Department of Food and Nutrition, Faculty of Food Technologies, Technical University of Moldova, Chişinău, Moldova.
Doctoral School of Technical University of Moldova, Chişinău, Moldova.
Front Public Health. 2022 Oct 3;10:961827. doi: 10.3389/fpubh.2022.961827. eCollection 2022.
Food security is an important lever for the implementation of rights-based legislation, policies, and programs, while being a public health and socio-economic priority. Foodborne illnesses have a major impact on public health, and nutritional interventions are essential therapeutic strategies to combat them. Gluten ingestion has been linked to several clinical disorders, collectively called gluten-related disorders. The most serious of these is celiac disease. The only way to treat celiac disease is to stick to a gluten-free diet for life. Following a strict diet is also the only way to prevent the long-term consequences of the disease. Public policies are essential to ensure the food security of people with gluten-related disorders. The aim of the research is to assess the level of care for people with celiac disease in the Republic of Moldova, in terms of public policies, to ensure a sustainable sector that effectively satisfies the food security of people with disorders associated with gluten consumption. To assess the level of care for people with gluten-related disorders, the working algorithm was taken, with reference to global public policies in support of people with celiac disease, developed and validated by Falcomer et al., Focused on 6 items. The results of the study showed that the Republic of Moldova does not have adequate policy support to ensure food security for people with gluten-related disorders, which poses major challenges and, as a result, may increase the complications of these problems.
食品安全是实施基于权利的立法、政策和计划的重要杠杆,同时也是公共卫生和社会经济的优先事项。食源性疾病对公共卫生有重大影响,营养干预是对抗它们的重要治疗策略。摄入麸质与几种临床疾病有关,统称为麸质相关疾病。其中最严重的是乳糜泻。治疗乳糜泻的唯一方法是终生坚持无麸质饮食。严格的饮食也是预防疾病长期后果的唯一方法。公共政策对于确保患有麸质相关疾病的人的食品安全至关重要。本研究旨在评估摩尔多瓦共和国在公共政策方面对乳糜泻患者的护理水平,以确保一个可持续的部门能够有效地满足与麸质消费相关的疾病患者的食品安全需求。为了评估对患有麸质相关疾病的人的护理水平,采用了工作算法,该算法参考了 Falcomer 等人制定和验证的支持乳糜泻患者的全球公共政策,重点关注 6 个项目。研究结果表明,摩尔多瓦共和国没有足够的政策支持来确保患有麸质相关疾病的人的食品安全,这带来了重大挑战,因此可能会增加这些问题的并发症。