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[The first 1000 days: an opportunity to reduce the burden of noncommunicable diseases]
José Manuel Moreno Villares1, María Carmen Collado2, Elvira Larqué3
1Clínica Universidad de Navarra.
Insights
The first 1,000 days of life, from conception to age two, are critical for long-term health. Optimal nutrition and a healthy gut microbiome during this period can prevent non-communicable diseases (NCDs).
Area of Science:
- Developmental biology
- Nutritional science
- Public health
Background:
- Early life development is influenced by genetics and environment, with long-term health risks like obesity and non-communicable diseases (NCDs) potentially programmed from embryonic stages.
- The first 1,000 days (conception to two years) represent a critical window of opportunity for intervention due to heightened plasticity.
- Optimal nutrition and a balanced intestinal microbiota are crucial for immune system development and preventing allergic diseases.
Purpose of the Study:
- To highlight the critical role of the first 1,000 days in establishing long-term health.
- To emphasize the importance of optimal nutrition and gut microbiota for preventing NCDs and allergic diseases.
- To underscore the public health significance of early life interventions.
Main Methods:
- This study is a review of existing scientific evidence.
- Analysis of research on early life nutrition and its impact on development.
- Examination of the role of intestinal microbiota in immune function and disease prevention.
Main Results:
- Scientific evidence confirms the first 1,000 days are crucial for long-term health.
- Optimal nutrition during this period significantly influences development and reduces NCD risk.
- Intestinal microbiota plays a key role in immune maturation and preventing allergies.
Conclusions:
- The first 1,000 days are a strategic period for public health interventions focused on nutrition and gut health.
- Early life interventions can program better long-term health outcomes and prevent diseases.
- Understanding host-microbiota interactions is vital for optimizing early life development.
Introduction:
Growth and development are determined by genetic and environmental factors since the very early embryonic life. Long-term health risks, as obesity and other non-communicable diseases (NCD), could be programmed since these early stages. Early life, characterized by plasticity, is the ideal time to intervene and to prevent the risk of suffering a NCD (window of opportunity). Optimal nutrition during the first 1,000 days, since conception to the end of the second year of life, has a determinant role for long-term health. Pregnancy, infancy and toddler periods have specific nutritional requirements. Intestinal microbiota enhances maturation and functioning of the immune system. The interactions between host and intestinal microbiota are potential factors influencing early programming of the intestinal function. Alterations in intestinal colonization are associated to a higher risk of allergic diseases in childhood. Scientific evidence supports the fact that the first 1,000 days are crucial to achieve a better long-term health and represents a strategic period to intervene under the perspective of prevention and public health.
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