Fruit And Vegetable Or Recreation Prescriptions for UW-Madison Students

This research will use randomized controlled trial (RCT) methodology to assess the
feasibility of a prescription by University Health Services (UHS) Providers for
fruit/vegetable CSA shares or exercise by bikeshare on obesity-related outcomes. Three
cohorts of n=10 UW-Madison students (total 30) will be randomized to three groups: (1) a
10-week fruit and vegetable community supported agriculture (CSA) share prescription program
with vegetable education and cooking support from UW Slow Food; (2) a 10-week Madison B-cycle
bikeshare membership prescription program with exercise support from the UHS wellness
program; or (3) a non-interventional wait-list control group. The primary outcome will be
change in Body Mass Index (a measure of obesity using a person's weight in kilograms divided
by his or her height in meters squared). Secondary outcomes will be fasting lipids, blood
pressure, and HGA1c levels. All of these measures will be tested at baseline and just after
the 10-week intervention. Fasting lipids and HGA1c levels will be assessed through a blood
draw. Study participants will be asked to refrain from eating or drinking anything except for
water 8-12 hours prior to the blood draw. Study participants will fill out validated
questionnaires assessing perceived stress, physical activity levels, self-efficacy, social
support, and general mental and physical health at baseline and after the intervention. Study
participants will also conduct a 3 day dietary recall before and after the intervention.

Study participants randomized to the "CSA group" will be expected to pick up their weekly CSA
box at University Health Services and to commit to using and consuming as much of the produce
as they are able. CSA group participants will also be required to attend two cooking and food
preparation classes coordinated by Slow Food UW. The classes will teach study participants
how to properly clean and prepare the fruits and vegetables from a weekly CSA box, and also
offer techniques and show them how to cook the foods in a healthy manner. These classes will
also educate study participants on the benefits of eating fruits and vegetables and buying
them from local farmers. These two classes will only exist for study participants in this
fruit and veggie CSA group. Participants in the "CSA group" will also be required to take a
field trip to the farm providing their CSA share, which will offer the opportunity for
participants to gain a better understanding of from where their food comes.

Study participants randomized to the "bikeshare group" will be expected to use B-cycle
bikeshare bicycles for transportation and/or recreation as much as is safe and appropriate.
Bikeshare group participants will be required to attend two bicycle use/safety courses. These
courses will introduce the B-cycle program, demonstrate use of the B-cycle station, provide
information use of helmets and safety gear, and provide information on the basics of cycling
and keeping yourself safe and comfortable while riding a B-cycle bike in traffic. B-cycle
usage, including estimated distance traveled and frequency of use, will be tracked via the
B-cycle Madison website.

Study participants in the control group will receive continued "usual care" from University
Health Services providers, which includes educational brochures on healthy eating and
exercising. Control group participants are not part of a wait-list group.

Inclusion Criteria:

1. Is 18 years of age or older

2. Seeking healthcare from UW UHS

3. Is enrolled at UW-Madison for next academic year

4. BMI >25

5. Living off-campus for following year, and not with parents or guardians

6. Basic English fluency and literacy

Exclusion Criteria:

1. Currently exercises more than 2 times per week for 30 minutes or more

2. Participant is pregnant or plans to be pregnant

3. Regularly rides a bicycle (more than 1-2 times per month)

4. Currently participates or has already participated in a fruit /vegetable CSA share