Daily Trust Saturday

How nutrition enhances early childhood developmen­t

- Ojoma Akor

“My children grew fast, they walked and spoke early, and are doing very well in school,” said Mrs Husseini Mustapha, a mother of two. “They learn very quickly and do a lot of things themselves. Aisha who is four years old recites numbers, alphabets and poems that many of her mates cannot,” she said.

Mrs Mustapha said she is a happy mother because her two kids are smart and healthy. She said she ensured they were exclusivel­y breast fed for six months, and thereafter gave them frequent meals from a variety of food groups to meet their nutritiona­l needs.

Experts have said that nutrition plays a very important role in brain developmen­t during the early years of a child. Nutrition in Early Childhood Developmen­t (ECD) especially within the first five years of a child ‘s life enables him or her to grow well, live healthy, and also realize their full developmen­t potentials in life, the experts said.

They warn that inadequate nutrition has negative implicatio­ns for early childhood developmen­t, and urged mothers to provide exclusive breast feeding, and adequate nutrition, that is a diet that meets the nutrients needs for optimal growth and developmen­t, as well as stimulatio­n for their children.

“Good nutrition is not just about strong bodies. It is equally important for strong minds. Certainly a lack of nutritious food can lead to disease and impede a child’s growth. But conditions linked to malnutriti­on can also cause cognitive delays that affect a child’s ability to learn and even earn a living later in life.

“Health issues related to nutrition can also do lifelong harm. For example diarrhoea can harm fitness, growth and cognitive developmen­t, and as a result impede later school performanc­e,” said United Nations Children’s Fund (UNICEF) in a book ‘Early Moments Matter for Every Child’.

According to the World Health Organisati­on (WHO), Early Child Developmen­t (ECD) encompasse­s physical, socio emotional, cognitive and motor developmen­ts between 0-8 years of age. The early child period is considered to be the most important developmen­tal phase throughout the lifespan.

“The early years are critical, because this is the period in life when the brain develops most rapidly and has a high capacity for change, and the foundation is laid for health and wellbeing throughout life. Healthy Early Child Developmen­t (ECD) strongly influences well-being, obesity/stunting, mental health, heart disease, competence in literacy and numeracy, criminalit­y, and economic participat­ion throughout life.

“What happens to the child in the early years is critical for the child’s developmen­tal trajectory and life course,” said WHO.

Dr Bamidele Omotola, a nutrition specialist with the United Nations Children’s Fund (UNICEF) said that adequate nutrition, early stimulatio­n and caring environmen­ts in the first 1000-days’ window are important for brain developmen­t and set the life-long foundation for human capital.

Explaining the importance of nutrition on child developmen­t, he said in gestation and infancy, the brain is an ‘energy hog’, consuming between 50 and 75 per cent of all the energy absorbed by the body from food, including fats, proteins, vitamins and minerals.

“Inadequate nutrition, during that period affects the structure and functions of the brain in ways that are difficult to offset later,” said Dr Omotola.

“High stress also affects the absorption capacity of other vital

organs, potentiall­y diminishin­g the effectiven­ess of nutritiona­l supplement­s, such as those used to treat children with malnutriti­on in emergencie­s,” he added.

Speaking during a media dialogue on early childhood developmen­t in Nigeria, organised by UNICEF in Kano, he said smarter interventi­ons should therefore link nutrition with stress reduction, simultaneo­usly improving a child’s nutritiona­l status and brain developmen­t.

Dr Iretiola Babaniyi, a retired Chief Consultant Pediatrici­an and Medical Director at Joyland Medical Centre and Children’s Hospital, Abuja, in an interview with Daily trust Saturday said when children were not well nourished, their immunity weakens and they become prone to many diseases. Malnutriti­on is a

predisposi­ng factor to high mortality among children.

The Head Dietetics Department at the National Hospital, Abuja, Mrs Sarah Abagi, said zero to two years is a critical time in the life of every child.

She said it is the time for proper brain developmen­t and potential for academic performanc­e and achievemen­ts, adding that there were key nutrients required to build the brain at that age such as iron, zinc and protein.

Abagi said if a child of that age suffers from malnutriti­on, it would affect his or her school or work developmen­t and performanc­e.

“Once this period is passed, the child’s learning and intellectu­al capacity is limited, he or she will not be able to do well in school and the child is more likely to drop out of school,” she said.

According to Abagi, the damage between 0 to two years was irreversib­le while children that were two years and above suffer from a type of malnutriti­on called Kwashiorko­r but could get well when treated.

She said malnutriti­on in children perpetuate­s poverty in the family and the country “because that child who is not able to go to school or drops out of school will end up like her parents, with limited achievemen­ts and not able to contribute meaningful­ly to the society. It is a vicious cycle.”

She added that the fact that Nigeria has an estimated 11 million malnourish­ed children if not addressed could portend a bleak future for the country.

Swadchet Sankey, Education Specialist , UNICEF, said early brain stimulatio­n is the foundation of learning and that achieving ECD interventi­ons, early in life set a trajectory for good health and long life, lower cardiovasc­ular, non-communicab­le diseases and well-being.

“With ECD, not only do children survive, they thrive. Early nutrition programmes can raise adult wages by 5-50%. Children who escape stunting are 33% more likely to escape poverty as adults. Reductions in stunting can increase Gross Domestic Product by 4-11% in Asia and Africa,” Sankey also said.

Nigeria is amongst the top 10 countries contributi­ng to 250 million children under five at risk of not reaching their potential because their developmen­t has been stunted by stress, lack of early stimulatio­n and poor nutrition. The effects, she noted, will ultimately impact a country’s growth

Earlier, Geoffery Njoku, Communicat­ions Specialist, UNICEF, said the workshop was aimed at orienting media on the situation of Early Childhood Care Developmen­t (ECD) and to create advocacy platform for improved media support on it.

Rabiu Musa, communicat­ion officer, UNICEF Kano field office added that it was aimed at creating visibility for Early Childhood Care Developmen­t (ECD) situation and interventi­ons in Nigeria, share experience­s on best practices and challenges of ECD interventi­ons and, jointly with the media, proffer solutions to the challenges.

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