Amoroso Leslie
World Rev Nutr Diet. 2017;118:45-56. doi: 10.1159/000484334. Epub 2018 Apr 13.
Combatting malnutrition in all its forms - undernutrition, micronutrient deficiencies, overweight, and obesity - is one of the greatest challenges that countries are facing. Much has happened in less than 10 years to redefine the international nutrition landscape and place nutrition at the heart of global development efforts. The food crises of 2008 and the Lancet first series on maternal and child undernutrition helped galvanize world attention. The enormous health and economic consequences of malnutrition were recognized, and far more attention began to be paid to the multiple burdens of malnutrition. In 2014, the Second International Conference on Nutrition (ICN2) endorsed 2 outcome documents, committing world leaders to establishing national policies aimed at eliminating malnutrition in all its forms, including hidden hunger, and transforming food systems to make nutritious diets available to all. In 2015, 193 Member States of the United Nations adopted the 2030 Agenda for Sustainable Development and its 17 Sustainable Development Goals (SDGs), global objectives to guide the actions of the international community over the next 15 years (2016-2030). Member States placed high priority on addressing malnutrition in all its forms by committing, under SDG 2, to "end hunger, achieve food security and improved nutrition, and promote sustainable agriculture." However, nutrition has also a role to play in achieving other goals of the 2030 Agenda, including goals related to poverty, health, education, social protection, gender, water, work, growth, inequality, and climate change. In 2016, the United Nations General Assembly endorsed the ICN2 outcome documents and proclaimed the years 2016-2025 as the United Nations Decade of Action on Nutrition. The Nutrition Decade reaffirmed the commitments under the ICN2 and the 2030 Agenda to end malnutrition in all its forms. Together, the ICN2, the 2030 Agenda, and the Nutrition Decade have placed nutrition firmly at the heart of the development agenda with the recognition that transformed food systems have a fundamental role to play in promoting healthy diets and improving nutrition. This paper reviews the major international nutrition system changes called for, and provides an analysis of recent governance initiatives to address malnutrition in all its forms, including hidden hunger problems.
应对各种形式的营养不良——包括营养不足、微量营养素缺乏、超重和肥胖——是各国面临的最大挑战之一。在不到10年的时间里,国际营养格局得到了重新定义,营养也被置于全球发展努力的核心位置,这期间发生了许多事情。2008年的粮食危机以及《柳叶刀》关于孕产妇和儿童营养不足的首个系列报告促使全球关注这一问题。人们认识到营养不良会带来巨大的健康和经济后果,并且开始更加关注营养不良的多重负担。2014年,第二届国际营养大会(ICN2)批准了两份成果文件,促使世界各国领导人致力于制定旨在消除包括隐性饥饿在内的各种形式营养不良的国家政策,并改革粮食系统,使所有人都能获得营养丰富的饮食。2015年,联合国193个会员国通过了《2030年可持续发展议程》及其17项可持续发展目标(SDGs),这些全球目标将指导国际社会在未来15年(2016 - 2030年)的行动。会员国高度重视应对各种形式的营养不良,根据可持续发展目标2,承诺“消除饥饿,实现粮食安全,改善营养状况,并促进可持续农业”。然而,营养在实现《2030年议程》的其他目标方面也发挥着作用,这些目标包括与贫困、健康、教育、社会保护、性别、水、工作、增长、不平等和气候变化相关的目标。2016年,联合国大会批准了ICN2的成果文件,并宣布2016 - 2025年为联合国营养行动十年。营养十年重申了ICN2和《2030年议程》中关于消除各种形式营养不良的承诺。ICN2、《2030年议程》和营养十年共同将营养坚定地置于发展议程的核心位置,认识到改革后的粮食系统在促进健康饮食和改善营养方面具有根本性作用。本文回顾了所要求的主要国际营养体系变革,并分析了近期为应对各种形式的营养不良(包括隐性饥饿问题)而采取的治理举措。