Nutritional ecology: understanding the intersection of climate/environmental change, food systems and health.

Raiten, Daniel J.; Combs, Gerald F.

doi:10.1079/9781786399311.0068

Cited by 12 publications

(7 citation statements)

References 55 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fourth, because of the association of deficiencies with diseases, poor living conditions, and other inequities, public health measures are necessary to complement any of the interventions; these measures may include reducing disease incidences, improving breast-feeding rates, better complementary feeding, increased immunization coverage, improved water and sanitation measures, improved antenatal and obstetric care, and so forth (53, 57). Ultimately, for sustainability of programs there is a need to reduce global and national inequities through political and socio-cultural change and, increasingly, action on climate change (58).…”

Section: Prevention and Controlmentioning

confidence: 99%

“…For both effectiveness and for sustained programs, addressing nutrition deficiencies requires looking beyond the specific vitamin or micronutrient. National programs need to take measures to include the whole diet and the environment in which the diet is being consumed, including by addressing infectious diseases; antenatal care; newborn, infant, and young child nutrition; water, sanitation, and hygiene improvements; social equity; and household food distribution (58). Addressing all these nutrition-sensitive influences on deficiencies will strengthen and sustain the nutrition-specific measures above (3).…”

Section: Prevention and Controlmentioning

confidence: 99%

“…Current estimates are of over 821 million people who are food (and nutritionally) insecure (3), with 108 million severely food insecure (up from the already alarming 80 million in 2015). At the same time, the overall global population is still increasing and there are growing constraints on land, water, and fisheries (58, 79). Climate change is already affecting the food supply, including the availability of micronutrients, especially iron and zinc, and, although probably less so, vitamins (79).…”

Section: The Progress Of Programs and Policies Addressing Vitamin Defmentioning

confidence: 99%

See 2 more Smart Citations

Public Health Aspects in the Prevention and Control of Vitamin Deficiencies

Darnton‐Hill

2019

Current Developments in Nutrition

View full text Add to dashboard Cite

Vitamin deficiencies remain major etiological factors in the global burden of disease, especially in low- and middle-income countries. The purpose of this state-of-the-art review was to update current information on deficiencies of vitamins and public health approaches to addressing them. Some stages of life present a higher risk of deficiency than others: risks are higher in pregnant women, children (from conception to young childhood), adolescents, the elderly, and all of the over 800 million people globally who are undernourished. At risk are approximately 125 million preschool children with vitamin A deficiency, as well as sub-populations at risk of deficiencies of folate, thiamin, vitamin B12, niacin, riboflavin, other B vitamins. and vitamin D. Addressing micronutrient deficiencies requires identifying those at risk and then working to prevent and manage that risk. Public health approaches include improved, diversified diets; supplementation; fortification and biofortification; and other supportive public health measures. Historically, as with pellagra and beriberi and, in the last 3 decades, with vitamin A and folic acid, there has been encouraging progress, but much remains to be done.

show abstract

Section: Prevention and Controlmentioning

confidence: 99%

Section: Prevention and Controlmentioning

confidence: 99%

Section: The Progress Of Programs and Policies Addressing Vitamin Defmentioning

confidence: 99%

See 1 more Smart Citation

Public Health Aspects in the Prevention and Control of Vitamin Deficiencies

Darnton‐Hill

2019

Current Developments in Nutrition

View full text Add to dashboard Cite

show abstract

“…27 External components such as living environments and food systems have been associated with stunting and there is evidence that when these factors are altered negatively, the risk of stunting is higher. [28][29][30] TA L E Africa and Middle East, the second leading cluster was child nutrition and infection (mostly childhood diarrhea). 32 Vaivada et al 33 Child Nutrition Series framework to create a better global overview of the determinants of stunting.…”

Section: Etiology Of Stuntingmentioning

confidence: 99%

The pediatric global burden of stunting: Focus on Latin America

et al. 2022

View full text Add to dashboard Cite

IntroductionStunting is a devastating consequence of poor nutrition from before birth to early childhood. While the prevalence of stunting is decreasing over the past 30 years, approximately 144 million children still suffer from stunting globally and 5 million in Latin America (LATAM).MethodThe purpose of this review is to provide an overview of stunting globally, with a focus on LATAM. Stunting can impact child development, lead to greater susceptibility to infections, increase functional impairments, and increase mortality risks. Furthermore, the economic negative impact of stunting is large, as stunted children will likely suffer from productivity losses due to chronic diseases in adulthood. The reduction in per capita income of the labor force due to stunting is close to 5% in LATAM; therefore, there is a continued need for comprehensive approaches to address stunting in this region and around the globe.ConclusionsA multisectoral comprehensive approach to address stunting is required, with nutritional intervention being a key part of that process.

show abstract

“…("Nutritional Ecology" is the set of relationships existing between nutritional status, a biological variable representing a complex system composed of those processes involved in the ingestion, digestion, absorption, metabolism, and functional utilization of nutrients, and its surroundings or environment [27].) Components of the external nutrition ecology include dietary exposure, food systems, living environments (altitude above sea level, contamination, stressful and dangerous habitats), physical/economic/social/behavioral conditions and public health context, some of which have been recently explored [28]. The influence of the external environment (e.g., demographics, rural vs urban settings, cultural practices including infant feeding/breastfeeding, and sanitation) has long been known to be associated with stunting, and has been recently reinforced as a major determinant of stunting in high-prevalence settings [27,29].…”

Section: The External and Internal Nutritional Ecology Of Stuntingmentioning

confidence: 99%

Exploring the Nutritional Ecology of Stunting: New Approaches to an Old Problem

Raiten

Bremer

2020

Nutrients

View full text Add to dashboard Cite

Despite a declining prevalence, stunting remains an elusive target for the global health community. The perception is that stunting represents chronic undernutrition (i.e., due to inadequate nutrient intake associated with food insecurity, low-quality diet, and suboptimal infant feeding practices in the first two years of life). However, other causes include maternal–fetal interactions leading to intrauterine growth retardation, poor maternal nutrition during pregnancy and lactation, and maternal and pediatric infections. Moreover, physical, economic, demographic, and social environments are major contributors to both food insecurity and conditions that limit linear growth. Overall, factors representing both the internal and external “nutritional ecologies” need to be considered in efforts to reduce stunting rates. Nutritional assessment requires better understanding of the mechanism and role of nutrition in growth, clear expectations about the sensitivity and specificity of the tools used, and inclusion of bio-indicators reflecting the extent and nature of the functional effect of poor nutrition and environmental factors contributing to human physical growth. We provide a perspective on current knowledge about: (i) the biology and contribution of nutrition to stunting/poor growth; (ii) our current nutritional assessment toolkit; (iii) the implications of current assessment approaches for clinical care and public interventions; and (iv) future directions for addressing these challenges in a changing global health environment.

show abstract

Nutritional ecology: understanding the intersection of climate/environmental change, food systems and health.

Abstract: A boy runs through arid farmland in Madagascar. The country narrowly averted famine in 2016 and is taking steps to build resilience to recurring drought. (Jules Bosco/Salohi, USAID)

Cited by 12 publications

References 55 publications

Public Health Aspects in the Prevention and Control of Vitamin Deficiencies

Public Health Aspects in the Prevention and Control of Vitamin Deficiencies

The pediatric global burden of stunting: Focus on Latin America

Exploring the Nutritional Ecology of Stunting: New Approaches to an Old Problem

Contact Info

Product

Resources

About