PMID- 34458078
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220426
IS  - 2211-3355 (Print)
IS  - 2211-3355 (Electronic)
IS  - 2211-3355 (Linking)
VI  - 24
DP  - 2021 Dec
TI  - Fiber-rich foods delivered to Low-Income Households: A feasibility study of 
      children with prediabetes and spillover effect on their caregivers.
PG  - 101511
LID - 10.1016/j.pmedr.2021.101511 [doi]
LID - 101511
AB  - 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 muIU/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.
CI  - (c) 2021 The Author(s).
FAU - Tester, June M
AU  - Tester JM
AD  - UCSF Benioff Children's Hospital Oakland. Oakland, CA, USA.
FAU - Leak, Tashara M
AU  - Leak TM
AD  - Division of Nutritional Sciences, Cornell University, USA.
LA  - eng
PT  - Journal Article
DEP - 20210803
PL  - United States
TA  - Prev Med Rep
JT  - Preventive medicine reports
JID - 101643766
PMC - PMC8379487
OTO - NOTNLM
OT  - CSA, community-supported agriculture
OT  - Endocrinology
OT  - HOMA-IR, homeostatic model assessment for insulin resistance
OT  - HbA1c, Hemoglobin A1c
OT  - Metabolic disorders
OT  - Prediabetes
OT  - Preventive medicine
OT  - SES, socioeconomic status
OT  - T2DM, type 2 diabetes mellitus
COIS- 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.
EDAT- 2021/08/31 06:00
MHDA- 2021/08/31 06:01
PMCR- 2021/08/03
CRDT- 2021/08/30 05:59
PHST- 2021/03/01 00:00 [received]
PHST- 2021/06/07 00:00 [revised]
PHST- 2021/07/28 00:00 [accepted]
PHST- 2021/08/30 05:59 [entrez]
PHST- 2021/08/31 06:00 [pubmed]
PHST- 2021/08/31 06:01 [medline]
PHST- 2021/08/03 00:00 [pmc-release]
AID - S2211-3355(21)00201-1 [pii]
AID - 101511 [pii]
AID - 10.1016/j.pmedr.2021.101511 [doi]
PST - epublish
SO  - Prev Med Rep. 2021 Aug 3;24:101511. doi: 10.1016/j.pmedr.2021.101511. eCollection 
      2021 Dec.