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全球孕产妇和儿童营养不足以及微量营养素缺乏问题。

Global burden of maternal and child undernutrition and micronutrient deficiencies.

机构信息

Centre for Nutrition and Food Security, International Centre for Diarrhoeal Disease Research Bangladesh, Dhaka, Bangladesh.

出版信息

Ann Nutr Metab. 2012;61 Suppl 1:8-17. doi: 10.1159/000345165. Epub 2013 Jan 21.

Abstract

Maternal and child undernutrition and micronutrient deficiencies affect approximately half of the world's population. These conditions include intrauterine growth restriction (IUGR), low birth weight, protein-energy malnutrition, chronic energy deficit of women, and micronutrient deficiencies. Although the rates of stunting or chronic protein-energy malnutrition are increasing in Africa, the absolute numbers of stunted children are much higher in Asia. The four common micronutrient deficiencies include those of iron, iodine, vitamin A, and zinc. All these conditions are responsible directly or indirectly for more than 50% of all under-5 deaths globally. According to more recent estimates, IUGR, stunting and severe wasting are responsible for one third of under-5 mortality. About 12% of deaths among under-5 children are attributed to the deficiency of the four common micronutrients. Despite tremendous progress in different disciplines and unprecedented improvement with many health indicators, persistently high undernutrition rates are a shame to the society. Human development is not possible without taking care to control undernutrition and micronutrient deficiencies. Poverty, food insecurity, ignorance, lack of appropriate infant and young child feeding practices, heavy burden of infectious illnesses, and poor hygiene and sanitation are factors responsible for the high levels of maternal and child undernutrition in developing countries. These factors can be controlled or removed by scaling up direct nutrition interventions and eliminating the root conditions including female illiteracy, lack of livelihoods, lack of women's empowerment, and poor hygiene and sanitation.

摘要

孕产妇和儿童营养不足以及微量营养素缺乏影响了全球约一半的人口。这些情况包括宫内生长受限(IUGR)、低出生体重、蛋白质-能量营养不良、妇女慢性能量不足以及微量营养素缺乏。尽管非洲发育迟缓或慢性蛋白质-能量营养不良的发病率正在上升,但亚洲发育迟缓儿童的绝对数量要高得多。四种常见的微量营养素缺乏症包括缺铁、缺碘、维生素 A 和缺锌。所有这些情况直接或间接导致全球 5 岁以下儿童死亡人数超过 50%。根据最近的估计,IUGR、发育迟缓以及严重消瘦导致了全球 5 岁以下儿童三分之一的死亡。约有 12%的 5 岁以下儿童死亡归因于四种常见微量营养素的缺乏。尽管不同学科取得了巨大进展,许多健康指标也取得了前所未有的改善,但营养不足率居高不下仍是社会的耻辱。如果不注意控制营养不足和微量营养素缺乏,人类发展是不可能实现的。贫困、粮食不安全、无知、缺乏适当的婴幼儿喂养做法、传染病负担沉重以及卫生和环境卫生条件差,是发展中国家孕产妇和儿童营养不足率居高不下的原因。通过扩大直接营养干预措施并消除包括女性文盲、缺乏生计、妇女赋权不足和卫生与环境卫生条件差在内的根本条件,可以控制或消除这些因素。

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