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改善东南亚育龄妇女微量营养素状况的干预措施:关于有效、可能有效及无效措施的叙述性综述

Interventions to Improve Micronutrient Status of Women of Reproductive Age in Southeast Asia: A Narrative Review on What Works, What Might Work, and What Doesn't Work.

作者信息

Dijkhuizen Marjoleine A, Greffeille Valerie, Roos Nanna, Berger Jacques, Wieringa Frank T

机构信息

Paediatric and International Nutrition, Department of Nutrition Exercise and Sports (NEXS), University of Copenhagen, Rolighedsvej 26, 1958, Frederiksberg, Denmark.

UMR-204 Nutripass, French National Research Institute of Sustainable Development (IRD), IRD/Université de Montpellier/SupAgro, 911 Av. d'Agropolis, 34394, Montpellier, France.

出版信息

Matern Child Health J. 2019 Jan;23(Suppl 1):18-28. doi: 10.1007/s10995-018-2637-4.

DOI:10.1007/s10995-018-2637-4
PMID:30357535
Abstract

Objectives To provide an overview of nutrition-specific and nutrition-sensitive interventions that could improve micronutrient status of women of reproductive age. Methods This narrative review has a special focus on Southeast Asia, as the work was undertaken within the framework of the SMILING (Sustainable Micronutrient Interventions to controL deficiencies and Improve Nutrition status and General health in Southeast Asia) project. Results In order for new interventions to become accepted, comprehension and interpretation of potential impact of different strategies by policymakers and non-nutritionists is needed. By presenting a wide overview of strategies, and discussing the context and current consensus on these strategies, the review aims to help with the formulation of new recommendations for national programs in Southeast Asia. Conclusions Current policies in Southeast Asia to improve micronutrient status of women of reproductive age are focused too much on single micronutrient supplementation for pregnant women (iron and folic acid supplements). A more holistic approach, including both nutrition-specific and nutrition-sensitive interventions, is needed.

摘要

目标 概述可改善育龄妇女微量营养素状况的特定营养干预措施和对营养敏感的干预措施。方法 本叙述性综述特别关注东南亚地区,因为这项工作是在 “微笑”(东南亚可持续微量营养素干预措施以控制缺乏症并改善营养状况和总体健康)项目框架内开展的。结果 为使新的干预措施被接受,政策制定者和非营养专家需要理解和解释不同策略的潜在影响。通过广泛概述各种策略,并讨论这些策略的背景和当前共识,本综述旨在帮助为东南亚国家项目制定新的建议。结论 东南亚目前改善育龄妇女微量营养素状况的政策过于侧重于为孕妇补充单一微量营养素(铁和叶酸补充剂)。需要一种更全面的方法,包括特定营养干预措施和对营养敏感的干预措施。

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