Dietary quality is the lowest in the lifespan during childhood through adolescents, a period of rapid growth and development. Protein food recommendations and requirements for protein as a nutrient, along with other nutrients, are unmet by the largest percentage of any age group during adolescence with additional risks for those living in low-resource households. High quality animal source proteins and other healthful foods including fruits, vegetables, dairy and whole grains are less accessible to households with fewer economic resources. Food box interventions have been successful in improving dietary quality in other community interventions, especially when these interventions provide culturally relevant foods with nutrition education support that is tailored to the population. This study will evaluate the effect of a weekly, 12-month food box intervention program, referred to as the Nutrition Secure Indianapolis (NSI) Program, on child dietary quality and household food security in low-income, ethnically diverse populations using a longitudinal, controlled design. Low-income households (n=500) in Indianapolis participating in the NSI Program will be invited to join a research program evaluation study. Study assessments will include repeated 24-hour dietary recalls to determine usual intake, the U.S. Household Food Security Survey Module, a short-form mental health assessment, and a voluntary health screening, from before and after the 12-month intervention period. The aim of this study is to improve dietary quality per the Healthy Eating Index and other dietary outcomes among children and adolescents living in low-resource and ethnically diverse households through a longitudinal healthful food box intervention containing animal source proteins and other dietary components, compared with a control.
Age range
5 Years
Sex
ALL
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Change in dietary quality from baseline to 12 months
Timeframe: Two 24-hour dietary recalls on two non-consecutive days at baseline and 12 months later
Change in food security from baseline to 12 months
Timeframe: Food security of the previous 12 months at baseline and 12 months later
Change in pediatric mental health from baseline to 12 months
Timeframe: Childhood anxiety of the previous 7 days at baseline and 12 months later
Change in health parameters from baseline to 12 months
Timeframe: Optional blood sample collected at baseline and within two weeks of the completion of the program