Intended and Unintended Consequences of a Community-Based Fresh Fruit and Vegetable Dietary Intervention on the Flathead Reservation of the Confederated Salish and Kootenai Tribes
Datos Bibliográficos
| ID | 22079804 |
|---|---|
| Autores | Selena Ahmed (0000-0001-5779-0697, Montana State University), Virgil Dupuis (Salish Kootenai College), Michael Tyron (Salish Kootenai College), MaryAnn Running Crane (Salish Kootenai College), Teresa M Garvin (0000-0003-2389-461X, Swanson Center), Teresa Garvin, Michael St Pierre (0000-0001-6263-5261), Carmen Byker Shanks (0000-0002-9030-9938, Montana State University, autor de correspondencia) |
| Año | 2020 |
| Volumen | 8 |
| Páginas | 331-331 |
| Fecha de publicación | 2020-08-07 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Frontiers in Public Health (JOURNAL) |
| Identificadores de la revista | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Editorial | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2020.00331 |
| PMID | 32850578 |
| OpenAlex | W3048324970 |
| Idioma | EN |
| Referencias citadas | 39 |
Tribal communities in the United States face disparities to accessing healthy foods including high-quality produce. A six-week fresh fruit and vegetable (FV) dietary intervention, Eat Fresh, was co-designed with a Community Advisory Board of local food and nutrition stakeholders on the Flathead Reservation of the Confederated Salish and Kootenai Tribes in Montana. Eat Fresh was implemented as a pilot study with low-income participants (n=19) enrolled in the Food Distribution Program on Indian Reservations towards improving dietary quality and perceptions of wellbeing. We evaluated Eat Fresh at pre- and post-intervention on the basis on food procurement practices, dietary quality using the Healthy Eating Index (HEI), Body Mass Index (BMI), blood pressure, and participant perceptions of health. Participants reported consuming a greater number of types of FVs daily during the intervention (p 0.19 for vegetables). Overall, participants found Eat Fresh moderately challenging to adhere to with the main barriers being access to ingredients in recipes (39.51% of responses), time constraints to cook (35.80%), and lack of financial resources (33.33%). Dietary quality improved during the intervention from a mean HEI score of 48.82 ( 11.88) out of 100 to 56.92 ( 11.88; (p > 0.12). HEI scores for fruit consumption significantly increased (p < 0.05) from 1.69 (out of 5 points) during the pre-intervention to 2.96 during the post-intervention. BMI and blood pressure increased for several participants, highlighting an unintended consequence. Most participants responded that FV consumption made them feel either very good (51.16%) or good about their health (43.02%) with the majority (83%) perceiving an improvement in energy. Findings of this pilot study highlight both intended and unintended consequences of a dietary intervention that provide lessons in co-designing community-based programs
Biology · Environmental health · Fish · Fishery · Flathead · Political science · Reservation · Unintended consequences · Food Security and Health in Diverse Populations · Indigenous Studies and Ecology · Medicine · Nursing · Urban Agriculture and Sustainability · Gerontology
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| Velocidad de citación | historical |
|---|---|
| Altamente citado | No |