TABLE 3.
New strategies for primordial prevention of early childhood obesity
| Domain | Recommendation |
|---|---|
| Support for early breastfeeding | Increase proportion of deliveries at Baby-Friendly Hospitals |
| Extend support for breastfeeding for first 6 mo of life | |
| Focus attention on growth in first 2 y of life | Family screening for newborns at increased risk of development of obesity |
| Monitor crossing of height-for-length percentiles in first 2 y of life | |
| Family-based feeding interventions | |
| Reduce consumption of added sugars in children's diets | Target reduction of added sugars to <12 g daily for first 3 y of life |
| Reduce fruit juice intake in first years of life | |
| Improve dietary quality and availability | Subsidize fruit and vegetables |
| Invest in nutritional support for highest risk populations | Expand SNAP food supplementation benefits |
| Increased support for food banks | |
| Reduce obesity among adolescent females | Educational and activity programs |
| Require physical education throughout high school | |
| Ensure healthy options for school lunch and afterschool programs | |
| Food delivery programs for highest risk adolescents | |
| Increase efforts to reduce exposure to environmental obesogens | Restrict pesticide usage |
| Reduce exposure to environmental obesogens | |
| Invest in research regarding obesogens effects during pregnancy and early childhood |
SNAP, Supplemental Nutritional Assistance Program.