Rivera-Dommarco Juan Ángel, Cuevas-Nasu Lucía, González de Cosío Teresita, Shamah-Levy Teresa, García-Feregrino Raquel
Centro de Investigación en Nutrición y Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Salud Publica Mex. 2013;55 Suppl 2:S161-9.
To describe the magnitude, distribution, and trends of undernutrition and overweight from 1988 to 2006, and provide recommendations for their erradication.
Antrhopometric indicators of nutritional status in children <5 y from four surveys were analyzed.
Despite its significant reduction in the study period, stunting remains as a public health problem, with the highest prevalences in indigenous population, the rural south and the lowest living conditions quintile.
Several policies and programs have demonstrated effectiveness, but implementation challenges persist among the poorest population, particularly in indigenous households. Measures for improving the effectiveness of the nutrition policies and programs, particularly among the indigenous and poorest population, are provided, which include adjusting current programs according to the results of evaluations, and the implementation of policies that address the social determinants of undernutrition.
描述1988年至2006年期间营养不良和超重的程度、分布及趋势，并为消除这些问题提供建议。
分析了四次调查中5岁以下儿童营养状况的人体测量指标。
尽管在研究期间发育迟缓率显著下降，但它仍是一个公共卫生问题，在土著人口、南部农村地区以及生活条件最差的五分之一人群中患病率最高。
多项政策和项目已证明有效，但在最贫困人群中，尤其是土著家庭，实施方面仍存在挑战。文中提供了提高营养政策和项目有效性的措施，特别是针对土著和最贫困人群，包括根据评估结果调整现有项目，以及实施解决营养不良社会决定因素的政策。
