Brázdová Z, Ruprich J, Hrubá D, Petráková A
Dept. of Preventive Medicine, School of Medicine, Masaryk University of Brno, Czech Republic.
Cent Eur J Public Health. 2001 Feb;9(1):30-4.
In developed countries, dietary guidelines are more and more often used as a source of binding information not only in public health, food production, nutrition and agricultural policy, but in ecology and economy as well. In view of that, it is imperative to formulate such guidelines that would be supported by relevant population studies and correspond to the European model of WHO/CINDI guidelines. At the turn of the millennium, the Czech guidelines were updated in order that serving sizes of 5 basic food groups were brought closer to contemporary trends emphasizing lower protein intakes and at the same time, by setting limit ranges, they were able to meet specific need of people of different age group, sex, physiological status, physical activity, etc. The conversion of recommended servings to nutrients was compared with the results of the actual food basket of the Czech population and specific recommendations for amendments in proportions of individual food items in food groups and subgroups were given. On the basis of diet guidelines, conclusions describing tasks for the beginning of the third millennium were made. Besides them the most important are: production or health information systems with special emphasis to food intake and nutritional status report, policies to increase the access to vegetables and fruit for vulnerable groups, legislation to curb advertising high-fat energy-dense foods to children, policy to strengthen the operational targets of Innocenti Declaration and to increase the number of Baby Friendly Hospitals, legislation regarding food control systems based on international standards, sustainable campaigns to promote safe healthy diet, policies to ensure sustainable food production.
在发达国家,膳食指南越来越多地被用作具有约束力的信息来源,不仅用于公共卫生、食品生产、营养和农业政策,还用于生态和经济领域。鉴于此,制定得到相关人群研究支持且符合世卫组织/欧洲健康城市项目(CINDI)指南欧洲模式的膳食指南势在必行。在千年之交,捷克的膳食指南进行了更新,以使5个基本食物组的食用量更贴近强调较低蛋白质摄入量的当代趋势,同时通过设定限量范围,满足不同年龄组、性别、生理状态、身体活动水平等人群的特定需求。将推荐食用量换算为营养素,并与捷克民众实际食物篮的结果进行比较,针对食物组和亚组中各类食物比例的调整给出了具体建议。基于膳食指南,得出了关于第三个千年伊始各项任务的结论。除此之外,最重要的还有:建立侧重于食物摄入和营养状况报告的生产或健康信息系统、制定政策增加弱势群体获取蔬菜和水果的机会、立法限制向儿童宣传高脂肪高能量密度食品、加强因诺琴蒂宣言行动目标及增加爱婴医院数量的政策、基于国际标准的食品控制系统立法、推广安全健康饮食的可持续运动、确保可持续食品生产的政策。