Allison J. Wu, Marissa Huggins, Hsin-Tao Grace Lin, Arlette Caballero-Gonzalez, Nisha Dalvie, Erica Di Battista, Elsie M. Taveras, Lauren Fiechtner
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引用次数: 0
摘要
背景:食物和营养安全干预措施已被证明可优化健康、预防和治疗成年人群中的慢性疾病。尽管在美国粮食不安全和儿童肥胖症的发生率和交叉率越来越高,但针对儿童和家庭的粮食和营养安全干预措施却很少:这项 I 期随机交叉试验的主要目的是评估食物无保障家庭中肥胖儿童对送餐计划的安全性、可接受性和满意度。其次,我们还评估了研究设计、招募和保留的可行性,为今后更大规模的试验提供参考:我们提供了为期 6 周的健康餐包,其中包括预先配好的新鲜食材和简单的图片食谱(每周两份食谱),用英语或西班牙语烹制一锅 30 分钟以内的饭菜(准备后~每周 10 份):结果:护理人员收到并准备了餐包,并对餐包递送计划总体表示满意:结论:针对肥胖和食物无保障儿童的送餐干预措施是可以接受的,第一阶段随机交叉试验也是可行的。
Satisfaction with a meal kit delivery program and feasibility of a phase I trial in the intervening in food insecurity to reduce and mitigate (InFoRM) childhood obesity study
Background
Food and nutrition security interventions have been demonstrated to optimize health, prevent and treat chronic diseases among adult populations. Despite the increasing prevalence and intersection of food insecurity and childhood obesity in the United States, there are few food and nutrition security interventions targeted to children and families.
Objectives
The primary purpose of this phase I randomized, crossover trial was to assess the safety, acceptability and satisfaction of a meal kit delivery program among children with obesity living in households with food insecurity. Secondarily, we assessed the feasibility of our study design, recruitment and retention to inform future larger scale trials.
Methods
We delivered 6 weeks of healthy meal kits, which included fresh pre-portioned ingredients and simple picture-based recipes (two recipes/week) in English or Spanish to prepare one-pot, under 30-min meals (after preparation ~ 10 servings/week).
Results
Caregivers received and prepared the meal kits and reported overall satisfaction with the meal kit delivery program.
Conclusion
A meal kit delivery intervention for children with obesity and food insecurity is acceptable and a phase I randomized, crossover trial is feasible.
期刊介绍:
Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large.
Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following:
Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes
Metabolic consequences of child and adolescent obesity
Epidemiological and population-based studies of child and adolescent overweight and obesity
Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition
Clinical management of children and adolescents with obesity including studies of treatment and prevention
Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment
Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity
Nutrition security and the "double burden" of obesity and malnutrition
Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents
Community and public health measures to prevent overweight and obesity in children and adolescents.