Shankar Bhavani, Agrawal Sutapa, Beaudreault Amy R, Avula Laxmaiah, Martorell Reynaldo, Osendarp Saskia, Prabhakaran Dorairaj, Mclean Mireille Seneclauze
SOAS, University of London, London, United Kingdom.
Public Health Foundation of India, New Delhi, India.
Ann N Y Acad Sci. 2017 May;1395(1):49-59. doi: 10.1111/nyas.13324. Epub 2017 Mar 17.
Despite the global transition to overnutrition, stunting affected approximately 159 million children worldwide in 2014, while an estimated 50 million children were wasted. India is an important front in the fight against malnutrition and is grappling with the coexistence of undernutrition, overnutrition, and micronutrient deficiencies. This report summarizes discussions on trends in malnutrition in India, its evolution in the context of economic growth, intrahousehold aspects, infant and young child feeding practices, women's status, maternal nutrition, and nutrition policymaking. The discussion focuses on a review of trends in malnutrition and dietary intakes in India in the context of economic change over the past four decades, identification of household dynamics affecting food choices and their consequences for family nutritional status in India, and effective malnutrition prevention and treatment interventions and programs in India and associated policy challenges.
尽管全球已转向营养过剩,但2014年全球仍有约1.59亿儿童发育迟缓,另有约5000万儿童消瘦。印度是抗击营养不良的重要前沿阵地,正努力应对营养不良、营养过剩和微量营养素缺乏并存的问题。本报告总结了关于印度营养不良趋势、其在经济增长背景下的演变、家庭内部情况、婴幼儿喂养习惯、妇女地位、孕产妇营养以及营养政策制定等方面的讨论。讨论重点在于回顾过去四十年来经济变化背景下印度的营养不良和饮食摄入趋势,确定影响印度食物选择的家庭动态及其对家庭营养状况的影响,以及印度有效的营养不良预防和治疗干预措施及项目,还有相关的政策挑战。