Vegetable Gardening and Health Outcomes in Older Cancer Survivors: A Randomized Clinical Trial
Wendy Demark-Wahnefried, Robert A. Oster, Kerry P. Smith, Harleen Kaur, Andrew D. Frugé, W. Walker Cole, Julie L. Locher, Gabrielle B. Rocque, Maria Pisu, Jennifer R. Bail, Harvey Jay Cohen, Douglas R. Moellering, Cindy K. Blair
JAMA Network Open
Urban Farm DB summary
A randomized trial in Alabama, USA, assigned 381 older cancer survivors (mean age 69.8 years, 69.0% female) with suboptimal vegetable and fruit intake, physical activity or physical function to a one-year home vegetable gardening intervention (supplies plus mentoring by certified master gardeners) or to a waitlist. The primary outcome — a composite index of improvement in vegetable and fruit intake, moderate-to-vigorous physical activity and physical function — did not differ significantly (4.5% intervention vs 3.1% waitlist, P=.53), nor did vegetable and fruit intake between arms (mean difference 0.3 servings/day, P=.10). The intervention arm did show significant gains in physical performance (2-minute step test +6.0 steps; 30-second chair stand +0.8 repetitions), perceived health (+8.4 points on a 100-point scale) and gut microbiome alpha diversity. The COVID-19 pandemic significantly moderated effects, so the trial does not establish that gardening halts functional decline in older adults.