Call for sustainable food systems including (medical) nutrition for hospitalised children and their families

IF 2.4 Q3 GASTROENTEROLOGY & HEPATOLOGY Frontline Gastroenterology Pub Date : 2024-03-20 DOI:10.1136/flgastro-2023-102478
Sascha C A T Verbruggen, Suzan Cochius den Otter, Johanna Bakker, George Briassoulis, Ilia Stavoula, Lynne Latten, Koen Joosten, Shancy Rooze, Eva van Zanten, R Mark Beattie, Luise V Marino
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Abstract

The climate emergency presents a profound threat to global health, adversely affecting the health and well-being of children who are projected to bear a substantial disease burden, as well as impacting children’s right to food, water, healthcare and education. The healthcare sector strives to prioritise preventative healthcare policies improving the health of individuals across the life course. However, current healthcare practices significantly contribute to greenhouse gas (GHG) emissions and waste generation, in which (medical) nutrition plays an important role. Plant-based proteins offer sustainability benefits, and potential health advantages, and have a lower climate footprint, although there may also be unintended consequences of land-use change and deforestation for certain crops. However, to develop suitable plant-based alternatives to medical nutrition, it will be necessary to address regulatory obstacles as well as ensure nutritional profiles are suitable, particularly protein (amino acid) and micronutrient composition. Additionally, the development of heat-tolerant and water-efficient plant genotypes could bolster adaptation to changing climatic conditions. Effective waste management, including wasted food and medical nutrition, emerges as a key strategy in mitigating the climate impact of medical nutrition. While research on food waste in healthcare settings is limited, minimising waste spillage in medical nutrition is a crucial area to explore. Healthcare professionals must acknowledge their roles in curbing the climate footprint of medical nutrition as well as recommendations for food-based approaches. This review aims to investigate the sustainability of medical nutrition for paediatric care, focusing on factors contributing to GHG emissions, plant-based alternatives, waste management and plastic packaging. Such an exploration is vital for healthcare professionals to fulfil their responsibilities in addressing the climate crisis while advocating for change.
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呼吁建立可持续的食品系统,包括为住院儿童及其家人提供(医疗)营养
气候紧急情况对全球健康构成了深远的威胁,对儿童的健康和福祉产生了不利影响,预计他们将承受巨大的疾病负担,并影响儿童获得食物、水、医疗保健和教育的权利。医疗保健部门努力将预防性医疗保健政策作为优先事项,以改善个人一生的健康状况。然而,目前的医疗保健做法大大增加了温室气体(GHG)的排放和废物的产生,而(医疗)营养在其中发挥着重要作用。植物性蛋白质具有可持续发展的优势和潜在的健康优势,而且对气候的影响较小,不过某些作物也可能会带来土地使用变化和森林砍伐的意外后果。然而,要开发出适合医疗营养的植物替代品,就必须解决监管障碍,并确保营养成分适合,特别是蛋白质(氨基酸)和微量营养素成分。此外,开发耐热和节水的植物基因型可增强对不断变化的气候条件的适应性。有效的废物管理(包括浪费的食物和医疗营养品)是减轻医疗营养品对气候影响的关键战略。虽然对医疗环境中食物浪费的研究有限,但最大限度地减少医疗营养中的废物溢出是一个需要探索的重要领域。医疗保健专业人员必须认识到他们在遏制医疗营养的气候足迹方面的作用,以及对基于食物的方法的建议。本综述旨在研究儿科医疗营养的可持续性,重点关注导致温室气体排放的因素、植物替代品、废物管理和塑料包装。这种探索对于医疗保健专业人员在倡导变革的同时履行其应对气候危机的责任至关重要。
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来源期刊
Frontline Gastroenterology
Frontline Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.70
自引率
11.50%
发文量
93
期刊介绍: Frontline Gastroenterology publishes articles that accelerate adoption of innovative and best practice in the fields of gastroenterology and hepatology. Frontline Gastroenterology is especially interested in articles on multidisciplinary research and care, focusing on both retrospective assessments of novel models of care as well as putative future directions of best practice. Specifically Frontline Gastroenterology publishes articles in the domains of clinical quality, patient experience, service provision and medical education.
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