Faculty of Health Sciences, Nelson Mandela University, Port Elizabeth, South Africa.
J Child Health Care. 2024 Dec;28(4):898-913. doi: 10.1177/13674935231166427. Epub 2023 Apr 3.
This integrative review aimed to summarise existing best evidence practice for preventing malnutrition within the First 1000 Days of Life in under-resourced communities. BioMed Central, EBSCOHOST (Academic Search Complete, CINAHL and MEDLINE), Cochrane Library, JSTOR, Science Direct and Scopus were searched as well as Google Scholar and relevant websites for grey literature. Most recent versions of strategies, guidelines, interventions and policies; published in English, focussing on preventing malnutrition in pregnant women and in children less than 2 years old in under-resourced communities, from January 2015 to November 2021 were searched for. Initial searches yielded 119 citations of which 19 studies met inclusion criteria. Johns Hopkins Nursing Evidenced-Based Practice Evidence Rating Scales for appraising research evidence and non-research evidence were used. Extracted data were synthesised using thematic data analysis. Five themes were derived from extracted data: 1. Improving social determinants of health using a multisector approach; 2. Enhancing infant and toddler feeding; 3. Managing healthy nutrition and lifestyle choices in pregnancy; 4. Improving personal and environmental health practices; and 5. Reducing low-birthweight incidence. Further exploration regarding preventing malnutrition in the First 1000 Days in under-resourced communities is required using high-quality studies. Systematic review registration number: H18-HEA-NUR-001 (Nelson Mandela University).
本综合回顾旨在总结资源匮乏社区生命最初 1000 天内预防营养不良的现有最佳实践证据。对生物医学中心、EBSCOHOST（学术搜索完整、CINAHL 和 MEDLINE）、考科蓝图书馆、JSTOR、Science Direct 和 Scopus 进行了检索，并对谷歌学术和相关网站的灰色文献进行了检索。检索了 2015 年 1 月至 2021 年 11 月期间最新版本的策略、指南、干预措施和政策，这些策略、指南、干预措施和政策均以英语发表，重点是预防资源匮乏社区孕妇和 2 岁以下儿童的营养不良。最初的搜索产生了 119 条引文，其中 19 项研究符合纳入标准。使用了约翰霍普金斯护理循证实践证据评级量表来评估研究证据和非研究证据。使用主题数据分析对提取的数据进行综合分析。从提取的数据中得出了五个主题：1. 采用多部门方法改善健康的社会决定因素；2. 加强婴幼儿喂养；3. 管理怀孕期间的健康营养和生活方式选择；4. 改善个人和环境卫生实践；5. 降低低出生体重发生率。需要使用高质量的研究进一步探讨资源匮乏社区生命最初 1000 天内预防营养不良的问题。系统审查注册号：H18-HEA-NUR-001（纳尔逊·曼德拉大学）。
