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新冠疫情期间和之后对儿童营养的风险:需要注意什么和如何应对。

The risk to child nutrition during and after COVID-19 pandemic: what to expect and how to respond.

机构信息

Department of Epidemiology, School of Public Health, Nantong University, 9 Seyuan Road, Nantong, JS, People's Republic of China.

出版信息

Public Health Nutr. 2021 Aug;24(11):3530-3536. doi: 10.1017/S1368980021001610. Epub 2021 Apr 13.

Abstract

OBJECTIVE

The current study aimed to address the key areas of concern for child nutrition, both during and after the COVID-19 pandemic, and proposes strategic responses to reduce child undernutrition in the short and long term.

DESIGN

A descriptive literature review was performed. The search of the literature was conducted through using electronic databases including PubMed, Web of Science, Google Scholar and Cochrane library.

SETTING

A wide range of published articles focused on child malnutrition were reviewed.

PARTICIPANTS

The study was focused on children especially those under 5 years.

RESULTS

The current study proposes strategic responses to reduce child undernutrition. These responses include strengthening access to community-based nutrition services that support the early detection and treatment of undernourished children and emergency food distribution, including fortified foods with vitamins and minerals, to vulnerable households, particularly those with children under 5 years. Moreover, counseling and promotion programmes should be reinforced to revitalise community nutrition education in areas such as gestation, exclusive breast-feeding and complementary feeding, and hygienic practices involving handwashing, proper sanitation and other basic behavioural changes.

CONCLUSIONS

The COVID-19 pandemic has affected many countries especially those in the regions of South Asia and sub-Saharan Africa in which there has been an ongoing burden of child undernutrition. However, malnutrition is preventable and can be eliminated through a multisectoral strategic approach. The effective execution of a multisectoral approach towards preventing childhood malnutrition will require not only a financial investment but also the collective efforts from different ministries of the governments, UN-affiliated agencies and non-governmental organisations.

摘要

目的

本研究旨在解决儿童营养在新冠疫情期间和之后的主要关注点,并提出短期和长期内减少儿童营养不足的战略应对措施。

设计

进行了描述性文献综述。通过使用电子数据库,包括 PubMed、Web of Science、Google Scholar 和 Cochrane 图书馆,进行了文献搜索。

设置

综述了广泛的关于儿童营养不良的已发表文章。

参与者

本研究主要关注儿童,特别是 5 岁以下儿童。

结果

本研究提出了减少儿童营养不足的战略应对措施。这些应对措施包括加强社区营养服务的获取,以支持早期发现和治疗营养不良儿童,并向弱势家庭,特别是 5 岁以下儿童分发强化食品,包括维生素和矿物质的强化食品。此外,应加强咨询和推广计划,以恢复社区营养教育,如妊娠、纯母乳喂养和补充喂养,以及涉及洗手、适当卫生和其他基本行为改变的卫生习惯。

结论

新冠疫情影响了许多国家,特别是南亚和撒哈拉以南非洲地区的国家,这些地区一直存在儿童营养不足的负担。然而,营养不良是可以预防的,可以通过多部门战略方法消除。有效执行预防儿童营养不良的多部门方法不仅需要财政投资,还需要政府不同部门、联合国附属机构和非政府组织的共同努力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b970/8144817/0f9650427222/S1368980021001610_fig1.jpg

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