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. 2020 May 3;11(5):1071–1078. doi: 10.1093/advances/nmaa040

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.