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Global Pathways to Thriving Children: Implementing Large-Scale Multicomponent Nutrition and Child Development Programs.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Global Pathways to Thriving Children: Implementing Large-Scale Multicomponent Nutrition and Child Development Programs.
Συγγραφείς: Black MM; Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, United States. Electronic address: mblack@som.umaryland.edu., Lutter CK; Independent Consultant, Harbert, MI, 49115, United States. Electronic address: cklutter2024@gmail.com.
Πηγή: The Journal of nutrition [J Nutr] 2026 Aug; Vol. 156 (8), pp. 101677. Date of Electronic Publication: 2026 Jun 19.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Elsevier Country of Publication: United States NLM ID: 0404243 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-6100 (Electronic) Linking ISSN: 00223166 NLM ISO Abbreviation: J Nutr Subsets: MEDLINE
Imprint Name(s): Publication: 2023- : [New York, NY] : Elsevier
Original Publication: 1928-1933 : Springfield, Ill. : C. C. Thomas
Ιατρικοί όροι (MeSH): Health Plan Implementation*/methods , Child Development* , Child Nutritional Physiological Phenomena*, Child ; Child, Preschool ; Humans ; Infant ; Developing Countries ; Nutritional Status ; Poverty
Περίληψη: Thriving children are likely to develop the human capital necessary to become healthy, competent, and economically stable adults, beginning with achieving expected rates of growth and development as infants. However, millions of young children in low-and middle-income countries are not thriving, largely due to nutritional deficiencies and lack of learning opportunities, often caused by poverty. Although nutrition interventions can support children's growth and nutrition and child development and parenting interventions can support children's learning and responsive caregiving, there are few large-scale, multicomponent programs that can support both nutrition and child development. Informed by concepts of nurturing care and principles of implementation science, this article provides rational and systems-based criteria for implementing large-scale, multicomponent nutrition and child development programs for children in disadvantaged environmental conditions. The criteria include the following-1) goals: set goals informed by theory and evidence-based interventions; 2) equity: reach vulnerable children and implement developmentally and culturally appropriate programs; 3) quality: establish workforce development, support resources for delivery, and monitor for accountability; 4) engagement: engage participants, communities, and stakeholders in active roles; 5) outcome: implement rigorous and easy-to-use outcome assessments; and 6) sustainability, strive for sustained funding and update policies, practices, and laws. The system is coordinated by a multicomponent partner management team that operates in a continuous data-driven feedback loop, including government representatives and community participants. Building on the strengths of expertise in single sector nutrition and child development intervention research, the conclusion includes a call to action for the implementation of multicomponent large-scale programs for young children. An increase in children thriving during early childhood increases their likelihood of achieving health and developmental potential that can lead to human capital with extensions to economic productivity, positive quality of life, and sustainability for children, families, and countries.
(Copyright © 2026 The Author(s). Published by Elsevier Inc. All rights reserved.)
Competing Interests: Conflicts of interest MMB is an Editorial Board Member for the Journal of Nutrition and played no role in the Journal’s evaluation of the manuscript. The other author reports no conflicts of interest.
References: Lancet. 2022 May 7;399(10337):1830-1844. (PMID: 35489361)
BMC Public Health. 2020 Mar 30;20(1):422. (PMID: 32228513)
Lancet. 2017 Jan 7;389(10064):77-90. (PMID: 27717614)
Front Pediatr. 2023 Jul 07;11:1120253. (PMID: 37484767)
Lancet Child Adolesc Health. 2024 Oct;8(10):713-715. (PMID: 39121883)
