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Nutrition during pregnancy, lactation, and early childhood and its implications for maternal and long-term child health: the EarlyNutrition Project recommendations

Nutrition during pregnancy, lactation, and early childhood and its implications for maternal and long-term child health: the EarlyNutrition Project recommendations
Nutrition during pregnancy, lactation, and early childhood and its implications for maternal and long-term child health: the EarlyNutrition Project recommendations

Background: A considerable body of evidence accumulated especially during the last decade, demonstrating that early nutrition and lifestyle have long-term effects on later health and disease ("developmental or metabolic programming"). Methods: Researchers involved in the European Union funded international EarlyNutrition research project consolidated the scientific evidence base and existing recommendations to formulate consensus recommendations on nutrition and lifestyle before and during pregnancy, during infancy and early childhood that take long-term health impact into account. Systematic reviews were performed on published dietary guidelines, standards and recommendations, with special attention to long-term health consequences. In addition, systematic reviews of published systematic reviews on nutritional interventions or exposures in pregnancy and in infants and young children aged up to 3 years that describe effects on subsequent overweight, obesity and body composition were performed. Experts developed consensus recommendations incorporating the wide-ranging expertise from additional 33 stakeholders. Findings: Most current recommendations for pregnant women, particularly obese women, and for young children do not take long-term health consequences of early nutrition into account, although the available evidence for relevant consequences of lifestyle, diet and growth patterns in early life on later health and disease risk is strong. Interpretation: We present updated recommendations for optimized nutrition before and during pregnancy, during lactation, infancy and toddlerhood, with special reference to later health outcomes. These recommendations are developed for affluent populations, such as women and children in Europe, and should contribute to the primary prevention of obesity and associated non-communicable diseases.

Breastfeeding, Child health, Developmental programming, Early childhood, Early nutrition, Infancy, Lifestyle, Metabolic programming, Micronutrients, Obesity, Preconception, Pregnancy, Recommendations
0250-6807
93-106
Koletzko, Berthold
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Godfrey, K. M.
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Poston, Lucilla
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Szajewska, Hania
84cfc816-e146-4417-930d-df9ec827f52b
Van Goudoever, Johannes B.
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De Waard, Marita
a68296cb-13e6-4f9a-92e4-6d097080596e
Brands, Brigitte
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Grivell, Rosalie M.
da79ed80-4c15-4335-b47f-8d7f77474be4
Deussen, Andrea R.
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Dodd, Jodie M.
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Patro-Golab, Bernadeta
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Zalewski, Bartlomiej M.
042ee60f-1c27-4032-a69e-5361ec05c29c
Koletzko, Berthold
1932e5e8-b045-4e48-aa1e-5e4ea6803a69
Godfrey, K. M.
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Poston, Lucilla
916aced2-462e-445f-9efa-83ed4b7b3a9f
Szajewska, Hania
84cfc816-e146-4417-930d-df9ec827f52b
Van Goudoever, Johannes B.
0a6f725d-e537-4f6b-8bff-a7d339a4f162
De Waard, Marita
a68296cb-13e6-4f9a-92e4-6d097080596e
Brands, Brigitte
e5a287ab-2354-4c21-80f2-e4af854b51b4
Grivell, Rosalie M.
da79ed80-4c15-4335-b47f-8d7f77474be4
Deussen, Andrea R.
24143c99-d723-4fbb-83dd-17f7aa3f8387
Dodd, Jodie M.
b0cc758a-eca8-4605-b5f1-874ebdfdf767
Patro-Golab, Bernadeta
43db4cae-6cfc-43db-9da7-d1672b8ace7b
Zalewski, Bartlomiej M.
042ee60f-1c27-4032-a69e-5361ec05c29c

Koletzko, Berthold, Godfrey, K. M., Poston, Lucilla, Szajewska, Hania, Van Goudoever, Johannes B., De Waard, Marita, Brands, Brigitte, Grivell, Rosalie M., Deussen, Andrea R., Dodd, Jodie M., Patro-Golab, Bernadeta and Zalewski, Bartlomiej M. (2019) Nutrition during pregnancy, lactation, and early childhood and its implications for maternal and long-term child health: the EarlyNutrition Project recommendations. Annals of Nutrition and Metabolism, 74 (2), 93-106. (doi:10.1159/000496471).

Record type: Article

Abstract

Background: A considerable body of evidence accumulated especially during the last decade, demonstrating that early nutrition and lifestyle have long-term effects on later health and disease ("developmental or metabolic programming"). Methods: Researchers involved in the European Union funded international EarlyNutrition research project consolidated the scientific evidence base and existing recommendations to formulate consensus recommendations on nutrition and lifestyle before and during pregnancy, during infancy and early childhood that take long-term health impact into account. Systematic reviews were performed on published dietary guidelines, standards and recommendations, with special attention to long-term health consequences. In addition, systematic reviews of published systematic reviews on nutritional interventions or exposures in pregnancy and in infants and young children aged up to 3 years that describe effects on subsequent overweight, obesity and body composition were performed. Experts developed consensus recommendations incorporating the wide-ranging expertise from additional 33 stakeholders. Findings: Most current recommendations for pregnant women, particularly obese women, and for young children do not take long-term health consequences of early nutrition into account, although the available evidence for relevant consequences of lifestyle, diet and growth patterns in early life on later health and disease risk is strong. Interpretation: We present updated recommendations for optimized nutrition before and during pregnancy, during lactation, infancy and toddlerhood, with special reference to later health outcomes. These recommendations are developed for affluent populations, such as women and children in Europe, and should contribute to the primary prevention of obesity and associated non-communicable diseases.

Text
Nutrition Prgenancy Lactation early childhood - Early Nutrition Recommendations - Accepted Manuscript
Restricted to Repository staff only until 23 January 2020.
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More information

Accepted/In Press date: 28 December 2018
e-pub ahead of print date: 23 January 2019
Keywords: Breastfeeding, Child health, Developmental programming, Early childhood, Early nutrition, Infancy, Lifestyle, Metabolic programming, Micronutrients, Obesity, Preconception, Pregnancy, Recommendations

Identifiers

Local EPrints ID: 428291
URI: https://eprints.soton.ac.uk/id/eprint/428291
ISSN: 0250-6807
PURE UUID: 8cab1489-4b08-45a2-8692-2a137e5c8267
ORCID for K. M. Godfrey: ORCID iD orcid.org/0000-0002-4643-0618

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Date deposited: 20 Feb 2019 17:30
Last modified: 11 Apr 2019 00:38

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Contributors

Author: Berthold Koletzko
Author: K. M. Godfrey ORCID iD
Author: Lucilla Poston
Author: Hania Szajewska
Author: Johannes B. Van Goudoever
Author: Marita De Waard
Author: Brigitte Brands
Author: Rosalie M. Grivell
Author: Andrea R. Deussen
Author: Jodie M. Dodd
Author: Bernadeta Patro-Golab
Author: Bartlomiej M. Zalewski

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