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改善印度儿童维生素和矿物质不足的干预措施:范围综述。

Interventions to improve vitamin and mineral inadequacies among children in India: a scoping review.

机构信息

Centre for Evidence-informed Decision making, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India.

All India Institute of Medical Science, College of Nursing, Raebareli, Uttar Pradesh, India.

出版信息

J Hum Nutr Diet. 2025 Feb;38(1):e13384. doi: 10.1111/jhn.13384. Epub 2024 Nov 5.

Abstract

INTRODUCTION

Vitamin and mineral deficiencies are commonly seen in children, and they affect the physical, mental and cognitive development of a child.

OBJECTIVE

This study aimed to map interventions to improve vitamin and mineral inadequacies among children in India.

METHODS

A review was conducted using the PRISMA extension for scoping reviews (PRISMA-ScR) 2018 checklist. Based on the PICO framework, further steps were followed in conducting the review. Studies conducted on children and adolescents (ranging in age from 6 months to 19 years) in India were considered. A search was carried out in PubMed, CINAHL, ProQuest, Cochrane Library, Scopus and Web of Science. Interventions that focused on improving vitamin and mineral inadequacies were collated. Studies published in the English language between 1 January 2012, and 30 September 2023, were included. The data from the included studies were reported narratively.

RESULTS

The search yielded 1566 records through the databases. Finally, 18 studies were found to be eligible to be considered in this review. For improving vitamin and mineral deficiencies, different types of supplements like iron, vitamins A, C and D in different amounts; nutritional supplements like zinc-rich foods, whole-wheat recipes, milk, lipid-based vitamin B12 supplements, ragi, porridge and iron-fortified whole-wheat drinks; or nutritional counselling worked better in children.

CONCLUSION

Vitamin and mineral supplementation for children reduces anaemia among children. Policymakers need to develop a strategy to increase awareness among parents, AWWs, caregivers and schoolteachers to reduce further complications.

摘要

简介

维生素和矿物质缺乏在儿童中很常见,会影响儿童的身体、心理和认知发育。

目的

本研究旨在绘制干预措施图,以改善印度儿童的维生素和矿物质不足。

方法

采用 PRISMA 扩展范围综述(PRISMA-ScR)2018 清单进行综述。根据 PICO 框架,进一步进行了综述。考虑了在印度开展的针对儿童和青少年(年龄从 6 个月到 19 岁)的研究。在 PubMed、CINAHL、ProQuest、Cochrane 图书馆、Scopus 和 Web of Science 中进行了检索。整理了重点改善维生素和矿物质不足的干预措施。纳入了 2012 年 1 月 1 日至 2023 年 9 月 30 日期间以英文发表的研究。对纳入研究的数据进行了叙述性报告。

结果

通过数据库检索到 1566 条记录。最后,发现有 18 项研究符合纳入本综述的条件。为了改善维生素和矿物质缺乏,不同类型的补充剂,如不同剂量的铁、维生素 A、C 和 D;营养补充剂,如富含锌的食物、全麦食谱、牛奶、脂溶性维生素 B12 补充剂、小米、粥和铁强化全麦饮料;或营养咨询在儿童中效果更好。

结论

儿童维生素和矿物质补充可减少儿童贫血。政策制定者需要制定一项战略,以提高家长、AWWs、照顾者和学校教师的意识,以减少进一步的并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/affa/11589394/634e5b8c9c05/JHN-38-0-g001.jpg

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