Impact of a Registered Dietitian Nutritionist–Led Food as Medicine Program in the Food Retail Setting: A Feasibility Study - 17/10/24
Abstract |
Background |
Food as medicine (FAM) interventions have been associated with improved health outcomes. However, there is limited FAM evidence in food retail settings.
Objective |
The objective was to evaluate the feasibility of a registered dietitian nutritionist–led FAM program that aims to detect changes in participants’ nutrition problems and related nutrition and health outcomes, as documented by the Nutrition Care Process framework.
Design |
The study was a descriptive feasibility nutrition intervention cohort analysis.
Participants setting |
A convenience sample of online food shoppers were enrolled in collaboration with a food retail chain (n = 39 participants completed the intervention and were included in primary analyses).
Intervention |
Participants received nutrition care for 6 months either in person or via telehealth. The FAM intervention included tailored nutrition care that integrated software-generated meal plans and food shopping lists to support online food shopping.
Main outcome measures |
Progress of nutrition problems and diet quality (assessed via the Picture your Plate survey) were measured. Measurements included changes in anthropometric and biochemical parameters, blood pressure, and quality of life (assessed via the Centers for Disease Control and Prevention’s Health Related Quality of Life-14 survey).
Statistical analyses performed |
Mann-Whitney U test, Pearson’s χ2, and Wilcoxon signed-rank tests were used to detect differences.
Results |
The most prevalent nutrition problems demonstrated improvement rates as follows: excessive energy intake, 81% (n = 21 of 26); excessive carbohydrate intake, 88% (n = 7 of 8); and obesity, 100% (n = 5 of 5). Exposure to the FAM intervention improved dietary quality, quality of life, body weight, waist circumference, and systolic pressure.
Conclusions |
FAM interventions can be carried out by in-store registered dietitian nutritionists in the supermarket setting. This feasibility study highlighted the need and opportunity for larger studies in which registered dietitian nutritionist–led FAM interventions, in collaboration with food retailers, may improve people’s nutrition and health.
Le texte complet de cet article est disponible en PDF.Keywords : Food is medicine, Registered dietitian nutritionist, Nutrition Care Process, Personalized meal planning, Medical nutrition therapy, Disease management and treatment, Telehealth
Plan
| STATEMENT OF POTENTIAL CONFLICT OF INTEREST L. Woodcock and C. Papoutsakis are employees of the Academy of Nutrition and Dietetics, which has a financial interest in the Nutrition Care Process Terminology described here. A. Yoder received financial compensation as a fellow from the Academy of Nutrition and Dietetics Foundation for this project. J. Long received financial compensation as a contractor through the Academy of Nutrition and Dietetics for this project. |
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| FUNDING/SUPPORT This study was funded through a grant to the Academy of Nutrition and Dietetics Foundation from General Mills. The Academy of Nutrition and Dietetics and the Commission on Dietetic Registration provided financial and material support for the development of the Academy of Nutrition and Dietetics Health Informatics Infrastructure and Nutrition Care Process Terminology. This trial was registered at Clinicaltrials.gov (identifier: NCT05346315). |
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| ACKNOWLEDGEMENTS The authors thank the following study registered dietitian nutritionists and their retail sites: Shelly Asplin, MA, RDN, LMNT, CDCES (Linden Market Hy-Vee, Omaha, NE), Megan Hall, RD, LMNT, LD, LDN, LN, CD, CDN (Amber Specialty Pharmacy, Omaha NE), and Laura Johansen, MS, RD, LMNT (Hy-Vee, Papillion, NE). The authors also thank the advisory group members (Betsy Anderson Steeves, PhD, RD, Elizabeth Hall, PhD, RDN, LDN, Katie Koecher, PhD, Stacey Loftus, RD, LD, Marissa McCormick, MS, RD, Scott Murdoch, PhD, Caroline Passerrello, MS, RDN, LDN, Krystal Register, MS, RDN, LDN, FAND) for their expert input during protocol development and throughout the study. The authors are also grateful to Theresa Winters and Jenica K. Abram, MPH, RDN, LDN for their efficient and timely administrative support. The NutriStyle company is acknowledged for contributing their software platform to carry out this study. Finally, this study would not have been possible without all the participants who volunteered to receive nutrition care. |
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| AUTHOR CONTRIBUTIONS J. Long and A. Yoder wrote and contributed equally to the first draft of the manuscript with input and critical revisions from C. Papoutsakis and L. Woodcock. C. Papoutsakis oversaw and approved all aspects of the study design and manuscript. All authors reviewed and commented on subsequent drafts of the manuscript. |
Vol 124 - N° 11
P. 1503-1513 - novembre 2024 Retour au numéro
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