Kulkarni Bharati
1 National Institute of Nutrition, Hyderabad, Telangana, India.
Food Nutr Bull. 2018 Sep;39(2_suppl):S69-S76. doi: 10.1177/0379572118768572.
The double burden of childhood undernutrition and adult-onset adiposity-related chronic diseases is a key concern in many developing countries that are currently undergoing epidemiological and nutrition transition. Impaired linear growth with suboptimal lean body mass development seems to be the link between these 2 seemingly contrasting forms of malnutrition. Studies assessing the role of early nutrition in the later lean body mass development have shown consistent positive association. In addition, the nutrition during life course, especially the dietary intake of protein, zinc, calcium, and vitamin D status, impacts the lean body mass. Promoting increased intake of these important nutrients throughout life course would, therefore, be important for optimal development and maintenance of lean body mass. Diversified diets with increased consumption of nutrient-rich foods, especially milk and other animal source foods, are crucial for the development of optimal body composition and alleviation of the double burden of malnutrition.
儿童营养不良与成人期肥胖相关慢性病的双重负担，是许多正在经历流行病学和营养转型的发展中国家的一个关键问题。线性生长受损以及瘦体重发育欠佳，似乎是这两种看似相反的营养不良形式之间的联系。评估早期营养在后期瘦体重发育中作用的研究显示出一致的正相关关系。此外，生命历程中的营养，尤其是蛋白质、锌、钙的膳食摄入量以及维生素D状况，会影响瘦体重。因此，在整个生命历程中促进这些重要营养素摄入量的增加，对于瘦体重的最佳发育和维持至关重要。多样化饮食以及增加富含营养食物的消费，尤其是牛奶和其他动物源性食物，对于最佳身体成分的发育以及减轻营养不良的双重负担至关重要。
