Department of Food Science and Nutrition,University of Zambia,Kalundu, Lusaka,Zambia.
Faculty of Health and Social Care,University of Chester,Parkgate Road, Chester CH1 4BJ,UK.
Proc Nutr Soc. 2017 Nov;76(4):574-579. doi: 10.1017/S0029665117000398. Epub 2017 May 10.
Sub-Saharan Africa (SSA) has traditionally had a low life expectancy due to the onslaught of the HIV epidemic, high levels of chronic diseases, injuries, conflict and undernutrition. Therefore, research into public health concerns of older persons has largely been overlooked. With a growing population, the roll-out of antiretroviral treatment, and the effects of globalisation, SSA is experiencing an increase in the number of people over 50 years of age as well as an increase in the prevalence of non-communicable diseases (NCD). The aim of this review is to highlight available research on the health status of older persons in SSA, and to identify the current gaps that warrant further investigation. A literature search was conducted across multiple databases to identify studies in SSA on older persons (aged 50 years and older) related to health indicators including nutritional status, NCD and HIV burden. While it was concluded that older persons are at an increased risk of poor health, it was also determined that significant gaps exist in this particular area of research; namely nutrient deficiency prevalence. Resources should be directed towards identifying the health concerns of older persons and developing appropriate interventions.
撒哈拉以南非洲(SSA)由于 HIV 疫情的爆发、慢性疾病、伤害、冲突和营养不良的高发,传统上预期寿命较低。因此,对老年人公共卫生问题的研究在很大程度上被忽视了。随着人口的增长、抗逆转录病毒治疗的推广以及全球化的影响,SSA 50 岁以上人口的数量不断增加,非传染性疾病(NCD)的患病率也在上升。本综述的目的是强调现有的关于 SSA 老年人健康状况的研究,并确定需要进一步调查的当前差距。通过跨多个数据库进行文献检索,确定了 SSA 关于老年人(50 岁及以上)与健康指标(包括营养状况、NCD 和 HIV 负担)相关的研究。虽然研究表明老年人健康不良的风险增加,但也确定在这一特定研究领域存在重大差距;即营养素缺乏的流行率。应该将资源用于确定老年人的健康问题,并制定适当的干预措施。