A review on vitamin A deficiency and depleted immunity in South Asia: From deficiency to resilience

IF 3.2 3区 医学 Q2 NUTRITION & DIETETICS
Rahul Kumar , Maria Jose Oruna-Concha , Keshavan Niranjan , Karani S. Vimaleswaran
{"title":"A review on vitamin A deficiency and depleted immunity in South Asia: From deficiency to resilience","authors":"Rahul Kumar ,&nbsp;Maria Jose Oruna-Concha ,&nbsp;Keshavan Niranjan ,&nbsp;Karani S. Vimaleswaran","doi":"10.1016/j.nut.2024.112452","DOIUrl":null,"url":null,"abstract":"<div><p>In the developing world, the twin challenges of depleted health and growing issue of food waste management loom large, demanding simultaneous attention and innovative solutions. This review explores how these issues can be effectively mitigated while shedding light on the transformative impact of food waste valorization on health management. A spotlight is cast on vitamin A deficiency (VAD), an acute public health concern, especially prevalent in South Asia, driven by economic constraints, sociocultural factors, inadequate diets, and poor nutrient absorption. VAD's devastating effects are exacerbated by limited education, lack of sanitation, ineffective food regulations, and fragile monitoring systems, disproportionately affecting children and women of childbearing age. Recent studies in South Asian countries have revealed rising rates of illness and death, notably among children and women of childbearing age, due to VAD. To address inadequate dietary intake in children utilizing vegetable waste, particularly from carrots and beetroot, which are rich in <em>β</em>-carotene, and betalains, respectively, offers a sustainable solution. Extracting these compounds from vegetable waste for supplementation, fortification, and dietary diversification could significantly improve public health, addressing both food waste and health disparities economically. This approach presents a compelling avenue for exploration and implementation. In summary, this review presents an integrated approach to tackle health and food waste challenges in the developing world. By tapping into the nutritional treasure troves within vegetable waste, we can enhance health outcomes while addressing food waste, forging a brighter and healthier future for communities in need.</p></div>","PeriodicalId":19482,"journal":{"name":"Nutrition","volume":null,"pages":null},"PeriodicalIF":3.2000,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0899900724001023/pdfft?md5=2c8793afb10bb4332fa7ec811f022016&pid=1-s2.0-S0899900724001023-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nutrition","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0899900724001023","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0

Abstract

In the developing world, the twin challenges of depleted health and growing issue of food waste management loom large, demanding simultaneous attention and innovative solutions. This review explores how these issues can be effectively mitigated while shedding light on the transformative impact of food waste valorization on health management. A spotlight is cast on vitamin A deficiency (VAD), an acute public health concern, especially prevalent in South Asia, driven by economic constraints, sociocultural factors, inadequate diets, and poor nutrient absorption. VAD's devastating effects are exacerbated by limited education, lack of sanitation, ineffective food regulations, and fragile monitoring systems, disproportionately affecting children and women of childbearing age. Recent studies in South Asian countries have revealed rising rates of illness and death, notably among children and women of childbearing age, due to VAD. To address inadequate dietary intake in children utilizing vegetable waste, particularly from carrots and beetroot, which are rich in β-carotene, and betalains, respectively, offers a sustainable solution. Extracting these compounds from vegetable waste for supplementation, fortification, and dietary diversification could significantly improve public health, addressing both food waste and health disparities economically. This approach presents a compelling avenue for exploration and implementation. In summary, this review presents an integrated approach to tackle health and food waste challenges in the developing world. By tapping into the nutritional treasure troves within vegetable waste, we can enhance health outcomes while addressing food waste, forging a brighter and healthier future for communities in need.

Abstract Image

南亚维生素 A 缺乏症和免疫力下降问题综述:从缺乏到恢复能力
在发展中世界,健康衰竭和日益严重的食物垃圾管理问题这两大挑战迫在眉睫,需要我们同时关注并采取创新的解决方案。本综述探讨了如何有效缓解这些问题,同时揭示了厨余垃圾价值化对健康管理的变革性影响。维生素 A 缺乏症(VAD)是一个严重的公共卫生问题,在南亚尤为普遍,其原因包括经济限制、社会文化因素、饮食不足和营养吸收不良。有限的教育、缺乏卫生设施、无效的食品法规和脆弱的监测系统加剧了 VAD 的破坏性影响,对儿童和育龄妇女的影响尤为严重。最近在南亚国家进行的研究表明,由于自愿反式脂肪酸造成的疾病和死亡率不断上升,尤其是儿童和育龄妇女。为了解决儿童膳食摄入不足的问题,利用蔬菜废料,特别是从胡萝卜和甜菜根中分别提取富含 β 胡萝卜素和甜菜苷的蔬菜废料,提供了一种可持续的解决方案。从蔬菜废弃物中提取这些化合物,用于补充营养、强化营养和膳食多样化,可以显著改善公众健康,从经济上解决食物浪费和健康差异问题。这种方法为探索和实施提供了令人信服的途径。总之,本综述提出了一种综合方法来应对发展中国家的健康和食物浪费挑战。通过挖掘蔬菜废弃物中的营养宝库,我们可以在解决食物浪费问题的同时提高健康水平,为有需要的社区创造更光明、更健康的未来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Nutrition
Nutrition 医学-营养学
CiteScore
7.80
自引率
2.30%
发文量
300
审稿时长
60 days
期刊介绍: Nutrition has an open access mirror journal Nutrition: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. Founded by Michael M. Meguid in the early 1980''s, Nutrition presents advances in nutrition research and science, informs its readers on new and advancing technologies and data in clinical nutrition practice, encourages the application of outcomes research and meta-analyses to problems in patient-related nutrition; and seeks to help clarify and set the research, policy and practice agenda for nutrition science to enhance human well-being in the years ahead.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信