儿童 COVID-19 大流行的一个隐藏方面:营养不足和营养过剩的双重负担。

A hidden side of the COVID-19 pandemic in children: the double burden of undernutrition and overnutrition.

机构信息

General Pediatric Unit, Department Woman-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland.

Deputy Cantonal Doctor, Public Health Department, Canton of Vaud, Lausanne, Switzerland.

出版信息

Int J Equity Health. 2021 Jan 22;20(1):44. doi: 10.1186/s12939-021-01390-w.

Abstract

The COVID-19 pandemic has deteriorated key determinants of health and caused major upheavals around the world. Children, although less directly affected by the virus, are paying a heavy price through the indirect effects of the crisis, including poor diet, mental health impact, social isolation, addiction to screens and lack of schooling and health care, particularly among vulnerable groups. This paper is aimed at discussing the potential impact of this pandemic on children's nutrition and lifestyle. Preliminary data from the literature and from our survey show significant disruptions in nutrition and lifestyle habits of children. While undernutrition is expected to worsen in poor countries, obesity rates could increase in middle- and high-income countries especially among precarious groups widening the gap in health and social inequalities.The real impact of the COVID-19 pandemic on children extends well beyond that of a viral infection. This crisis has public health implications that could have life-long consequences on children. It requires effective and targeted measures mainly for vulnerable children and households to guarantee children's basic rights for optimal nutrition, health and development.

摘要

COVID-19 大流行恶化了健康的主要决定因素,并在全球范围内造成了重大动荡。儿童虽然较少直接受到病毒的影响,但由于危机的间接影响,他们正在付出沉重的代价,包括不良饮食、心理健康影响、社会隔离、沉迷屏幕以及缺乏学校教育和医疗保健,特别是在弱势群体中。本文旨在讨论这场大流行对儿童营养和生活方式的潜在影响。来自文献和我们调查的初步数据显示,儿童的营养和生活习惯出现了显著中断。虽然预计贫困国家的营养不良状况会恶化,但中高收入国家的肥胖率可能会上升,尤其是在脆弱群体中,这将扩大健康和社会不平等方面的差距。COVID-19 大流行对儿童的实际影响远远超出了病毒感染的范围。这场危机对公共卫生具有影响,可能会对儿童的生活产生长期影响。这需要采取有效和有针对性的措施,主要针对弱势儿童和家庭,以保障儿童的基本权利,实现最佳营养、健康和发展。

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