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[生长期间的双重负担营养不良:在哥伦比亚正成为现实吗?]

[Double burden malnutrition during growth: is becoming a reality in Colombia?].

作者信息

Cediel-Giraldo Gustavo, Castaño-Moreno Erika, Gaitán-Charry Diego

机构信息

Instituto de Nutrición y Tecnología de los Alimentos, Universidad de Chile, Santiago de Chile, Chile.

Universidad de Antioquia, Medellín, Colombia,

出版信息

Rev Salud Publica (Bogota). 2016 Aug;18(4):656-669. doi: 10.15446/rsap.v18n4.47769.

Abstract

Several reports have described in the last decade the coexistence of accelerated increase of obesity with micronutrient deficiencies in developed countries, and is becoming evident in developing nations. This condition may be especially deleterious in children and adolescents with consequences in metabolic risk and growth since early in life. This review describes the evidence of double burden malnutrition during growth period focused on six nutrients (iron, zinc, calcium, vitamin D, vitamin A, sodium, folic acid and vitamin B12) and its biological mechanisms associated with non-communicable disease through span life. In Colombia, according to the last national health and nutrition surveys (2005 vs. 2010), there is an increase in the prevalence of obesity in all age groups; that is accompanied with alarming figures of zinc and vitamin A deficiency and anemia in children under 5 years. This reality of double burden malnutrition should be considered urgently on the public health agenda, implementing robust strategies adapted to the reality of the country based on scientific evidence to prevent mobility and mortality associated with this condition.

摘要

在过去十年里,有几份报告描述了发达国家肥胖率加速上升与微量营养素缺乏并存的现象,且这种情况在发展中国家也日益明显。这种状况对儿童和青少年可能尤其有害,会在生命早期就对代谢风险和生长产生影响。本综述描述了生长发育期双重负担营养不良的证据,重点关注六种营养素(铁、锌、钙、维生素D、维生素A、钠、叶酸和维生素B12)及其在整个生命周期中与非传染性疾病相关的生物学机制。在哥伦比亚,根据最近的全国健康与营养调查(2005年与2010年对比),所有年龄组的肥胖患病率都有所上升;与此同时,5岁以下儿童中锌、维生素A缺乏以及贫血的比例令人担忧。这种双重负担营养不良的现实情况应被紧急纳入公共卫生议程,基于科学证据实施适应该国实际情况的有力策略,以预防与此状况相关的致残率和死亡率。

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