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    Reframing the early childhood obesity prevention narrative through an equitable nurturing approach

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    Author
    Skouteris, H; Bergmeier, HJ; Berns, SD; Betancourt, J; Boynton-Jarrett, R; Davis, MB; Gibbons, K; Perez-Escamilla, R; Story, M
    Date
    2020-10-17
    Source Title
    Maternal and Child Nutrition
    Publisher
    WILEY
    University of Melbourne Author/s
    Gibbons, Kay
    Affiliation
    Paediatrics (RCH)
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Skouteris, H., Bergmeier, H. J., Berns, S. D., Betancourt, J., Boynton-Jarrett, R., Davis, M. B., Gibbons, K., Perez-Escamilla, R. & Story, M. (2020). Reframing the early childhood obesity prevention narrative through an equitable nurturing approach. MATERNAL AND CHILD NUTRITION, 17 (1), https://doi.org/10.1111/mcn.13094.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/252626
    DOI
    10.1111/mcn.13094
    Abstract
    High-quality mother-child interactions during the first 2,000 days, from conception to age 5 years, are considered crucial for preventing obesity development during early life stages. However, mother-child dyads interact within and are influenced by broader socio-ecological contexts involved in shaping child development outcomes, including nutrition. Hence, the coexistence of both undernutrition and obesity has been noted in inequitable social conditions, with drivers of undernutrition and overnutrition in children sharing common elements, such as poverty and food insecurity. To date, a holistic life-course approach to childhood obesity prevention that includes an equitable developmental perspective has not emerged. The World Health Organization (WHO) Nurturing Care Framework provides the foundation for reframing the narrative to understand childhood obesity through the lens of an equitable nurturing care approach to child development from a life-course perspective. In this perspective, we outline our rationale for reframing the childhood narrative by integrating an equitable nurturing care approach to childhood obesity prevention. Four key elements of reframing the narrative include: (a) extending the focus from the current 1,000 to 2,000 days (conception to 5 years); (b) highlighting the importance of nurturing mutually responsive child-caregiver connections to age 5; (c) recognition of racism and related stressors, not solely race/ethnicity, as part of adverse child experiences and social determinants of obesity; and (d) addressing equity by codesigning interventions with socially marginalized families and communities. An equitable, asset-based engagement of families and communities could drive the transformation of policies, systems and social conditions to prevent childhood obesity.

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