Pediatrics. 2023 May 1;151(Suppl 2):. (PMID: 37125888)
Int J Qual Stud Health Well-being. 2021 Dec;16(1):1966874. (PMID: 34435540)
Public Health Nutr. 2006 Oct;9(7):942-7. (PMID: 17010261)
BMJ Open. 2024 Apr 3;14(4):e078712. (PMID: 38569711)
Lancet. 2017 Jan 7;389(10064):9-11. (PMID: 27717607)
PLoS Med. 2021 May 10;18(5):e1003602. (PMID: 33970913)
PLoS One. 2020 Sep 3;15(9):e0236255. (PMID: 32881867)
Pilot Feasibility Stud. 2025 Feb 14;11(1):18. (PMID: 39953573)
Lancet. 2025 Jul 19;406(10500):283-294. (PMID: 40609560)
Nutrition. 2020 Oct;78:110875. (PMID: 32653760)
J Glob Health. 2024 Feb 23;14:04028. (PMID: 38385435)
BMJ Glob Health. 2021 Apr;6(4):. (PMID: 33875519)
Dev Cogn Neurosci. 2020 Apr;42:100764. (PMID: 32072937)
J Clin Transl Sci. 2023 Dec 14;8(1):e8. (PMID: 38384897)
Nat Rev Neurosci. 2018 Feb 16;19(3):123-137. (PMID: 29449712)
Am J Clin Nutr. 2020 Sep 14;112(Suppl 2):777S-791S. (PMID: 32860401)
Pediatr Clin North Am. 2025 Oct;72(5):901-918. (PMID: 41077465)
J Nutr. 2011 Mar;141(3):490-4. (PMID: 21270366)
JAMA Netw Open. 2023 Nov 1;6(11):e2342654. (PMID: 37943556)
J Acad Nutr Diet. 2023 Jan;123(1):15-28. (PMID: 35940493)
Lancet. 2022 Apr 30;399(10336):1741-1752. (PMID: 35489358)
Nutr Rev. 2022 Mar 10;80(4):962-979. (PMID: 34919715)
Matern Child Nutr. 2024 Jul;20(3):e13644. (PMID: 38586943)
PLOS Glob Public Health. 2023 Aug 9;3(8):e0001542. (PMID: 37556418)
Front Public Health. 2022 Sep 27;10:1016156. (PMID: 36238244)
Implement Sci. 2023 Nov 13;18(1):62. (PMID: 37957669)
Curr Dev Nutr. 2021 Apr 30;5(6):nzab076. (PMID: 34104850)
Curr Dev Nutr. 2018 Oct 13;3(3):nzy080. (PMID: 30864563)
BMJ Open. 2023 Jan 24;13(1):e062562. (PMID: 36693690)
JAMA Pediatr. 2024 Jan 1;178(1):84-86. (PMID: 37902767)
BMJ Glob Health. 2023 Jan;8(1):. (PMID: 36650017)
Soc Sci Med. 2010 Aug;71(3):517-528. (PMID: 20621748)
Indian Pediatr. 2021 Nov 15;58 Suppl 1:S46-S52. (PMID: 34687189)
Lancet. 2023 May 20;401(10389):1707-1719. (PMID: 37167989)
BMJ Glob Health. 2021 Apr;6(4):. (PMID: 33906847)
PLoS One. 2024 May 6;19(5):e0291839. (PMID: 38709761)
BMJ Glob Health. 2025 Jul 20;10(7):. (PMID: 40685160)
Front Nutr. 2025 Sep 09;12:1479850. (PMID: 40995180)
J Nutr. 2025 Oct 13;:. (PMID: 41093113)
Matern Child Nutr. 2013 Jan;9(1):99-117. (PMID: 22625182)
Lancet Glob Health. 2019 Sep;7(9):e1257-e1268. (PMID: 31402006)
Pediatrics. 2023 May 1;151(Suppl 2):. (PMID: 37125885)
J Glob Health. 2020 Jun;10(1):010427. (PMID: 32566165)
Pediatrics. 2023 May 1;151(Suppl 2):. (PMID: 37125892)
Appl Dev Sci. 2019;23(3):273-293. (PMID: 31488944)
Ann N Y Acad Sci. 2014 Jan;1308:1-10. (PMID: 24571211)
Lancet. 2017 Jan 7;389(10064):103-118. (PMID: 27717610)
Lancet Glob Health. 2018 Mar;6(3):e279-e291. (PMID: 29433666)
Adv Nutr. 2016 Mar 15;7(2):357-63. (PMID: 26980819)
Health Res Policy Syst. 2020 Oct 9;18(1):118. (PMID: 33036633)
Adm Policy Ment Health. 2011 Mar;38(2):65-76. (PMID: 20957426)
Ann N Y Acad Sci. 2023 Nov;1529(1):42-60. (PMID: 37688369)
Am J Public Health. 2013 Jul;103(7):e74-82. (PMID: 23678926)
J Nutr. 2016 Oct;146(10):2075-2084. (PMID: 27581575)
J Int AIDS Soc. 2023 Oct;26 Suppl 4:e26158. (PMID: 37909213)
Disabil Health J. 2014 Jul;7(3):262-72. (PMID: 24947567)
Lancet Glob Health. 2025 Apr;13(4):e716-e731. (PMID: 40155109)
BMJ Paediatr Open. 2025 Sep 2;9(1):. (PMID: 40897524)
Front Public Health. 2021 Jul 16;9:671988. (PMID: 34336768)
Transl Behav Med. 2023 Nov 5;13(11):820-825. (PMID: 37354558)
Ann N Y Acad Sci. 2014 Jan;1308:11-32. (PMID: 24673166)
Nutrients. 2025 Jul 25;17(15):. (PMID: 40806012)
Pediatrics. 2023 May 1;151(Suppl 2):. (PMID: 37125883)
J Child Psychol Psychiatry. 2024 Apr;65(4):435-455. (PMID: 37438865)
Contributed Indexing: Keywords: implementation science; low- and middle-income countries; multicomponent nutrition and development programs; nurturing care; sustainability; thriving children
Entry Date(s): Date Created: 20260619 Date Completed: 20260805 Latest Revision: 20260902
Update Code: 20260903
PubMed Central ID: PMC13494205
DOI: 10.1016/j.tjnut.2026.101677
PMID: 42320634
Βάση Δεδομένων: MEDLINE
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  Data: Global Pathways to Thriving Children: Implementing Large-Scale Multicomponent Nutrition and Child Development Programs.
