Evidence map›Paper›PMID 37641928›Full record

ArticleCirculation. Cardiovascular quality and outcomes2023

Impact of Produce Prescriptions on Diet, Food Security, and Cardiometabolic Health Outcomes: A Multisite Evaluation of 9 Produce Prescription Programs in the United States.

Kurt Hager, Mengxi Du, Zhongyu Li, Dariush Mozaffarian, Kenneth Chui, Peilin Shi, Brent Ling, Sean B Cash, Sara C Folta, Fang Fang Zhang

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Cardiovascular quality and outcomes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 3 pooled it
32.2field-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

76 citing papers in PubMed, 3 syntheses or guidelines pooled it, 111 citations in OpenAlex.

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  17. Seeing Beyond GLP-1: A Systems View of Sustainable Obesity Care.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Review
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Kurt HagerFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA (K.H., M.D., Z.L., D.M., P.S., S.B.C., S.C.F., F.F.Z.).ORCID 0000-0002-9957-7971
Mengxi DuFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA (K.H., M.D., Z.L., D.M., P.S., S.B.C., S.C.F., F.F.Z.).ORCID 0000-0002-6406-7250
Zhongyu LiFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA (K.H., M.D., Z.L., D.M., P.S., S.B.C., S.C.F., F.F.Z.).
Dariush MozaffarianFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA (K.H., M.D., Z.L., D.M., P.S., S.B.C., S.C.F., F.F.Z.).ORCID 0000-0001-7958-9492
Kenneth ChuiDivision of Cardiology at Tufts Medical Center, Boston, MA (D.M., K.C.).ORCID 0000-0002-8063-8631
Peilin ShiFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA (K.H., M.D., Z.L., D.M., P.S., S.B.C., S.C.F., F.F.Z.).
Brent LingWholesome Wave, Bridgeport, CT (B.L.).ORCID 0000-0002-9927-8568
Sean B CashFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA (K.H., M.D., Z.L., D.M., P.S., S.B.C., S.C.F., F.F.Z.).ORCID 0000-0002-7561-3392
Sara C FoltaFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA (K.H., M.D., Z.L., D.M., P.S., S.B.C., S.C.F., F.F.Z.).ORCID 0000-0002-4366-5622
Fang Fang ZhangFriedman School of Nutrition Science and Policy, Tufts University, Boston, MA (K.H., M.D., Z.L., D.M., P.S., S.B.C., S.C.F., F.F.Z.).
Tufts University · USTufts Medical Center · USUniversity of Bridgeport · US

Funding

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
NHLBI NIH HHS R01 HL115189
6 · The paper itself

Abstract

backgroundProduce prescriptions may improve cardiometabolic health by increasing fruit and vegetable (F&V) consumption and food insecurity yet impacts on clinical outcomes and health status have not been evaluated in large, multisite evaluations.

methodsThis multisite, pre- and post-evaluation used individual-level data from 22 produce prescription locations in 12 US states from 2014 to 2020. No programs were previously evaluated. The study included 3881 individuals (2064 adults aged 18+ years and 1817 children aged 2-17 years) with, or at risk for, poor cardiometabolic health recruited from clinics serving low-income neighborhoods. Programs provided financial incentives to purchase F&V at grocery stores or farmers markets (median, $63/months; duration, 4-10 months). Surveys assessed F&V intake, food security, and self-reported health; glycated hemoglobin, blood pressure, body mass index (BMI), and BMI

resultsAfter a median participation of 6.0 months, F&V intake increased by 0.85 (95% CI, 0.68-1.02) and 0.26 (95% CI, 0.06-0.45) cups per day among adults and children, respectively. The odds of being food insecure dropped by one-third (odds ratio, 0.63 [0.52-0.76]) and odds of improving 1 level in self-reported health status increased for adults (odds ratio, 1.62 [1.30-2.02]) and children (odds ratio, 2.37 [1.70-3.31]). Among adults with glycated hemoglobin ≥6.5%, glycated hemoglobin declined by -0.29% age points (-0.42 to -0.16); among adults with hypertension, systolic and diastolic blood pressures declined by -8.38 mm Hg (-10.13 to -6.62) and -4.94 mm Hg (-5.96 to -3.92); and among adults with overweight or obesity, BMI decreased by -0.36 kg/m

conclusionsIn this large, multisite evaluation, produce prescriptions were associated with significant improvements in F&V intake, food security, and health status for adults and children, and clinically relevant improvements in glycated hemoglobin, blood pressure, and BMI for adults with poor cardiometabolic health.

Indexed as

DietHypertensionAdultChildFood SecurityGlycated HemoglobinHumansObesityUnited StatesGlycated Hemoglobinfood assistanceglycemic controlhypertensionnutrition policyobesity management

Identifiers

PMID37641928
PMCPMC10529680
OpenAlexW4386254157

What OpenQuestion holds

Textmetadata
LicenceTDM
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.