世卫组织最近关于急性营养不良的指导方针高估了治疗能源需求
Harshpal Singh Sachdev1, Anura V Kurpad2
1Paediatrics and Clinical Epidemiology, Sitaram Bhartia Institute of Science and Research, New Delhi, 110016, India.
The Lancet regional health. Southeast Asia
|May 29, 2024
概括
世界卫生组织 世界卫生组织
科学领域:
- 儿科 儿科 儿科
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 世界卫生组织 (WHO) 更新了管理5岁以下儿童急性营养不良的指导方针.
- 目前关于准备使用的治疗食品 (RUTF) 能量摄入的指导方针可能过度.
- 世卫组织更新的指导方针中的实际指导有显著的差距.
研究的目的:
- 重新评估RUTF在治疗严重消耗和营养的治疗中推的能量摄入量.
- 识别和解决急性营养不良管理指南的实际实施中的关键缺口.
- 探索替代营养框架和治疗性养策略.
主要方法:
- 基于替代营养框架的RUTF的能量需求重新计算.
- 分析现有的世卫组织指导方针,以确定实际实施的挑战.
- 对治疗性养持续时间和过渡到家庭饮食的审查.
主要成果:
- 其他计算表明,与世卫组织的建议 (150-185 kcal/kg/day) 相比,RUTF (105-120 kcal/kg/day) 的能量需求更低.
- 与推的热量过度养相关的潜在不良后果.
- 在关于过渡到家庭饮食,治疗性食的持续时间和使用家庭食品的指南中发现了重大差距.
结论:
- 推的RUTF能量摄入量可能导致过度养,需要审查当前的指导方针.
- 解决实际指导缺口对于有效管理急性营养不良至关重要.
- 需要进一步研究最佳养策略,特别是对不响应者和增强家庭食品的作用.
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