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为营养师和营养专业人士提供的通向个人、人群及地球健康的途径。

A pathway to personal, population and planetary health for dietitians and nutrition professionals.

作者信息

MacKenzie-Shalders Kristen L, Barbour Liza, Charlton Karen, Cox Gregory R, Lawrence Mark, Murray Sandra, Newberry Kylie, Senior Nicole M, Stanton Rosemary, Tagtow Angela M

机构信息

Nutrition and Dietetics Research Group, Faculty of Health Sciences and Medicine Bond University University Drive Gold Coast Queensland Australia.

Department of Nutrition, Dietetics and Food, Faculty of Medicine Nursing and Health Sciences, Monash University Clayton Victoria Australia.

出版信息

Public Health Chall. 2023 Nov 15;2(4):e137. doi: 10.1002/puh2.137. eCollection 2023 Dec.

Abstract

BACKGROUND

Earth and all its inhabitants are threatened by a planetary crisis; including climate change, deforestation, biodiversity loss and pollution. Dietitians and nutrition professionals have a responsibility to lead transformational change in contemporary food and health systems to help mitigate this crisis. The study aims to develop a conceptual framework to support dietitians towards personal, population and planetary health.

METHODS

Non-empirical methods were used by the co-researchers to explore and explain the application of an international framework 'Next-Generation Solutions to Address Adaptive Challenges in Dietetics Practice: The I + PSE Conceptual Framework for Action'.

RESULTS

A non-sequential pathway guide to personal, population and planetary health for nutrition professionals was developed including several key guiding principles of Agency, Action, Ascension, Alignment, Alliance and Allyship, and Advocacy and Activism. Each guiding principle features descriptors and descriptions to enhance dietitian and nutrition professional Agency (i.e. vision, self-belief, confidence, strength and responsibility), Action (i.e. start, shift, translate, achieve and commit), Ascension (i.e. build, overcome, manage, challenge and progress), Alignment (i.e. leadership, transparency, diplomacy, values and systems), Alliance and Allyship (i.e. support, collaborate, represent, community and citizenship) and Advocacy and Activism (i.e. disrupt, co-design, transform, empower and urgency). The framework and its descriptors support enhanced understanding and are modifiable and flexible in their application to guide the participation of dietitians and nutrition professionals in transformational change in personal, population and planetary health. This guide acknowledges that First Nations knowledge and customs are important to current and future work within this field.

CONCLUSIONS

Alongside the international body of work progressing in this field, this framework and visual guide will support dietitians and nutrition professionals to achieve urgent, transformational change in personal, population and planetary health.

摘要

背景

地球及其所有居民正受到一场全球性危机的威胁,包括气候变化、森林砍伐、生物多样性丧失和污染。营养师和营养专业人员有责任引领当代食品和健康系统的变革,以帮助缓解这场危机。本研究旨在构建一个概念框架,以支持营养师实现个人、群体和地球健康。

方法

共同研究者采用非实证方法,探讨并阐释国际框架“应对饮食实践适应性挑战的下一代解决方案:I + PSE行动概念框架”的应用。

结果

为营养专业人员制定了一份通往个人、群体和地球健康的非顺序性路径指南,其中包括能动性、行动、提升、协调、联盟与合作以及宣传与行动主义等若干关键指导原则。每个指导原则都有描述词和详细说明,以增强营养师和营养专业人员的能动性(即愿景、自我信念、信心、力量和责任)、行动(即开始、转变、转化、实现和承诺)、提升(即建立、克服、管理、挑战和进步)、协调(即领导力、透明度、外交、价值观和系统)、联盟与合作(即支持、协作、代表、社区和公民身份)以及宣传与行动主义(即打破、共同设计、变革、赋能和紧迫性)。该框架及其描述词有助于增进理解,在应用中具有可修改性和灵活性,可指导营养师和营养专业人员参与个人、群体和地球健康方面的变革。本指南承认原住民知识和习俗对该领域当前及未来工作至关重要。

结论

除了该领域正在推进的国际工作成果之外,这个框架和可视化指南将支持营养师和营养专业人员在个人、群体和地球健康方面实现紧迫的变革。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c84a/12039635/a21f34ce9542/PUH2-2-e137-g001.jpg

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