Clatsop Astoria Maternal Partnership Study (CAMPS) - Healthy Eating in Pregnancy Intervention

The overall goal of this proposal is to effect change in women's nutritional behaviors that will improve not only their own health and that of their unborn child. Because solutions and needs for prevention of chronic diseases are unique and especially challenging for rural areas, we have chosen to stage our studies in the northern coast of Oregon, centered on the town of Astoria.

Our objective is to assess the effect on markers of maternal health and fetal growth of providing education that includes the rationale and practical aspects of healthy cooking during pregnancy to improve her baby's lifetime risk for cardiovascular disease and other chronic diseases. We will accomplish this objective through the completion of a nutritional education program for pregnant women that incorporates the biopsychosocial principles of the Satter Eating Competence Model in the curriculum, including:

• Emphasizing healthy food choices:

1. Whole foods
2. Plant-based (fruits, vegetables, plant-based oils/fats) and whole grains
3. Fish and lean meats
4. Non-fat dairy

• Avoiding / minimizing intake of unhealthy foods, such as processed foods/meals and sugar-added beverages
• Improving eating competency by:

1. Developing and maintaining positive attitudes about eating and food
2. Acceptance skills that support eating an ever-increasing variety of the available food
3. Following internal regulation signals that allow intuitively consuming enough food to give energy and stamina and to support stable body weight
4. Enhancing skills and resources for orchestrating family meals