Nurturing children's development through healthy eating and active living: Time for policies to support effective interventions in the context of responsive emotional support and early learning.

Fostering the growth, development, health, and wellbeing of children is a global priority. The early childhood period presents a critical window to influence lifelong trajectories, however urgent multisectoral action is needed to ensure that families are adequately supported to nurture their children's growth and development. With a shared vision to give every child the best start in life, thus helping them reach their full developmental potential, we have formed the International Healthy Eating Active Living Matters (HEALing Matters) Alliance. Together, we form a global network of academics and practitioners working across child health and development, and who are dedicated to improving health equity for children and their families. Our goal is to ensure that all families are free from structural inequality and oppression and are empowered to nurture their children's growth and development through healthy eating and physical activity within the context of responsive emotional support, safety and security, and opportunities for early learning. To date, there have been disparate approaches to promoting these objectives across the health, community service, and education sectors. The crucial importance of our collective work is to bring these priorities for early childhood together through multisectoral interventions, and in so doing tackle head on siloed approaches. In this Policy paper, we draw upon extensive research and call for collective action to promote equity and foster positive developmental trajectories for all children. We call for the delivery of evidence-based programs, policies, and services that are co-designed to meet the needs of all children and families and address structural and systemic inequalities. Moving beyond the "what" is needed to foster the best start to life for all children, we provide recommendations of "how" we can do this. Such collective impact will facilitate intergenerational progression that builds human capital in future generations.

[1]  P. Griffiths,et al.  Improving early childhood development in the context of the nurturing care framework in Kenya: A policy review and qualitative exploration of emerging issues with policy makers , 2022, Frontiers in Public Health.

[2]  H. Skouteris,et al.  Implementing a healthy lifestyle program in residential out‐of‐home care: What matters, what works and what translates? , 2022, Health & social care in the community.

[3]  H. Skouteris,et al.  'I'm dealing with all these health issues that could have been addressed when I was younger'. Delivery of health services to Australian young people in out-of-home care: Lived experiences. , 2021, Health & social care in the community.

[4]  B. Unnikrishnan,et al.  Paternal Involvement in and Sociodemographic Correlates of Infant and Young Child Feeding in a District in Coastal South India: A Cross-Sectional Study , 2021, Frontiers in Public Health.

[5]  Elizabeth L. Prado,et al.  The principles of Nurturing Care promote human capital and mitigate adversities from preconception through adolescence , 2021, BMJ Global Health.

[6]  H. Skouteris Addressing health and social care during and beyond COVID-19: the importance of implementation science. , 2021, Public health research & practice.

[7]  A. Kelly,et al.  The COVID-19 pandemic underscores the need for an equity-focused global health agenda , 2021, Humanities and Social Sciences Communications.

[8]  A. Menezes,et al.  Effects of responsive caregiving and learning opportunities during pre-school ages on the association of early adversities and adolescent human capital: an analysis of birth cohorts in two middle-income countries , 2021, The Lancet. Child & adolescent health.

[9]  A. Harky,et al.  Health Inequalities During COVID-19 and Their Effects on Morbidity and Mortality , 2021, Journal of healthcare leadership.

[10]  H. Tiemeier,et al.  The impact of the COVID-19 pandemic on maternal and perinatal health: a scoping review , 2020, Reproductive Health.

[11]  H. Skouteris,et al.  Reframing the early childhood obesity prevention narrative through an equitable nurturing approach , 2020, Maternal & child nutrition.

[12]  J. Salmon,et al.  Long-term outcomes (2 and 3.5 years post-intervention) of the INFANT early childhood intervention to improve health behaviors and reduce obesity: cluster randomised controlled trial follow-up , 2020, International Journal of Behavioral Nutrition and Physical Activity.

[13]  M. Black,et al.  All children surviving and thriving: re-envisioning UNICEF's conceptual framework of malnutrition. , 2020, The Lancet. Global health.

[14]  A. Stein,et al.  Effects of the Global Coronavirus Disease-2019 Pandemic on Early Childhood Development: Short- and Long-Term Risks and Mitigating Program and Policy Actions , 2020, The Journal of Pediatrics.

[15]  R. Boaden Push, pull or co-produce? , 2020, Journal of health services research & policy.

[16]  H. Skouteris,et al.  Healthy Lifestyle Programs in Out-of-Home Care: Implementing Preventative Trauma-informed Approaches at Scale , 2020, Australian Social Work.

[17]  J. Salmon,et al.  Lifestyle Patterns Begin in Early Childhood, Persist and Are Socioeconomically Patterned, Confirming the Importance of Early Life Interventions , 2020, Nutrients.

[18]  H. Skouteris,et al.  Early mother-child dyadic pathways to childhood obesity risk: A conceptual model , 2020, Appetite.

[19]  C. Hawkes,et al.  Double-duty actions: seizing programme and policy opportunities to address malnutrition in all its forms , 2019, The Lancet.

[20]  L. Grummer-Strawn,et al.  Dynamics of the double burden of malnutrition and the changing nutrition reality , 2019, The Lancet.

