White Jessica M, Beal Ty, Arsenault Joanne E, Okronipa Harriet, Hinnouho Guy-Marino, Chimanya Kudakwashe, Matji Joan, Garg Aashima
United Nations Children's Fund (UNICEF), New York, New York, USA.
Global Alliance for Improved Nutrition, Washington, DC, USA.
Nutr Rev. 2021 Mar 9;79(Suppl 1):16-25. doi: 10.1093/nutrit/nuaa142.
Insufficient quantity and inadequate quality of foods in early life are key causes of all forms of malnutrition. Identification of nutrient and dietary gaps in the diets of infants and young children is essential to inform policies and programs designed to improve child diets. A Comprehensive Nutrient Gap Assessment was used to assess the public health significance of nutrient gaps during the complementary feeding period and to identify evidence gaps in 6 countries in Eastern and Southern Africa. Important gaps were identified in iron, vitamin A, zinc, and calcium and, to a lesser extent, vitamin B12 and folate. The best whole-food sources of these micronutrients available in part or all of the countries studied include beef liver, chicken liver, small dried fish, beef, and eggs. Investment is needed in many countries to collect data on micronutrient biomarkers and dietary intake. Strategic actions to improve child diets will require engagement and intervention across relevant systems to accelerate progress on improving the diets of infants and young children.
生命早期食物数量不足和质量欠佳是导致各种形式营养不良的关键原因。确定婴幼儿饮食中的营养素和膳食缺口对于为改善儿童饮食而制定的政策和计划至关重要。一项全面营养缺口评估被用于评估辅食添加期营养缺口的公共卫生意义,并确定东部和南部非洲6个国家的证据缺口。在铁、维生素A、锌和钙方面发现了重要缺口,在较小程度上,维生素B12和叶酸也存在缺口。在所研究的部分或全部国家中,这些微量营养素的最佳全食物来源包括牛肝、鸡肝、小干鱼、牛肉和鸡蛋。许多国家需要投入资金来收集微量营养素生物标志物和膳食摄入量的数据。改善儿童饮食的战略行动将需要相关系统的参与和干预,以加快在改善婴幼儿饮食方面取得进展。