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维生素 A 缺乏症防治措施:在印度背景下,将维生素 A 补充作为公共卫生政策的重要性。

Vitamin A deficiency control measures: importance of vitamin A supplementation as a public health policy in the Indian context.

机构信息

Division of Community Studies, National Institute of Nutrition, ICMR, Jamai-Osmania (PO), Hyderabad 500007, India.

出版信息

J Public Health Policy. 2013 Nov;34(4):538-48. doi: 10.1057/jphp.2013.28. Epub 2013 Jun 13.

Abstract

Recently prominent nutrition scientists across the world have opposed continuation of vitamin A supplementation (VAS) programmes and recommended gradual phasing out VAS for pre-school children. A few eminent nutrition scientists in India have echoed this view, arguing that vitamin deficiency (VAD) is no longer a public health problem in India. We review the evidence, highlighting the high rates of VAD among pre-school children in India, (clinical, subclinical, and dietary deficiency) and argue that in India VAD remains an immensely important public health problem and it is crucial to strengthen and continue the existing VAS programme in India, and in other developing countries until such time as their children's dietary consumption of vitamin A is improved adequately and blood vitamin A levels reach optimal levels.

摘要

最近,世界各地的知名营养学家反对继续开展维生素 A 补充(VAS)项目,并建议逐步停止为学龄前儿童提供 VAS。印度的一些知名营养学家也附和了这一观点,认为维生素缺乏症(VAD)已不再是印度的公共卫生问题。我们回顾了相关证据,强调了印度学龄前儿童中 VAD(临床、亚临床和饮食性缺乏)的高发病率,并认为 VAD 在印度仍然是一个极其重要的公共卫生问题,至关重要的是,要加强和继续开展印度现有的 VAS 项目,以及其他发展中国家的 VAS 项目,直到这些国家的儿童充分增加饮食中维生素 A 的摄入量,使血液维生素 A 水平达到最佳水平。

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