Female Inmates with Diabetes: Results from Changes in a Prison Food Environment
| Autor: | Elizabeth Sazie, Linda Drach, Katrina Hedberg, Caislin L. Firth, Julie E. Maher |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Gerontology
Health (social science) Calorie Non-Randomized Controlled Trials as Topic media_common.quotation_subject Nutrition Education Prison Body Mass Index Oregon Weight loss Environmental health Weight Loss Maternity and Midwifery Diabetes Mellitus medicine Humans media_common Glycemic Glycated Hemoglobin business.industry Prisoners Public Health Environmental and Occupational Health Obstetrics and Gynecology Commissary Middle Aged Cholesterol Treatment Outcome Glycemic index Glycemic Index Case-Control Studies Prisons Female medicine.symptom Energy Intake business Body mass index |
| Zdroj: | Women's Health Issues. 25:732-738 |
| ISSN: | 1049-3867 |
| DOI: | 10.1016/j.whi.2015.07.009 |
| Popis: | Objective The prevalence of diabetes among Oregon prison inmates has increased by 50% in the last 5 years. The Healthy Food Access Project (HFAP) was implemented in the minimum-security facility at the Oregon Coffee Creek Correctional Facility to reduce the risk of chronic disease (including diabetes) and improve nutrition among female prison inmates. The intervention reduced the menu from 3,000 to 2,200 calories per day and provided nutrition education. We evaluated the effectiveness of HFAP on female inmates with diabetes on two outcomes: the effect of the reduced calorie menu on glycemic control and other biometric measures, and the calories purchased from commissary foods. Method We conducted a quasiexperimental study among all female inmates with diabetes living at the prison on August 28, 2013. Exposed inmates resided in the minimum-security facility for a minimum of 90 days after August 1, 2012 (when a reduced calorie menu was implemented); unexposed inmates resided primarily or exclusively in the medium-security facility. Medical chart abstractions were conducted to collect biometric data and mixed effects models described the differences in biometric trends between exposed and unexposed participants. Commissary receipts were collected to measure calories purchased. Results Of the 63 female inmates with diabetes, 24 were exposed to the intervention and 39 were unexposed. Exposed inmates reduced their hemoglobin A1c levels by 0.04 percentage points per month compared with 0.01 percentage points per month among unexposed inmates. Changes in body mass index depended on the amount of time they had served at the prison. Participants purchased an average of 1,094 calories from the commissary per day. Exposed inmates did not purchase more calories from the commissary after HFAP implementation. Conclusion Exposure to HFAP supported modest improvement in glycemic control among female inmates with diabetes, and inmates exposed to HFAP did not purchase more calories from the commissary. |
| Databáze: | OpenAIRE |
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