New strategies to reduce anaemia and risk of overweight and obesity through complementary feeding of infants and young children in Peru

秘鲁通过为婴幼儿添加辅食来减少贫血以及超重和肥胖风险的新策略

• 批准号: MR/S024921/1
• 负责人: Emily Rousham
• 金额: $ 74.21万
• 依托单位: Loughborough University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2019
• 资助国家: 英国
• 起止时间: 2019 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FS024921%2F1
• 关键词: New; strategies; reduce; anaemia; risk

Peru is experiencing rapid change with progressive economic development and increasing migration to cities. Dietary habits and health are also changing. Infants and children are getting taller but also getting heavier. In the last 10 years there have been significant increases in overweight and obesity among children, adolescents and adults. At the same time, however, the diets of infants and young children aged 6-23 months do not contain enough micronutrients (essential vitamins and minerals), particularly iron. Despite good provision of dietary supplements (micronutrient supplements including iron) to women and young children through national health services, there is still a high prevalence of anaemia (a deficiency of red cells or haemoglobin in blood) caused by iron and other micronutrient deficiencies. New strategies are required to address these two dietary problems of anaemia and overweight/obesity. An underlying driver of these two nutritional challenges is the consumption of foods that are high in energy and low in nutrients. Infant feeding is a critical time for health because the nutrition and growth of infants has a significant effect on health in childhood, adolescence and adulthood. A lack of research and poor understanding of the multiple factors influencing infant and young child feeding is a barrier to improving nutrition and health. This project will take a holistic approach to identifying the factors that drive food consumption in infants and young children in Peru, particularly the role of caregivers and families, communities and local neighbourhoods (health facilities and daycare facilities). There is a need for stronger evidence that accounts for the environments that people live in to inform strategies to promote healthier feeding of infants and young children. Our project will use novel methods and adopt a holistic approach to examine infant and young child feeding in two peri-urban centres reflecting different ecologies of coastal Lima and highland Huánuco. As well as understanding infant feeding patterns and practices, we will organise community-based participatory workshops to identify solutions to the identified challenges of healthy complementary feeding. The workshops will lead to prototypes for solutions (interventions) to improve infant and young child nutrition which will be piloted in the local community.Compliance with Official Development Assistance This project addresses SDG2: reduce hunger and malnutrition and ensure children have access to sufficient and nutritious food; and SDG3: ensure healthy lives and wellbeing. Optimal infant and child feeding is critical for healthy growth and development and to prevent lifelong disparities in health. In Peru, peri-urban households with lower socio-economic status are at significant risk of nutrient-poor diets that are also high in energy. This increases the risk of overweight and diet-related non-communicable disease over the lifecourse. The Peruvian Ministry of Health has invested in national programmes to reduce anaemia and to promote healthy complementary feeding practices, however, this has not yet achieved substantial reductions in anaemia and novel, more holistic, strategies are needed. This study will therefore work with the peri-urban populations in Lima and Huánuco to develop tailored strategies to improve infant and young child feeding. The work will benefit children, families, local communities, health services, regional and national health authorities whilst informing local and national policies.

