什么是有效的? 针对母亲和儿童营养不良和生存率的干预措施
Zulfiqar A Bhutta1, Tahmeed Ahmed, Robert E Black
1Aga Khan University, Karachi, Pakistan. zulfiqar.bhutta@aku.edup
Lancet (London, England)
|January 22, 2008
概括
有效的母婴营养干预措施可以显著减少发育迟缓和死亡率. 解决贫困等根本原因和改善教育对于长期消除营养不良至关重要.
科学领域:
- 公共卫生与营养
- 全球健康 全球健康
- 孕产妇和儿童的健康
背景情况:
- 母婴营养不良仍然是一个关键的全球健康挑战,影响生存,增长和发展.
- 现有的干预措施针对营养,疾病预防和支持策略的各个方面.
研究的目的:
- 审查影响母亲和儿童营养不良和营养相关结果的干预措施.
- 评估当前干预措施对发育迟缓,死亡率和残疾调整后寿命年数的潜在影响.
主要方法:
- 对干预措施的系统审查,包括促进母乳养,补充养,微量营养素补充和减少疾病的策略.
- 利用一个队列模型来预测36个高负担国家的干预措施的影响.
主要成果:
- 促进母乳养会影响存活率,但对发育迟缓的影响很小.
- 补充养教育和食补充剂对高度对年龄的Z分数产生了积极影响.
- 严重急性营养不良的管理,包括准备好使用的治疗食品,显著降低病例死亡率.
- 对于孕妇 (叶酸铁,一般微量营养素) 和儿童 (维生素A,,铁,盐) 的微量营养素干预表明有好处.
- 模型预测表明,干预措施可以将发育迟缓降低36%,死亡率降低25%.
结论:
- 目前的营养和疾病预防干预措施为减少儿童发育迟缓和死亡率提供了巨大的潜力.
- 长期消除发育迟缓需要解决诸如贫困,教育和妇女赋权等潜在决定因素.
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