{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T18:53:41Z","timestamp":1782327221899,"version":"3.54.5"},"reference-count":98,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The first 3 years of life represent a critical period for shaping long-term health patterns, with day care centers offering strategic settings for implementing early nutritional interventions. This scoping review aimed to analyze existing guidelines and recommendations for food provision in day care centers, identifying common principles, existing gaps, and inconsistencies. Searches were performed in Google Scholar and on the official websites of national\/regional health ministries from December 2024 to January 2025, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) Checklist. Twenty-nine official documents from 17 countries were included from the gray literature. Findings revealed wide heterogeneity in age ranges, portion sizes, and recommended food frequencies. Most guidelines recommend the daily inclusion of breast milk, meat, fish, eggs, vegetables, fruits, and dairy products. There was broad consensus on limiting added sugars and salt. Nonetheless, several gaps were identified: Common inclusion of red and processed meat, insufficient emphasis on fish and plant-based protein sources, underpromotion of whole grains, and some permissiveness toward fruit juices and ultraprocessed foods.<\/jats:p>\n                  <jats:p>Also, quantitative recommendations were often incomplete, and few guidelines addressed vegetarian diets and texture progression. The review highlights the urgent need for harmonized, evidence-based, and contextually nutritional guidelines tailored to day care centers. Standardized frameworks could improve food provision quality, contribute to healthier eating habits in early childhood, and support long-term benefits for public health outcomes. This scoping review is registered in the Open Science Framework (DOI: 10.17605\/OSF.IO\/CWG8E).<\/jats:p>","DOI":"10.1093\/nutrit\/nuag091","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T11:47:15Z","timestamp":1778845635000},"source":"Crossref","is-referenced-by-count":0,"title":["A Scoping Review of Nutritional Guidelines and Practices in Day Care Centers"],"prefix":"10.1093","author":[{"given":"Francisca R","family":"Costa","sequence":"first","affiliation":[{"name":"Faculdade de Ci\u00eancias da Nutri\u00e7\u00e3o e Alimenta\u00e7\u00e3o (Faculty of Nutrition and Food Sciences), Universidade do Porto (University of Porto) , Porto 4150-180,","place":["Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9738-704X","authenticated-orcid":false,"given":"Beatriz","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias da Nutri\u00e7\u00e3o e Alimenta\u00e7\u00e3o (Faculty of Nutrition and Food Sciences), Universidade do Porto (University of Porto) , Porto 4150-180,","place":["Portugal"]},{"name":"EPIUnit ITR, Instituto de Sa\u00fade P\u00fablica da Universidade do Porto (EPIUnit ITR, Institute of Public Health of the University Porto), Universidade do Porto (University of Porto) , Porto 4050-600,","place":["Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessia","family":"Lombardi","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias da Nutri\u00e7\u00e3o e Alimenta\u00e7\u00e3o (Faculty of Nutrition and Food Sciences), Universidade do Porto (University of Porto) , Porto 4150-180,","place":["Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana e","family":"Silva","sequence":"additional","affiliation":[{"name":"Faculdade de Ci\u00eancias da Nutri\u00e7\u00e3o e Alimenta\u00e7\u00e3o (Faculty of Nutrition and Food Sciences), Universidade do Porto (University of Porto) , Porto 4150-180,","place":["Portugal"]},{"name":"Center for Health Technology and Services Research\u2014CINTESIS, Faculty of Medicine, University of Porto , Porto 4200-450,","place":["Portugal"]},{"name":"Servi\u00e7o de Pediatria\u2014UAG da Mulher e da Crian\u00e7a (Paediatrics Department\u2014Women\u2019s and Children\u2019s Unit), Unidade Local Saude S\u00e3o Jo\u00e3o (ULSSJ) (Local Health Unit S\u00e3o Jo\u00e3o) , Porto 4200-319,","place":["Portugal"]},{"name":"Servi\u00e7o de Nutri\u00e7\u00e3o (Nutrition Department), ULSSJ (Local Health Unit, S\u00e3o Jo\u00e3o) , Porto 4200-319,","place":["Portugal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"2026062414365293000_nuag091-B1","doi-asserted-by":"publisher","first-page":"04028","DOI":"10.7189\/jogh.14.04028","article-title":"Childcare centre attendance and health, growth, and development among children aged 0-3 years in low- and middle-income countries: a systematic review","volume":"14","author":"Behbehani","year":"2024","journal-title":"J Glob Health"},{"key":"2026062414365293000_nuag091-B2","volume-title":"Cren\u00e7as e pr\u00e1ticas educativas alimentares das educadoras de inf\u00e2ncia em creches e jardins de inf\u00e2ncia","author":"Antunes","year":"2022"},{"key":"2026062414365293000_nuag091-B3","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1097\/j.pbj.0000000000000250","article-title":"Early feeding and nutritional status of Portuguese children in the first 36 months of life: EPACI Portugal 2012-a national representative cross-sectional study","volume":"9","author":"Nazareth","year":"2024","journal-title":"Porto Biomed J"},{"key":"2026062414365293000_nuag091-B4","doi-asserted-by":"publisher","first-page":"838","DOI":"10.3390\/ijerph13090838","article-title":"Nutrition in the first 1000 days: the origin of childhood obesity","volume":"13","author":"Mameli","year":"2016","journal-title":"Int J Environ Res Public Health"},{"key":"2026062414365293000_nuag091-B5","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1017\/s0029665112000596","article-title":"Early nutrition programming of long-term health","volume":"71","author":"Koletzko","year":"2012","journal-title":"Proc Nutr Soc"},{"key":"2026062414365293000_nuag091-B6","doi-asserted-by":"publisher","first-page":"6","DOI":"10.21011\/apn.2024.3702","article-title":"Caracteriza\u00e7\u00e3o da oferta alimentar da refei\u00e7\u00e3o almo\u00e7o e lanche em creches portuguesas: resultados do projeto \u201cCreche com Sabor e Sa\u00fade\u201d - 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