Evidence map›Paper›PMID 33067918›Full record

ArticleMaternal & child nutrition2021

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

Helen Skouteris, Heidi J Bergmeier, Scott D Berns, Jeanette Betancourt, Renée Boynton-Jarrett, Martha B Davis, Kay Gibbons, Rafael Pérez-Escamilla, Mary Story

Open access · goldAbstract read
In one paragraph

Article in Maternal & child nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
12.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

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  5. From preschool to policy: A scoping review of recommended interventions for a systems approach to improve dietary intake in early childhood.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 9 institutions in 3 countries.

Helen SkouterisMonash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, VIC, Australia.
Heidi J BergmeierMonash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Clayton, VIC, Australia.ORCID 0000-0003-4605-2933
Scott D BernsNational Institute for Children's Health Quality, Boston, MA, USA.
Jeanette BetancourtUS Social Impact, Sesame Workshop, New York, NY, USA.
Renée Boynton-JarrettBoston University School of Medicine, Boston, MA, USA.
Martha B DavisRobert Wood Johnson Foundation, Princeton, NJ, USA.
Kay GibbonsInstitute for Health and Sport, Victoria University, Footscray, VIC, Australia.
Rafael Pérez-EscamillaDepartment of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.ORCID 0000-0001-9416-8039
Mary StoryDuke Global Health Institute, Duke University, Durham, NC, USA.
Boston University · USDuke University · USMonash University · AUMurdoch Children's Research Institute · AUNational Institute for Children’s Health Quality · USRobert Wood Johnson Foundation · USSesame Workshop · USUniversity of Warwick · GBYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Hepatic metabolic reprogramming drives pancreatic cancer cachexiaK08CA245188 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI GROSSBERG, AARON · 2020 to 2024
$1.2M
NCATS NIH HHS UL1 TR001863NCI NIH HHS K08 CA245188
6 · The paper itself

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.

Indexed as

Pediatric ObesityChild DevelopmentChild, PreschoolHumansPovertychild developmentcodesignequityhistoric and racial traumamother-child interactionsnurturing careobesity

Identifiers

PMID33067918
PMCPMC7729646
OpenAlexW3093404910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.