Project 1: Keiki Produce Prescription (KPRx) Program: Improving Diet Assessment and Quantifying Health Impacts

项目 1：Keiki Produce Prescription (KPRx) 计划：改进饮食评估并量化健康影响

• 批准号: 10594463
• 负责人: Monica Kazlausky Esquivel
• 金额: $ 32.91万
• 依托单位: UNIVERSITY OF HAWAII AT MANOA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-20 至 2027-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10594463
• 关键词: 8 year old; Adult; Affect; Animals; Assessment tool; Biological Markers; Calories; Caregivers; Child; Childhood; Chronic Disease; Clinic; Clinical; Communities; Consumption; Country; Data; Databases; Development; Diet; Diet Habits; Dietary Intervention; Dietary Practices; Dietary intake; Disease; Doctor of Philosophy; Family; Family health status; Feasibility Studies; Food; Frequencies; Fruit; Goals; Hawaii; Health; Health Benefit; Health Personnel; Health Promotion; Healthcare; Home; Household; Human; Improve Access; Individual; Influentials; Intake; Intervention; Intervention Trial; Interview; Knowledge; Life Expectancy; Life Style; Measures; Methods; Minority Groups; Native Hawaiian or Other Pacific Islander; Nutrient; Nutritional; Nutritional Study; Obesity; Overweight; Parents; Participant; Patients; Policies; Population; Provider; Questionnaires; Randomized; Randomized, Controlled Trials; Records; Reporting; Research; Research Personnel; Research Project Grants; Resources; Rural; Science; Site; Surveys; Time; Trust; United States National Institutes of Health; Universities; Vegetables; Work; community based participatory research; community based research; cost; density; dietary; disorder risk; early childhood; economic disparity; effectiveness evaluation; effectiveness measure; experience; farmers markets; food insecurity; fruits and vegetables; gut microbiome; health disparity; high risk; improved; innovation; member; microbiome; microbiome composition; neighborhood disadvantage; nutrition; obesity risk; pediatrician; precision nutrition; professor; programs; research study; voucher; 8 year old; Adult; Affect; Animals; Assessment tool; Biological Markers; Calories; Caregivers; Child; Childhood; Chronic Disease; Clinic; Clinical; Communities; Consumption; Country; Data; Databases; Development; Diet; Diet Habits; Dietary Intervention; Dietary Practices; Dietary intake; Disease; Doctor of Philosophy; Family; Family health status; Feasibility Studies; Food; Frequencies; Fruit; Goals; Hawaii; Health; Health Benefit; Health Personnel; Health Promotion; Healthcare; Home; Household; Human; Improve Access; Individual; Influentials; Intake; Intervention; Intervention Trial; Interview; Knowledge; Life Expectancy; Life Style; Measures; Methods; Minority Groups; Native Hawaiian or Other Pacific Islander; Nutrient; Nutritional; Nutritional Study; Obesity; Overweight; Parents; Participant; Patients; Policies; Population; Provider; Questionnaires; Randomized; Randomized, Controlled Trials; Records; Reporting; Research; Research Personnel; Research Project Grants; Resources; Rural; Science; Site; Surveys; Time; Trust; United States National Institutes of Health; Universities; Vegetables; Work; community based participatory research; community based research; cost; density; dietary; disorder risk; early childhood; economic disparity; effectiveness evaluation; effectiveness measure; experience; farmers markets; food insecurity; fruits and vegetables; gut microbiome; health disparity; high risk; improved; innovation; member; microbiome; microbiome composition; neighborhood disadvantage; nutrition; obesity risk; pediatrician; precision nutrition; professor; programs; research study; voucher

PROJECT SUMMARY Children living in food-insecure homes, defined as at some time during the last year their household not having enough food, money, or resources to feed the family experience low intake of fresh fruits and vegetables (FV), and a trajectory for increased risk of obesity and chronic diseases in adulthood. In Hawai‘i, a higher proportion of Native Hawaiian (NH) and other Pacific Islander (OPI) children live in food-insecure households when compared with the state average (30% and 50%, respectively vs. 18%) and NHOPI adults suffer disproportionately from chronic disease. Produce prescription programs, provide vouchers to individuals to purchase fresh FV, are promising strategies to improve diet quality and reduce chronic disease risk among food insecure populations. The long-term objective of this research is to reduce nutrition-related health disparities via clinical-community based programming. The Keiki (child) Produce Prescription (KPRx) program was developed and implemented by enlisting University and community researchers and health care providers at the Waianae Coast Comprehensive Health Center (WCCHC). The current study builds on the community-academic partnership to achieve the following specific aims 1) develop and validate a quantitative, food frequency questionnaire (FFQ) for NHOPI children (HCFFQ) and 2) measure effectiveness of the KPRx on FV intake, gut microbiome composition, and health related biomarkers in 100 parent-child dyads in the context of household food insecurity from a predominantly NHOPI community in Hawaiʻi. An NHOPI-rich population-specific dietary database from the Children’s Healthy Living Program study will be utilized to develop a valid, reliable Hawaii Child Food Frequency Questionnaire (HCFFQ) (Aim 1). A community based participatory research approach to carry out a randomized controlled trial that measures the effect of the KPRx on child diet and microbiome, and parent/caregiver diet and health-related biomarkers on 100 parent-child dyads in the context of household food insecurity will be conducted (Aim 2). The community-informed research study will provide data to inform local and state healthcare and nutrition assistance programming policies aimed at reducing food insecurity and health disparities among NHOPI and minority populations.

项目摘要 居住在食品不因为情房屋中的儿童，定义为去年的某个时候，他们的家庭没有 足够的食物，金钱或资源来养活家庭的新鲜水果和蔬菜（FV）的摄入量很低， 以及成年后肥胖和慢性疾病风险增加的轨迹。在夏威夷，比例更高 夏威夷原住民（NH）和其他太平洋岛民（OPI）儿童居住在食品没有十的家庭中 与州平均水平相比（分别为30％和50％，分别为18％），而NHOPI成年人受苦 慢性病不成比例。制作处方计划，为个人提供凭证 购买新鲜的FV是提高饮食质量并降低慢性病风险的承诺策略 粮食不安全的人口。这项研究的长期目标是减少与营养有关的健康 通过基于临床社区的编程差异。 Keiki（儿童）生产处方（KPRX）计划 是由入伍大学，社区研究人员和医疗保健提供者开发和实施的 位于怀亚纳海岸综合健康中心（WCCHC）。当前的研究建立在 社区学术伙伴关系以实现以下特定目标1）开发和验证定量， NHOPI儿童（HCFFQ）的食品频率问卷（FFQ）和2）衡量KPRX的有效性 关于FV摄入量，肠道微生物组组成和与健康相关的生物标志物在100个亲子二元组中 夏威夷主要是NHOPI社区的家庭粮食不安全感的背景。 NHOPI丰富 儿童健康生活计划研究的特定人群饮食数据库将用于 制定有效，可靠的夏威夷儿童食品频率问卷（HCFFQ）（AIM 1）。一个社区 参与研究方法进行一项随机对照试验，以衡量KPRX的效果 关于儿童饮食和微生物组，以及100个亲子的父母/照顾者饮食和与健康有关的生物标志物 在家庭粮食不安全的背景下，二元组将进行（AIM 2）。社区信息 研究将提供数据，以告知本地和州的医疗保健和营养援助计划 旨在减少NHOPI和少数民族人口的粮食不安全和健康差异的政策。