Evidence map›Paper›PMID 36192812›Full record

ArticleBMC nutrition2022

The impact of medically tailored meals and nutrition therapy on biometric and dietary outcomes among food-insecure patients with congestive heart failure: a matched cohort study.

Lauren Belak, Caroline Owens, Margaret Smith, Eric Calloway, Laura Samnadda, Heartley Egwuogu, Stacie Schmidt

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06460272 (NOURISH HEARTS), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06460272 nacompletednot on this mapstarted 2024, after this paper: background citation

NOURISH HEARTS: Nutrition Outreach and Understanding: Research In Serving Hearts Through Healthy Eating And Tailored Support

TypeinterventionalSponsorAmanda ShallcrossRan2024 to 2025Enrolled75ConditionsHypertension, Type2diabetes, Metabolic Syndrome, ObesityArmsMedically Tailored Meals
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Nutrition and Culinary Education in Food Is Medicine Interventions: A Scoping Review.Journal of the Academy of Nutrition and Dietetics · 2026
    Article
  3. Mixed Methods Evaluation of a Shipped Medically Tailored Meal Pilot Intervention.Journal of patient-centered research and reviews · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 1 country.

Lauren BelakDepartment of Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA. lbelak14@gmail.com.ORCID http://orcid.org/0000-0003-4944-2822
Caroline OwensDepartment of Anthropology, Emory University, 1557 Dickey Dr, Atlanta, GA, 30322, USA.
Margaret SmithDepartment of Medicine, University of California San Diego, 9500 Gilman Dr. La Jolla, San Diego, CA, 92093, USA.
Eric CallowayGretchen Swanson Center for Nutrition, 14301 FNB Pkwy Suite 100, Omaha, NE, 68154, USA.
Laura SamnaddaOpen Hand Atlanta, 181 Armour Dr NE, Atlanta, GA, 30324, USA.
Heartley EgwuoguGrady Memorial Hospital, 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303, USA.
Stacie SchmidtGrady Memorial Hospital, 80 Jesse Hill Jr Dr SE, Atlanta, GA, 30303, USA.
Grady Memorial Hospital · USEmory University · USMassachusetts General Hospital · USOpen Hand · USSwanson Center · USUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the impact of home-delivered, medically tailored meals and medical nutrition therapy among food-insecure patients following hospitalization for congestive heart failure by comparing clinical outcomes to a retrospectively matched cohort.

methodsPatients at high risk for readmission and food insecurity received up to three months of medically tailored meals and medical nutrition therapy after discharge. Pre-intervention and post-intervention weight, body mass index, blood pressure, and dietary intake were assessed. A combination of difference-in-difference and logistic regression models were used to compare changes between cohorts and evaluate impact attributable to the program.

resultsThirty-nine program participants were compared to a matched cohort of 117 unexposed patients. Participants experienced a marginal reduction in body mass index and an increase in systolic and diastolic blood pressure; however, these results were not statistically significant. To determine relevance to clinical cut-offs, logistic regressions were used, demonstrating that exposure to the intervention resulted in higher odds of a categorical reduction in blood pressure (OR: 1.85), though this did not reach statistical significance (95% CI: 0.67-5.32). Pre vs. post trends indicated that more-healthful foods and drinks increased numerically or remained similar to baseline, while less-healthful foods decreased numerically or remained similar to baseline. CONCLUSIONS AND IMPLICATIONS: These findings highlight the need for more longitudinal research on medically tailored meals and medical nutrition therapy interventions using clinical outcomes while setting realistic suggestions for program implementation. This study additionally illustrates the promise of integrating electronic medical record data and matched cohorts into medical nutrition program evaluation within the health sector.

Indexed as

Congestive heart failureFood insecurityMedically tailored mealsNutrition interventionProgram evaluation

Identifiers

PMID36192812
PMCPMC9528877
OpenAlexW4300716936

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.