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Merge pull request 'extract: 2025-01-01-aha-food-is-medicine-systematic-review-rcts' (#1305) from extract/2025-01-01-aha-food-is-medicine-systematic-review-rcts into main

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inbox/queue/.extraction-debug/2025-01-01-aha-food-is-medicine-systematic-review-rcts.json Normal file
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@ -0,0 +1,25 @@
{
"rejected_claims": [
{
"filename": "food-is-medicine-rcts-show-consistent-diet-quality-improvements-but-inconsistent-clinical-outcomes.md",
"issues": [
"missing_attribution_extractor"
]
}
],
"validation_stats": {
"total": 1,
"kept": 0,
"fixed": 2,
"rejected": 1,
"fixes_applied": [
"food-is-medicine-rcts-show-consistent-diet-quality-improvements-but-inconsistent-clinical-outcomes.md:set_created:2026-03-18",
"food-is-medicine-rcts-show-consistent-diet-quality-improvements-but-inconsistent-clinical-outcomes.md:stripped_wiki_link:SDOH-interventions-show-strong-ROI-but-adoption-stalls-becau"
],
"rejections": [
"food-is-medicine-rcts-show-consistent-diet-quality-improvements-but-inconsistent-clinical-outcomes.md:missing_attribution_extractor"
]
},
"model": "anthropic/claude-sonnet-4.5",
"date": "2026-03-18"
}

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inbox/queue/2025-01-01-aha-food-is-medicine-systematic-review-rcts.md
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@ -7,9 +7,13 @@ date: 2025-01-01
domain: health domain: health
secondary_domains: [] secondary_domains: []
format: systematic-review format: systematic-review
status: unprocessed status: null-result
priority: high priority: high
tags: [food-is-medicine, systematic-review, rct, hba1c, blood-pressure, bmi, aha, clinical-outcomes, evidence-review] tags: [food-is-medicine, systematic-review, rct, hba1c, blood-pressure, bmi, aha, clinical-outcomes, evidence-review]
processed_by: vida
processed_date: 2026-03-18
extraction_model: "anthropic/claude-sonnet-4.5"
extraction_notes: "LLM returned 1 claims, 1 rejected by validator"
--- ---
## Content ## Content
@ -63,3 +67,13 @@ AHA Scientific Statement published in Circulation reviewing 14 US randomized con
PRIMARY CONNECTION: Existing food-as-medicine / SDOH evidence claims in health domain PRIMARY CONNECTION: Existing food-as-medicine / SDOH evidence claims in health domain
WHY ARCHIVED: Most authoritative US RCT evidence review on FIM clinical outcomes — the canonical source for "what the evidence actually says" WHY ARCHIVED: Most authoritative US RCT evidence review on FIM clinical outcomes — the canonical source for "what the evidence actually says"
EXTRACTION HINT: Extract two claims: (1) FIM consistently improves diet quality and food security (proven); (2) FIM clinical outcomes (HbA1c, BP, BMI) are inconsistent and often non-significant in RCTs (likely). These are different claims that the field conflates. EXTRACTION HINT: Extract two claims: (1) FIM consistently improves diet quality and food security (proven); (2) FIM clinical outcomes (HbA1c, BP, BMI) are inconsistent and often non-significant in RCTs (likely). These are different claims that the field conflates.
## Key Facts
- AHA Scientific Statement reviewed 14 US randomized controlled trials of Food Is Medicine interventions
- FIM intervention types reviewed: medically tailored meals, produce prescriptions, medically tailored groceries, food pharmacies
- Clinical outcomes assessed: HbA1c, blood pressure, BMI
- Medically tailored meals have the most evidence and highest intervention specificity among FIM types
- AHA supports expansion and standardization of FIM programs despite inconsistent RCT evidence
- Recipe4Health observational study (2,643 participants) showed HbA1c -0.37%, non-HDL -17 mg/dL but was not an RCT
- Multisite evaluation of 9 produce prescription programs showed improvements in food security and F&V intake but was not RCT design