where food is prepared or consumed. Challenges that impede adherence to heart-healthy dietary patterns include targeted marketing of unhealthy foods, neighborhood segregation, food and nutrition insecurity, and structural racism. Creating an environment that facilitates, rather than impedes, adherence to heart-healthy dietary patterns among all individuals is a public health imperative.
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Savin K, Morales A, Levi R, Alvarez D, Seligman H. "Now I Feel a Little Bit More Secure": The Impact of SNAP Enrollment on Older Adult SSI Recipients. Nutrients 2021; 13:4362. [PMID: 34959914 PMCID: PMC8707609 DOI: 10.3390/nu13124362] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2021] [Revised: 11/24/2021] [Accepted: 12/02/2021] [Indexed: 11/16/2022] Open
Abstract
In June 2019, California expanded Supplemental Nutrition Assistance Program (SNAP) eligibility to Supplemental Security Income (SSI) beneficiaries for the first time. This research assesses the experience and impact of new SNAP enrollment among older adult SSI recipients, a population characterized by social and economic precarity. We conducted semi-structured, in-depth interviews with 20 SNAP participants to explore their experiences with new SNAP benefits. Following initial coding, member-check groups allowed for participants to provide feedback on preliminary data analysis. Findings demonstrate that SNAP enrollment improved participants' access to nutritious foods of their choice, contributed to overall budgets, eased mental distress resulting from poverty, and reduced labor spent accessing food. For some participants, SNAP benefit amounts were too low to make any noticeable impact. For many participants, SNAP receipt was associated with stigma, which some considered to be a social "cost" of poverty. Increased benefit may be derived from pairing SNAP with other public benefits. Together, the impacts of and barriers to effective use of SNAP benefits gleaned from this study deepen our understanding of individual- and neighborhood-level factors driving health inequities among low-income, disabled people experiencing food insecurity and SNAP recipients.
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Affiliation(s)
- Katie Savin
- School of Social Welfare, University of California, Berkeley, CA 94709, USA
- MSW Program, School of Health Sciences, University of the Pacific, Sacramento, CA 95817, USA
| | - Alena Morales
- Department of Nutritional Sciences and Toxicology, University of California, Berkeley, CA 94709, USA;
| | - Ronli Levi
- Center for Vulnerable Populations, University of California, San Francisco, CA 94143, USA; (R.L.); (H.S.)
| | - Dora Alvarez
- School of Medicine, University of California, San Francisco, CA 94143, USA;
- School of Medicine, Stanford University, Stanford, CA 94305, USA
| | - Hilary Seligman
- Center for Vulnerable Populations, University of California, San Francisco, CA 94143, USA; (R.L.); (H.S.)
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Soroka A, Mazurek-Kusiak AK, Trafialek J. Organic Food in the Diet of Residents of the Visegrad Group (V4) Countries-Reasons for and Barriers to Its Purchasing. Nutrients 2021; 13:nu13124351. [PMID: 34959903 PMCID: PMC8708884 DOI: 10.3390/nu13124351] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2021] [Revised: 11/29/2021] [Accepted: 11/30/2021] [Indexed: 11/29/2022] Open
Abstract
This study aimed to determine the differences in the frequency of, reasons for, and barriers to purchasing organic food among the inhabitants of the Visegrád Group member states. The selection of the countries for the study was dictated by the fact that the countries of Central and Eastern Europe play the role of a niche market in the European organic food market. This research employed the method of a diagnostic survey and the discriminant function. A chi-squared test, ANOVA, and Fisher’s Post Hoc LSD test were also used to present differences in individual groups. This research shows that respondents from Poland, the Czech Republic, Hungary and Slovakia were guided by similar behaviors regarding the purchase of organic food. However, the attitudes of the respondents slightly differed between countries. In the case of the reasons for choosing organic food, the most important thing was that it is non-genetically modified food, especially for Polish consumers. The following were also mentioned: lack of chemical compounds (Slovaks and Czechs), high health value of such food (Czechs and Slovaks), and excellent taste (Hungarians). The most critical barriers against purchasing are the price (Poles and Hungarians), difficult access (Poles and Hungarians), and the short expiry time of such products (Slovaks).
