دورية أكاديمية

Fiber-rich foods delivered to Low-Income Households: A feasibility study of children with prediabetes and spillover effect on their caregivers.

التفاصيل البيبلوغرافية
العنوان: Fiber-rich foods delivered to Low-Income Households: A feasibility study of children with prediabetes and spillover effect on their caregivers.
المؤلفون: Tester JM; UCSF Benioff Children's Hospital Oakland. Oakland, CA, USA., Leak TM; Division of Nutritional Sciences, Cornell University, USA.
المصدر: Preventive medicine reports [Prev Med Rep] 2021 Aug 03; Vol. 24, pp. 101511. Date of Electronic Publication: 2021 Aug 03 (Print Publication: 2021).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101643766 Publication Model: eCollection Cited Medium: Print ISSN: 2211-3355 (Print) Linking ISSN: 22113355 NLM ISO Abbreviation: Prev Med Rep Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [New York, NY] : Elsevier Inc., [2014]-
مستخلص: Introduction: The incidence of pediatric prediabetes and type 2 diabetes mellitus (T2DM) is increasing, with those from low socioeconomic status (SES) households at increased risk. Dietary fiber (e.g., whole grains) is shown to improve glucose control and there is need for innovative strategies that address barriers to consumption (e.g., limited availability).
Methods: Food Overcoming our Diabetes Risk (FoodRx) was a pre-post study (N = 47) that provided 16 weeks of home-delivered whole grains, vegetables, and beans/legumes to households of low-income children in [blinded for submission] who had obesity and prediabetes. Child liking and intake (24-hour diet recalls) was evaluated. Anthropometrics and T2DM-related laboratory measurements (e.g. glycated hemoglobin) were measured for children, and for caregivers to evaluate potential spillover effect.
Results: Post-intervention, children increased liking of whole grains, vegetables, and beans/legumes ( P  < 0.05 for all). Child whole grain intake increased from 1.7 to 2.5 oz-equivalent servings/day ( P  < 0.001), and the percent of total grain intake that were whole increased from 30% to 44% ( P  < 0.001). Children's body mass index, blood pressure, and serum triglyceride levels increased (+14.6 mg/dl, P  = 0.04). Caregivers fasting glucose (-7.5 mg/dl; P  = 0.03), fasting insulin (-2.5 μIU/ml, P  = 0.0009) and homeostatic model assessment for insulin resistance (HOMA-IR) decreased (-0.8, P  = 0.01).
Conclusions: Home deliveries of fiber rich foods improved liking and intake among children at risk for T2DM. There was spillover effect on caregivers, who demonstrated improvement in T2DM-related laboratory measurements instead of the children.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2021 The Author(s).)
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فهرسة مساهمة: Keywords: CSA, community-supported agriculture; Endocrinology; HOMA-IR, homeostatic model assessment for insulin resistance; HbA1c, Hemoglobin A1c; Metabolic disorders; Prediabetes; Preventive medicine; SES, socioeconomic status; T2DM, type 2 diabetes mellitus
تواريخ الأحداث: Date Created: 20210830 Latest Revision: 20220426
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC8379487
DOI: 10.1016/j.pmedr.2021.101511
PMID: 34458078
قاعدة البيانات: MEDLINE
الوصف
تدمد:2211-3355
DOI:10.1016/j.pmedr.2021.101511