Prevention of Micronutrient Deficiencies in Young Children: Consensus Statement from Infant and Young Child Feeding Chapter of Indian Academy of Pediatrics

被引:18
作者
Bharadva, Ketan [1 ]
Mishra, Sudhir [2 ]
Tiwari, Satish [3 ]
Yadav, Balraj [4 ]
Deshmukh, Urmila [5 ]
Elizabeth, K. E. [6 ]
Banapurmath, C. R. [7 ]
机构
[1] Masoom Childrens Hosp, Dept Pediat, Surat, India
[2] Tata Main Hosp, Jamshedpur, Bihar, India
[3] Dr PDM Med Coll, Amravati, Maharashtra, India
[4] Smt Santra Devi Hlth & Educ Trust Gurgram, Shamaspur, Haryana, India
[5] Biotrak Res Fdn Akola, Akola, Maharashtra, India
[6] Sree Mookambika Inst Med Sci, Kanyakumari, Tamil Nadu, India
[7] JJM Med Coll, Davangere, Karnataka, India
关键词
Dietary diversification; Food fortification; Trace elements; Sustainable developmental goals; Multiple micronutrient powder; VITAMIN-D DEFICIENCY; IRON-DEFICIENCY; ZINC SUPPLEMENTATION; ANEMIA; FOLATE; DIAGNOSIS;
D O I
10.1007/s13312-019-1558-7
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
JustificationMicronutrient deficiencies have significant impact on the overall health and well-being of society and potential targets for supplementations. It is important to formulate a consensus statement in view of current evidence, and put in place strategies to meet targets.ObjectivesTo formulate by endorsement or adoption and disseminate a consensus statement for prevention of micronutrients deficiencies in young children for office practices from an Indian perspective.ProcessA National Consultative Meeting was convened by Infant and Young Child Feeding Chapter (IYCF) of Indian Academy of Pediatrics (IAP) on 17 December, 2016 at Mumbai. IYCF chapter, IAP, United Nations Children Fund, National Institute of Nutrition and Government of India were the participating agencies; and participants representing different parts of India were included.ConclusionsMicronutrient deficiencies are widespread. For its prevention proper maternal and infant-young child feeding strategies need to be practiced. Encourage delayed cord clamping, dietary diversification, germinated foods, soaking and fermentation processes. Existing Iron, Vitamin A, Zinc supplementation and universal salt iodization programs need to be scaled up, especially in high risk groups. Universal vitamin D supplementation need to be in place; though, the dose needs more research. Vitamin B-12 deficiency screening and supplementation should be practiced only in high-risk groups. Availability of appropriately fortified foods needs to be addressed urgently.
引用
收藏
页码:577 / 586
页数:10
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