Use of Ritual Epre Prenatal Multivitamins to Improve Nutrition Status and Health Outcomes During the Postpartum Period
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lactation Disorder - Postpartum Condition or Complication
- Sponsor
- City University of New York
- Enrollment
- 70
- Locations
- 2
- Primary Endpoint
- human milk oligosaccharides (HMO)
- Status
- Active, not recruiting
- Last Updated
- 4 months ago
Overview
Brief Summary
Multivitamin/multimineral supplements (MVI) provide important nutrition supplement to the diet of pregnant women to cover potential deficiencies and optimize nutrition status of both mom and baby, especially when the diet is suboptimal or nutrient demand is high while absorption is hindered by various factors such as genetic variance and gastrointestinal function. It is, however, largely unknown whether using an MVI during the lactating period helps improve nutrition status of mom and baby. In this double-blind, randomized, controlled trial, the investigators will recruit 7- postpartum women who exclusively breastfeed at week 5 postpartum and randomly assign them to either receive the Ritual MVI which is commercially available or a blank placebo for 10 weeks. A blank placebo is appropriate because there is currently no recommendation or scientific consensus that lactating women who are healthy and eat a normal diet would have improved nutrition status or maternal-infant health outcomes from a nutrition supplement. The investigators will collect blood and breastmilk samples at baseline and end of the study to assess nutrient status. The investigators hypothesize that consumption of a Ritual MVI leads to better nutrition status and biomarkers in maternal-child dyads compared to control.
Investigators
Xinyin Jiang
Associate professor
City University of New York
Eligibility Criteria
Inclusion Criteria
- •Women are qualified to participate if they are over 10 years of age, having singleton pregnancy, and are exclusively breast feeding and intending to exclusively breast feed for at least 10 more weeks.
Exclusion Criteria
- •Exclusion criteria include diabetes, cardiovascular conditions and liver disease prior to and during pregnancy because these diseases affect metabolism of several nutrients and thus may lead to differences in the MVI intake and nutrient status relationship.
Outcomes
Primary Outcomes
human milk oligosaccharides (HMO)
Time Frame: at week 0 and after 10 weeks of intervention
HMOs in breastmilk will be measured throughout the study.
Breastmilk folate content
Time Frame: after 10 weeks of intervention
Breastmilk folate content will be measured
Breastmilk biotin content
Time Frame: after 10 weeks of intervention
Breastmilk biotin content will be measured.
Postpartum maternal blood vitamin B12 status
Time Frame: after 10 weeks of intervention
Blood B12 levels will be measured.
Postpartum maternal blood 3-hydroxyisovaleric acid (3-HIA) status
Time Frame: after 10 weeks of intervention
3-HIA will be measured
Postpartum stress levels
Time Frame: at week 0 and after 10 weeks of intervention
The investigators will conduct the Edinburgh Postnatal Depression Scale (EPDS) assessment (maximum score 30, range 0-30, 10 or greater is considered possible depression).
Potspartum maternal menaquinone-7 (vitamin K2) status
Time Frame: after 10 weeks of intervention
undercarboxylated Osteocalcin (ucOC), carboxylated osteocalcin (cOC) and MK-7 will be measured.
Postpartum maternal blood folate status
Time Frame: after 10 weeks of intervention
Blood folate levels will be measured.
Postpartum maternal blood DHA status
Time Frame: after 10 weeks of intervention
Blood DHA levels will be measured.
Breastmilk MK-7 content
Time Frame: after 10 weeks of intervention
Breastmilk MK-7 content will be measured.