# Addressing Childhood Malnutrition in Europe: Policy Approaches to Promote Healthy Eating in Young Children

## TL;DR

Europe struggles with both undernutrition and childhood obesity, and a unified strategy is needed to promote healthy eating in young children.

## Contribution

The paper proposes a unified European strategy with time-bound actions to address the double burden of childhood malnutrition.

## Key findings

- Childhood malnutrition in Europe includes both undernutrition and obesity, disproportionately affecting vulnerable groups.
- Current EU and WHO frameworks are fragmented and lack coordinated implementation.
- A unified strategy with harmonized guidelines, screening, and fiscal measures is needed to reduce inequalities.

## Abstract

What are the main findings?
Europe faces a persistent double burden of childhood malnutrition, with undernutrition and obesity coexisting and disproportionately affecting vulnerable groups.Existing EU and WHO frameworks have improved awareness, but remain fragmented, lacking harmonized monitoring and coordinated implementation across Member States.

Europe faces a persistent double burden of childhood malnutrition, with undernutrition and obesity coexisting and disproportionately affecting vulnerable groups.

Existing EU and WHO frameworks have improved awareness, but remain fragmented, lacking harmonized monitoring and coordinated implementation across Member States.

What are the implications of the main findings?
A unified European strategy is required, integrating harmonized dietary guidelines, universal screening, fiscal measures, and school-based nutrition policies to address inequalities.Implementing a coordinated roadmap across short-, mid-, and long-term horizons can strengthen prevention of malnutrition and support healthier developmental outcomes for all children.

A unified European strategy is required, integrating harmonized dietary guidelines, universal screening, fiscal measures, and school-based nutrition policies to address inequalities.

Implementing a coordinated roadmap across short-, mid-, and long-term horizons can strengthen prevention of malnutrition and support healthier developmental outcomes for all children.

Childhood malnutrition remains a pressing public health challenge in Europe, where stunting, wasting, and underweight coexist with rising rates of childhood overweight and obesity. This policy review provides a strategic roadmap for promoting healthy nutrition in early childhood by synthesizing WHO and EU guidance and proposing coordinated action across three time horizons. Short-term goals (1–3 years) include harmonizing food-based dietary guidelines, implementing universal nutrition screening in pediatric care, and strengthening breastfeeding-supportive environments. Mid-term priorities (3–7 years) focus on fiscal levers, such as sugar taxes and healthy food subsidies; reformulating children’s products; and embedding nutrition education within school curricula. Long-term strategies (7+ years) emphasize harmonized EU-wide monitoring systems, alignment of early-life nutrition with social protection policies, and sustained investment in research on the DOHaD. Through a unified, multisectoral strategy emphasizing early-life nutrition, equitable access to healthy foods, education, and robust regulation, Europe can effectively address the double burden of malnutrition and sustainably reduce childhood obesity.