秘鲁正在经历迅速的变化，经济逐步发展，向城市的移民不断增加。饮食习惯和健康状况也在发生变化。婴儿和儿童越来越高，但也越来越重。在过去10年中，儿童、青少年和成年人的超重和肥胖症显著增加。然而，与此同时，6-23个月婴儿和幼儿的饮食中没有足够的微量营养素（必需维生素和矿物质），特别是铁。尽管通过国家保健服务向妇女和幼儿提供了良好的膳食补充剂（包括铁在内的微量营养素补充剂），但由于铁和其他微量营养素缺乏而引起的贫血症（血液中红细胞或血红蛋白缺乏症）仍然十分普遍。需要采取新的战略来解决贫血和超重/肥胖这两个饮食问题。这两个营养挑战的潜在驱动力是高能量和低营养的食物的消费。婴儿喂养是健康的关键时期，因为婴儿的营养和成长对儿童、青少年和成年期的健康有重大影响。对影响婴幼儿喂养的多种因素缺乏研究和了解不足，是改善营养和健康的障碍。该项目将采取综合办法，确定推动秘鲁婴幼儿食品消费的因素，特别是照顾者和家庭、社区和当地居民区（保健设施和日托设施）的作用。需要更有力的证据来说明人们生活的环境，为促进婴幼儿健康喂养的战略提供信息。我们的项目将使用新的方法，采取全面的方法，在两个反映利马沿海和瓦努科高原不同生态的城郊中心检查婴幼儿喂养情况。除了了解婴儿喂养模式和实践，我们还将组织以社区为基础的参与性研讨会，以确定健康补充喂养所面临挑战的解决方案。该项目旨在实现可持续发展目标2：减少饥饿和营养不良，确保儿童获得充足和有营养的食物;以及可持续发展目标3：确保健康的生活和福祉。婴儿和儿童的最佳喂养对于健康成长和发育以及防止终身健康差距至关重要。在秘鲁，社会经济地位较低的城郊家庭很可能吃营养不良但能量高的食物。这增加了一生中超重和与饮食有关的非传染性疾病的风险。秘鲁卫生部已投资于国家方案，以减少贫血症和促进健康的补充喂养做法，但这尚未大幅减少贫血症，需要采取新的、更全面的战略。因此，这项研究将与利马和瓦努科的城郊人口合作，制定有针对性的战略，以改善婴幼儿喂养。这项工作将使儿童、家庭、当地社区、卫生服务、区域和国家卫生当局受益，同时为地方和国家政策提供信息。

项目成果

Exploring the magnitude and drivers of the double burden of malnutrition at maternal and dyad levels in peri-urban Peru: A cross-sectional study of low-income mothers, infants and young children.

• DOI: 10.1111/mcn.13549
• 发表时间: 2023-10
• 期刊: MATERNAL AND CHILD NUTRITION
• 影响因子: 3.4
• 作者: Pradeilles, Rebecca;Landais, Edwige;Pareja, Rossina;Eymard-Duvernay, Sabrina;Markey, Oonagh;Holdsworth, Michelle;Rousham, Emily K.;M. Creed-Kanashiro, Hilary
• 通讯作者: M. Creed-Kanashiro, Hilary

Diet and food insecurity among mothers, infants, and young children in Peru before and during COVID-19: A panel survey.

• DOI: 10.1111/mcn.13343
• 发表时间: 2022-07
• 期刊: MATERNAL AND CHILD NUTRITION
• 影响因子: 3.4
• 作者: Pradeilles, Rebecca;Pareja, Rossina;Creed-Kanashiro, Hilary M.;Griffiths, Paula L.;Holdsworth, Michelle;Verdezoto, Nervo;Eymard-Duvernay, Sabrina;Landais, Edwige;Stanley, Megan;Rousham, Emily K.
• 通讯作者: Rousham, Emily K.

Unhealthy Food and Beverage Consumption during Childhood and Risk of Cardiometabolic Disease: A Systematic Review of Prospective Cohort Studies.

儿童时期不健康的食品和饮料消费与心血管代谢疾病的风险：前瞻性队列研究的系统回顾。

• DOI: 10.1016/j.tjnut.2022.11.013
• 发表时间: 2023
• 期刊: The Journal of nutrition
• 作者: Markey O

Unhealthy Food and Beverage Consumption in Children and Risk of Overweight and Obesity: A Systematic Review and Meta-Analysis.

• DOI: 10.1093/advances/nmac032
• 发表时间: 2022-10-02
• 期刊: Advances in nutrition (Bethesda, Md.)

Designing intervention prototypes to improve infant and young child nutrition in Peru: a participatory design study protocol.

• DOI: 10.1136/bmjopen-2022-071280
• 发表时间: 2023-12-09
• 期刊: BMJ OPEN
• 影响因子: 2.9
• 作者: Rousham, Emily;Pareja, Rossina G.;Creed-Kanashiro, Hilary M.;Bartolini, Rosario;Pradeilles, Rebecca;Ortega-Roman, Deysi;Holdsworth, Michelle;Griffiths, Paula;Verdezoto, Nervo
• 通讯作者: Verdezoto, Nervo