Food as medicine? Exploring the impact of providing healthy foods on adherence and clinical and economic outcomes

Chen, Aleda M.H.; Draime, Juanita A.; Berman, Sarah B.; Gardner, Julia; Krauss, Zach; Martinez, Joe

doi:10.1016/j.rcsop.2022.100129

Cited by 6 publications

(4 citation statements)

References 103 publications

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“…However, the literature indicates that meal satisfaction can influence adherence to prescribed diets and the patient’s overall quality of life [ 16 , 17 ], which are crucial to the health outcomes of these patients. Unsatisfied patients may seek alternative meals, which may be less healthy or less suitable for their nutritional needs.…”

Section: Discussionmentioning

confidence: 99%

Comparing Homogenized Instantaneous Meals and Traditional Pureed Foods in Patients Affected by Dysphagia: A Pilot Study

Sukkar,

Lorenzoni,

Carraro

et al. 2024

JCM

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Background: Institutionalized individuals with dysphagia are particularly at risk for malnutrition. This study investigated two texture-modified models for patients with dysphagia, as follows: (i) traditional homemade pureed food (PF) and (ii) homogenized meals obtained from dehydrated and rehydrated instantaneous preparations (IPs). Methods: A retrospective pilot study was performed. It included patients affected by medium-severity dysphagia admitted to the nursing home “Sacra Famiglia” Institute of Cocquio Trevisago, Varese. The patients were aged 41–81 years old and all had complex disabilities. They underwent anthropometric and biochemical parameter assessments at baseline, as well as at two months and four months follow-up. Results: The study involved 30 patients, 15 received the IP meal. The comparison between the baseline and the follow-up did not show significant anthropometric and biochemical parameter differences. Conversely, the IP group reported significantly higher levels of consumption and satisfaction, evaluated using a modified Chernoff scale based on three levels of smiles, than the PF group. Conclusions: The present findings provide promising indications to improve the diet of patients affected by dysphagia, since meal satisfaction is a relevant factor that has been shown to be associated with better patient mood, motivation to eat, and adherence to prescribed diet.

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Section: Discussionmentioning

confidence: 99%

Comparing Homogenized Instantaneous Meals and Traditional Pureed Foods in Patients Affected by Dysphagia: A Pilot Study

Sukkar,

Lorenzoni,

Carraro

et al. 2024

JCM

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“…The shift toward MTMs could potentially lead to an annual reduction in US healthcare costs ranging from $27 to $48 billion. 20 A program providing patients with MTMs indicated a reduction in patients overall healthcare costs by 16%. 21 This produce prescription program is designed to support "projects that demonstrate and evaluate the impact of fresh fruit and vegetable prescriptions to increase procurement and consumption of fruits and vegetables, reduce individual and household food insecurity, and reduce healthcare usage and associated costs."…”

Section: Food As Medicine: New Horizons In the Treatment Of Diet-rela...mentioning

confidence: 99%

“…Furthermore. The shift toward MTMs could potentially lead to an annual reduction in US healthcare costs ranging from $27 to $48 billion 20 . A program providing patients with MTMs indicated a reduction in patients overall healthcare costs by 16% 21 …”

Section: Food As Medicine: New Horizons In the Treatment Of Diet-rela...mentioning

confidence: 99%

Food as Medicine in American Healthcare: Can Food Solve the Crisis It Created?

Hanauer,

Thapa,

Moffit

et al. 2024

Nutr Today

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“Food as Medicine” (FAM) is a critical link between the foods we consume and our overall health. FAM adopts nutrition-based treatment, with existing healthcare to mitigate “metabolic” diseases. Despite advancements in medicine, healthcare technology, and treatments, chronic diseases affect nearly 50% of Americans and are attributed to 86% of healthcare costs. FAM initiatives have yet to advance beyond pilot programs and remain virtually unavailable to the US population. Pilot programs are producing promising results with healthier outcomes for patients. Economic assessments indicate net cost savings in healthcare expenditures. Three primary interventions are consistently effective in achieving positive health outcomes: medically tailored meals, medically tailored groceries, and prescription food programs. The Centers for Medicare and Medicaid Services and the US Department of Agriculture are both currently advancing FAM research and pilot programs with the cooperation of the National Institutes of Health Office of Disease Prevention and Health Promotion and the Office of Nutrition Research. The full potential of FAM can be realized when the federal government is able to successfully incorporate and financially support nationwide FAM treatments, including nutrition education and healthy foods into the existing healthcare system.

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“…Medically tailored meals for chronic disease have shown to improve nutritional status, biomarkers, and healthcare costs [16,17]. However, meal studies for CKD have been mostly focused on sodium, protein, or specific diet and supplements [18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Adaptive nutrition intervention stabilizes serum phosphorus levels in hemodialysis patients: a multi-center decentralized clinical trial using real-world data

Chung

Kim

Park

et al. 2023

Preprint

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Objective: This study aims to evaluate the effect of an adaptive nutritional and educational intervention for hemodialysis patients in a routine care setting, using real-world data from electronic health records. Methods: Decentralized clinical trial of seven hemodialysis facilities recruited patients under hemodialysis for over 3 months (N=153) for an 8-week adaptive intervention protocol and divided them into four groups: (1) control (2) education intervention (3) meal intervention (4) education and meal interventions. Educational contents are digitally delivered via mobile phones and pre-made meals tailored on laboratory findings via home delivery. Changes in serum electrolytes and malnutrition inflammation score (MIS) are analyzed. Results: Meal intervention statistically significantly stabilized serum phosphorus level (b = -0.81) at week 8 with increased likelihood of being in normal range (Odds ratio = 1.21). Meal and education group showed better nutritional status (MIS=3.97) than the control group (MIS=4.57) at week 8 (adjusted p<0.05). No significant changes were observed in serum potassium level, depression, and self-efficacy. Conclusion: It is demonstrated that an adaptive education and meal interventions in a real-world care setting may benefit hemodialysis patients' serum phosphorus control and nutritional status, without negative effect on depression levels or self-efficacy.

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Food as medicine? Exploring the impact of providing healthy foods on adherence and clinical and economic outcomes

Cited by 6 publications

References 103 publications

Comparing Homogenized Instantaneous Meals and Traditional Pureed Foods in Patients Affected by Dysphagia: A Pilot Study

Comparing Homogenized Instantaneous Meals and Traditional Pureed Foods in Patients Affected by Dysphagia: A Pilot Study

Food as Medicine in American Healthcare: Can Food Solve the Crisis It Created?

Adaptive nutrition intervention stabilizes serum phosphorus levels in hemodialysis patients: a multi-center decentralized clinical trial using real-world data

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