[21]  Paul M. Wilson,et al.  Harnessing the power of theorising in implementation science , 2019, Implementation Science.

[22]  K. Underwood,et al.  Colonialism in Early Education, Care, and Intervention: A Knowledge Synthesis , 2019, Journal of Childhood Studies.

[23]  Elizabeth L. Prado,et al.  Do effects of early life interventions on linear growth correspond to effects on neurobehavioural development? A systematic review and meta-analysis. , 2019, The Lancet. Global health.

[24]  D. Walsh,et al.  Relationship between childhood socioeconomic position and adverse childhood experiences (ACEs): a systematic review , 2019, Journal of Epidemiology & Community Health.

[25]  I. Paul,et al.  A patient-centered, coordinated care approach delivered by community and pediatric primary care providers to promote responsive parenting: pragmatic randomized clinical trial rationale and protocol , 2018, BMC Pediatrics.

[26]  S. McNaughton,et al.  Early Childhood Vegetable, Fruit, and Discretionary Food Intakes Do Not Meet Dietary Guidelines, but Do Show Socioeconomic Differences and Tracking over Time. , 2018, Journal of the Academy of Nutrition and Dietetics.

[27]  K. Backholer,et al.  Contribution of discretionary food and drink consumption to socio-economic inequalities in children's weight: prospective study of Australian children. , 2018, International journal of epidemiology.

[28]  Michele R. Solloway,et al.  Prioritizing Possibilities for Child and Family Health: An Agenda to Address Adverse Childhood Experiences and Foster the Social and Emotional Roots of Well-being in Pediatrics. , 2017, Academic pediatrics.

[29]  S. Manson,et al.  Obesity and Overweight in American Indian and Alaska Native Children, 2006-2015 , 2017, American journal of public health.

[30]  Kate Morris,et al.  Poverty, inequality, child abuse and neglect: Changing the conversation across the UK in child protection? , 2017, Children and Youth Services Review.

[31]  Renée I. Boothroyd,et al.  Active involved community partnerships: co-creating implementation infrastructure for getting to and sustaining social impact , 2017, Translational behavioral medicine.

[32]  L. Smithers,et al.  Prevalence and characteristics of overweight and obesity in indigenous Australian children: A systematic review , 2017, Critical reviews in food science and nutrition.

[33]  Chunling Lu,et al.  Early childhood development coming of age: science through the life course , 2017, The Lancet.

[34]  James M Radner,et al.  Expanding the evidence base to drive more productive early childhood investment , 2017, The Lancet.

[35]  J. Leckman,et al.  Nurturing care: promoting early childhood development , 2017, The Lancet.

[36]  J. Chu,et al.  Indigenous and tribal peoples' health (The Lancet–Lowitja Institute Global Collaboration): a population study , 2016, The Lancet.

[37]  A. Barros,et al.  Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect , 2016, The Lancet.

[38]  Cesar G Victora,et al.  Why invest, and what it will take to improve breastfeeding practices? , 2016, The Lancet.

[39]  K. Hesketh,et al.  A Review of the Relationship Between Socioeconomic Position and the Early-Life Predictors of Obesity , 2015, Current Obesity Reports.

[40]  K. Sahoo,et al.  Childhood obesity: causes and consequences , 2015, Journal of family medicine and primary care.

[41]  L. Salmon Food security for infants and young children: an opportunity for breastfeeding policy? , 2015, International Breastfeeding Journal.

[42]  L. Hardy,et al.  Rates of overweight and obesity in a sample of Australian young people and their carers in out‐of‐home residential care , 2014, Australian and New Zealand journal of public health.

[43]  A. O'Neil,et al.  Relationship between diet and mental health in children and adolescents: a systematic review. , 2014, American journal of public health.

[44]  K. Arabena The First 1000 Days: catalysing equity outcomes for Aboriginal and Torres Strait Islander children , 2014, The Medical journal of Australia.

[45]  G. Evans,et al.  The physical environment and child development: an international review. , 2013, International journal of psychology : Journal international de psychologie.

[46]  D. Colombo,et al.  Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the Commission on Social Determinants of Health , 2010 .

[47]  P. Katzmarzyk Obesity and Physical Activity Among Aboriginal Canadians , 2008, Obesity.

[48]  J Viikari,et al.  Consistent dietary patterns identified from childhood to adulthood: The Cardiovascular Risk in Young Finns Study , 2005, British Journal of Nutrition.

[49]  James M Radner,et al.  NURTURING CARE for early childhood development , 2018 .

[50]  Un Desa Transforming our world : The 2030 Agenda for Sustainable Development , 2016 .

[51]  J. Viikari,et al.  Tracking of physical activity from early childhood through youth into adulthood. , 2014, Medicine and science in sports and exercise.

[52]  T. Dowswell,et al.  Support for healthy breastfeeding mothers with healthy term babies. , 2012, The Cochrane database of systematic reviews.

[53]  L. Leslie,et al.  Pediatric health assessments of young children in child welfare by placement type. , 2011, Child abuse & neglect.