Jun 19, 2025

Food as Medicine: A Promising Approach to Combat Chronic Diseases and Food Insecurity

The concept of ‘food is medicine’ (FIM) is gaining traction as a viable strategy to address the dual challenges of chronic diseases and food insecurity in the United States. A systematic review conducted by the American Heart Association has shed light on the effectiveness of FIM programs, which integrate healthy food prescriptions into healthcare settings for individuals at high risk of or living with chronic conditions. These programs, including produce prescriptions and medically tailored meals, have shown promise in enhancing diet quality and food security among participants.

Despite these positive outcomes, the review also uncovered inconsistencies in improvements related to key health metrics such as hemoglobin A1c, blood pressure, and body mass index. These discrepancies may stem from limitations in current research, including small sample sizes and short study durations. The findings underscore the necessity for more comprehensive, long-term studies to evaluate the clinical outcomes of FIM interventions accurately.

The American Heart Association’s Health Care by Food™ initiative represents a critical step forward in addressing these research gaps. By funding 23 pilot trials focused on implementation science and behavioral economics, the initiative aims to refine FIM programs for greater efficacy and cost-effectiveness. This effort is part of a broader call to action for researchers, clinicians, and policymakers to invest in the science behind FIM, with the goal of making it a fundamental component of chronic disease prevention and treatment.

The implications of this research are profound, particularly in a country where 47 million Americans face food insecurity, and the annual cost of treating diet-related cardiometabolic diseases exceeds $50 billion. By advancing our understanding of FIM programs, we can pave the way for interventions that not only improve individual health outcomes but also reduce healthcare costs and disparities in food access. The American Heart Association’s commitment to this cause highlights the potential of FIM to transform healthcare delivery and promote a healthier future for all.

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