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Non-Communicable Diseases in Children: Systems-Based Approaches to Incorporating Nutrition into Medical Care

  • Michelle Walters
  • , Ronald Barr
  • , Joao Breda
  • , Francesca Celletti
  • , João de Bragança
  • , Inge Huybrechts
  • , Oria James
  • , Zisis Kozlakidis
  • , Paul Marsden
  • , Stephen Ogweno
  • , Roberta Ortiz
  • , Maja Beck Popovic
  • , Johanna Ralston
  • , Mireya Vilar-Compte
  • , Elena J. Ladas

Research output: Contribution to journalComment/debate

Abstract

Highlights: What are the main findings? Non-communicable diseases (NCDs) impact 2.1 billion children worldwide and cause nearly 1 million deaths annually, with poor nutritional status further in-creasing mortality and treatment-related complications. Integrating nutrition care into childhood NCD management improves survival, reduces treatment-related complications, influences disease progression, and lowers healthcare costs. What is the implication of the main finding? Nutrition services should be embedded as a standard component of NCD care for children, yet underfunding, workforce shortages, inadequate training, and limited access to nutrition products continue to hinder progress. Multi-sectoral collaboration is essential to expand the nutrition workforce, strengthen training and professional standards, establish effective monitoring frameworks, and leverage technology to deliver sustainable solutions. Non-communicable diseases (NCDs) affect over 2.1 billion children globally, accounting for 15.9% of deaths in children under 20 and contributing 174 million years lived with disability. Integrating nutrition care into NCD management within health systems can save lives, reduce costs, and improve quality of life. Nutrition interventions have been found to improve survival rates in children with cancer by 30%. Incorporating early nutrition interventions in hospitals is associated with a 36% reduction in per-patient costs. Despite these clear benefits, nutrition care is often not readily accessible as part of NCD management in children. Access to trained nutrition professionals is limited, and nutrition training for healthcare workers is often inadequate. There are cost-effective and scalable models for delivering high-quality nutrition care, but scaling these models will require commitment to capacity building, training, technological innovation, and monitoring frameworks. Coordinated, multisectoral responses are needed urgently to incorporate nutrition sustainably into healthcare systems to confront the growing burden of childhood NCDs.

Original languageEnglish
Article number1503
JournalChildren
Volume12
Issue number11
DOIs
StatePublished - Nov 2025

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • health systems
  • non-communicable diseases
  • nutrition
  • nutrition care
  • pediatrics

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