Nutritional Deficiencies in the First 1,000 Days: Why They Matter
- Kirsty Wadsworth

- Sep 24
- 5 min read
The first 1,000 days of life — from conception to a child’s second birthday — are a window of opportunity that shapes lifelong health. Nutrition during this time doesn’t just fuel growth, it lays down the foundations for brain development, immunity, and wellbeing into adulthood.
Unfortunately, this is also the period when nutritional deficiencies are most common — and their impact can be long-lasting.
In this blog, I’ll explain:- Which nutrients matter most during the first 1,000 days- Why deficiencies happen- How nutrition and lifestyle affect epigenetics- How I can support you — wherever you are on this journey.
Why Nutrition Matters So Much in the First 1,000 Days.
During pregnancy and early childhood, the body grows at an extraordinary rate. For example, a baby’s brain doubles in size in the first year! To keep up, there’s a high demand for key nutrients. If these are lacking, growth and development can be compromised.
This is why supporting nutrition before conception, during pregnancy, and in toddlerhood is so important — it’s one connected journey.
👉 Learn more about my Fertility Nutrition support | Pregnancy Nutrition services | Fussy Eating support
Nutrition and Epigenetics
Here’s where it gets really fascinating: nutrition in the first 1,000 days doesn’t just give your baby energy — it can actually influence which of their genes are “switched on or off.” This process is called epigenetics.- Think of your baby’s DNA as a recipe book. The recipes are there, but epigenetics decides which ones get used most often.- Nutrients like folate, vitamin B12, and choline provide the building blocks for this process.- The way genes are expressed during pregnancy and early life can shape everything from metabolism to long-term risk of conditions like heart disease or diabetes.
And here’s the exciting part: nutrition and lifestyle are modifiable factors in epigenetics. That means although we can’t change our genes, the food we eat, the nutrients we provide, and even our daily habits can positively influence how those genes are expressed.
💡 How I can help: Many families I work with feel overwhelmed — “Am I eating the right things?”, “What if I get it wrong?”, “What if my child refuses vegetables?” My role is to take away that anxiety and give you clear, practical steps that work for your family.
The Impact of Deficiencies on Fertility Outcomes
Good nutrition isn’t just important once you’re pregnant — it starts much earlier. Research shows that certain deficiencies can make it harder to conceive and may affect the health of both eggs and sperm.-
Folate: Low folate levels are linked to reduced fertility and increased risk of early miscarriage.
Iron: Iron deficiency can contribute to anovulation (not releasing an egg), making conception more difficult.
Vitamin D: Low vitamin D is associated with reduced IVF success rates and poorer fertility outcomes overall.
Iodine: Plays a key role in thyroid function, which directly affects ovulation and menstrual regularity.
Omega-3s: Support egg quality and sperm health, yet many couples don’t get enough.
During the months before conception, sperm and egg cells are developing and rapidly dividing. This is a time when certain nutrients — such as folate, vitamin B12, zinc, and antioxidants — are needed in constant supply. A lack of these nutrients can contribute to DNA fragmentation, which may lower fertility potential and increase the risk of difficulties in conception or early pregnancy.
💡 How I can help: If you’re trying to conceive, it’s easy to feel anxious about whether you’re “doing the right things.” I help individuals and couples create a clear, evidence-based plan that supports fertility through nutrition — without confusion, guilt, or overwhelm.
Key Nutrients and Common Deficiencies
Folate
- Why it matters: Crucial for early cell division and preventing neural tube defects.- Risk of deficiency: Not enough folate before and during early pregnancy can increase risk of complications.- Food sources: Leafy greens, beans, lentils, fortified cereals.💡 How I can help: If you’re planning for pregnancy, I’ll help you get folate right before conception — giving you peace of mind that you’re supporting your baby from day one.
Iron
- Why it matters: Supports oxygen transport and brain development.- Risk of deficiency: Iron deficiency is common in pregnancy and toddlerhood. It can cause fatigue for mums and delayed development in little ones.- Food sources: Red meat, beans, lentils, fortified cereals, green vegetables.💡 How I can help: If you’re pregnant and struggling with tiredness, or worried about your toddler’s diet, I can help you find realistic food swaps and supplement options.
Vitamin D
- Why it matters: Essential for bone health and immunity.- Risk of deficiency: In the UK, we often don’t get enough sun to make vitamin D, especially in pregnancy and early childhood.- Food sources: Oily fish, eggs, fortified spreads — but supplements are often needed.
💡 How I can help: I’ll guide you on the right supplements, tailored to your needs, so you don’t have to second-guess.
Iodine
- Why it matters: Supports thyroid function and brain development.- Risk of deficiency: Increasingly seen in UK women of childbearing age.- Food sources: Dairy products, white fish, eggs.
💡 How I can help: If you’re vegetarian, vegan, or unsure if you’re getting enough iodine, I’ll help you adapt your diet without stress.
Omega-3 fatty acids (DHA)
- Why it matters: Supports brain and eye development in babies.- Risk of deficiency: Many adults don’t eat enough oily fish.- Food sources: Salmon, sardines, mackerel, walnuts, chia seeds.
💡 How I can help: I’ll give you easy, family-friendly ways to boost omega-3s — without needing fancy or expensive ingredients.
Why Do Deficiencies Happen?
- Higher demands during pregnancy and toddler growth spurts- Limited dietary variety (especially in fussy eaters)- Restrictive diets (vegan/vegetarian without careful planning)- Lack of awareness about supplements
💡 How I can help: If you’re worried you’re “failing” at getting it all right, please know you’re not alone. My job is to make it feel achievable and realistic, not overwhelming.
Practical Steps for Families
1. Start before pregnancy: Plan folate and vitamin D early.
2. Balance your plate: Protein, wholegrains, fruit/veg, healthy fats.
3. Don’t ignore supplements: Especially folic acid and vitamin D in the UK.
4. Support fussy eaters: Routine and gentle exposure matter more than pressure.
Final Thoughts
The first 1,000 days set the stage for lifelong health — but that journey begins well before pregnancy. Nutritional deficiencies can impact fertility outcomes, pregnancy health, toddler growth, and even long-term wellbeing through epigenetics.
The good news? Nutrition and lifestyle are modifiable factors you can take charge of today.
💬 If you’d like personalised support, I offer one-to-one consultations in fertility, pregnancy, and paediatric nutrition — all under my Nourish & Grow umbrella.
📍 Based in Lincolnshire, I support families locally and online.





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