Early childhood represents a critical developmental period during which nutrition provides the biological foundation for physical growth, brain maturation, cognitive development, and behavioral regulation. The traditional assessment of child development has largely focused on physical indicators such as weight and height; however, emerging scientific evidence emphasizes that complete growth requires a multidimensional approach integrating Body, Brain, and Behavior (3B) outcomes. The Body-Brain-Behavior Axis describes the interconnected relationship between nutritional intake, physiological growth, neurodevelopmental processes, and behavioral outcomes, highlighting nutrition as a fundamental regulator of lifelong health trajectories. During early life, rapid cellular proliferation, synapse formation, myelination, neurotransmitter synthesis, and immune development create a high demand for essential nutrients. Micronutrients including iron, zinc, iodine, DHA, B-vitamins, vitamin D, calcium, and magnesium act through multiple biological pathways to support these processes. Iron contributes to oxygen transport, energy metabolism, neurotransmitter synthesis, and myelination; iodine supports thyroid hormone production and neurological development; zinc regulates neuronal signaling, immune function, and synaptic plasticity; while DHA plays a critical role in neuronal membrane formation, synapse development, and cognitive function. B-vitamins participate in energy metabolism and neurotransmitter pathways, whereas vitamin D, calcium, and magnesium contribute to skeletal development, cellular signaling, and neurological regulation. The relationship between nutrition and development is bidirectional. Nutritional inadequacy can impair growth, reduce neuroplasticity, disrupt neurotransmitter balance, and influence emotional regulation, attention, learning ability, and social interaction. Conversely, adequate nutrient intake during critical developmental windows, particularly the first 1,000 days of life, supports optimal body growth, brain architecture, and behavioral competence. Nutrient deficiencies rarely affect a single developmental domain; rather, they create interconnected consequences across physical, cognitive, and emotional systems. This review explores the scientific mechanisms underlying the Body-Brain-Behavior Axis and examines how early-life nutrition and micronutrients influence neurodevelopment and behavioral regulation. Understanding these biological connections provides an integrated framework for healthcare professionals to promote holistic child development through evidence-based nutritional strategies.
| Published in | American Journal of Pediatrics (Volume 12, Issue 3) |
| DOI | 10.11648/j.ajp.20261203.12 |
| Page(s) | 103-110 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2026. Published by Science Publishing Group |
Body-Brain-Behavior Axis, Early-life Nutrition, Neurodevelopment, Cognitive Function, DHA, Iron Deficiency, Zinc, Iodine, Behavioral Regulation
| [1] | Georgieff MK. Nutrition and the developing brain: nutrient priorities and measurement. Nutrition Reviews. 2016; 74(4): 267-277. |
| [2] | Black MM. Micronutrient deficiencies and cognitive functioning. Journal of Nutrition. 2003; 133(11 Suppl 2): 3927S-3931S. |
| [3] | Victora CG, Adair L, Fall C, et al. Maternal and child undernutrition: consequences for adult health and human capital. The Lancet. 2008; 371(9609): 340-357. |
| [4] | Prado EL, Dewey KG. Nutrition and brain development in early life. Nutrition Reviews. 2014; 72(4): 267-284. |
| [5] | Cusick SE, Georgieff MK. The role of nutrition in brain development: the golden opportunity of the “first 1000 days.” Journal of Pediatrics. 2016; 175: 16-21. |
| [6] | Koletzko B, Boey CC, Campoy C, et al. Dietary fat intakes for pregnant and lactating women. British Journal of Nutrition. 2007; 98(5): 873-877. |
| [7] | Georgieff MK. Nutrition and the developing brain: nutrient priorities and measurement. Nutrition Reviews. 2016; 74(4): 267-277. |
| [8] | Prado EL, Dewey KG. Nutrition and brain development in early life. Nutrition Reviews. 2014; 72(4): 267-284. |
| [9] | Lozoff B, Beard J, Connor J, Felt B, Georgieff M, Schallert T. Long-lasting neural and behavioral effects of iron deficiency in infancy. Nutritional Reviews. 2006; 64(S1): S34-S43. |
| [10] | Saxton RA, Sabatini DM. mTOR Signaling in Growth, Metabolism, and Disease. Cell. 2017; 168(6): 960-976. |
| [11] | Wolfson RL, Sabatini DM. The Dawn of the Age of Amino Acid Sensors for the mTORC1 Pathway. Cell Metabolism. 2017; 26(2): 301-309. |
| [12] | Clemmons DR. Role of IGF-I in skeletal muscle mass development and maintenance. Journal of Endocrinology. 2009; 201(1): 1-9. |
