小岛屿发展中国家改善饮食的干预措施,重点是当地营养食品的消费:系统审查。

IF 3.3 Q2 NUTRITION & DIETETICS
Emily Haynes, Eden Augustus, Catherine R Brown, Cornelia Guell, Viliamu Iese, Lili Jia, Karyn Morrissey, Nigel Unwin
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引用次数: 1

摘要

导言:小岛屿发展中国家(SIDS)的粮食安全是一项国际政策重点。小岛屿发展中国家患与营养有关的非传染性疾病的比率很高,包括肥胖和2型糖尿病、微量营养素缺乏症,在许多国家,儿童发育迟缓现象持续存在。这与越来越依赖营养质量差的进口加工食品有关。人们呼吁加强地方粮食系统,使其能够适应气候变化,增加对当地生产的营养丰富的粮食的消费。我们的目的是系统地回顾旨在改善小岛屿发展中国家饮食的干预措施,并特别探讨这些干预措施是否适用于当地饮食方法。方法:将检索策略应用于卫生、社会科学和农业等11个数据库。筛选题目、摘要和数据摘录一式两份。使用Cochrane工具评估偏倚风险。对结果进行了叙述综合。研究方案已注册(PROSPERO注册号:2020CRD42020201274)。结果:从26 062份记录中,审查了154份全文,其中24份符合要求。其中包括来自加勒比、太平洋、毛里求斯和新加坡的研究。其中5项为随机研究设计,1项为中断时间序列分析,8项为对照,10项为非对照的前测和后测。九项研究包括了当地饮食方法的某些方面。大多数干预措施(n=15)包括营养教育,有效的证据主要局限于那些还包括实用技能培训的干预措施,如蔬菜种植或食物准备。3项研究被认为是低偏倚风险,大多数(n=13)为中等风险。结论:改善小岛屿发展中国家饮食的干预措施缺乏强有力的证据。有证据表明,多方面的方法可能是最有效的,而当地食物的方法可能会通过文化和上下文相关的机制促进有效性。迫切需要进一步发展和评价干预措施,以增加这些研究的可比性,帮助指导改善小岛屿发展中国家营养的政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Interventions in Small Island Developing States to improve diet, with a focus on the consumption of local, nutritious foods: a systematic review.

Interventions in Small Island Developing States to improve diet, with a focus on the consumption of local, nutritious foods: a systematic review.

Interventions in Small Island Developing States to improve diet, with a focus on the consumption of local, nutritious foods: a systematic review.

Introduction: Food security in Small Island Developing States (SIDS) is an international policy priority. SIDS have high rates of nutrition-related non-communicable diseases, including obesity and type 2 diabetes, micronutrient deficiencies and, in many, persistent childhood stunting. This is associated with an increasing reliance on imported processed food of poor nutritional quality. Calls have been made for strengthening local food systems, resilient to climate change, to increase the consumption of nutritious locally produced food. We aimed to systematically review interventions intended to improve diet in SIDS, and specifically explore whether these interventions applied a local food approach.

Methods: The search strategy was applied to 11 databases, including in health, social science and agriculture. Screening of titles, abstracts and data extraction was undertaken in duplicate. Risk of bias was assessed using Cochrane tools. Narrative synthesis of the results was undertaken. The study protocol was registered (PROSPERO registration number: 2020CRD42020201274).

Results: From 26 062 records, 154 full texts were reviewed and 24 were eligible. Included studies were from the Caribbean, Pacific, Mauritius and Singapore. Five were a randomised study design, one an interrupted time series analysis, eight controlled and ten uncontrolled pre-test and post-test. Nine studies included some aspect of a local food approach. Most interventions (n=15) included nutrition education, with evidence of effectiveness largely limited to those that also included practical skills training, such as vegetable gardening or food preparation. Three studies were considered low risk of bias, with the majority (n=13) of moderate risk.

Conclusion: There is a lack of robust evidence on interventions to improve diet in SIDS. The evidence suggests that multifaceted approaches are likely to be the most effective, and local food approaches may promote effectiveness, through mechanisms of cultural and contextual relevance. Further development and evaluation of interventions is urgently required to increase the comparability of these studies, to help guide policy on improving nutrition in SIDS.

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来源期刊
BMJ Nutrition, Prevention and Health
BMJ Nutrition, Prevention and Health Nursing-Nutrition and Dietetics
CiteScore
5.80
自引率
0.00%
发文量
34
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