Impact of a Registered Dietitian Nutritionist-Led Food as Medicine Program in the Food Retail Setting: A Feasibility Study.

Autor: Long JM; Academy of Nutrition and Dietetics, Chicago, Illinois., Yoder A; Academy of Nutrition and Dietetics Foundation, Chicago, Illinois., Woodcock L; Academy of Nutrition and Dietetics, Chicago, Illinois., Papoutsakis C; Data Science Center, Research, International, and Scientific Affairs, Academy of Nutrition and Dietetics, Chicago, Illinois. Electronic address: cpapoutsakis@eatright.org.
Jazyk: angličtina
Zdroj: Journal of the Academy of Nutrition and Dietetics [J Acad Nutr Diet] 2024 Nov; Vol. 124 (11), pp. 1503-1513. Date of Electronic Publication: 2024 Jul 14.
DOI: 10.1016/j.jand.2024.07.007
Abstrakt: Background: Food as medicine (FAM) interventions have been associated with improved health outcomes. However, there is limited FAM evidence in food retail settings.
Objective: The objective was to evaluate the feasibility of a registered dietitian nutritionist-led FAM program that aims to detect changes in participants' nutrition problems and related nutrition and health outcomes, as documented by the Nutrition Care Process framework.
Design: The study was a descriptive feasibility nutrition intervention cohort analysis.
Participants Setting: A convenience sample of online food shoppers were enrolled in collaboration with a food retail chain (n = 39 participants completed the intervention and were included in primary analyses).
Intervention: Participants received nutrition care for 6 months either in person or via telehealth. The FAM intervention included tailored nutrition care that integrated software-generated meal plans and food shopping lists to support online food shopping.
Main Outcome Measures: Progress of nutrition problems and diet quality (assessed via the Picture your Plate survey) were measured. Measurements included changes in anthropometric and biochemical parameters, blood pressure, and quality of life (assessed via the Centers for Disease Control and Prevention's Health Related Quality of Life-14 survey).
Statistical Analyses Performed: Mann-Whitney U test, Pearson's χ 2 , and Wilcoxon signed-rank tests were used to detect differences.
Results: The most prevalent nutrition problems demonstrated improvement rates as follows: excessive energy intake, 81% (n = 21 of 26); excessive carbohydrate intake, 88% (n = 7 of 8); and obesity, 100% (n = 5 of 5). Exposure to the FAM intervention improved dietary quality, quality of life, body weight, waist circumference, and systolic pressure.
Conclusions: FAM interventions can be carried out by in-store registered dietitian nutritionists in the supermarket setting. This feasibility study highlighted the need and opportunity for larger studies in which registered dietitian nutritionist-led FAM interventions, in collaboration with food retailers, may improve people's nutrition and health.
(Copyright © 2024 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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