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  Data: <searchLink fieldCode="AU" term="%22Black+MM%22">Black MM</searchLink>; Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, United States. Electronic address: mblack@som.umaryland.edu.<br /><searchLink fieldCode="AU" term="%22Lutter+CK%22">Lutter CK</searchLink>; Independent Consultant, Harbert, MI, 49115, United States. Electronic address: cklutter2024@gmail.com.
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  Data: Thriving children are likely to develop the human capital necessary to become healthy, competent, and economically stable adults, beginning with achieving expected rates of growth and development as infants. However, millions of young children in low-and middle-income countries are not thriving, largely due to nutritional deficiencies and lack of learning opportunities, often caused by poverty. Although nutrition interventions can support children's growth and nutrition and child development and parenting interventions can support children's learning and responsive caregiving, there are few large-scale, multicomponent programs that can support both nutrition and child development. Informed by concepts of nurturing care and principles of implementation science, this article provides rational and systems-based criteria for implementing large-scale, multicomponent nutrition and child development programs for children in disadvantaged environmental conditions. The criteria include the following-1) goals: set goals informed by theory and evidence-based interventions; 2) equity: reach vulnerable children and implement developmentally and culturally appropriate programs; 3) quality: establish workforce development, support resources for delivery, and monitor for accountability; 4) engagement: engage participants, communities, and stakeholders in active roles; 5) outcome: implement rigorous and easy-to-use outcome assessments; and 6) sustainability, strive for sustained funding and update policies, practices, and laws. The system is coordinated by a multicomponent partner management team that operates in a continuous data-driven feedback loop, including government representatives and community participants. Building on the strengths of expertise in single sector nutrition and child development intervention research, the conclusion includes a call to action for the implementation of multicomponent large-scale programs for young children. An increase in children thriving during early childhood increases their likelihood of achieving health and developmental potential that can lead to human capital with extensions to economic productivity, positive quality of life, and sustainability for children, families, and countries.<br /> (Copyright © 2026 The Author(s). Published by Elsevier Inc. All rights reserved.)
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  Data: Conflicts of interest MMB is an Editorial Board Member for the Journal of Nutrition and played no role in the Journal’s evaluation of the manuscript. The other author reports no conflicts of interest.
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  Label: References
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(PMID: <searchLink fieldCode="PM" term="%2231402006%22">31402006)</searchLink><br />Pediatrics. 2023 May 1;151(Suppl 2):. (PMID: <searchLink fieldCode="PM" term="%2237125885%22">37125885)</searchLink><br />J Glob Health. 2020 Jun;10(1):010427. (PMID: <searchLink fieldCode="PM" term="%2232566165%22">32566165)</searchLink><br />Pediatrics. 2023 May 1;151(Suppl 2):. (PMID: <searchLink fieldCode="PM" term="%2237125892%22">37125892)</searchLink><br />Appl Dev Sci. 2019;23(3):273-293. (PMID: <searchLink fieldCode="PM" term="%2231488944%22">31488944)</searchLink><br />Ann N Y Acad Sci. 2014 Jan;1308:1-10. (PMID: <searchLink fieldCode="PM" term="%2224571211%22">24571211)</searchLink><br />Lancet. 2017 Jan 7;389(10064):103-118. (PMID: <searchLink fieldCode="PM" term="%2227717610%22">27717610)</searchLink><br />Lancet Glob Health. 2018 Mar;6(3):e279-e291. (PMID: <searchLink fieldCode="PM" term="%2229433666%22">29433666)</searchLink><br />Adv Nutr. 2016 Mar 15;7(2):357-63. 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  Label: DOI
  Group: ID
  Data: 10.1016/j.tjnut.2026.101677
– Name: AN
  Label: PMID
  Group: ID
  Data: 42320634
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42320634
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1016/j.tjnut.2026.101677
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        StartPage: 101677
    Subjects:
      – SubjectFull: Child
        Type: general
      – SubjectFull: Child, Preschool
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Infant
        Type: general
      – SubjectFull: Developing Countries
        Type: general
      – SubjectFull: Nutritional Status
        Type: general
      – SubjectFull: Poverty
        Type: general
      – SubjectFull: Health Plan Implementation methods
        Type: general
      – SubjectFull: Child Development
        Type: general
      – SubjectFull: Child Nutritional Physiological Phenomena
        Type: general
    Titles:
      – TitleFull: Global Pathways to Thriving Children: Implementing Large-Scale Multicomponent Nutrition and Child Development Programs.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Black MM
      – PersonEntity:
          Name:
            NameFull: Lutter CK
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 08
              Text: 2026 Aug
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1541-6100
          Numbering:
            – Type: volume
              Value: 156
            – Type: issue
              Value: 8
          Titles:
            – TitleFull: The Journal of nutrition
              Type: main
ResultId 1