Evidence map›Paper›PMID 36812470›Full record

ArticleDiabetes care2023

Evaluation of a Produce Prescription Program for Patients With Diabetes: A Longitudinal Analysis of Glycemic Control.

Kurt Hager, Peilin Shi, Zhongyu Li, Kenneth Chui, Seth A Berkowitz, Dariush Mozaffarian, Jyoti Chhabra, Joel Wilken, Cunegundo Vergara, Erica Becker and 5 more

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Diabetes care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
11.4field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  16. Food prescribing in Canada: evidence, critiques and opportunities.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024
    Article
  17. Diet in Food Insecurity: A Mediator of Metabolic Health?Journal of the Endocrine Society · 2024
    Article
  18. Article
  19. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 1 country.

Kurt HagerFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA.ORCID 0000-0002-9957-7971
Peilin ShiFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Zhongyu LiFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Kenneth ChuiDepartment of Public Health and Community Medicine, School of Medicine, Tufts University, Boston, MA.
Seth A BerkowitzDivision of General Medicine and Clinical Epidemiology, School of Medicine, University of North Carolina, Chapel Hill, NC.
Dariush MozaffarianFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Jyoti ChhabraHartford Healthcare, Hartford, CT.
Joel WilkenHartford Healthcare, Hartford, CT.
Cunegundo VergaraHartford Healthcare, Hartford, CT.
Erica BeckerHartford Healthcare, Hartford, CT.
Sara SmallHartford Healthcare, Hartford, CT.
Brent LingWholesome Wave, Bridgeport, CT.
Sean B CashFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Sara C FoltaFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Fang Fang ZhangFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA.
Tufts University · USHartford Financial Services (United States)University of Bridgeport · USUniversity of North Carolina at Chapel Hill · US

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Cost-Effectiveness of Health System and State-Level Strategies to Improve Diet and Reduce Cardiometabolic DiseasesR01HL115189 · NHLBI · TUFTS UNIVERSITY BOSTON · PI DARIUSH MOZAFFARIAN · 2013 to 2026
$8.2M
Understanding & Overcoming Food Insecurity in Diabetes PatientsK23DK109200 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERKOWITZ, SETH A · 2016 to 2020
$973k
NHLBI NIH HHS R01 HL115189NIDDK NIH HHS K23 DK109200NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

objectiveProduce prescriptions have shown promise in improving diabetes care, although most studies have used small samples or lacked controls. Our objective was to evaluate the impacts of a produce prescription program on glycemic control for patients with diabetes. RESEARCH DESIGN AND

methodsParticipants included a nonrandom enrollment of 252 patients with diabetes who received a produce prescription and 534 similar control participants from two clinics in Hartford, Connecticut. The start of the COVID-19 pandemic in March 2020 coincided with program implementation. Produce prescription enrollees received vouchers ($60 per month) for 6 months to purchase produce at grocery retail. Controls received usual care. The primary outcome was change in glycated hemoglobin (HbA1c) between treatment and control at 6 months. Secondary outcomes included 6-month changes in systolic (SBP) and diastolic blood pressure (DBP), BMI, hospitalizations, and emergency department admissions. Longitudinal generalized estimating equation models, weighted with propensity score overlap weights, assessed changes in outcomes over time.

resultsAt 6 months, there was no significant difference in change in HbA1c between treatment and control groups, with a difference of 0.13 percentage points (95% CI -0.05, 0.32). No significant difference was observed for change in SBP (3.85 mmHg; -0.12, 7.82), DBP (-0.82 mmHg; -2.42, 0.79), or BMI (-0.22 kg/m2; -1.83, 1.38). Incidence rate ratios for hospitalizations and emergency department visits were 0.54 (0.14, 1.95) and 0.53 (0.06, 4.72), respectively.

conclusionsA 6-month produce prescription program for patients with diabetes, implemented during the onset of the COVID-19 pandemic, was not associated with improved glycemic control.

Indexed as

Diabetes MellitusFruitVegetable ProductsAdultAgedFemaleGlycated HemoglobinGlycemic ControlHumansLongitudinal StudiesMaleMiddle AgedTreatment OutcomeGlycated Hemoglobin

Identifiers

PMID36812470
PMCPMC10234740
OpenAlexW4321480536

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.