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

基本信息

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
项目类别：
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

项目摘要

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.

项目概要生活在粮食不安全家庭中的儿童，定义为去年某个时候他们的家庭没有粮食足够的食物、金钱或资源来养活家庭新鲜水果和蔬菜 (FV) 摄入量低，在夏威夷，这一比例更高。的夏威夷原住民 (NH) 和其他太平洋岛民 (OPI) 儿童生活在粮食不安全的家庭中与州平均水平（分别为 30% 和 50% vs. 18%）相比，NHOPI 成年人遭受痛苦制定处方计划，向个人提供代金券以治疗慢性病。购买新鲜 FV 是改善饮食质量和降低慢性病风险的有前景的策略这项研究的长期目标是减少与营养相关的健康状况。通过基于临床社区的规划来消除差异。Keiki（儿童）生产处方 (KPRx) 计划。由大学和社区研究人员以及医疗保健提供者开发和实施怀厄奈海岸综合健康中心 (WCCHC) 当前的研究建立在社区-学术伙伴关系，以实现以下具体目标 1) 开发和验证定量、 NHOPI 儿童食物频率问卷 (FFQ) (HCFFQ) 和 2) 衡量 KPRx 的有效性对 100 名亲子二人组的 FV 摄入量、肠道微生物组组成和健康相关生物标志物的影响夏威夷一个以 NHOPI 为主的社区的家庭粮食不安全状况。儿童健康生活计划研究中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物频率问卷 (HCFFQ)（目标 1）。采用参与式研究方法进行随机对照试验，衡量 KPRx 的效果儿童饮食和微生物组，以及 100 名亲子的父母/照顾者饮食和健康相关生物标志物将在家庭粮食不安全的情况下开展二人组活动（目标 2）。研究将为地方和州医疗保健和营养援助规划提供数据旨在减少 NHOPI 和少数民族人口之间的粮食不安全和健康差距的政策。