将不良饮食质量界定为营养不良：巴西全国儿童营养调查（ENANI - 2019）。
Framing poor diet quality as malnutrition: the Brazilian National Survey on Child Nutrition (ENANI-2019).
作者信息
Scrinis Gyorgy, Castro Inês Rugani Ribeiro de
机构信息
School of Agriculture and Food, University of Melbourne, Melbourne, Australia.
Instituto de Nutrição, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brasil.
出版信息
Cad Saude Publica. 2023 Sep 25;39Suppl 2(Suppl 2):e00089222. doi: 10.1590/0102-311XEN089222. eCollection 2023.
Based on the Brazilian National Survey on Child Nutrition (ENANI-2019) results, this article reflects on the adequacy of the "malnutrition in all its forms" framework and system of classification for representing and interpreting these dietary transitions in Brazilian children. We highlight the limitations of this classification system, including the focus on health outcomes and anthropometric measures, the siloed understanding of these forms of malnutrition, the lack of relevance of the obesity category to children under 5 years old, and the failure to adequately address the various measures of poor quality diets captured by ENANI-2019. As an alternative, based on an approach developed by Gyorgy Scrinis to reframing malnutrition in all its forms, we suggest a need for frameworks that focus on describing and classifying the nature of, and changes to, dietary patterns, rather than focused on health outcomes.
基于巴西全国儿童营养调查（ENANI - 2019）的结果，本文对“各种形式的营养不良”框架及分类系统在呈现和解读巴西儿童饮食转变方面的适用性进行了思考。我们强调了该分类系统的局限性，包括对健康结果和人体测量指标的关注、对这些营养不良形式的孤立理解、肥胖类别与5岁以下儿童的不相关性，以及未能充分解决ENANI - 2019所捕捉到的劣质饮食的各种衡量指标。作为一种替代方案，基于约尔吉·斯克里尼斯提出的重新构建各种形式营养不良的方法，我们建议需要一些框架，这些框架应侧重于描述和分类饮食模式的性质及变化，而非侧重于健康结果。
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