Suppr超能文献

澳大利亚原住民和托雷斯海峡岛民的食品与营养项目:系统评价综述

Food and nutrition programs for Aboriginal and Torres Strait Islander Australians: an overview of systematic reviews.

作者信息

Browne Jennifer, Adams Karen, Atkinson Petah, Gleeson Deborah, Hayes Rick

机构信息

School of Psychology and Public Health, La Trobe University, Kingsbury Drive, Bundoora, Vic. 3086, Australia. Email:.

Gukwonderuk Indigenous Engagement Unit, Faculty of Medicine, Nursing and Health Sciences, Building 15, Monash University, Clayton, Vic. 3168, Australia. Email:.

出版信息

Aust Health Rev. 2018 Dec;42(6):689-697. doi: 10.1071/AH17082.

Abstract

Objective To provide an overview of previous reviews of programs that aimed to improve nutritional status or diet-related health outcomes for Aboriginal and Torres Strait Islander peoples, in order to determine what programs are effective and why. Methods A systematic search of databases and relevant websites was undertaken to identify reviews of nutrition interventions for Aboriginal and Torres Strait Islander Australians. Pairs of reviewers undertook study selection and data extraction and performed quality assessment using a validated tool. Results Twelve papers reporting 11 reviews were identified. Two reviews were rated high quality, three were rated medium and six were rated low quality. The reviews demonstrated that a positive effect on nutrition and chronic disease indicators can be a result of: 1) incorporating nutrition and breastfeeding advice into maternal and child health care services; and 2) multifaceted community nutrition programs. The evidence suggests that the most important factor determining the success of Aboriginal and Torres Strait Islander food and nutrition programs is community involvement in (and, ideally, control of) program development and implementation. Conclusions Community-directed food and nutrition programs, especially those with multiple components that address the underlying causes of nutrition issues, can be effective in improving nutrition-related outcomes. What is known about the topic? More effective action is urgently required in order to reduce the unacceptable health inequalities between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians. Food insecurity and nutrition-related chronic conditions are responsible for a large proportion of the ill health experienced by Australia's First Peoples. What does this paper add? This narrative overview of 11 reviews published between 2005 and 2015 provides a synthesis of the current evidence for improving Aboriginal and Torres Strait Islander nutrition across the lifespan. The findings suggest that community-based and community-controlled programs, especially those with multiple components that address the underlying causes of nutrition issues, have the greatest potential to improve nutrition-related health outcomes. What are the implications for practitioners? Food and nutrition programs that are initiated and designed by local Aboriginal and Torres Strait Islander people are most likely to be effective. Nutrition and breastfeeding education and advice should be consistently incorporated into maternal and child healthcare services. Nutrition issues should be addressed through multifaceted approaches that address improving individual knowledge and skills, as well as strategies that increase access to nutritious food and provide a healthy food environment.

摘要

目的 概述以往针对旨在改善原住民及托雷斯海峡岛民营养状况或与饮食相关健康结果的项目所做的综述,以确定哪些项目有效以及原因。方法 对数据库和相关网站进行系统检索,以找出针对澳大利亚原住民及托雷斯海峡岛民营养干预措施的综述。由两名评审员进行研究筛选和数据提取,并使用经过验证的工具进行质量评估。结果 共识别出12篇报告11篇综述的论文。两篇综述被评为高质量,三篇为中等质量,六篇为低质量。这些综述表明,对营养和慢性病指标产生积极影响可能源于:1)将营养和母乳喂养建议纳入母婴保健服务;2)多方面的社区营养项目。有证据表明,决定原住民及托雷斯海峡岛民食品和营养项目成功的最重要因素是社区参与(理想情况下是控制)项目的开发和实施。结论 以社区为导向的食品和营养项目,尤其是那些包含多个组成部分以解决营养问题根本原因的项目,在改善与营养相关的结果方面可能是有效的。关于该主题已知的情况是什么?迫切需要采取更有效的行动,以减少原住民及托雷斯海峡岛民与非原住民澳大利亚人之间不可接受的健康不平等现象。粮食不安全和与营养相关的慢性病是澳大利亚原住民健康状况不佳的很大一部分原因。本文补充了什么内容?对2005年至2015年间发表的11篇综述的叙述性概述,综合了目前关于改善原住民及托雷斯海峡岛民全生命周期营养的证据。研究结果表明,基于社区且由社区控制的项目,尤其是那些包含多个组成部分以解决营养问题根本原因的项目,在改善与营养相关的健康结果方面具有最大潜力。对从业者有何启示?由当地原住民及托雷斯海峡岛民发起和设计的食品和营养项目最有可能有效。应将营养和母乳喂养教育及建议持续纳入母婴保健服务。应通过多方面的方法来解决营养问题,这些方法既要提高个人知识和技能,也要采取增加获取营养食品机会并提供健康食品环境的策略。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验