Feasibility of a Food Delivery Intervention during Pregnancy in a Rural US Population: The PEAPOD Pilot Study

Pregnancy nutrition is important for maternal and child health and may affect the development of the infant gut microbiome. Our objective was to assess the feasibility of implementing a food-based intervention designed to increase fiber intake among pregnant women in a rural setting. Participants we...

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Main Authors: Jean M. Kerver, Yash Khiraya, Janel M. Gryc, Joseph C. Gardiner, Sarah S. Comstock
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/4/816
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author Jean M. Kerver
Yash Khiraya
Janel M. Gryc
Joseph C. Gardiner
Sarah S. Comstock
author_facet Jean M. Kerver
Yash Khiraya
Janel M. Gryc
Joseph C. Gardiner
Sarah S. Comstock
author_sort Jean M. Kerver
collection DOAJ
description Pregnancy nutrition is important for maternal and child health and may affect the development of the infant gut microbiome. Our objective was to assess the feasibility of implementing a food-based intervention designed to increase fiber intake among pregnant women in a rural setting. Participants were enrolled (<i>N</i> = 27) mid-pregnancy from a prenatal care clinic in rural Michigan, randomized to intervention (<i>N</i> = 13) or usual care (<i>N</i> = 14), and followed to 6 weeks postpartum. The intervention was designed to be easily replicable and scalable by partnering with hospital foodservices and included non-perishable high fiber foods and recipes, as well as weekly delivery of salads, soup, and fresh fruit. Surveys, maternal blood, urine, and stool were collected at 24- and 36-weeks gestation and at 6 weeks postpartum. Infant stool was collected at 6 weeks. Participants were 100% White (7% Hispanic White, 7% Native American and White); 55% with education < 4-year college degree. Data on dietary intake and urinary trace elements are presented as evidence of feasibility of outcome measurement. Retention was high at 93%; 85% reported high satisfaction. The intervention described here can be replicated and used in larger, longer studies designed to assess the effects of pregnancy diet on the establishment of the infant gut microbiome and related health outcomes.
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spelling doaj.art-88702e0c7ece4efa90abe7a6d144cf962023-11-16T22:29:23ZengMDPI AGNutrients2072-66432023-02-0115481610.3390/nu15040816Feasibility of a Food Delivery Intervention during Pregnancy in a Rural US Population: The PEAPOD Pilot StudyJean M. Kerver0Yash Khiraya1Janel M. Gryc2Joseph C. Gardiner3Sarah S. Comstock4Department of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI 48824, USADepartment of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USADepartment of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI 48824, USADepartment of Epidemiology and Biostatistics, Michigan State University, East Lansing, MI 48824, USADepartment of Food Science and Human Nutrition, Michigan State University, East Lansing, MI 48824, USAPregnancy nutrition is important for maternal and child health and may affect the development of the infant gut microbiome. Our objective was to assess the feasibility of implementing a food-based intervention designed to increase fiber intake among pregnant women in a rural setting. Participants were enrolled (<i>N</i> = 27) mid-pregnancy from a prenatal care clinic in rural Michigan, randomized to intervention (<i>N</i> = 13) or usual care (<i>N</i> = 14), and followed to 6 weeks postpartum. The intervention was designed to be easily replicable and scalable by partnering with hospital foodservices and included non-perishable high fiber foods and recipes, as well as weekly delivery of salads, soup, and fresh fruit. Surveys, maternal blood, urine, and stool were collected at 24- and 36-weeks gestation and at 6 weeks postpartum. Infant stool was collected at 6 weeks. Participants were 100% White (7% Hispanic White, 7% Native American and White); 55% with education < 4-year college degree. Data on dietary intake and urinary trace elements are presented as evidence of feasibility of outcome measurement. Retention was high at 93%; 85% reported high satisfaction. The intervention described here can be replicated and used in larger, longer studies designed to assess the effects of pregnancy diet on the establishment of the infant gut microbiome and related health outcomes.https://www.mdpi.com/2072-6643/15/4/816pregnancy dietfiber intakenutritionpragmatic diet interventionpregnancy biospecimen collectiongut microbiome
spellingShingle Jean M. Kerver
Yash Khiraya
Janel M. Gryc
Joseph C. Gardiner
Sarah S. Comstock
Feasibility of a Food Delivery Intervention during Pregnancy in a Rural US Population: The PEAPOD Pilot Study
Nutrients
pregnancy diet
fiber intake
nutrition
pragmatic diet intervention
pregnancy biospecimen collection
gut microbiome
title Feasibility of a Food Delivery Intervention during Pregnancy in a Rural US Population: The PEAPOD Pilot Study
title_full Feasibility of a Food Delivery Intervention during Pregnancy in a Rural US Population: The PEAPOD Pilot Study
title_fullStr Feasibility of a Food Delivery Intervention during Pregnancy in a Rural US Population: The PEAPOD Pilot Study
title_full_unstemmed Feasibility of a Food Delivery Intervention during Pregnancy in a Rural US Population: The PEAPOD Pilot Study
title_short Feasibility of a Food Delivery Intervention during Pregnancy in a Rural US Population: The PEAPOD Pilot Study
title_sort feasibility of a food delivery intervention during pregnancy in a rural us population the peapod pilot study
topic pregnancy diet
fiber intake
nutrition
pragmatic diet intervention
pregnancy biospecimen collection
gut microbiome
url https://www.mdpi.com/2072-6643/15/4/816
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