Aquatic Animal Foods for Nutrition Security and Child Health
Aquatic Animal Foods for Nutrition Security and Child Health
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DOI：
10.1177/03795721211061924
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发表时间：
2021-12-14
影响因子：
1.9
通讯作者：
Humphries, Austin
中科院分区：
文献类型：
--
作者：
Iannotti, Lora L.;Blackmore, Ivy;Humphries, Austin
背景：水产动物源食品（AASF）可以提供对人类健康至关重要的重要营养素和生物活性因子，但全球消费模式存在差异。关于 AASF 获取对儿童健康结果影响的证据有限。目的：本研究旨在纵向研究全球 AASF 摄入量与关键营养素摄入量以及儿童发育迟缓和贫血的关系。方法：分析基于已构建的概念框架，根据编制的纵向国家数据（1993-2013）进行分析，该概念框架涵盖影响鱼类消费和人类健康的社会和生态因素。纵向广义线性模型用于估计表观 AASF 摄入量与国家一级营养素供应（二十二碳六烯酸 [DHA]、胆碱、维生素 B-12、铁和锌）以及营养不良、儿童发育迟缓和儿童贫血患病率之间的关系。结果：在 175 个国家中，所有 AASF 的人均每日表观摄入量中位数为 37.87 克，儿童死亡率低的国家（46.65 克）与儿童死亡率高的国家（23.50 克）之间存在轻微显着差异。所有 AASF 的综合类别与 DHA、胆碱和维生素 B-12 总表观摄入量的增加以及儿童发育迟缓的减少显着相关。有鳍鱼类（上层和底层）和甲壳类动物与儿童发育迟缓呈负相关，而软体动物和甲壳类动物的明显摄入量与儿童贫血减少有关。结论：这项研究独特地表明，AASF 与改善儿童健康结果以及整个生命过程中生长、发育和保持健康所需的关键营养素有关。政策应确保在全球粮食系统和可持续健康饮食中增加获得 AASF 的机会。
Background: Aquatic animal source foods (AASF) can provide vital nutrients and bioactive factors essential for human health, yet disparities in consumption patterns prevail globally. Limited evidence exists for the implications of AASF access on child health outcomes. Objective: This study aimed to examine global AASF intakes longitudinally in association with critical nutrient intakes and childhood stunting and anemia. Methods: The analysis draws from compiled longitudinal country data (1993-2013) based on a constructed conceptual framework encompassing social and ecological factors that influence fish consumption and human health. Longitudinal generalized linear models were used to estimate the association of apparent AASF intake on country-level nutrient availability (docosahexaenoic acid [DHA], choline, vitamin B-12, iron, and zinc) and prevalence of undernourishment, child stunting, and child anemia. Results: Across 175 countries, the median per capita daily apparent intake of all AASF was 37.87 g, with marginally significant differences observed between countries with low (46.65 g) versus high child mortality (23.50 g). The combined category of all AASF was significantly associated with increased total apparent intakes of DHA, choline, and vitamin B-12 and reduced child stunting. Finfish (pelagic and demersal) and crustaceans inversely correlated with child stunting, while apparent intakes of mollusks and crustaceans were associated with reduced child anemia. Conclusions: This study uniquely showed that AASF were associated with improved child health outcomes and the critical nutrients necessary for growth, development, and maintaining health throughout the life course. Policies should ensure increased access to AASF across food systems and within sustainable healthy diets globally.