Poi for Mama: a Pilot to Improve Maternal Microbiome and Gestational Diabetes Risk

Summary

This investigator-initiated, non-randomized pilot study evaluates the effect of daily consumption of fermented poi on the maternal microbiome and gestational diabetes risk during pregnancy. Fifty pregnant participants between approximately 12 and 24 weeks of gestation will receive one pound of poi daily for four weeks, accompanied by culturally tailored nutrition education delivered via secure text messaging. Changes in vaginal, oral, and rectal microbiome composition, diet quality, gestational diabetes diagnosis, and pregnancy-related outcomes will be assessed and compared with matched controls derived from an existing cohort. This study aims to inform the feasibility and design of a larger culturally grounded dietary intervention for gestational diabetes prevention.

Eligibility

Inclusion Criteria:

* Be at least 10 weeks into their pregnancy
* have no pre-existing health conditions
* Be able to read and write in English
* be at least18 years of age
* Own a smartphone
* Live on the windward side of O'ahu
* Be able to complete study activities

Exclusion Criteria:

* Less than 10 weeks pregnant or already in third trimester
* Have pre-existing health conditions
* Not able to read and write in English
* Under 18 years of age
* Do not own a smartphone
* Do not live on the windward side of O'ahu
* Unable to complete study activities

Conditions3

Locations3 sites

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