Evidence map›Paper›PMID 40944252›Full record

Trial reportNutrients2025

Assessing the Effect of a Food Voucher on the Dietary Intake of Patients with Diabetes Using the Canadian Diet History Questionnaire III: A Randomized Control Trial.

Adelaide Buadu, Moizza Zia Ul Haq, Lavanya Sinha, Areesha Sabir, Enza Gucciardi, Nav Persaud

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Adelaide BuaduMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria St, Toronto, ON M5B 1T8, Canada.
Moizza Zia Ul HaqMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria St, Toronto, ON M5B 1T8, Canada.ORCID 0009-0000-6873-499X
Lavanya SinhaMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria St, Toronto, ON M5B 1T8, Canada.
Areesha SabirMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria St, Toronto, ON M5B 1T8, Canada.
Enza GucciardiSchool of Nutrition, Toronto Metropolitan University, 350 Victoria Street, Toronto, ON M5B 2K3, Canada.
Nav PersaudMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, 209 Victoria St, Toronto, ON M5B 1T8, Canada.ORCID 0000-0003-3327-5580

Funding

CIHR n/aCommunity Food Centres Canada n/aPhysicians' Services Incorporated Foundation 22-38St. Michael's Foundation n/a
6 · The paper itself

Abstract

BACKGROUND/

objectivesThe high cost of healthy foods makes it difficult for people with a low income to manage diabetes. This study examined the effects of a monthly grocery voucher on the dietary intake, assessed through the Canadian Diet History Questionnaire III, of diabetes patients facing food or financial insecurity. We also assessed the impact on levels of hemoglobin A1c, beta-carotene, and ascorbic acid.

methodsParticipants were randomly selected from a larger clinical trial and completed the survey at 6-month follow-up.

resultsVoucher recipients consumed more whole fruit (mean difference in daily servings, MD 0.8; 95% CI [0.1, 1.6]) and fewer refined grains (MD -1.0; 95% CI [-1.9, -0.1]). For other food groups, the confidence intervals for the difference included null effect. Mean HEFI-2019 score was 51.7 out of 80, with voucher recipients averaging 52.4 vs. 51.0 for controls (MD 1.4; 95% CI [-3.6, 6.1]). The voucher group showed a slight HbA1c decrease (MD -0.4; 95% CI [-1.4, 0.5]).

conclusionsA voucher providing access to healthy foods for people with diabetes or prediabetes slightly increased intake of fruits and decreased intake of refined grains. Larger interventional studies are needed to determine the effects of vouchers on dietary intake among this population.

Indexed as

Diabetes MellitusDiabetes Mellitus, Type 2DietFood AssistanceAdultAgedCanadaDiet SurveysFemaleFruitGlycated HemoglobinHumansMaleMiddle AgedPovertySurveys and QuestionnairesGlycated Hemoglobinhemoglobin A1c protein, humanCDHQdiet qualityfood insecurityfood prescriptiongrocery food voucherhealthy eating food indextype 2 diabetes mellitus

Identifiers

PMID40944252
PMCPMC12430127

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Registered trials

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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.