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十年来弱势群体中的微量营养素干预措施:基于印度视角的系统评价

Micronutrient interventions among vulnerable population over a decade: A systematic review on Indian perspective.

作者信息

Haridas Soorya, Ramaswamy Jancirani, Natarajan Tharanidevi, Nedungadi Prema

机构信息

Department of Sciences, Amrita School of Physical Sciences, Amrita Vishwa Vidyapeetham, Coimbatore, Tamil Nadu, India.

Amrita Create, Amrita School of Computing, Amritapuri, Amrita Vishwa Vidyapeetham, Kerala, India.

出版信息

Health Promot Perspect. 2022 Aug 20;12(2):151-162. doi: 10.34172/hpp.2022.19. eCollection 2022.

Abstract

Micronutrient deficiency has long been recognized as a public health problem, particularly among vulnerable groups such as children, adolescents, pregnant and lactating women. Micronutrient deficiency could not be ruled out in spite of the implementation of various intervention strategies. Different interventions are being used to prevent and treat micronutrient deficiencies at the national and global level. The aim of this study is to systematically review the intervention strategies among different vulnerable age groups in India. The review was focused on identifying various interventions published based on the internet databases and the peer-reviewed papers from 2011 to 2021, on the predefined inclusive/exclusive criteria. The major intervention strategies implemented in India were recognized and evaluated based on dietary supplementation, micronutrient supplementation, knowledge interventions and food fortification among various age groups. The results show that there are still considerable gaps in identifying the effective intervention strategies, research initiatives, programs and policies addressing to tackle micronutrient deficiencies in India. Multiple interventions are effective that could lead the road to innovations in approaches with diverse dietary intake, developing multiple micronutrient supplements, fortifying foods and nutrition interventions to address calcium, zinc, iodine, vitamin D and vitamin A deficiencies among the vulnerable population. Evidence-based multiple intervention studies covering a large population, in the long term cross-sectional, is the need for the hour to design policies and programs for improving the micronutrient status of vulnerable population in the community.

摘要

微量营养素缺乏长期以来一直被视为一个公共卫生问题,尤其是在儿童、青少年、孕妇和哺乳期妇女等弱势群体中。尽管实施了各种干预策略,但微量营养素缺乏仍不能排除。在国家和全球层面,人们正在采用不同的干预措施来预防和治疗微量营养素缺乏。本研究的目的是系统回顾印度不同弱势群体中的干预策略。该综述聚焦于根据预定义的纳入/排除标准,识别2011年至2021年期间基于互联网数据库和同行评审论文发表的各种干预措施。基于不同年龄组的膳食补充、微量营养素补充、知识干预和食品强化,对印度实施的主要干预策略进行了识别和评估。结果表明,在识别印度解决微量营养素缺乏问题的有效干预策略、研究举措、项目和政策方面,仍存在相当大的差距。多种干预措施是有效的,这可能为采用不同饮食摄入量的创新方法、开发多种微量营养素补充剂、强化食品以及针对弱势群体中的钙、锌、碘、维生素D和维生素A缺乏的营养干预措施铺平道路。目前迫切需要开展基于证据的、覆盖大量人群的长期横断面多重干预研究,以设计改善社区弱势群体微量营养素状况的政策和项目。

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