Bill and Melinda Gates Foundation, Seattle, Washington, USA.
Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Ann Nutr Metab. 2018;72(4):316-328. doi: 10.1159/000488865. Epub 2018 May 4.
Adolescents, comprised of 10-19 year olds, form the largest generation of young people in our history. There are an estimated 1.8 billion adolescents in the world, with 90% residing in low- and middle-income countries. The burden of disease among adolescents has its origins in infectious and injury-related causes, but nutritional deficiencies, suboptimal linear growth, and undernutrition are major public health problems, even as overweight may be on the rise in many contexts. Summary and Key Messages: Girls are most vulnerable to the influences of cultural and gender norms, which often discriminate against them. Dietary patterns and physical activity, in addition to schooling and countervailing social norms for early marriage, influence health and nutritional well-being of adolescents. Nutrient requirements - -including those for energy, protein, iron, calcium, and -others - increase in adolescence to support adequate growth and development. In settings where dietary intakes are suboptimal, anemia and micronutrient deficiencies are high. Endocrine factors are essential for promoting normal adolescent growth and are sensitive to undernutrition. Growth velocity increases during puberty when peak height velocity occurs and catch-up is possible; in girls, about 15-25% of adult height is attained. A premature pregnancy can halt linear growth and increase the risk of adverse birth outcomes. Research is needed to fill the huge data gaps related to nutrition and growth during adolescence, in addition to testing interventions during this second window of opportunity to enhance growth and development, improve human capital, and to end the intergenerational cycle of growth failure.
青少年由 10 至 19 岁的人群组成,是我们历史上最大的青年群体。全世界约有 18 亿青少年,其中 90%生活在中低收入国家。青少年的疾病负担源于传染病和伤害,但营养不足、线性生长不良和营养不足仍然是重大的公共卫生问题,尽管在许多情况下超重可能呈上升趋势。摘要和关键信息:女孩最容易受到文化和性别规范的影响,这些规范往往对她们不利。饮食模式和体力活动,以及教育和抵制早婚的社会规范,都会影响青少年的健康和营养状况。营养需求——包括能量、蛋白质、铁、钙和其他营养素——在青少年时期增加,以支持其充分生长和发育。在饮食摄入不足的情况下,贫血和微量营养素缺乏的情况很严重。内分泌因素对促进正常青少年生长发育至关重要,而且对营养不良敏感。青春期生长速度加快,出现身高生长高峰并可能出现追赶生长;在女孩中,大约 15-25%的成年身高在此期间达到。一次过早的妊娠可能会停止线性生长并增加不良出生结局的风险。需要开展研究来填补与青少年营养和生长相关的巨大数据空白,此外还需要在这一第二次机会窗口期间测试干预措施,以促进生长发育、提高人力资本,并结束生长失败的代际循环。