印度儿童骨强化的策略:实施的挑战
Satinath Mukhopadhyay1, Deep Dutta2
1Department of Endocrinology & Metabolism, Institute of Postgraduate Medical Education & Research, Kolkata, India.
The Indian journal of medical research
|October 3, 2024
概括
维生素D缺乏影响70-90%的印度儿童,导致骨和生长问题. 强化食品,如牛奶或油,是一种可行的策略,以对抗这种普遍的缺陷.
科学领域:
- 公共卫生 营养 公共卫生 营养
- 儿科内分泌学 儿科内分泌学
- 营养流行病学 营养流行病学
背景情况:
- 维生素D缺乏是一个全球性问题,与儿童和成年人的许多健康问题有关,包括骨疾病,免疫功能障碍和慢性疾病风险增加.
- 在印度,儿童中维生素D缺乏的患病率和影响需要显著的公共卫生关注和有针对性的干预措施.
研究的目的:
- 审查印度儿童维生素D缺乏的负担.
- 探索公共卫生影响和潜在的治疗和预防策略,专注于实施研究.
- 为了评估食品强化作为一种解决方案的有效性.
主要方法:
- 在主要数据库 (PubMed,Embase,CNKI,Cochrane) 和临床试验注册表中进行系统的文献搜索.
- 关键词包括"维生素D"",胆硫醇"",欧戈硫醇"和"儿童",与布尔运算符相结合.
- 审查现有关于患病率,健康影响和干预有效性的证据.
主要成果:
- 印度儿童中维生素D缺乏/不足的患病率在70%至90%之间.
- 常见的健康问题包括恶心病,发育迟缓,骨和牙健康受损.
- 口服补充剂耐受性很好;食品强化 (例如,牛奶,油,强化拉杜斯) 对印度来说是有希望的.
结论:
- 有大量证据支持印度用维生素D强化食品的重要性和有效性.
- 广泛消费的食品的强化是一种解决儿童维生素D缺乏的流行病的实用方法.
- 实施研究可以指导维生素D补充和强化计划的有效公共卫生策略.
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