营养不良双重负担的经济影响
Rachel Nugent1, Carol Levin2, Jessica Hale3
1RTI International, Seattle, WA, USA; University of Washington Department of Global Health, Seattle, WA, USA.
Lancet (London, England)
|December 20, 2019
概括
营养不良 (DBM) 的双重负担包括营养不良和肥胖, 双重干预同时解决两种情况比单独的方案更具成本效益.
科学领域:
- 公共卫生与营养
- 健康经济学
- 儿童发育医学
背景情况:
- 营养不良的双重负担 (DBM) 涉及人口中营养不良 (衰退) 和营养过剩 (超重/肥胖) 的同时存在.
- DBM导致不良健康结果,包括发育障碍,增加疾病易感性和非传染性疾病的风险.
- DBM的经济后果,如生产力下降和医疗保健成本上升,很大,但往往无法量化.
研究的目的:
- 分析营养不良带来的经济成本和好处,
- 与单一重点计划相比,评估"双重任务"干预措施的经济效率.
- 通过提供综合营养战略的经济证据来指导政策决策.
主要方法:
- 对营养不良现有经济建模方法的审查.
- 确定目前用于评估DBM经济损失的模型的弱点.
- 对4岁以上儿童的双重干预 (改善饮食质量的学校用餐) 的经济分析.
主要成果:
- 现有的经济模型不足以准确衡量与DBM相关的损失.
- 双重干预,如改善学校用餐,显示了成本节约和效率的潜力.
- 拟议的方法证明了评估综合营养干预措施的经济影响的合理性.
结论:
- 综合"双重功能的"营养干预措施可以比单独的缩和超重计划更有效和更具成本效益.
- 经济评估对于选择最佳的营养干预措施至关重要.
- 需要进一步改进数据和建模,以便对DBM干预措施进行更精确的经济估计.
相关概念视频
Anorexia Nervosa
808
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
808
Energy Budgets
10.5K
Organisms must balance energy intake with the energy required for growth, maintenance and reproduction. These trade-offs result in a variety of survivorship and reproductive strategies, including semelparity and iteroparity. Semelparous species, like annual plants, have only one reproductive episode in their lifetimes and consequently have short lifespans. Iteroparous species, by contrast, have many reproductive events during their lifetimes but have relatively few offspring. These two...
10.5K
Obesity
1.1K
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
1.1K
Overview of Protein Metabolism
3.5K
Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
3.5K
Bulimia Nervosa
608
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
608
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K


