Llanos Adolfo, Oyarzún María Teresa, Bonvecchio Anabelle, Rivera Juan A, Uauy Ricardo
Institute of Nutrition and Food Technology (INTA), Santiago, Chile.
Public Health Nutr. 2008 May;11(5):466-77. doi: 10.1017/S1368980007000730. Epub 2007 Aug 22.
Concordance of nutritional research priorities with the related burden of disease is essential to develop cost-effective interventions to address the nutritional problems of populations. The present study aimed to evaluate whether nutrition research priorities are in agreement with the population's nutritional problems in Latin America.
The epidemiological profile was contrasted with the research priorities and research produced by academic institutions for each country. Qualitative analysis of research production by type of contribution to problem solving was also conducted.
Nine Latin American countries.
Obesity (high body mass index (BMI)) and micronutrient deficiencies (anaemia) emerged as key problems, followed by stunting, breast-feeding/lactation and low birth weight. Wasting in children and women (low BMI) was uncommon. Concordance of ranked research priorities with the epidemiological profile of the country was generally good for nutrition-related chronic diseases, micronutrients and low birth weight, but not for undernutrition, stunting and breast-feeding. Studies on the efficacy and effectiveness of interventions were uncommon.
The present research agenda insufficiently supports the goal of public health nutrition, which is to ensure the implementation of cost-effective nutrition programmes and policies. A more rational approach to define research priorities is needed.
营养研究重点与相关疾病负担保持一致对于制定具有成本效益的干预措施以解决人群营养问题至关重要。本研究旨在评估拉丁美洲的营养研究重点是否与该地区人群的营养问题相符。
将每个国家的流行病学概况与学术机构的研究重点及研究成果进行对比。还对解决问题的贡献类型所产生的研究成果进行了定性分析。
九个拉丁美洲国家。
肥胖(高体重指数(BMI))和微量营养素缺乏(贫血)成为关键问题,其次是发育迟缓、母乳喂养/哺乳期和低出生体重。儿童和妇女消瘦(低BMI)情况不常见。在营养相关慢性病、微量营养素和低出生体重方面,排名研究重点与该国流行病学概况的一致性总体良好,但在营养不良、发育迟缓和母乳喂养方面则不然。关于干预措施有效性的研究并不常见。
当前的研究议程对公共卫生营养目标(即确保实施具有成本效益的营养计划和政策)的支持不足。需要一种更合理的方法来确定研究重点。