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区域营养不良双重负担概览及方案和政策应对示例:拉丁美洲和加勒比。

Regional Overview on the Double Burden of Malnutrition and Examples of Program and Policy Responses: Latin America and the Caribbean.

机构信息

Risk Factors and Nutrition Unit, Department of Noncommunicable Diseases and Mental Health, Pan American Health Organization, Washington, District of Columbia, USA,

Health Caribbean Coalition, Bridgetown, Barbados.

出版信息

Ann Nutr Metab. 2019;75(2):139-143. doi: 10.1159/000503674. Epub 2019 Nov 19.

Abstract

BACKGROUND

Hunger, food insecurity, stunting, anemia, overweight, and noncommunicable diseases (NCDs) may coexist in the same person, household, and community in Latin America and the Caribbean (LAC). The double burden of malnutrition (DBM) is an important cause of disability and premature death, which could be addressed with comprehensive policies such as the Plan of Action for the Prevention of Obesity in Children and Adolescents. This paper summarizes the main policies and actions aimed to prevent undernutrition and obesity.

SUMMARY

Several countries are implementing the Plan of Action, Caribbean Public Health Agency is actively supporting Ministries of Health, Education, and Sport to develop school nutrition policies and strategies to create health-promoting environments at school and in their surrounding communities. Chile is implementing the comprehensive child protection system "Chile Crece Contigo" that integrates health, social development, and educational activities to optimize growth and childhood cognitive-motor development. Brazil is implementing policies and plans to commit to international targets regarding food and nutrition security, NCDs and their risk factors. Key Messages: The DBM exists in the Americas and contributes to disability and premature death. The Region is making progress implementing policies and actions addressing the DBM. However, stronger political will and leadership are needed to enact legislation and policies that create and support enabling -environments.

摘要

背景

在拉丁美洲和加勒比地区(LAC),饥饿、粮食不安全、发育迟缓、贫血、超重和非传染性疾病(NCD)可能同时存在于同一个人、家庭和社区中。营养不良的双重负担(DBM)是导致残疾和过早死亡的一个重要原因,可以通过综合政策来解决,如预防儿童和青少年肥胖行动计划。本文总结了旨在预防营养不良和肥胖的主要政策和行动。

摘要

一些国家正在实施行动计划,加勒比公共卫生机构积极支持各国卫生部、教育部和体育部制定学校营养政策和战略,在学校及其周边社区创造促进健康的环境。智利正在实施“智利 Crece Contigo”综合儿童保护系统,该系统整合了卫生、社会发展和教育活动,以优化儿童的生长和认知-运动发育。巴西正在实施政策和计划,致力于实现国际粮食和营养安全、NCD 及其风险因素方面的目标。

要点

DBM 存在于美洲,导致残疾和过早死亡。该地区在实施解决 DBM 的政策和行动方面取得了进展。然而,需要更强有力的政治意愿和领导力来制定立法和政策,创造和支持有利的环境。

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