- Title Information
- Title
- A Community-Based Produce Prescription Intervention To Improve Nutrition Security In Underserved Populations With Nutrition Insecurity and Obesity
- Type of Resource (primo)
- text_resources
- Abstract
- Background: Obesity is a growing public health concern in the United States and is strongly associated with nutrition insecurity, defined as the lack of having consistent and equitable access to healthy, safe, affordable foods. Produce prescription programs (PPRs) have shown promise in improving dietary quality, however, their effects on objective biomarkers and clinical outcomes remain understudied.
Objective: Evaluate the effects of a 6-month pilot PPR on dietary quality, nutrition security, and health outcomes among adults with obesity and nutrition insecurity in Providence, RI.
Methods: 11 adults (BMI ≥30; nutrition security score ≤2) were recruited from a GI specialty clinic (recruitment is ongoing with goal n=20). Participants received biweekly deliveries of local fruits and vegetables for 6 months. Baseline data included skin carotenoid levels (Veggie Meter), bioelectrical impedance data (body composition), vitals, HbA1c, lipid panel, 24-hour dietary recall (ASA24), and interviews on barriers to healthy eating.
Results: Mean baseline skin carotenoid score was 205 ± 77, corresponding to ~ 2 daily servings of fruits and vegetables. Mean BMI was 39.76 ± 6.34 kg/m² with an average fat mass % of 47.92 ± 7.76%. Cost was the most frequently reported barrier to healthy eating, among other challenges such as transportation and physical limitation.
Conclusions: Low fruit and vegetable intake and high body fat levels highlight the need for sustainable interventions addressing nutrition insecurity, particularly those targeting the high cost of nutritious foods. Follow-up data will assess program impact and explore how objective biomarkers can be used in clinical practice.
- Name
- Name Part
- Kaull, Jane
- Role
- Role Term (marcrelator)
(authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
- Author
- Name
- Name Part
- Jin, Alex
- Role
- Role Term (marcrelator)
(authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
- Author
- Name
- Name Part
- Ahn, Nikhil
- Role
- Role Term (marcrelator)
(authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
- Author
- Name
- Name Part
- Perler, Bryce
- Role
- Role Term (marcrelator)
(authorityURI="http://id.loc.gov/vocabulary/relators", valueURI="http://id.loc.gov/vocabulary/relators/aut")
- Author
- Name:
Corporate
- Name Part
- Brown University. Alpert Medical School. Scholarly Concentration Program. Planetary Health
- Role
- Role Term:
Text
- research program
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01042187")
- Topic
- Nutrition
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01173454")
- Topic
- Weight loss
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01042738")
- Topic
- Obesity
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/01748879")
- Topic
- Food security
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/00847767")
- Topic
- Carotenoids
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/00938842")
- Topic
- Gastroenterology
- Subject (fast)
(authorityURI="http://id.worldcat.org/fast", valueURI="http://id.worldcat.org/fast/00968093")
- Topic
- Impedance, Bioelectric
- Language
- Language Term:
Text (ISO639-2B)
- English
- Origin Information
- Date Created
(keyDate="yes", encoding="w3cdtf")
- 2025
- Note
(displayLabel="Scholarly concentration")
- Planetary Health
- Access Condition:
use and reproduction
- All rights reserved
- Access Condition:
rights statement
(href="http://rightsstatements.org/vocab/InC/1.0/")
- In Copyright
- Access Condition:
restriction on access
- All Rights Reserved
- Identifier:
DOI
- 10.26300/cf7z-cw34