Food Is Medicine—The Promise and Challenges of Integrating Food and Nutrition Into Health Care

Mozaffarian, Dariush; Mande, Jerold R.; Micha, Renata

doi:10.1001/jamainternmed.2019.0184

Cited by 30 publications

(25 citation statements)

References 4 publications

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“…Most people have forgotten that food is medicine. 20 In the following paragraphs, we describe and discuss: I) the reciprocal relationship between diet and neuropsychiatric disorders, II) existing methods to assess eating habits, III) practical suggestions to promote healthy eating.…”

Section: Healthy Eating In Neuropsychiatrymentioning

confidence: 99%

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

Briguglio¹,

Vitale²,

Galentino³

et al. 2020

NDT

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Neuropsychiatric disorders stem from gene-environment interaction and their development can be, at least in some cases, prevented by the adoption of healthy and protective lifestyles. Once full blown, neuropsychiatric disorders are prevalent conditions that patients live with a great burden of disability. Indeed, the determinants that increase the affliction of neuropsychiatric disorders are various, with unhealthy lifestyles providing a significant contribution in the interplay between genetic, epigenetic, and environmental factors that ultimately represent the pathophysiological basis of these impairing conditions. On one hand, the adoption of Healthy Eating education, Physical Activity programs, and Sleep hygiene promotion (HEPAS) has the potential to become one of the most suitable interventions to reduce the risk to develop neuropsychiatric disorders, while, on the other hand, its integration with pharmacological and psychological therapies seems to be essential in the overall management of neuropsychiatric disorders in order to reduce the disability and improve the quality of life of affected patients. We present an overview of the current evidence in relation to HEPAS components in the prevention and management of neuropsychiatric disorders and provide suggestions for clinical practice.

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Section: Healthy Eating In Neuropsychiatrymentioning

confidence: 99%

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

Briguglio¹,

Vitale²,

Galentino³

et al. 2020

NDT

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“…This is especially true for elderly individuals with chronic medical conditions like diabetes as they are reportedly at higher risk of developing severe COVID-19 complications [ 5 , 12 ]. Based on reports of non-communicable and communicable diseases, it is possible that COVID-19 vulnerability includes adverse childhood and lifetime experiences [ 13 ], heritable epigenetic markers linked to ancestral stress [ 14 - 16 ], environmental pollution [ 17 , 18 ], poor diet [ 19 ], and poor social support [ 20 - 22 ]. Each of these factors may be considered a stressor, or a “hit”, with potentially cumulative impacts [ 23 , 24 ] on COVID-19 vulnerability and complication.…”

mentioning

confidence: 99%

Aging, Social Distancing, and COVID-19 Risk: Who is more Vulnerable and Why?

Faraji¹,

Metz²

2021

Aging and disease

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Perceived social support represents an important predictor of healthy aging. The global COVID-19 pandemic has dramatically changed the face of social relationships and revealed elderly to be particularly vulnerable to the effects of social isolation. Social distancing may represent a double-edged sword for older adults, protecting them against COVID-19 infection while also sacrificing personal interaction and attention at a critical time. Here, we consider the moderating role of social relationships as a potential influence on stress resilience, allostatic load, and vulnerability to infection and adverse health outcomes in the elderly population. Understanding the mechanisms how social support enhances resilience to stress and promotes mental and physical health into old age will enable new preventive strategies. Targeted social interventions may provide effective relief from the impact of COVID-19-related isolation and loneliness. In this regard, a pandemic may also offer a window of opportunity for raising awareness and mobilizing resources for new strategies that help build resilience in our aging population and future generations.

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“…One of the underlying reasons probably lays in the multi-dimensional character of PH, a field which is increasingly affected by a full range of extra-clinical circumstances (28,29), including demographic transitions (30) and modifiable risk factors of disease development associated with unhealthy lifestyle habits in the general population (31)(32)(33)(34)(35). Lifestyle research has to do with socio-economic aspects including behavior sciences and drivers of individual choices; effective PH management therefore requires an integrated perspective on the health-disease continuum (36)(37)(38)(39)(40). The resulting uncertainties (41), the fact that benefits at the population level might not necessarily be synonymous to benefits for single individuals, as well as a lack of insight in the variability of the many underlying causal pathways (42) often lead to a de-prioritization of preventive interventions on the population level, emphasizing that collaborative approaches among different professionals (from PH practitioners to behavioral scientists, psychologists, community and social workers, etc.)…”

Section: Discussionmentioning

confidence: 99%

Evaluating Public Health Interventions: A Neglected Area in Health Technology Assessment

Stojanovic

Wübbeler

Geis

et al. 2020

Front. Public Health

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Introduction: Public health (PH) interventions are crucial for ensuring sustainable healthcare services. Nevertheless, they represent a neglected area in the field of health technology assessment (HTA) due to various methodological issues and their complex design that goes beyond clinical setting. The present study provides an environmental scan of HTA initiatives related to the assessment of PH technologies on a global level.Methods: We conducted a cross-sectional survey among 85 HTA-related European and international societies, health bodies, and networks from September 2018 to January 2019. The questionnaire contained four sections and 18 questions regarding activities related to the evaluation of PH technologies, information on existing PH technologies, and methodologies of assessment as well as barriers and facilitators to reaching a decision and implementing a PH technology.Results: Among 52 survey responses, the majority of the respondents came from European countries (35%), followed by North American (27%), and South American (19%) countries. The main type of organizations covered by our survey included HTA agencies, public administrations, and research institutes. Seventy-one % of the institutions reported engagement in any aspect of HTA in the area of PH (N = 37). Among those, 81% evaluated less than 5 PH technologies from 2013 to 2018. The most common barriers for reaching a decision on PH technologies were lack of data, conflicting stakeholder priorities, and methodological issues. A total of 76 PH interventions were reported, and most cited initiatives were related to chronic disease screening, prevention of infectious diseases, and maternal, prenatal, and neonatal screening.Conclusion: Our survey reported a rather limited involvement of HTA in the evaluation of PH technologies. In particular, an evaluation of behavioral and lifestyle interventions remains extremely rare. The implementation of collaborative HTA approaches in the setting of PH practice and policy needs to be prioritized and further strengthened. Moreover, ensuring reliable data structures and consolidation of HTA methods for the evaluation of PH technologies will be crucial for tackling the enormous burden of non-communicable diseases in societies.

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Food Is Medicine—The Promise and Challenges of Integrating Food and Nutrition Into Health Care

Abstract: Berkowitz SA, Delahanty LM, Terranova J, et al. Medically tailored meal delivery for diabetes patients with food insecurity: a randomized cross-over trial.

Cited by 30 publications

References 4 publications

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

<p>Healthy Eating, Physical Activity, and Sleep Hygiene (HEPAS) as the Winning Triad for Sustaining Physical and Mental Health in Patients at Risk for or with Neuropsychiatric Disorders: Considerations for Clinical Practice</p>

Aging, Social Distancing, and COVID-19 Risk: Who is more Vulnerable and Why?

Evaluating Public Health Interventions: A Neglected Area in Health Technology Assessment

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