Tomlinson Mark, Landman Mireille
Health Systems Research Unit, Medical Research Council, PO Box 19070, Tygerberg 7505, Cape Town, South Africa.
Matern Child Nutr. 2007 Oct;3(4):292-302. doi: 10.1111/j.1740-8709.2007.00113.x.
In recent years, attention has increasingly focused on the wider context of nutrition, rather than simply on calorie and nutrient intake. Recent estimates put the figure of people in the world living in extreme poverty (an income of less than $1 a day) at 1.1 billion. This has significant implications for nutritional deficiencies in infants and young children. In this paper, we will show how the physical growth and psychological development of infants and children are intimately linked, and how many of the same aetiological factors (such as caregiver sensitivity, psychosocial support, communicative exchange between infant/child and their caregiver) are implicated in both domains. Preliminary evidence indicates that community-based interventions impact on the mother-infant relationship as well as infant physical growth, and contribute to the increasing sense of how aspects of the early relationship between infants and their caretakers are crucial to any complete understanding of infant growth and development. The paediatric food-based dietary guidelines (PFBDGs) include guidelines relating to the mother-infant relationship and may thus prove to be a significant tool in community interventions.
近年来，人们越来越关注更广泛的营养背景，而不仅仅是卡路里和营养素的摄入量。最近的估计表明，世界上生活在极端贫困中的人口（每天收入不足1美元）达到11亿。这对婴幼儿的营养缺乏问题具有重大影响。在本文中，我们将展示婴幼儿的身体生长和心理发展是如何紧密相连的，以及许多相同的病因因素（如照顾者的敏感性、心理社会支持、婴幼儿与其照顾者之间的交流互动）是如何在这两个领域中发挥作用的。初步证据表明，基于社区的干预措施会影响母婴关系以及婴儿的身体生长，并有助于人们越来越认识到婴幼儿与其照顾者之间早期关系的各个方面对于全面理解婴儿生长发育的至关重要性。基于食物的儿科膳食指南（PFBDGs）包括与母婴关系相关的指南，因此可能被证明是社区干预中的一项重要工具。
