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Abou-Dakn, Michael; Alexy, Ute; Beyer, Kirsten; Cremer, Monika; Ensenauer, Regina; Flothkoetter, Maria; Geene, Raimund; Hellmers, Claudia; Joisten, Christine; Koletzko, Berthold; Mata, Jutta; Schiffner, Ulrich; Somm, Irene; Speck, Melanie; Weissenborn, Anke und Woeckel, Achim (2022): Ernährung und Bewegung im Kleinkindalter. Aktualisierte Handlungsempfehlungen des bundesweiten Netzwerks Gesund ins Leben. In: Monatsschrift Kinderheilkunde, Bd. 171: S. 7-27

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Abstract

Background A balanced, age-appropriate, sustainable diet, and plenty of physical activity contribute to a healthy development and well-being of young children. An early adaptation of appropriate behavior can positively influence later behavior and thus improve health in the short, medium and long term. The recommendations for action on nutrition and physical activity in young children have been updated and are intended to provide professionals with a reliable basis for counselling of families with young children. Methods Current systematic reviews, meta-analyses, guidelines, and other relevant articles on the topics of nutrition and physical activity in young children (aged 1-3 years), were reviewed by representatives of the professional societies and institutions of the network. They evaluated the scientific evidence and updated the existing recommendations or formulated recommendations for action on some issues for the first time. Sustainability aspects were also taken into account. The process was coordinated by the Healthy Start-Young Family Network. Recommendations Small children should have regular mealtimes. They should participate in family meals and eat with other family members as often as possible. Attention to the child's hunger and satiety signals (responsive feeding) contributes to the development of healthy eating habits. Food should not be used as a reward or punishment. The recommended infant diet includes plenty of plant foods and moderate amounts of animal foods. A vegetarian diet must be carefully matched to the child's nutritional needs. Young children should be physically active as much as possible, especially outside and in a variety of ways. Parents should support physical activity. Screen devices are not recommended for young children. Parents should provide the child with opportunities for regular rest and sleep. Professionals and families should explore together ways to implement these recommendations in everyday family life.

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