Continued Participation in Congregate Meal Programs: The Role of Geographic Access to Food

Mabli, James; Shenk, Marisa

doi:10.1080/21551197.2020.1838397

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…A large prior empirical literature has generated mixed results on the impact of the SNAP program's economic and health outcomes. On one hand, researchers have shown that SNAP participation is associated with reduced food insecurity, higher self‐assessed health, fewer illness days, and less visits to the doctor or hospital relative to other income eligible persons not receiving SNAP 2‐12 . On the other hand, researchers have also documented that SNAP recipients have lower nutritional quality in food purchases, lower dietary intake, and higher diet‐related disease morbidity than persons not receiving SNAP 13‐17 .…”

Section: Introductionmentioning

confidence: 99%

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Impact of the supplemental nutritional assistance program on diet‐related disease morbidity among older adults

Booshehri

Dugan

2021

Health Services Research

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Objectives To examine the health effects of the Supplemental Nutritional Assistance Program (SNAP) and the differential impact of SNAP across race/ethnicity among older adults. Data Source/Study Setting 2008‐2013 Medical Expenditure Panel Survey, a nationally representative population‐based complex sample survey. Study Design A difference‐in‐regression‐discontinuity (DRD) design is used to assess the impacts of SNAP on diet‐related disease morbidity. The primary outcomes were the prevalence rate of hypertension, coronary heart disease, stroke, diabetes, and cancer. We also conducted supplemental analysis to examine potential co‐occurring trends in medical utilization. Data Collection/Extraction Methods Data are publicly available. Principal Findings In the full sample, SNAP eligibility was associated with a significant decline in diabetes (−3.71 percentage points [pp]; P < .05). Non‐Hispanic (NH) White respondents reported trends similar to the full sample; however, NH Black respondents reported large declines in hypertension (−13.95 pp; P < .01) and Hispanic respondents reported declines in the prevalence of angina (−6.94 pp; P < .05) and stroke (−4.48 pp; P < .05). Conclusions Supplemental Nutritional Assistance Program eligibility was associated with the reduced prevalence of diet‐related disease among older adults. These observed declines in the prevalence of diet‐related disease do not appear to be attributable to increased medical visits or spending on medical services and prescriptions.

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Section: Introductionmentioning

confidence: 99%

“…On one hand, researchers have shown that SNAP participation is associated with reduced food insecurity, higher selfassessed health, fewer illness days, and less visits to the doctor or hospital relative to other income eligible persons not receiving SNAP. [2][3][4][5][6][7][8][9][10][11][12]…”

mentioning

confidence: 99%

Impact of the supplemental nutritional assistance program on diet‐related disease morbidity among older adults

Booshehri

Dugan

2021

Health Services Research

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“…Alternatively, food‐based approaches focusing on energy and nutrient density showed improved intake and weight, as well as favorable compliance and acceptability for older adults residing in long‐term care, in the few studies including these assessments 37 . For community‐dwelling older adults, measures of participation vs compliance are undertaken to assess the effectiveness of food‐based programs 47 . Although there is widespread participation in meal programs, such as the Older Americans Act Nutrition Program in the United States, which aims to provide nutritious food to older adults of low socioeconomic status, 48 research is lacking regarding the efficacy of energy‐ and nutrient‐dense, food‐based interventions on the prevention of unintentional weight loss in community‐dwelling older adults.…”

Section: Compliancementioning

confidence: 99%

Recommending ultra‐processed oral nutrition supplements for unintentional weight loss: Are there risks?

et al. 2022

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Oral nutrition supplements (ONS) are widely recommended for the management of unintentional weight loss in patient populations, long-term care residents, and community-dwelling older adults. Most marketed ONS are ultra-processed, with precision nutrition and aseptic composition, as well as convenience and availability, driving their selection. However, therapeutic effectiveness is mixed and the potential health risks of consuming ultraprocessed ONS long-term in lieu of less-processed foods have received little attention. A diverse and balanced microbiota supporting immunity and wellness is maintained by a diet rich in plant-sourced foods. The implications of ultra-processed ONS displacing plant-sourced foods, and specifically the potential for undesirable impacts on the gut microbiota, require consideration.Most ONS are either devoid of fiber or are supplemented with isolated or purified fibers that may contribute to adverse gastrointestinal symptoms and appetite suppression. In contrast, the diversity of microbial-available, nondigestible carbohydrates, together with the array of phytochemicals found in plant-sourced foods, support microbial diversity and its resiliency. This review outlines the clinical dilemma of recommending commercial ultraprocessed ONS vs nutritionally adequate (eg, high-energy/high-protein) foods and beverages that contribute to diet quality, maintenance of a diverse and stable gut microbiota composition, and support nutrition status and health. Ultra-processed ONS may fall short of expected health benefits, and overreliance may potentially contribute to the risk for patient and older adult populations because of the displacement of a variety of healthful foods.

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Navigating Food Insecurity as a Rural Older Adult: The Importance of Congregate Meal Sites, Social Networks and Transportation Services

Valliant

Burris

Czebotar

et al. 2021

Journal of Hunger & Environmental Nutrition

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Continued Participation in Congregate Meal Programs: The Role of Geographic Access to Food

Cited by 4 publications

References 15 publications

Impact of the supplemental nutritional assistance program on diet‐related disease morbidity among older adults

Impact of the supplemental nutritional assistance program on diet‐related disease morbidity among older adults

Recommending ultra‐processed oral nutrition supplements for unintentional weight loss: Are there risks?

Navigating Food Insecurity as a Rural Older Adult: The Importance of Congregate Meal Sites, Social Networks and Transportation Services

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