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Table 5 Nutritional and health outcomes associated with fruit and vegetable subsidy programs

From: Food subsidy programs and the health and nutritional status of disadvantaged families in high income countries: a systematic review

First Author, Year Intervention, Participants

Nutritional outcomes

Health outcomes

Burr 2007[37]

Dietary intake

 
 

Net % consuming more fruit

 

Free home-delivered orange juice using vouchers(V) nutritional advice promoting fruit and fruit juice (A) or standard care during prenatal care period (C)

Mean

V

A

C

  
 

Apples

2.2

−13.2

−2.7

  
 

Oranges

−2.2

−21.1

−11.8

  
 

Bananas

−17.4

−7.9

−29.7

  
 

Fruit juice

34.8*

−7.9

−24.3

  
 

*Voucher group net % significantly greater than advice or control (p<0.05)

 

Pregnant women

Biomarkers

     
 

Mean (SD)

     
 

β-carotene change, ng/ml

 

V

A

C

p

  
 

n=39

n=37

n=42

   
 

35.6(77.2)

 

−20.2(43.3)

<0.0001

  
  

2.7(65.5)

−20.2(43.3)

0.435

  

Herman 2006 & 2008[32, 40]

Dietary intake

     

Standard WIC program plus $10 voucher weekly for F&V from local supermarket (SM) or farmer′s market (FM)

Mean

SM

FM

C

p

 
 

F&V intake,

     
 

serves/4186kJ/day

     
 

End of intervention

4.1

3.9

3.0

F=9.75, p<0.001

 

Post-partum women >18yo- all WIC participants

6 mths post-intervention

4.0

4.0

3.1

F=6.66, p=0.001

 
 

Vegetable intake, serves/4186kJ/day

 
 

End of intervention

2.3

2.1

1.5

F=11.0, p<0.001

 
 

6 mths post-intervention Data not shown F=−0.59, p=0.02

 
 

Fruit intake

 
 

Data not shown, no significant differences between SM, FM and control

 

Kennedy 2009[41]

Dietary intake

    

Anthropometric and cardiovascular outcomes

 

Change in intake at six months

    

Change at six months

Free fruit and vegetables $10/week with recipes from mobile store at community centre with monthly nutrition/cooking sessions and anthropometric assessment

Mean (SD)

I

C

p

 

Mean (SD)

I

C

p

 

Energy, kcal/day

−456 (1032)

−636 (1326)

0.48

 

Weight, kg

−2.0 (3.2)

1.1 (2.0)

<0.001

 

Fiber, g/day

1.7 (5.7)

−4.3 (19.7)

0.03

     

African-American women

Fruit, serves/day

1.0 (1.7)

0 (1.2)

0.02

     
 

Veg, serves/day

0.9 (1.2)

−0.2 (1.8)

0.002

 

BMI, kg/m [2]

−0.7 (1.2)

0.4 (0.8)

0.001

      

Waist size, cm

−0.5 (5.3)

1.9 (3.7)

0.12

      

Syst BP, mmHg

−2.3 (13.0)

−1.4 (12.3)

0.14

      

Dias BP, mmHg

0.8 (8.1)

0.1 (9.3)

0.68

      

Self-rated health

      

General health and quality of life were rated across multiple domains. Trends generally favoured intervention group, but only self-esteem (p=0.03) and emotional role (p=0.04) improved significantly