Colozza David, Guo Isabella, Sukotjo Sri Wahyuni, Padmita Astrid Citra, Galera Rene Gerard, Sulastri Endang, Wikanestri Inti, Ndiaye Mamadou
UNICEF Indonesia, Jakarta, Indonesia
UNICEF Indonesia, Jakarta, Indonesia.
BMJ Paediatr Open. 2025 Mar 18;9(1):e002980. doi: 10.1136/bmjpo-2024-002980.
Climate change is expected to significantly impact child nutrition, worsening global health inequities. Indonesia, a country highly vulnerable to climate change, also faces substantial child malnutrition challenges. However, comprehensive knowledge on climate change's impacts on child nutrition in Indonesia is limited. This study addresses this gap through a scoping review of the scientific evidence on the effects of climate change on child nutrition in Indonesia.
We developed a conceptual framework based on global literature to guide our systematic search, linking climate change to child nutrition and its determinants in Indonesia. Systematic searches were conducted in English and Indonesian on Scopus, Web of Science and PubMed, supplemented by Google Scholar and citation screening. We included peer-reviewed, Scopus-indexed studies focused on Indonesia, examining either direct or indirect impacts of climate change on child nutrition. A narrative synthesis was performed, structured around outcomes identified in our framework: (1) nutrition-associated conditions, (2) diets and disease, (3) social dynamics and (4) food system shocks.
From 3025 records, 134 studies met the inclusion criteria. Studies were either multicountry including Indonesia (23%, n=31), Indonesia-specific across multiple regions (26%, n=35) or region-specific, mainly focused on Java (22%, n=29), Sumatra (11%, n=14), Kalimantan (7%, n=9) and Sulawesi (7%, n=9). Other regions were under-represented (5%, n=7). Most studies used quantitative methods (87%, n=116). Few studies assessed direct links between climate change and nutritional outcomes (n=5), food security or dietary quality (n=7); more focused on indirect pathways such as disease (n=49), social dynamics (n=18) and food system disruptions (n=55).
Evidence suggests significant impacts of climate change on child nutrition in Indonesia, highlighting the need for urgent action. Further localised studies that consider contextual factors, and actions focused on strengthening health and nutrition systems, are critical, especially in regions most vulnerable to both climate change and child malnutrition.
气候变化预计将对儿童营养产生重大影响，加剧全球健康不平等。印度尼西亚是一个极易受到气候变化影响的国家，同时也面临着严峻的儿童营养不良挑战。然而，关于气候变化对印度尼西亚儿童营养影响的全面知识却很有限。本研究通过对气候变化对印度尼西亚儿童营养影响的科学证据进行范围审查来填补这一空白。
我们基于全球文献构建了一个概念框架，以指导我们的系统检索，将气候变化与印度尼西亚的儿童营养及其决定因素联系起来。在Scopus、科学网和PubMed数据库中用英文和印尼文进行系统检索，并辅以谷歌学术搜索和引文筛选。我们纳入了以印度尼西亚为重点的同行评审、Scopus索引研究，考察气候变化对儿童营养的直接或间接影响。围绕我们框架中确定的结果进行了叙述性综合分析：（1）营养相关状况；（2）饮食与疾病；（3）社会动态；（4）食物系统冲击。
从3025条记录中，有134项研究符合纳入标准。这些研究要么是包括印度尼西亚在内的多国研究（23%，n = 31），要么是印度尼西亚多个地区的特定研究（26%，n = 35），要么是特定地区的研究，主要集中在爪哇岛（22%，n = 29）、苏门答腊岛（11%，n = 14）、加里曼丹岛（7%，n = 9）和苏拉威西岛（7%，n = 9）。其他地区的研究较少（5%，n = 7）。大多数研究采用定量方法（87%，n = 116）。很少有研究评估气候变化与营养结果（n = 5）、粮食安全或饮食质量（n = 7）之间的直接联系；更多研究关注间接途径，如疾病（n = 49）、社会动态（n = 18）和食物系统中断（n = 55）。
有证据表明气候变化对印度尼西亚儿童营养有重大影响，凸显了采取紧急行动的必要性。进一步开展考虑背景因素的本地化研究，以及专注于加强健康和营养系统的行动至关重要，特别是在最易受到气候变化和儿童营养不良双重影响的地区。
Zotero 插件