R01HD101522

Grocery Delivery to Promote Healthy Weight Gain Among Low-Income Pregnant Young Women - Abstract

Excess weight gain during pregnancy among low-income pregnant youth is associated with serious multi-generational morbidity for both the mother and infant. Healthy diet and limiting sugar-sweetened beverages during pregnancy promotes healthy weight gain during pregnancy and impacts permanent fetal genetic programming that determines risk for chronic disease among infants.

Making healthy diet choices convenient improves the quality of diet among youth. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) benefits cover the cost of healthy foods for low-income pregnant women, but most young mothers are not able to obtain the food due to logistical barriers such as transportation. Grocery delivery is a well-established and inexpensive service that removes logistical barriers to obtaining healthy food but is underused by those that may need it most - young pregnant women.

The objective of this application is to determine the impact of delivering healthy foods during pregnancy on the health of low-income young women and their infants. For this three-armed randomized control trial, subjects are pregnant young women ≤24 years of age who are giving birth for the first time and enrolled in WIC (Arm 1: Usual WIC (control), Arm 2: Delivery of WIC-approved food only, Arm 3: Delivery of WIC-approved food plus unsweetened beverages). Subjects are randomly assigned to experimental or control groups. Weight and dietary data will be recorded throughout their pregnancy for all groups.

In both experimental groups (Arm 2 & 3), the intervention will last from the first trimester of their pregnancy to the birth of their infant. Arm 2 will receive healthy food delivery every two weeks. Arm 3 will receive healthy food and unsweetened beverage delivery every two weeks.

This project will advance the scientific knowledge about the effect of a simple and inexpensive intervention (grocery delivery) on weight gain and dietary behaviors among low-income pregnant young women, which can be applied to policies and practices that affect other vulnerable populations.

Regents Of The University Of Michigan

TO CONDUCT AND SUPPORT LABORATORY RESEARCH, CLINICAL TRIALS, AND STUDIES WITH PEOPLE THAT EXPLORE HEALTH PROCESSES. NICHD RESEARCHERS EXAMINE GROWTH AND DEVELOPMENT, BIOLOGIC AND REPRODUCTIVE FUNCTIONS, BEHAVIOR PATTERNS, AND POPULATION DYNAMICS TO PROTECT AND MAINTAIN THE HEALTH OF ALL PEOPLE. TO EXAMINE THE IMPACT OF DISABILITIES, DISEASES, AND DEFECTS ON THE LIVES OF INDIVIDUALS. WITH THIS INFORMATION, THE NICHD HOPES TO RESTORE, INCREASE, AND MAXIMIZE THE CAPABILITIES OF PEOPLE AFFECTED BY DISEASE AND INJURY. TO SPONSOR TRAINING PROGRAMS FOR SCIENTISTS, DOCTORS, AND RESEARCHERS TO ENSURE THAT NICHD RESEARCH CAN CONTINUE. BY TRAINING THESE PROFESSIONALS IN THE LATEST RESEARCH METHODS AND TECHNOLOGIES, THE NICHD WILL BE ABLE TO CONDUCT ITS RESEARCH AND MAKE HEALTH RESEARCH PROGRESS UNTIL ALL CHILDREN, ADULTS, FAMILIES, AND POPULATIONS ENJOY GOOD HEALTH. THE MISSION OF THE NICHD IS TO ENSURE THAT EVERY PERSON IS BORN HEALTHY AND WANTED, THAT WOMEN SUFFER NO HARMFUL EFFECTS FROM REPRODUCTIVE PROCESSES, AND THAT ALL CHILDREN HAVE THE CHANCE TO ACHIEVE THEIR FULL POTENTIAL FOR HEALTHY AND PRODUCTIVE LIVES, FREE FROM DISEASE OR DISABILITY, AND TO ENSURE THE HEALTH, PRODUCTIVITY, INDEPENDENCE, AND WELL-BEING OF ALL PEOPLE THROUGH OPTIMAL REHABILITATION.

93.865 - Child Health and Human Development Extramural Research

National Institute of Child Health and Human Development (NICHD) [HHS - NIH]

Ann Arbor, Michigan 481091276 United States

Single Zip Code

NICHD Research Project Grant (R01 - Clinical Trial Required) (PA-18-480)

Amendment Since initial award the total obligations have increased 373% from $670,798 to $3,171,550.