From d735ed6e0cd38a98fb48a613f1e858837d48d9d7 Mon Sep 17 00:00:00 2001 From: Teleo Agents Date: Wed, 18 Mar 2026 15:58:49 +0000 Subject: [PATCH] extract: 2025-01-01-aha-food-is-medicine-systematic-review-rcts Pentagon-Agent: Epimetheus <968B2991-E2DF-4006-B962-F5B0A0CC8ACA> --- ...od-is-medicine-systematic-review-rcts.json | 35 +++++++++++++++++++ ...food-is-medicine-systematic-review-rcts.md | 18 +++++++++- 2 files changed, 52 insertions(+), 1 deletion(-) create mode 100644 inbox/queue/.extraction-debug/2025-01-01-aha-food-is-medicine-systematic-review-rcts.json diff --git a/inbox/queue/.extraction-debug/2025-01-01-aha-food-is-medicine-systematic-review-rcts.json b/inbox/queue/.extraction-debug/2025-01-01-aha-food-is-medicine-systematic-review-rcts.json new file mode 100644 index 000000000..7b343e8d5 --- /dev/null +++ b/inbox/queue/.extraction-debug/2025-01-01-aha-food-is-medicine-systematic-review-rcts.json @@ -0,0 +1,35 @@ +{ + "rejected_claims": [ + { + "filename": "food-is-medicine-interventions-consistently-improve-diet-quality-and-food-security-across-rct-evidence.md", + "issues": [ + "missing_attribution_extractor" + ] + }, + { + "filename": "food-is-medicine-rcts-show-inconsistent-and-often-non-significant-clinical-outcomes-despite-consistent-behavioral-improvements.md", + "issues": [ + "missing_attribution_extractor" + ] + } + ], + "validation_stats": { + "total": 2, + "kept": 0, + "fixed": 5, + "rejected": 2, + "fixes_applied": [ + "food-is-medicine-interventions-consistently-improve-diet-quality-and-food-security-across-rct-evidence.md:set_created:2026-03-18", + "food-is-medicine-interventions-consistently-improve-diet-quality-and-food-security-across-rct-evidence.md:stripped_wiki_link:SDOH-interventions-show-strong-ROI-but-adoption-stalls-becau", + "food-is-medicine-rcts-show-inconsistent-and-often-non-significant-clinical-outcomes-despite-consistent-behavioral-improvements.md:set_created:2026-03-18", + "food-is-medicine-rcts-show-inconsistent-and-often-non-significant-clinical-outcomes-despite-consistent-behavioral-improvements.md:stripped_wiki_link:SDOH-interventions-show-strong-ROI-but-adoption-stalls-becau", + "food-is-medicine-rcts-show-inconsistent-and-often-non-significant-clinical-outcomes-despite-consistent-behavioral-improvements.md:stripped_wiki_link:medical-care-explains-only-10-20-percent-of-health-outcomes-" + ], + "rejections": [ + "food-is-medicine-interventions-consistently-improve-diet-quality-and-food-security-across-rct-evidence.md:missing_attribution_extractor", + "food-is-medicine-rcts-show-inconsistent-and-often-non-significant-clinical-outcomes-despite-consistent-behavioral-improvements.md:missing_attribution_extractor" + ] + }, + "model": "anthropic/claude-sonnet-4.5", + "date": "2026-03-18" +} \ No newline at end of file diff --git a/inbox/queue/2025-01-01-aha-food-is-medicine-systematic-review-rcts.md b/inbox/queue/2025-01-01-aha-food-is-medicine-systematic-review-rcts.md index 0bcc4571c..d81c479ea 100644 --- a/inbox/queue/2025-01-01-aha-food-is-medicine-systematic-review-rcts.md +++ b/inbox/queue/2025-01-01-aha-food-is-medicine-systematic-review-rcts.md @@ -7,9 +7,13 @@ date: 2025-01-01 domain: health secondary_domains: [] format: systematic-review -status: unprocessed +status: null-result priority: high 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 2 claims, 2 rejected by validator" --- ## Content @@ -63,3 +67,15 @@ AHA Scientific Statement published in Circulation reviewing 14 US randomized con 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" 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 studied: medically tailored meals (MTMs), produce prescriptions, medically tailored groceries, food pharmacies +- Clinical outcomes assessed: HbA1c, blood pressure, BMI +- MTMs have the most evidence among FIM intervention types +- Evidence for produce prescriptions and medically tailored groceries remains limited per AHA +- AHA supports expansion and standardization of FIM programs despite inconsistent clinical evidence +- AHA calls for more rigorous RCTs with standardized outcomes +- Recipe4Health observational study (2,643 participants): HbA1c -0.37%, non-HDL -17 mg/dL (not RCT) +- Multisite evaluation of 9 produce prescription programs showed improvements in food security and F&V intake with clinically relevant HbA1c improvements for adults with poor baseline cardiometabolic health (not RCT design) -- 2.45.2