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First 2,000 Days

First 2,000 Days

Laying the foundation for a healthy lifestyle.

Prenatal

The importance of plant-based, whole-food nutrition does not end with labor and delivery; many organs have periods of plasticity that extend beyond pregnancy, the brain being the best example. Approximately 90 percent of brain development occurs by age 5, with good nutrition playing a key role. Food preferences are also established and solidified during windows of opportunity within the first two years of life, which is why it's important to train a child's taste buds to prefer plant-based whole foods, especially vegetables, when they're young.

The Vitamix Foundation is partnering with early learning programs and other organizations to engage parents, teachers, and children in laying the foundation for a healthy lifestyle through plant-based whole foods.

The Opportunity

Food preferences and habits are established and solidified early in life, and thus have a significant impact on the child’s development and future health status.

On average, 90 percent of young children do not consume the USDA recommendation of daily vegetables, and nearly 99 percent do not consume the recommended amount of whole grains. Yet an astounding 99 percent of young children exceed the recommended amount of solid fats and added sugar.

This is a critical time period and window of opportunity to establish healthy lifetime eating habits. In January 2018, the American Academy of Pediatrics issued a policy statement supporting how critical maternal prenatal nutrition and the child's nutrition is in the first 2 years of life.

Nearly 60% of children are cared for in early care and education settings outside of their home. We also see, from a number of studies, the impact and importance of early-care and education professionals – as both educators and role models for the children in their care.

Where are we Investing

We are continuing our investment in the development and testing of an online professional development module and other resources designed to support the health and well-being of early care and education professionals. Phase II will be a statistically powered study in Pennsylvania and will include:

1. An update to the module called An ECE Professional's Impact: Nourish Yourself/Create Healthy Futures based on insights gained during Phase I. The goal of the module is to help Early Care and Education (ECE) professionals improve their knowledge, attitude, and behavior regarding their own health and wellbeing, and, in turn boost their effectiveness in serving as a role model for the children they teach.

2. Create and test a Wellness Facilitator coaching component to support peer coaching throughout the five chapters of the module.

3. Develop a Director’s Implementation Guide to support leadership in creating and supporting a healthy eating environment for the educators and the children they serve.

Phase II of this initiative continues our collaborative effort funded by the Vitamix Foundation involving the following institutions, all of which are recipients of the grant:

Better Kid Care
The Pennsylvania State University
$26,224

The University of Texas Health Science Center at Houston (UTHealth)
School of Public Health
$162,529

What's on Our Radar

2020-2025 Dietary Guidelines for Americans

For the first time ever the next version of the dietary guidelines are mandated to address children birth to 24 months. The process to develop these guidelines is underway and they should be released in late 2020 or early 2021. The process has four major steps:

  1. Topic and Question Identification – completed
  2. Advisory Committee Selection – completed
  3. Advisory Committee Scientific Review – currently underway
  4. USDA/HHS Dietary Guideline Development

The Vitamix Foundation is closely following this process and to ensure the guidelines are scientifically based and address. This critical period where early healthy eating patterns can be established. To learn more about the development of the new dietary guidelines go to https://www.dietaryguidelines.gov/.

Cochrane Systematic Review - Interventions for increasing eating of fruit and vegetables in children aged five years and under

Cochrane reviews are high-quality, relevant, up-to-date systematic reviews and other synthesized research evidence to inform health decision making. This recent review was designed to “assess the impact of interventions designed to increase eating of fruit or vegetables or both among children aged five years and under.” The review concluded “Despite identifying 63 eligible trials of various intervention approaches, the evidence for how to increase children's fruit and vegetable consumption remains limited.” Clearly more research is needed. This is a living systematic review. Living systematic reviews offer a new approach to review updating, in which the review is continually updated, incorporating relevant new evidence as it becomes available.

https://www.cochrane.org/CD008552/VASC_interventions-increasing-eating-fruit-and-vegetables-children-aged-five-years-and-under.

The Rudd Center for Food Policy & Obesity at the University of Connecticut “is a non-profit research and public policy organization devoted to promoting solutions to childhood obesity, poor diet, and weight bias through research and policy. The Rudd Center serves as a leader in building broad-based consensus to change diet and activity patterns, while holding industry and government agencies responsible for safeguarding public health. The Center serves as a leading research institution and clearinghouse for resources that add to our understanding of the complex forces affecting how we eat, how we stigmatize people with obesity, and how we can change.”

The reason they are on our radar is their work in two of their six areas of focus (Food Marketing and Schools, Families, and Communities) contribute important insights to our ongoing efforts related to the early learning environment.

There's a new report titled The Impact of the First 1,000 Days on Childhood Obesity by Healthy Eating Research (HER), a Robert Wood Johnson Foundation program.

"The first 1,000 days, or the period from conception through age 2, is increasingly recognized as a critical period for the development of childhood obesity and its adverse consequences. This issue brief is based on two review papers that examined evidence on risk factors for developing childhood obesity and interventions that could prevent childhood obesity later in life. The evidence is presented on risk factors from conception to delivery, and from birth through age 2. Several risk factors were consistently associated with later childhood overweight: higher maternal pre-pregnancy BMI; maternal excess weight gain during pregnancy; prenatal tobacco exposure; high infant birth weight; and high infant weight gain. The evidence on interventions includes those conducted during pregnancy, those starting at pregnancy and continuing after birth, and those starting after birth but before age 2. Only a small number of effective early-life interventions for childhood obesity were found, and most interventions focused on individual or family-level behavior changes. Interventions focusing on multiple risk factors and delivered across a variety of settings may help reduce childhood obesity risk."

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