Influence of a Pediatric Fruit and Vegetable Prescription Program on Child Dietary Patterns and Food Security

Nutrients

Amy Saxe-Custack¹  Mona Hanna-Attisha²  Jennifer Jess³  Jenny LaChance⁴ 

[1] Department of Food Science and Human Nutrition, Division of Public Health, Michigan State University–Hurley Children’s Hospital Pediatric Public Health Initiative, 200 E 1st St, Flint, MI 48502, USA;Department of Pediatrics and Human Development, Division of Public Health, Michigan State University–Hurley Children’s Hospital Pediatric Public Health Initiative, 200 E 1st St, Flint, MI 48502, USA;Department of Pediatrics and Human Development, Michigan State University College of Human Medicine, 200 E 1st St, Flint, MI 48502, USA;Division of Public Health, Michigan State University–Hurley Children’s Hospital Pediatric Public Health Initiative, 200 E 1st St, Flint, MI 48502, USA;

关键词: fruit and vegetable prescriptions;    food security;    children;    nutrition;   

DOI  :  10.3390/nu13082619

来源: DOAJ

【 摘 要 】

Limited access to fresh foods is a barrier to adequate consumption of fruits and vegetables among youth, particularly in low-income communities. The current study sought to examine preliminary effectiveness of a fruit and vegetable prescription program (FVPP), which provided one USD 15 prescription to pediatric patients during office visits. The central hypothesis was that exposure to this FVPP is associated with improvements in dietary patterns and food security. This non-controlled longitudinal intervention trial included a sample of caregiver–child dyads at one urban pediatric clinic who were exposed to the FVPP for 1 year. Patients received one USD 15 prescription for fresh produce during appointments. A consecutive sample of caregivers whose children were 8–18 years of age were invited to participate in the study. Dyads separately completed surveys that evaluated food security and dietary behaviors prior to receipt of their first prescription and again at 12 months. A total of 122 dyads completed surveys at baseline and 12-month follow-up. Approximately half of youth were female (52%), and most were African American (63%). Mean caregiver-reported household food security improved from baseline to 12 months (p < 0.001), as did mean child-reported food security (p = 0.01). Additionally, child-reported intake of vegetables (p = 0.001), whole grains (p = 0.001), fiber (p = 0.008), and dairy (p < 0.001) improved after 12 months of exposure to the FVPP. This study provides evidence that pediatric FVPPs may positively influence food security and the dietary patterns of children.

【 授权许可】

Unknown