Research

Adherence

Food Is Medicine (FIM) interventions, including produce prescriptions and medically tailored meals, show promise in improving diet quality and food security, but current evidence is insufficient to definitively establish their effectiveness on clinical outcomes or cost savings due to small sample sizes and lack of randomized controlled trials.

To improve health through diet, simply knowing what to eat is often not enough due to structural barriers like cost and access. Food Is Medicine programs attempt to bridge this gap by providing healthy food directly (via vouchers or meals) alongside healthcare. While these programs show promise in improving diet quality, they are not yet proven to significantly reduce clinical events or healthcare costs due to limited high-quality research. Patients should look for programs that integrate food provision with healthcare support, especially if they face food insecurity.

LimitedQualifiesLOW confidence
The existing FIM evidence, however, is constrained by the limitations of an emerging field, including small sample sizes, nonrandomized comparisons, and broad differences in the intervention intensity, duration, food distribution modalities, and measurement tools tested... These factors and the small number of intervention approaches tested in randomized trials preclude definitive conclusions on efficacy or effectiveness.
Kevin G. Volpp et al. · Circulation · 2023

Why this rating

The paper explicitly states that existing evidence is constrained by small sample sizes, nonrandomized designs, and a lack of RCTs, preventing definitive conclusions.

Source

Food Is Medicine: A Presidential Advisory From the American Heart Association

Kevin G. Volpp et al. · Circulation · 2023

DOI 10.1161/cir.0000000000001182

clinical_guidelineCited 186×
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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