| [13] | Prado EL, Dewey KG. Nutrition and brain development in early life. Nutrition Reviews. 2014; 72(4): 267-284. |
| [14] | Lupien SJ, McEwen BS, Gunnar MR, Heim C. Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nature Reviews Neuroscience. 2009; 10: 434-445. |
| [15] | Manning BD, Toker A. AKT/PKB signaling: navigating the network. Cell. 2017; 169(3): 381-405. |
| [16] | Saxton RA, Sabatini DM. mTOR signaling in growth, metabolism, and disease. Cell. 2017; 168(6): 960-976. |
| [17] | Inoki K, Zhu T, Guan KL. TSC2 mediates cellular energy response to control cell growth. Cell. 2003; 115(5): 577-590. |
| [18] | Koletzko B, Uauy R, et al. Long-chain polyunsaturated fatty acids and early development. Nestlé Nutrition Workshop Series Pediatric Program. 2011. |
| [19] | Nyaradi A, Foster JK, Hickling S, et al. Prospective associations between early childhood diet and cognitive performance. Frontiers in Nutrition. 2014. |
| [20] | Prado EL, Larson LM, Cox K, et al. Do malnutrition and micronutrient deficiencies influence child development? Current Opinion in Clinical Nutrition and Metabolic Care. 2019. |
| [21] | Stevens GA, Beal T, Mbuya MNN, et al. Micronutrient deficiencies among preschool-aged children worldwide. The Lancet Global Health. 2022; 10(11): e1590-e1599. |
| [22] | UNICEF. Improving child nutrition: the achievable imperative for global progress. UNICEF Report. 2023. |
| [23] | World Health Organization. Guideline: complementary feeding of infants and young children 6-23 months of age. WHO; 2023. |
| [24] | William A, Lachat C, et al. Long-term effects of multiple micronutrient supplementation on cognitive development of children aged 4-14 years: systematic review of randomized controlled trials. Nutrients. 2025. |
| [25] | Ding L, Strodl E, et al. Effects of prenatal micronutrient supplementation on neurobehavioral developmental outcomes in preschool children. Children. 2025. |
APA Style
Imam, I., Dhali, B. H., Hossain, M. M., Mahmuda, M., Sharjina, S., et al. (2026). The Science Behind the Body-Brain-Behavior Axis: How Early-Life Nutrition and Micronutrients Shape Neurodevelopment and Behavioral Regulation of Children. American Journal of Pediatrics, 12(3), 103-110. https://doi.org/10.11648/j.ajp.20261203.12
ACS Style
Imam, I.; Dhali, B. H.; Hossain, M. M.; Mahmuda, M.; Sharjina, S., et al. The Science Behind the Body-Brain-Behavior Axis: How Early-Life Nutrition and Micronutrients Shape Neurodevelopment and Behavioral Regulation of Children. Am. J. Pediatr. 2026, 12(3), 103-110. doi: 10.11648/j.ajp.20261203.12
AMA Style
Imam I, Dhali BH, Hossain MM, Mahmuda M, Sharjina S, et al. The Science Behind the Body-Brain-Behavior Axis: How Early-Life Nutrition and Micronutrients Shape Neurodevelopment and Behavioral Regulation of Children. Am J Pediatr. 2026;12(3):103-110. doi: 10.11648/j.ajp.20261203.12
@article{10.11648/j.ajp.20261203.12,
author = {Ilham Imam and Belayet Hossain Dhali and Mir Mosharof Hossain and Mumtahena Mahmuda and Sonia Sharjina and Rimarani Mazumder and Lipu Paul},
title = {The Science Behind the Body-Brain-Behavior Axis:
How Early-Life Nutrition and Micronutrients Shape Neurodevelopment and Behavioral Regulation of Children},
journal = {American Journal of Pediatrics},
volume = {12},
number = {3},
pages = {103-110},
doi = {10.11648/j.ajp.20261203.12},
url = {https://doi.org/10.11648/j.ajp.20261203.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20261203.12},
abstract = {Early childhood represents a critical developmental period during which nutrition provides the biological foundation for physical growth, brain maturation, cognitive development, and behavioral regulation. The traditional assessment of child development has largely focused on physical indicators such as weight and height; however, emerging scientific evidence emphasizes that complete growth requires a multidimensional approach integrating Body, Brain, and Behavior (3B) outcomes. The Body-Brain-Behavior Axis describes the interconnected relationship between nutritional intake, physiological growth, neurodevelopmental processes, and behavioral outcomes, highlighting nutrition as a fundamental regulator of lifelong health trajectories. During early life, rapid cellular proliferation, synapse formation, myelination, neurotransmitter synthesis, and immune development create a high demand for essential nutrients. Micronutrients including iron, zinc, iodine, DHA, B-vitamins, vitamin D, calcium, and magnesium act through multiple biological pathways to support these processes. Iron contributes to oxygen transport, energy metabolism, neurotransmitter synthesis, and myelination; iodine supports