Temporal changes in bio-behavioral and glycemic outcomes following a produce prescription program among predominantly Hispanic/Latino adults with or at risk of type 2 diabetes

Simple item page
dc.citation.articleNumbere18440en_US
dc.citation.issueNumber8en_US
dc.citation.journalTitleHeliyonen_US
dc.citation.volumeNumber9en_US
dc.contributor.authorSato Imuro, Sandra Emien_US
dc.contributor.authorSabharwal, Ashutoshen_US
dc.contributor.authorConneely, Caseyen_US
dc.contributor.authorGlantz, Naminoen_US
dc.contributor.authorBevier, Wendyen_US
dc.contributor.authorBarua, Souptiken_US
dc.contributor.authorPai, Amrutaen_US
dc.contributor.authorLarez, Ariannaen_US
dc.contributor.authorKerr, Daviden_US
dc.date.accessioned2024-05-08T18:56:09Zen_US
dc.date.available2024-05-08T18:56:09Zen_US
dc.date.issued2023en_US
dc.description.abstractIn the United States (U.S.), consumption of fresh vegetables and fruits is below recommended levels. Enhancing access to nutritious food through food prescriptions has been recognized as a promising approach to combat diet-related illnesses. However, the effectiveness of this strategy at a large scale remains untested, particularly in marginalized communities where food insecurity rates and the prevalence of health conditions such as type 2 diabetes (T2D) are higher compared to the background population. This study evaluated the impact of a produce prescription program for predominantly Hispanic/Latino adults living with or at risk of T2D. A total of 303 participants enrolled in a 3-month observational cohort received 21 medically prescribed portions/week of fresh produce. A subgroup of 189 participants used continuous glucose monitoring (CGM) to assess the relationship between CGM profile changes and HbA1c level changes. For 247 participants completing the study (76% female, 84% Hispanic/Latino, 32% with T2D, age 56·6 ± 11·9 years), there was a reduction in weight (−1·1 [-1·6 to −0·6] lbs., p < 0.001), waist circumference (−0·4 [-1·0 to 0·6] cm, p = 0·007) and systolic blood pressure (SBP) for participants with baseline SBP >120 mmHg (−4·2 [-6·8 to −1·8] mmHg, p = 0·001). For participants with an HbA1c ≥ 7·0% at baseline, HbA1c fell significantly (−0·5 [-0·9 to −0·1] %, p = 0·01). There were also improvements in food security (p < 0·0001), self-reported ratings of sleep, mood, pain (all p < 0·001), and measures of depression (p < 0·0001), anxiety (p = 0·045), and stress (p = 0·002) (DASS-21). There was significant correlation (r = 0·8, p = 0·001) between HbA1c change and the change in average glucose for participants with worsening HbA1c, but not for participants with an improvement in HbA1c. In conclusion, medical prescription of fresh produce is associated with significant improvements in cardio-metabolic and psycho-social risk factors for Hispanic/Latino adults with or at risk of T2D.en_US
dc.identifier.citationSato Imuro, S. E., Sabharwal, A., Conneely, C., Glantz, N., Bevier, W., Barua, S., Pai, A., Larez, A., & Kerr, D. (2023). Temporal changes in bio-behavioral and glycemic outcomes following a produce prescription program among predominantly Hispanic/Latino adults with or at risk of type 2 diabetes. Heliyon, 9(8), e18440. https://doi.org/10.1016/j.heliyon.2023.e18440en_US
dc.identifier.digital1-s20-S2405844023056487-mainen_US
dc.identifier.doihttps://doi.org/10.1016/j.heliyon.2023.e18440en_US
dc.identifier.urihttps://hdl.handle.net/1911/115656en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsExcept where otherwise noted, this work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives (CC BY-NC-ND) license. Permission to reuse, publish, or reproduce the work beyond the terms of the license or beyond the bounds of fair use or other exemptions to copyright law must be obtained from the copyright holder.en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.titleTemporal changes in bio-behavioral and glycemic outcomes following a produce prescription program among predominantly Hispanic/Latino adults with or at risk of type 2 diabetesen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpublisher versionen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
1-s20-S2405844023056487-main.pdf
Size:
1.51 MB
Format:
Adobe Portable Document Format
Download
Collections
Faculty Publications
ECE Publications