{"id":6280,"date":"2018-02-01T11:27:43","date_gmt":"2018-02-01T16:27:43","guid":{"rendered":"https:\/\/med-fammed.sites.unc.edu\/?p=6280"},"modified":"2020-12-08T15:55:14","modified_gmt":"2020-12-08T20:55:14","slug":"a-prescription-for-fruits-and-veggies","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/fammed\/2018\/02\/01\/a-prescription-for-fruits-and-veggies\/","title":{"rendered":"A prescription for fruits and veggies"},"content":{"rendered":"

Researchers will track changes in patient diet and biometric measures, as well as the impact on farmers\u2014the revenue and risks associated with the program.<\/p>\n

\"locally
Locally grown vegetables<\/figcaption><\/figure>\n

“Food and health care are often seen as two separate, distinct issues, but this\u00a0study\u00a0seeks to\u00a0explore\u00a0how they are\u00a0one<\/i>\u00a0inter-connected issue,\u201d said Lindsey Haynes-Maslow, a professor in the Department of Agricultural and Human Sciences at NC State and one of three principal investigators on the study.<\/p>\n

Those enrolled will take a 6-week nutrition education course taught by NC State’s Supplemental Nutrition Assistance Program Education (SNAP-Ed) staff. For the 6 weeks of the course and subsequent 17 weeks enrollees will receive free, locally grown vegetables from Maple Spring Gardens in Cedar Grove, North Carolina. The 23-week CSA is valued at $641 per participant and will act as incentive to participate. The study will examine participant\u2019s biometric data, such as blood pressure and blood sugar, before and after the program, as well as patient reported outcomes related to self-efficacy obtaining and eating fruits and vegetables.<\/p>\n

The importance of the study is two-fold in North Carolina. Studies estimate that healthier diets might prevent $71 billion per year in medical costs, lost productivity and premature deaths associated with poor diet. North Carolina communities, particularly in rural areas, face the dual challenge of high rates of chronic disease (obesity, heart disease, stroke, diabetes, and cancer) and economic decline.<\/p>\n

North Carolina is also one of the top 10 agricultural states in the country, with agricultural businesses accounting for almost 20% of our state\u2019s gross domestic product. However, the state also ranks high in its rate of farm loss, particularly among smaller farms.<\/p>\n

“I often see the impact a poor diet has on the health of my patients,\u201d said Dana Neutze, MD, a principal investigator, professor, and the Associate Director of the UNC Family Medicine Center at Chapel Hill. \u201cThis project could be a game-changer in the health of low-income individuals. Additionally, the partnership brings business to rural communities and helps support our farming community.\u201d<\/p>\n

This project could be a game-changer in the health of low-income individuals. Additionally, the partnership brings business to rural communities and helps support our farming community.\"-Dana Neutze, MD, MPH<\/p><\/div>\n

 <\/p>\n

\"\"
Dana Neutze, MD, MPH, the UNC-Family Medicine PI<\/figcaption><\/figure>\n

\u201cI am excited to move forward the idea of food as medicine,\u201d said Ken Dawson, the owner and general manager of Maple Spring Gardens, the farm supplying the produce for the CSA boxes. Dawson has been running the farm for 35 years. \u201cThis is a great project because, one, we can sell more produce, but two, to be involved with this whole concept makes good sense in terms of peoples\u2019 health, and in terms of economic health. If there\u2019s any way I can be involved with making that happen, I want to be involved.\u201d<\/p>\n

The study is modeled after programs that have been successful in other states. \u00a0In 2012, the non-profit organization DC Greens partnered with Unity Health Care clinic and five farmers\u2019 markets to offer the FVRx (prescription for fruits and veggies) program. Survey results found that 53% of children reduced their body mass index during participation in the program\u2014and more than $40,000 of produce was sold through the program by local farmers. Detroit Health piloted a similar FRX program for low-income families, with positive results.<\/p>\n

These programs lacked a rigorous evaluation, though. While other iterations of veggie prescription programs relied mostly on self-reported outcomes, this study will actually track biometric measures. And, in addition, researchers will look at economic impact on farmers.<\/p>\n

The ideal is that, with successful results, the program could expand its scope to other research institutions and across North Carolina, even partnering with health insurance providers to bring programs like this one to more low-income individuals across the state.
\n\u201cWe\u2019re excited about this opportunity to explore the intersection between health care and the food system,\u201d said Alice Ammerman, principal investigator, professor of Nutrition, and director of the Center of Health Promotion and Disease Prevention at the University of North Carolina.<\/p>\n","protected":false},"excerpt":{"rendered":"

A new study led by researchers at UNC, including Dana Neutze, MD, of the Department of Family Medicine, and NC State University will give a weekly allotment of locally grown vegetables to low-income, high-risk patients at The UNC Family Medicine Center, in addition to connecting them with existing nutrition education programs.<\/p>\n","protected":false},"author":2518,"featured_media":6281,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[25,27,1],"tags":[],"class_list":["post-6280","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinic-news","category-community-health","category-news","odd"],"pp_force_visibility":null,"pp_subpost_visibility":null,"pp_inherited_force_visibility":null,"pp_inherited_subpost_visibility":null,"acf":[],"yoast_head":"\nA prescription for fruits and veggies - Department of Family Medicine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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