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东南亚地区从孕前到生命1000天期间的维生素与矿物质、教育及自我保健需求:专家小组意见

Vitamins and minerals, education, and self-care need during preconception to 1000 days of life in Southeast Asia: An expert panel opinion.

作者信息

Jaisamrarn Unnop, Esteban-Habana Maria Antonia, Padolina Christia S, Decena Ditas Cristina D, Dee Marlyn T, Damodaran Premitha, Bhaskaran Vinodhini, Garg Vandana, Dorado Egbert, Hu Henglong

机构信息

Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

College of Medicine and Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.

出版信息

SAGE Open Med. 2023 May 19;11:20503121231173377. doi: 10.1177/20503121231173377. eCollection 2023.

Abstract

Addressing maternal malnutrition and its drivers is paramount in Southeast Asia. This article summarizes the key clinical learnings and evidence-based opinions from the experts to understand the need for vitamins and minerals supplementation, education, and self-care from preconception to the first 1000 days of life, which warranted further attention since COVID-19 pandemic. Evidence describing the importance of vitamins and minerals during preconception, pregnancy, and lactation stages was identified using literature databases. A pre-meeting survey was conducted to determine the current practices and challenges in Southeast Asia. Based on the literature review and clinical experience, experts defined the topics, and an online meeting was held on 13th July 2021. During the meeting, nine experts from Southeast Asia provided evidence-based opinion on the vitamins and minerals supplementation, education, and self-care need during preconception, pregnancy, and lactation stages. The expert opinions underpin maternal malnutrition as a prevalent issue and discuss appropriate interventions and prevention strategies for women in Southeast Asia. The recent pandemic further impacted nutrition status, pregnancy, and neonatal health outcomes. The expert panel emphasized a need to improve existing inadequacies in education, self-care, and social support, and discussed the role of policymakers in addressing the barriers to dietary changes. As inadequacies in regular vitamins and minerals supplementation, education, and self-care for women of reproductive age implicate maternal and child health outcomes, there is an urgent need for addressing malnutrition concerns in this population. Thus, a strong partnership between policymakers, healthcare professionals, and other relevant sectors is required.

摘要

解决孕产妇营养不良及其驱动因素在东南亚至关重要。本文总结了专家们的关键临床经验和基于证据的观点,以了解从孕前到生命最初1000天补充维生素和矿物质、教育及自我护理的必要性,自新冠疫情以来这一问题值得进一步关注。通过文献数据库确定了描述孕前、孕期和哺乳期维生素和矿物质重要性的证据。开展了会前调查以确定东南亚地区的当前做法和挑战。基于文献综述和临床经验,专家们确定了主题,并于2021年7月13日举行了线上会议。会议期间,来自东南亚的九位专家就孕前、孕期和哺乳期补充维生素和矿物质、教育及自我护理的需求提供了基于证据的意见。专家意见强调孕产妇营养不良是一个普遍问题,并讨论了针对东南亚女性的适当干预措施和预防策略。近期的疫情进一步影响了营养状况、妊娠和新生儿健康结局。专家小组强调需要改善教育、自我护理和社会支持方面现有的不足,并讨论了政策制定者在消除饮食改变障碍方面的作用。由于育龄妇女在常规补充维生素和矿物质、教育及自我护理方面存在不足,这会影响母婴健康结局,因此迫切需要解决这一人群的营养不良问题。因此,政策制定者、医疗保健专业人员和其他相关部门之间需要建立强有力的伙伴关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e92/10201185/8dad5b165b48/10.1177_20503121231173377-fig1.jpg

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