双重行動:あらゆる形態の栄養失調に対処するためのプログラムと政策の機会を活用する
Corinna Hawkes1, Marie T Ruel2, Leah Salm2
1Centre for Food Policy, City, University of London, London, UK.
Lancet (London, England)
|December 20, 2019
まとめ
栄養失調に対処するには 総合的なアプローチが必要です 栄養不足と過剰体重/肥満を同時に解決する二重の取り組みで,世界的な健康問題に対する 統一された戦略を提示します.
科学分野:
- 栄養学
- 公衆衛生
- 世界保健
背景:
- 栄養失調は断片的なアプローチで対処され,総合的な解決策を阻害しています.
- 栄養不足と肥満の共存 (栄養不良の二重負担) は,公衆衛生上の複雑な課題を提示しています.
- 既存の栄養プログラムでは 肥満や食生活による非伝染性疾患 (DR-NCD) を 意図せず悪化させる可能性があります
研究 の 目的:
- 栄養不足と過剰体重/肥満/DR-NCDを同時に解決する"二重対策"を特定し評価する.
- 栄養失調のさまざまな形態を結びつける共通要因に関する証拠をまとめること.
- 統合された栄養失調対策の策定と実施のための枠組みを提案する.
主な方法:
- 栄養失調の原因とプログラムの影響に関する証拠の体系的なレビュー
- 既存の文献に基づいた"二重対策"の特定と分析
- 統合された栄養失調対策のための概念的枠組みの構築
主要な成果:
- 栄養不足と過剰体重/肥満/DR-NCDの両方を緩和する可能性がある10の"二重行動"が特定されました.
- 共通する要因には 幼少期の栄養,食事の多様性,食環境,社会経済的要因が含まれる.
- いくつかの栄養プログラムが肥満とDR-NCDに 負の影響を及ぼしうるという証拠があります 特に栄養の移行期には
結論:
- 統合された"二重対策"は,栄養不良のスペクトルに効果的に取り組むために不可欠です.
- これらの統合戦略の実施を導くための枠組みと実行可能なステップが提案されています.
- 栄養失調を全面的に制御するための"二重対策"を採用し,拡大するための緊急措置が必要である.
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