Capacity building in dietary monitoring and public health nutrition in the Eastern Mediterranean Region Countries

东地中海地区国家膳食监测和公共卫生营养方面的能力建设

• 批准号: MC_PC_MR/R019576/1
• 负责人: Paul Finglas
• 金额: $ 22.6万
• 依托单位: Quadram Institute
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2018
• 资助国家: 英国
• 起止时间: 2018 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MC_PC_MR%2FR019576%2F1
• 关键词: Capacity; building; dietary; monitoring; public

In common with many Western countries, the Eastern Mediterranean Region (EMR) has a major problem with obesity and the associated public health issues. The World Health Organization (WHO) has been developing new health policies to lower intakes of sugar, saturated fats, trans fats and salt with the aim of reducing the risk of non-communicable diseases (diabetes, cardiovascular disease and obesity) in children and adults. To implement these policies successfully it is essential to have high quality food composition and food intake data to underpin research into the links between diet and health and to enable effective dietary monitoring and policy development. Most EMR countries use international food composition tables that include foods consumed in western diets with different nutrient composition, especially for mixed and traditional dishes. Some of these data from other countries are outdated and do not reflect the composition of foods currently consumed in EMR countries, meaning that calculated nutrient intakes are inaccurate. Methods of measuring dietary intake also need to be up-to-date and use appropriate food information.This project intends to provide technical and scientific support for researchers (mainly food and nutrition experts) in LMIC countries in the EMR, and will also provide training in the use of improved standardized methods for production and management of food composition and food intake data and also identify appropriate biological markers of food nutritional value and measurements of health outcomes. A review will be undertaken of food and nutrient intakes in the LMICs to develop strategies for reducing sugary and fatty foods in these diets based on new WHO guidelines.The Quadram Bioscience Institute, that aims to develop solutions to worldwide challenges in human health, food and infectious disease and non communicable disease, will lead the project in partnership with the WHO EMR office. The latter will help to coordinate and co-align regional activities to ensure public health priorities are targeted effectively. Three main activities will underpin capacity building in the EMR with a focus on 10 target LMICs (Morocco, Tunisia, Egypt, Jordan, Palestine, Sudan, Lebanon, Pakistan, Iran & Afghanistan). The project will build on existing links with the WHO EMR and will develop and extend activities with LMIC in the EMR. Four main activities are planned: (1) Training and knowledge exchange workshops; (2) Short-term exchanges of researchers; (3) Development and application of harmonised protocols for pilot sample collection, food analysis, data generation and creation of online regional food composition datasets; (4) Development of possible dietary and other strategies to support reduction in intake of sugary and fatty foods.The main outcomes will be to build capacity and practical skills in the LMIC to improve production, management and use of food composition and dietary intake data, and biomarkers. Knowledge of European and International standards will be disseminated, with support from WHO, to experts across the region. Networks of expertise within the region will also be an important outcome leading to increased collaboration and effective data sharing. The project will enable more efficient use of better quality, region specific, food composition and intake data that can be used for research, monitoring and policy development. This will benefit LMICs in the region by providing data and tools that can encourage reduction of sugar, saturated fat, trans fats and salt and thereby reduce the incidence of diet related disease.

与许多西方国家一样，东地中海地区（EMR）存在肥胖和相关公共卫生问题的主要问题。世界卫生组织（世卫组织）一直在制定新的卫生政策，以减少糖、饱和脂肪、反式脂肪和盐的摄入量，目的是降低儿童和成人患非传染性疾病（糖尿病、心血管疾病和肥胖症）的风险。为了成功地实施这些政策，必须有高质量的食物组成和食物摄入量数据，以支持对饮食与健康之间联系的研究，并使有效的饮食监测和政策制定成为可能。大多数EMR国家使用国际食物成分表，包括西方饮食中消耗的具有不同营养成分的食物，特别是混合和传统菜肴。来自其他国家的一些数据已经过时，不能反映EMR国家目前消费的食物成分，这意味着计算的营养素摄入量是不准确的。测量膳食摄入量的方法也需要与时俱进，并使用适当的食物信息。本项目打算为研究人员提供技术和科学支持（主要是食品和营养专家）在低收入国家，还将提供使用改进的标准化方法的培训，以生产和管理食物成分和食物摄入量数据，并确定适当的食物生物标志物，营养价值和健康结果的衡量。将对低收入国家的食物和营养素摄入量进行审查，以根据世卫组织新的指导方针制定减少这些饮食中含糖和脂肪食物的战略。Quadram生物科学研究所将与世卫组织环境监测和报告办公室合作，领导该项目，该研究所旨在为人类健康、食物和传染病及非传染病方面的全球挑战制定解决方案。后者将有助于协调和统一区域活动，以确保有效地针对公共卫生优先事项。三项主要活动将支持环境管理报告的能力建设，重点是10个目标低收入国家（摩洛哥、突尼斯、埃及、约旦、巴勒斯坦、苏丹、黎巴嫩、巴基斯坦、伊朗和阿富汗）。该项目将建立在与世卫组织电子病历的现有联系的基础上，并将在电子病历中发展和扩大与LMIC的活动。计划开展四项主要活动：（1）培训和知识交流讲习班;（2）研究人员的短期交流;（3）制定和应用统一协议，用于试点样本收集、食品分析、数据生成和创建在线区域食品成分数据集;（四）制定可能的饮食和其他战略，以支持减少含糖和脂肪食物的摄入。在LMIC的技能，以改善生产，管理和使用的食物成分和饮食摄入量的数据，和生物标志物。在世卫组织的支持下，将向该地区的专家传播欧洲和国际标准的知识。区域内的专门知识网络也将是一项重要成果，有助于加强协作和有效分享数据。该项目将能够更有效地利用质量更高、针对具体地区的食物组成和摄入量数据，这些数据可用于研究、监测和政策制定。这将使该区域的中低收入国家受益，因为它们可以提供数据和工具，鼓励减少糖、饱和脂肪、反式脂肪和盐，从而减少与饮食有关的疾病的发生率。