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.
METHODS: The study was a descriptive feasibility nutrition intervention cohort analysis.
UNASSIGNED: 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).
METHODS: 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.
METHODS: 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).
METHODS: 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.
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.
METHODS: The study was a descriptive feasibility nutrition intervention cohort analysis.
UNASSIGNED: 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).
METHODS: 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.
METHODS: 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).
METHODS: 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.
摘要：
背景：食品即药物（FAM）干预措施与改善健康状况有关。然而,食品零售环境中的FAM证据有限。
目的：目的是评估由注册营养师主导的FAM计划的可行性，该计划旨在检测参与者的营养问题以及相关的营养和健康结果的变化。正如营养护理过程框架所记录的那样。
方法：本研究为描述性可行性营养干预队列分析。
与一家食品零售连锁店合作，招募了在线食品购物者的便利样本（n=39名参与者完成了干预并纳入了主要分析）。
方法：参与者亲自或通过远程健康接受6个月的营养护理。FAM干预措施包括量身定制的营养护理，集成了软件生成的膳食计划和食品购物清单，以支持在线食品购物。
方法：测量了营养问题和饮食质量的进展（通过图片您的板块调查评估）。测量包括人体测量和生化参数的变化，血压,和生活质量（通过疾病控制和预防中心的健康相关生活质量-14调查进行评估）。
方法：Mann-WhitneyU检验，使用Pearsonχ2和Wilcoxon符号秩检验来检测差异。
结果：最普遍的营养问题表现出以下改善率：过多的能量摄入，81%(n=21/26)；摄入过多的碳水化合物，88%(n=7/8)；肥胖，100%(n=5的5)。暴露于FAM干预改善了饮食质量，生活质量,体重,腰围,还有收缩压.
结论：FAM干预措施可以由超市环境中的店内注册营养师进行。这项可行性研究强调了进行大型研究的必要性和机会，在这些研究中，由注册营养师主导的FAM干预措施。与食品零售商合作，可以改善人们的营养和健康。
目的：目的是评估由注册营养师主导的FAM计划的可行性，该计划旨在检测参与者的营养问题以及相关的营养和健康结果的变化。正如营养护理过程框架所记录的那样。
方法：本研究为描述性可行性营养干预队列分析。
与一家食品零售连锁店合作，招募了在线食品购物者的便利样本（n=39名参与者完成了干预并纳入了主要分析）。
方法：参与者亲自或通过远程健康接受6个月的营养护理。FAM干预措施包括量身定制的营养护理，集成了软件生成的膳食计划和食品购物清单，以支持在线食品购物。
方法：测量了营养问题和饮食质量的进展（通过图片您的板块调查评估）。测量包括人体测量和生化参数的变化，血压,和生活质量（通过疾病控制和预防中心的健康相关生活质量-14调查进行评估）。
方法：Mann-WhitneyU检验，使用Pearsonχ2和Wilcoxon符号秩检验来检测差异。
结果：最普遍的营养问题表现出以下改善率：过多的能量摄入，81%(n=21/26)；摄入过多的碳水化合物，88%(n=7/8)；肥胖，100%(n=5的5)。暴露于FAM干预改善了饮食质量，生活质量,体重,腰围,还有收缩压.
结论：FAM干预措施可以由超市环境中的店内注册营养师进行。这项可行性研究强调了进行大型研究的必要性和机会，在这些研究中，由注册营养师主导的FAM干预措施。与食品零售商合作，可以改善人们的营养和健康。
