Health and Nutrition Unit, UNICEF Regional Office for Europe and Central Asia, Almaty, Kazakhstan,
World Health Organization Regional Office for Europe, Copenhagen, Denmark.
Ann Nutr Metab. 2019;75(2):135-138. doi: 10.1159/000503673. Epub 2019 Nov 19.
The Eastern Mediterranean Regions and Europe and Central Asia Regions are facing an epidemiological and nutrition transition, especially among vulnerable groups including mothers, children and adolescents. This has led to a double burden of malnutrition (DBM). Poor infant and young child feeding (IYCF), poor dietary diversity, excessive consumption of energy dense unhealthy foods, a growing obesogenic environment for children, including aggressive marketing of unhealthy foods for children, and reduced physical activity are among the main causes. In addition, several countries in the region lack the nutrition governance capacity to respond effectively to the DBM. This article reviews the context and provides a set of conclusions in which countries are called to reduce the marketing of unhealthy foods for children, enforce the fortification of staple foods with micronutrients to reduce micronutrient deficiencies and improve IYCF, including breastfeeding in the region. Also, the call is strong for cross-border multi-sectoral efforts to address the DBM in these regions.
东地中海区域和欧洲及中亚区域正在经历一场流行病学和营养转型,尤其是在母亲、儿童和青少年等弱势群体中。这导致了营养不良的双重负担(DBM)。不良的婴幼儿喂养(IYCF)、膳食多样性差、过度消费能量密集型不健康食品、儿童肥胖环境日益严重,包括针对儿童的不健康食品的积极营销,以及体力活动减少,都是导致这一问题的主要原因。此外,该区域的一些国家缺乏有效的营养治理能力来应对 DBM。本文回顾了相关背景,并提出了一系列结论,呼吁各国减少针对儿童的不健康食品营销,强制在主食中添加微量营养素以减少微量营养素缺乏,并改善 IYCF,包括在该区域进行母乳喂养。此外,还强烈呼吁开展跨境多部门努力,以解决这些区域的 DBM 问题。