东南亚国家儿童营养不良三重负担的发生率和主要决定因素:在一个经过调整的社会生态框架内进行的系统回顾和荟萃分析。

IF 7.3 1区 农林科学 Q1 FOOD SCIENCE & TECHNOLOGY Critical reviews in food science and nutrition Pub Date : 2024-10-23 DOI:10.1080/10408398.2024.2419539
Pui Yee Tan, Chong Ling Chan, Somphos Vicheth Som, Louise Dye, J Bernadette Moore, Samantha Caton, YunYun Gong
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摘要

营养不良的三重负担(TBM)在全球范围内日益加重,但在东南亚(SEA)国家儿童的营养不良负担和驱动因素方面却存在巨大的证据缺口。截至 2024 年 2 月,我们系统地检索了四个数据库(PROSPERO-CRD42023420129)和谷歌学术。我们从最近的全国调查中评估了东南亚四国(印度尼西亚、马来西亚、泰国和越南)0-18 岁儿童发育迟缓和超重的发生率。我们进行了随机效应荟萃分析,以估算微量营养素缺乏症的总体患病率,并利用一个经过调整的社会生态框架估算与发育迟缓和超重相关的决定因素的总体几率。176项研究被纳入系统性审查,其中132项研究符合荟萃分析条件。我们的研究结果表明,TBM 在不同国家的差异很大,取决于地区、年龄和性别。贫血、铁、维生素 A 和 D 缺乏症的汇总患病率[95% CI]分别为 25% [22, 29]、14% [10, 18]、6% [4, 8]和 40% [32, 48](I2>90%)。TBM的决定因素包括儿童个体因素、生命早期营养不良和家庭住户特征,包括母亲营养和教育、社会经济、家庭规模、卫生条件和食品安全。然而,对宏观环境影响的记录较少。我们的研究结果表明,有必要对包括微量营养素生物标志物在内的营养管理数据进行有力、及时的监测,并在东南亚国家采取有针对性的政策干预措施。
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Prevalence and key determinants of the triple burden of childhood malnutrition in Southeast Asian countries: a systematic review and meta-analysis within an adapted socio-ecological framework.

The triple burden of malnutrition (TBM) is increasing globally, but significant evidence gaps exist regarding its burden and drivers among children in Southeast Asian (SEA) countries. We systematically searched four databases (PROSPERO-CRD42023420129) and Google Scholar through February 2024. We assessed stunting and overweight prevalence among children aged 0-18 years old across four SEA countries (Indonesia, Malaysia, Thailand, and Vietnam) from recent national surveys. We conducted random-effect meta-analyses to estimate the pooled prevalence of micronutrient deficiencies, and the pooled odds ratio for TBM-associated determinants using an adapted socio-ecological framework. 176 studies were included for systematic review, with 132 studies eligible for meta-analysis. Our findings illustrate significant variation in TBM across countries, dependent on region, age, and sex. Pooled prevalence [95% CI] of anemia, iron, vitamin A, and D deficiencies were 25% [22, 29], 14% [10, 18], 6% [4, 8], and 40% [32, 48], respectively (I2>90%). Determinants of the TBM included child-individual factors, poor early-life nutrition, and family household characteristics including maternal nutrition and education, socioeconomic, family size, sanitation, and food security. However, macro-level environmental impacts were less documented. Our findings emphasize the need for robust, timely monitoring of TBM data, including micronutrient biomarkers, and targeted policy intervention in SEA countries.

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来源期刊
CiteScore
22.60
自引率
4.90%
发文量
600
审稿时长
7.5 months
期刊介绍: Critical Reviews in Food Science and Nutrition serves as an authoritative outlet for critical perspectives on contemporary technology, food science, and human nutrition. With a specific focus on issues of national significance, particularly for food scientists, nutritionists, and health professionals, the journal delves into nutrition, functional foods, food safety, and food science and technology. Research areas span diverse topics such as diet and disease, antioxidants, allergenicity, microbiological concerns, flavor chemistry, nutrient roles and bioavailability, pesticides, toxic chemicals and regulation, risk assessment, food safety, and emerging food products, ingredients, and technologies.
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