thyroid hormone production and neurological development; zinc regulates neuronal signaling, immune function, and synaptic plasticity; while DHA plays a critical role in neuronal membrane formation, synapse development, and cognitive function. B-vitamins participate in energy metabolism and neurotransmitter pathways, whereas vitamin D, calcium, and magnesium contribute to skeletal development, cellular signaling, and neurological regulation. The relationship between nutrition and development is bidirectional. Nutritional inadequacy can impair growth, reduce neuroplasticity, disrupt neurotransmitter balance, and influence emotional regulation, attention, learning ability, and social interaction. Conversely, adequate nutrient intake during critical developmental windows, particularly the first 1,000 days of life, supports optimal body growth, brain architecture, and behavioral competence. Nutrient deficiencies rarely affect a single developmental domain; rather, they create interconnected consequences across physical, cognitive, and emotional systems. This review explores the scientific mechanisms underlying the Body-Brain-Behavior Axis and examines how early-life nutrition and micronutrients influence neurodevelopment and behavioral regulation. Understanding these biological connections provides an integrated framework for healthcare professionals to promote holistic child development through evidence-based nutritional strategies.},
year = {2026}
}
TY - JOUR T1 - The Science Behind the Body-Brain-Behavior Axis: How Early-Life Nutrition and Micronutrients Shape Neurodevelopment and Behavioral Regulation of Children AU - Ilham Imam AU - Belayet Hossain Dhali AU - Mir Mosharof Hossain AU - Mumtahena Mahmuda AU - Sonia Sharjina AU - Rimarani Mazumder AU - Lipu Paul Y1 - 2026/09/20 PY - 2026 N1 - https://doi.org/10.11648/j.ajp.20261203.12 DO - 10.11648/j.ajp.20261203.12 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 103 EP - 110 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20261203.12 AB - Early childhood represents a critical developmental period during which nutrition provides the biological foundation for physical growth, brain maturation, cognitive development, and behavioral regulation. The traditional assessment of child development has largely focused on physical indicators such as weight and height; however, emerging scientific evidence emphasizes that complete growth requires a multidimensional approach integrating Body, Brain, and Behavior (3B) outcomes. The Body-Brain-Behavior Axis describes the interconnected relationship between nutritional intake, physiological growth, neurodevelopmental processes, and behavioral outcomes, highlighting nutrition as a fundamental regulator of lifelong health trajectories. During early life, rapid cellular proliferation, synapse formation, myelination, neurotransmitter synthesis, and immune development create a high demand for essential nutrients. Micronutrients including iron, zinc, iodine, DHA, B-vitamins, vitamin D, calcium, and magnesium act through multiple biological pathways to support these processes. Iron contributes to oxygen transport, energy metabolism, neurotransmitter synthesis, and myelination; iodine supports thyroid hormone production and neurological development; zinc regulates neuronal signaling, immune function, and synaptic plasticity; while DHA plays a critical role in neuronal membrane formation, synapse development, and cognitive function. B-vitamins participate in energy metabolism and neurotransmitter pathways, whereas vitamin D, calcium, and magnesium contribute to skeletal development, cellular signaling, and neurological regulation. The relationship between nutrition and development is bidirectional. Nutritional inadequacy can impair growth, reduce neuroplasticity, disrupt neurotransmitter balance, and influence emotional regulation, attention, learning ability, and social interaction. Conversely, adequate nutrient intake during critical developmental windows, particularly the first 1,000 days of life, supports optimal body growth, brain architecture, and behavioral competence. Nutrient deficiencies rarely affect a single developmental domain; rather, they create interconnected consequences across physical, cognitive, and emotional systems. This review explores the scientific mechanisms underlying the Body-Brain-Behavior Axis and examines how early-life nutrition and micronutrients influence neurodevelopment and behavioral regulation. Understanding these biological connections provides an integrated framework for healthcare professionals to promote holistic child development through evidence-based nutritional strategies. VL - 12 IS - 3 ER -