人类营养和营养学:了解约旦的专业和发展行动

Mousa Numan Ahmad
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摘要

在约旦,人类营养和营养学是最发达的联合保健专业之一,但一般没有关于其现状的文件资料。本文的目的是澄清这一职业在该国的地位,并追溯过去五十年来发生的发展活动。目前,自50年前以来,约旦人在与营养状况有关的健康属性方面发生了显著转变。这表现在饮食、社会经济、流行病学和人口结构的快速变化上。健康和营养状况的总体趋势发生了加速变化,包括传染病发病率下降、预期寿命延长、各级教育水平提高、城市化、机械化和市场全球化程度提高、体力活动减少、饮食中能量更密集、碳水化合物、脂肪和动物性食品更丰富。与营养有关的主要慢性疾病,特别是包括糖尿病、肥胖、心血管疾病、血脂异常、高血压和癌症在内的心脏代谢风险的发病率和死亡率不断上升,这一趋势令人不安。与这种转变相一致,营养和营养专业服务的模式稳步增加。约旦有10所公立大学和17所私立大学。六所公立大学和五所私立大学提供人类营养学学位。一所提供博士学位,四所提供硕士学位,所有十一所大学都提供人类营养和/或营养学学士学位,或两者兼而有之。与这些变化相一致,人类营养和营养专业已经获得了重要的官方认可和法律地位,允许认证或许可、咨询和私人执业。然而,要使这一进展继续稳步前进,还需要额外的立法和监管属性、实习和在职培训计划以及国家饮食手册。因此,有必要成立一个官方机构,按照国际标准来塑造人类营养和营养学专业的格局。
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Human Nutrition and Dietetics: Understanding the Profession and Development Actions in Jordan
In Jordan, human nutrition and dietetics are among the most developed allied health professions, but documented information regarding its current status is generally not available. The purpose of this article is to clarify the status of this profession in the country and to trace the developmental activities that have taken place over the past five decades. Currently, there have been remarkable transitions in health attributes among Jordanians as related to nutritional status since fifty years ago. This is manifested in rapid dietary, socio-economic, epidemiologic, and demographic shifts. Accelerated changes have occurred in general health and nutritional status trends, including a decline in the incidence of infectious diseases, increased life expectancy, a surge in all levels of education, rise in urbanization, mechanization and market globalization, decreased physical activity, diets have become denser in energy and richer in carbohydrates, fat, and animal foods. Concordant troubling trends have been recorded for rising morbidity and mortality of major nutrition-related chronic disorders, particularly cardiometabolic risks including diabetes, obesity, cardiovascular disease, dyslipidemia, hypertension, as well as cancer. Consistency with this transition, patterns of nutrition and dietetics profession services have increased steadily. There are 10 public and 17 private universities in Jordan. Six public and five private universities offer degrees in human nutrition. One offers a doctoral degree, four offer a master's degree, and all eleven universities offer bachelor's degrees in human nutrition and/or dietetics or both. In line with these changes, the human nutrition and dietetics profession has gained significant official recognition and legal status permitting certification or licensing and consultation and private practice. However, additional legislative and regulatory attributes, internships and in-service training programs, and national diet manuals are required for such progress to continue at a steady pace. Therefore, there is a need for an official body to shape the landscape of the profession of human nutrition and dietetics in accordance with international standards.
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