Lee Benjamin Lc
Nutrition Department, Adult Health Division, Health Promotion Board, Singapore.
Asia Pac J Clin Nutr. 2011;20(3):472-6.
The 2011 Dietary Guidelines were developed with the aim of providing guidance on what dietary strategies can best address increasing rates of obesity and non-communicable chronic disease in Singapore. This set of dietary guidelines was developed with a local expert committee based on a review of scientific literature and data on current dietary patterns from the 2010 National Nutrition Survey. Projected nutrient intakes from a diet adhering to the 2011 Dietary Guidelines were calculated using a local food composition database (FOCOS) and validated against nutrient recommendations. Acknowledging that dietary requirements differ between age groups, different sets of dietary guidelines have been developed and customised for different segments of the population. To date, Singapore has produced dietary guidelines for children and adolescents (focusing on establishing healthy lifelong eating patterns), adults (focusing on preventing obesity and reinforcing healthy eating patterns), and most recently, guidelines for older adults (>50 years of age) that address the issue of potential dietary insufficiency caused by age-related increases in nutrient requirements combined with a reduction in energy requirements. In Singapore, dietary guidelines have been used to inform and direct public policy and promote dietary patterns that meet nutrient requirements while reducing the risk of non-communicable chronic diseases. Examples of public policy include: national guidelines on food advertising and standards for food served in nursing homes; examples of public health promotion programmes include: the Healthier Choice Symbol Programme for packaged food products and programmes encouraging provision of healthier meals in hawker centres, restaurants, and school or workplace canteens.
《2011年膳食指南》的制定旨在为以下问题提供指导:何种膳食策略能够最有效地应对新加坡肥胖率和非传染性慢性病发病率不断上升的情况。这一套膳食指南是与当地一个专家委员会共同制定的,其依据是对科学文献以及2010年全国营养调查中当前膳食模式数据的审查。使用当地食物成分数据库(FOCOS)计算了遵循《2011年膳食指南》的饮食中预计的营养素摄入量,并对照营养素建议进行了验证。认识到不同年龄组的膳食需求有所不同,已针对不同人群制定并定制了不同套的膳食指南。迄今为止,新加坡已制定了针对儿童和青少年(着重于建立健康的终身饮食模式)、成年人(着重于预防肥胖和强化健康饮食模式)的膳食指南,以及最近针对老年人(50岁以上)的指南,该指南解决了因年龄增长导致营养素需求增加而能量需求减少所引起的潜在膳食不足问题。在新加坡,膳食指南已被用于为公共政策提供信息和指导,并推广符合营养素需求同时降低非传染性慢性病风险的膳食模式。公共政策的例子包括:关于食品广告的国家指南以及养老院提供食品的标准;公共卫生促进计划的例子包括:包装食品的健康选择标志计划以及鼓励在小贩中心(大排档)、餐馆、学校或工作场所食堂提供更健康膳食的计划。