十年来弱势群体微量营养素干预:印度视角的系统回顾。

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Perspectives Pub Date : 2022-08-20 eCollection Date: 2022-01-01 DOI:10.34172/hpp.2022.19
Soorya Haridas, Jancirani Ramaswamy, Tharanidevi Natarajan, Prema Nedungadi
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引用次数: 4

摘要

背景:微量营养素缺乏长期以来一直被认为是一个公共卫生问题,特别是在儿童、青少年、孕妇和哺乳期妇女等弱势群体中。尽管实施了各种干预战略,仍不能排除微量营养素缺乏的可能性。在国家和全球一级正在使用不同的干预措施来预防和治疗微量营养素缺乏症。本研究的目的是系统地回顾印度不同弱势群体的干预策略。方法:基于2011 - 2021年互联网数据库和同行评议论文,按照预先确定的纳入/排除标准,对发表的各种干预措施进行筛选。根据膳食补充、微量营养素补充、知识干预和不同年龄组的食物强化,对印度实施的主要干预战略进行了确认和评价。结果:结果表明,在确定有效的干预策略、研究倡议、方案和政策以解决印度微量营养素缺乏问题方面仍存在相当大的差距。多种干预措施是有效的,可以引导人们在多种饮食摄入、开发多种微量营养素补充剂、强化食品和营养干预措施方面进行创新,以解决弱势群体中钙、锌、碘、维生素D和维生素A缺乏症。结论:基于证据的多干预研究覆盖了大量的人群,在长期的横截面上,是设计改善社区弱势人群微量营养素状况的政策和方案的需要。
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Micronutrient interventions among vulnerable population over a decade: A systematic review on Indian perspective.

Background: Micronutrient deficiency has long been recognized as a public health problem, particularly among vulnerable groups such as children, adolescents, pregnant and lactating women. Micronutrient deficiency could not be ruled out in spite of the implementation of various intervention strategies. Different interventions are being used to prevent and treat micronutrient deficiencies at the national and global level. The aim of this study is to systematically review the intervention strategies among different vulnerable age groups in India. Methods: The review was focused on identifying various interventions published based on the internet databases and the peer-reviewed papers from 2011 to 2021, on the predefined inclusive/exclusive criteria. The major intervention strategies implemented in India were recognized and evaluated based on dietary supplementation, micronutrient supplementation, knowledge interventions and food fortification among various age groups. Results: The results show that there are still considerable gaps in identifying the effective intervention strategies, research initiatives, programs and policies addressing to tackle micronutrient deficiencies in India. Multiple interventions are effective that could lead the road to innovations in approaches with diverse dietary intake, developing multiple micronutrient supplements, fortifying foods and nutrition interventions to address calcium, zinc, iodine, vitamin D and vitamin A deficiencies among the vulnerable population. Conclusion: Evidence-based multiple intervention studies covering a large population, in the long term cross-sectional, is the need for the hour to design policies and programs for improving the micronutrient status of vulnerable population in the community.

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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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