大印度卡路里之争:解释印度经济快速增长期间日益严重的营养不良问题

Lisa C. Smith
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引用次数: 87

摘要

自20世纪80年代中期以来,印度的营养不良患病率一直在稳步上升,即摄入的卡路里不足以满足其能量需求的人口比例。矛盾的是,这一时期是一个大力减少贫困和经济快速增长的时期。在印度国内和国际上,热量消耗的明显减少导致营养不良现象加剧的原因一直是激烈辩论的主题。本文批判性地回顾了这场辩论,发现它发生在印度最近的营养和流行病学转变的背景之外,这些转变似乎带来了食物消费的增加,而不是减少。争论还发生在一个不容质疑的假设下,即作为国家家庭消费和支出调查(HCESs)的一部分收集的相互冲突趋势所依据的数据是可靠的。该论文提供了支持性文献和经验证据,表明导致所测量的卡路里下降的一个关键因素是对人们离家消费的食物的数据收集不完整,这种情况很普遍,而且正在迅速增加。印度的例子表明,在所有国家的hess中全面衡量这一食物来源,对于准确衡量国家、区域和全球各级的营养不良,甚至贫困至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Great Indian Calorie Debate: Explaining Rising Undernourishment during India's Rapid Economic Growth

The prevalence of undernourishment in India – the percent of people consuming insufficient calories to meet their energy requirements – has been rising steadily since the mid-1980s. Paradoxically, this period has been one of robust poverty reduction and rapid economic growth. The reasons for the apparent reductions in calorie consumption underlying increased undernourishment have been the subject of intense debate both within India and internationally. This paper critically reviews this debate, finding that is has taken place outside of the context of India's recent nutrition and epidemiological transitions, which appear to have brought with them increased, not decreased, food consumption. The debate has also taken place under the unchallenged assumption that the data on which the conflicting trends are based, collected as part of the country's Household Consumption and Expenditure Surveys (HCESs), are reliable. The paper provides supporting literature and empirical evidence that one key factor driving the measured calorie decline is incomplete collection of data on food consumed away from peoples’ homes, which is widespread and rapidly increasing. The India example shows that complete measurement of this food source in the HCESs of all countries is vital for accurate measurement of undernourishment and, indeed, poverty at national, regional and global levels.

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