We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Participation in the Georgia Food for Health programme and CVD risk factors: a longitudinal observational study.
- Authors
Cook, Miranda Alonna; Taylor, Kathy; Reasoner, Tammy; Moore, Sarah; Mooney, Katie; Tran, Cecilia; Barbo, Carli; Schmidt, Stacie; Stein, Aryeh D; Webb Girard, Amy
- Abstract
Objective: To assess the relationship between programme attendance in a produce prescription (PRx) programme and changes in cardiovascular risk factors. Design: The Georgia Food for Health (GF4H) programme provided six monthly nutrition education sessions, six weekly cooking classes and weekly produce vouchers. Participants became programme graduates attending at least 4 of the 6 of both the weekly cooking classes and monthly education sessions. We used a longitudinal, single-arm approach to estimate the association between the number of monthly programme visits attended and changes in health indicators. Setting: GF4H was implemented in partnership with a large safety-net health system in Atlanta, GA. Participants: Three hundred thirty-one participants living with or at-risk of chronic disease and food insecurity were recruited from primary care clinics. Over three years, 282 participants graduated from the programme. Results: After adjusting for programme site, year, participant sex, age, race and ethnicity, Supplemental Nutrition Assistance Program participation and household size, we estimated that each additional programme visit attended beyond four visits was associated with a 0·06 kg/m2 reduction in BMI (95 % CI –0·12, –0·01; P = 0·02), a 0·37 inch reduction in waist circumference (95 % CI –0·48, –0·27; P < 0·001), a 1·01 mmHg reduction in systolic blood pressure (95 % CI –1·45, –0·57; P < 0·001) and a 0·43 mmHg reduction in diastolic blood pressure (95 % CI –0·69, –0·17; P = 0·001). Conclusions: Each additional cooking and nutrition education visit attended beyond the graduation threshold was associated with modest but significant improvements in CVD risk factors, suggesting that increased engagement in educational components of a PRx programme improves health outcomes.
- Subjects
ATLANTA (Ga.); SUPPLEMENTAL Nutrition Assistance Program (U.S.); HEALTH programs; DIASTOLIC blood pressure; CARDIOVASCULAR fitness; SYSTOLIC blood pressure; LONGITUDINAL method; CARDIOVASCULAR diseases risk factors; BLOOD pressure; NUTRITION
- Publication
Public Health Nutrition, 2023, Vol 26, Issue 11, p2470
- ISSN
1368-9800
- Publication type
Article
- DOI
10.1017/S1368980023001611