Besson Ayanna D, Reisner Lianna Levine, Mosaad Aliye T, Smith Aisha N, Afable Aimee, Purchase-Helzner Elizabeth
School of Public Health, Department of Epidemiology and Biostatistics, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.
Plant Powered Metro New York, New York, NY, USA.
J Community Health. 2025 Jun 1. doi: 10.1007/s10900-025-01484-4.
Whole food plant-based (WFPB) nutrition supports prevention and management of cardiometabolic disease. Greater intake of whole plant foods may lower chronic disease burden in high-risk communities. Exposing community leaders to the benefits of WFPB nutrition may lead them to recommend it to constituents. The intervention consisted of online live classes and peer mentorship. Participants strove to adopt an ad-libitum WFPB diet without added oil and with minimal sugar and salt for 21 days. The program was assessed in a focus group, and with pre/post-program surveys measuring nutrition knowledge, health-related QOL, dietary intake, and mental health. Program-related changes in outcomes were measured using paired t-tests or McNemar's tests. Qualitative data evaluation used inductive methods. Of the 26 participants who agreed to participate, 13 (62%) completed the program. All were Black female community leaders with average age of 59.2±13.1 years. Most (84.6%) reported ≥ 1 chronic disease. Statistically significant program-related improvements were found in nutrition knowledge, BMI, energy levels and mental clarity. Other changes did not reach statistical significance. Most (92%) said they would recommend the program to others. Participants identified high quality educational content and peer mentorship as program strengths. Potential barriers to future community participation included inconsistent healthcare provider support of WFPB nutrition, the perception that WFPB nutrition is expensive/lacks variety, and difficulty giving up meat due to cultural traditions. This pilot study demonstrated the feasibility of conducting an online WFPB dietary intervention for this population. The data collected will inform a planned expanded study.
全植物性食物（WFPB）营养有助于预防和管理心脏代谢疾病。增加全植物性食物的摄入量可能会降低高危社区的慢性病负担。让社区领袖了解WFPB营养的益处，可能会促使他们向选民推荐这种营养方式。该干预措施包括在线直播课程和同伴指导。参与者努力采用一种随意的WFPB饮食方式，即不添加油，糖和盐的摄入量也降至最低，持续21天。通过焦点小组以及项目前后的调查问卷对该项目进行评估，调查问卷内容包括营养知识、与健康相关的生活质量、饮食摄入量和心理健康。使用配对t检验或麦克尼马尔检验来衡量与项目相关的结果变化。定性数据评估采用归纳法。在同意参与的26名参与者中，13名（62%）完成了该项目。所有参与者均为黑人女性社区领袖，平均年龄为59.2±13.1岁。大多数人（84.6%）报告患有≥1种慢性病。在营养知识、体重指数、能量水平和思维清晰度方面发现了与项目相关的具有统计学意义的改善。其他变化未达到统计学意义。大多数人（92%）表示会向他人推荐该项目。参与者认为高质量的教育内容和同伴指导是该项目的优势。未来社区参与的潜在障碍包括医疗保健提供者对WFPB营养的支持不一致、认为WFPB营养昂贵/缺乏多样性，以及由于文化传统而难以放弃肉类。这项初步研究证明了对该人群进行在线WFPB饮食干预的可行性。所收集的数据将为计划中的扩大研究提供信息。
