在资源有限的环境中解决与疾病相关的营养不良:基于专家共识的国际立场文件
Diana Cardenas1, Ines Ribeiro Ferreira2, Maria Isabel Toulson Davisson Correia3
1Nutrition Unit, Gustave Roussy, Villejuif, France.
Clinical nutrition (Edinburgh, Scotland)
|May 24, 2025
概括
在资源有限的环境中解决与疾病相关的营养不良需要克服诸如低意识和缺乏资源等障碍. 建议采取三步策略,以改善营养护理的准入.
科学领域:
- 临床营养学 临床营养学
- 公共卫生 公共卫生
- 全球卫生平等全球卫生平等
背景情况:
- 资源有限的环境 (RLSs) 在提供基本的营养护理方面面临重大挑战.
- 与疾病相关的营养不良 (DRM) 是RLS的一个主要问题,需要有针对性的策略.
- 一个专家小组召开会议,制定了改善营养护理准入和解决DRM的建议.
研究的目的:
- 识别和分析RLS营养护理方面的障碍.
- 为克服这些障碍提出可行的战略和建议.
- 定义一个框架,以加强服务不足的人群的营养护理.
主要方法:
- 一项在线调查评估了RLS的营养护理障碍,其中58名受访者来自低收入和中等收入国家.
- 一个由30名专家组成的小组在ESPEN大会上召开会议,讨论调查结果.
- 制定了共识声明,概述了解决发现障碍的战略.
主要成果:
- 关键障碍包括医疗和公众意识低,查不足,补偿不足,适应饮食和治疗的获取有限.
- 确定的差距包括需要流行病学数据,基于证据的最佳实践,以及加强教育和培训.
- 加强卫生系统对于有效的营养护理提供至关重要.
结论:
- 在RLS中解决DRM问题是复杂的,原因是高发病率和高收入国家指南的潜在不适用性.
- 工作组建议采取分阶段的三步战略,以改善获得营养护理的机会.
- 拟议的战略旨在弥合知识,能力和卫生系统对营养护理的支持方面的关键差距.
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