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Affiliation(s)
- Andrzej Soroka
- Institute of Health Sciences, Siedlce University of Natural Sciences and Humanities, 2 Konarskiego Street, 08-110 Siedlce, Poland;
| | - Anna Katarzyna Mazurek-Kusiak
- Department Tourism and Recreation, University of Life Sciences in Lublin, 15 Akademicka Street, 20-950 Lublin, Poland
- Correspondence: ; Tel.: +48-81-445-60-41
| | - Joanna Trafialek
- Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (WULS), 166 Nowoursynowska Street, 02-787 Warsaw, Poland;
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Salagaras BS, Mackenzie-Shalders KL, Slater GJ, McLellan C, Coffey VG. Increased carbohydrate availability effects energy and nutrient periodisation of professional male athletes from the Australian Football League. Appl Physiol Nutr Metab 2021; 46:1510-1516. [PMID: 34314619 DOI: 10.1139/apnm-2021-0316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This research aimed to explore the effect of increased carbohydrate availability intervention on energy intake and distribution in professional Australian Football athletes. Six 24-h energy and macronutrient intakes were quantified (n = 19 males; age 24 ± 4 y, stature 187 ± 8 cm, mass 87 ± 9 kg) using photographic food diaries and Foodworks analyses. Energy expenditure was estimated for the same period using GeneActiv accelerometers. During 3 control days, athletes had ad libitum access to food, while the 3 intervention days increased carbohydrate availability, through greater prompting and access to carbohydrate foods. Daily energy intake was higher during intervention (185 ± 40 kJ/kg/d) compared with control (172 ± 31 kJ/kg/d; p < 0.05) but remained below estimated expenditure, and carbohydrate intake was also greater with intervention (5.0 ± 0.2 g/kg/d) than control (4.0 ± 0.2 g/kg/d; p < 0.05). Expenditure was highest during the morning, which coincided with lowest intake on all days, while the intervention was associated with greater carbohydrate intake in the morning (0.6 g/kg, p < 0.05) compared with control. Increasing availability of carbohydrate during high-load training generated a modest increase in carbohydrate and energy intake, and the intervention was most effective in improving carbohydrate intake during mornings. Novelty: Increased access and provision of carbohydrate foods increased carbohydrate consumption and energy intake on high training load days. Daily distribution of energy intake can be modified through actively promoting carbohydrate consumption.
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Affiliation(s)
- Brie S Salagaras
- Bond Institute of Health and Sport, Faculty of Health Sciences and Medicine, Bond University, QLD, Australia
| | | | - Gary J Slater
- School of Health and Sport Sciences, Faculty of Science, Health Education and Engineering, University of the Sunshine Coast, QLD, Australia
| | - Chris McLellan
- School of Health and Wellbeing, University of Southern Queensland, QLD, Australia
| | - Vernon G Coffey
- Bond Institute of Health and Sport, Faculty of Health Sciences and Medicine, Bond University, QLD, Australia
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Birati Y, Bloch JR, McKeever A, Chiatti BD. Relationships Among Neighborhood Poverty, Access to Healthy Food, and Diabetes Self-Management in Women Who Received Perinatal Nurse Home Visits. J Obstet Gynecol Neonatal Nurs 2021; 51:41-52. [PMID: 34742686 DOI: 10.1016/j.jogn.2021.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2021] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE To examine the relationships among neighborhood poverty, access to healthy food, and diabetes self-management in pregnant women in an urban setting who received perinatal nurse home visits. DESIGN Exploratory descriptive secondary analysis of existing individual-level and neighborhood-level data. SETTING Philadelphia, Pennsylvania, United States. PARTICIPANTS Women who were pregnant, had diabetes, and were enrolled in the citywide perinatal nurse home visiting program because of their diabetes (N = 264). METHODS We retrieved neighborhood-level aggregated data on poverty and access to healthy food from PolicyMap, a geographic information system. We retrieved individual-level data from a clinical research database. Access to healthy food was operationalized at the individual level by reported use of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). We operationalized diabetes self-management as good or poor glycemic control. We conducted descriptive and logistic regression analyses. RESULTS We found no relationship between neighborhood-level poverty and neighborhood-level access to healthy food with women's glycemic control. However, at the individual level, use of the WIC program was associated with glycemic control (p = .034). Participants who reported not using this program were two times more likely to have poor glycemic control than those who did (OR = 2.045, 95% confidence interval [1.003, 2.045]). CONCLUSION It is important to understand how the complex interplay between neighborhoods and individual factors of poverty and access to healthy food influences health outcomes among pregnant women. The WIC program may mediate neighborhood influence on diabetes self-management. Future research is warranted on how this program and nurse home visiting services can optimize maternal health outcomes among women who have diabetes during pregnancy.
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