How to strengthen the link between biology and implementation for




Loading...







Systems biology of personalized nutrition - Oxford Academic

Systems biology of personalized nutrition - Oxford Academic academic oup com/nutritionreviews/article- pdf /75/8/579/24349956/nux029 pdf Personalized nutrition tailors dietary recommen- dations to specific biological requirements on the basis of a person's health status and goals The biology

NUTRITION AND HEALTH - NIOS

NUTRITION AND HEALTH - NIOS nios ac in/media/documents/SrSec314NewE/Lesson-28 pdf Nutrition and Health BIOLOGY 242 Notes MODULE - 4 Environment and Health Food is the basic necessity of life We all know that regular supply of food

The evolution of human nutrition - Cell Press

The evolution of human nutrition - Cell Press www cell com/current-biology/ pdf /S0960-9822(13)00363-1 pdf But what does this mean in terms of biological adaptation? Is there a particular kind of food item, or combination of items, that humans need to thrive? Also,

food-technology-and-therapeutic-nutrition-in-the-biology-textbooks

food-technology-and-therapeutic-nutrition-in-the-biology-textbooks www ejmste com/download/food-technology-and-therapeutic-nutrition-in-the-biology-textbooks-of-the-intermediate-stage-5601 pdf The method of content analysis has been adopted to accomplish the paper aim The results show that the biology textbook (Human being and Health) for the third

The Science and Lore of Healthy Eating - Evidence Analysis Library

The Science and Lore of Healthy Eating - Evidence Analysis Library www andeal org/vault/2440/web/Umami_Science_and_Lore_of_Health_Eating_201708 pdf We know eating a balanced diet with plenty of fruits and vegetables is good for our health But, what if you don't like the taste of those foods, even though

How to strengthen the link between biology and implementation for

How to strengthen the link between biology and implementation for humanhealth iaea org/HHW/Nutrition/Symposium2018/presentations/14 1 Emorn pdf require composite knowledge of biology plus nutrition, food, social, behavioral, implementation sciences etc • Policy and Program Advocacy

How to strengthen the link between biology and implementation for 32128_714_1_Emorn.pdf

EmornUdomkesmalee

Institute of Nutrition, MahidolUniversity

Thailand

How to strengthen the link between

biology and implementation for sustainable action

Evidence for Implementation

•require composite knowledge of biology plus nutrition, food, social, behavioral, implementation sciences etc •Policy and Program Advocacy Good nutrition for maternal health, child development espBRAIN, work capacity, prevention of disabilities and diseases, longevity + quality of life

Investing in nutrition -economic benefits

•Targeting and timing of intervention •Program design -Proven effective intervention •Monitoring -Progress, Feedback for Adjustment •Impact evaluation

Era of Nutrition Research

•1920-1950 Vitamin discovery/deficiency diseases; nutrient focus strategies ;RDAs •1950-1970 Staple calories; caution-fat; protein- enriched formulas •1970-1990Address hunger/micronutrient def- supplementation and fortification •1990-2010 Double burden of malnutrition-rapid rise of obesity/NCDs in LMICs; dietary patterns for chronic diseases •FUTUREComplexities of diet and health; food quality focus; modern agriculture, food processing and innovation-optimal diet patterns

Source: D MozaffarianBMJ 2018

Food Systems Are Central to Diets & Human Health

HLPE Report 2017

P. Winichagoon, INMU

Short-term and long-term effects

of undernutrition

Short-term

Long-term

Brain development

Cognitive & education

performance

Growth&muscle mass

Body composition

Immunity

Work capacity

Metabolic

Programming of

glucose, lipids, protein hormone/receptor/gene

Diabetes, Obesity,

Heart disease, high

blood pressure, cancer, stroke and ageing

Early

nutrition in utero and childhood Source: ENDING MALNUTRITION BY 2020:AN AGENDA FOR CHANGE IN MILLENNIUM of the SCN

Commission on Nutrition, February

2000. (FNB 2000)

The Lancet'sSeries on Maternal and Child

Undernutrition 2008

KEY MESSAGES

Key Messages (Lancet 2008)

Undernutrition: stunting, wasting, IUGR—3.6 mil child deaths, 11% disease burden

Stunting in first 2 yrs-irreversible damage; rapid wtgain after undernutr-increase risk of NCDs as adults

Proven effective interventions to reduce stunting and MN def: breastfeeding/CF, VA and Zn suppln; mgtof severe malnutrition

Crucial period: conception to 2 yrold or 1,000 days window Greater natlpriority; intersectoralapproaches; better coordination in the global nutrition system

Lifecycle: the proposed

causal links

Higher

maternal mortality Reduced mental capacity Reduced capacity to care for baby

Inadequate

foetal nutritionHigher mortality rate

Impaired mental

development

Untimely / inadequate

Weaning

Frequent

infections

Inadequate food,

health & care

Inadequate

growth Woman

Malnourished

Pregnancy

Low Weight

Gain

Adolescent

Stunted

Child

Stunted

Elderly

Malnourished

Baby

Low Birth

Weight

Inadequate food,

health & care

Inadequate food,

health & care Reduced mental capacity Inadequate food, health & care

Epigenetic

susceptibility to chronic diseases if diet becomes inappropriate

Adapted from James et al. SCN

Millennium Rep. Food &

Nutrition Bulletin, 2000, 21, 3S.

The Lancet Maternal and Child Nutrition Series 2013

Lancet Maternal/Child Nutrition Series 2013

P. Winichagoon, INMU

'

1000 Days': The Window of

Opportunity--DOUBLE DUTY

intervention

ConceptionChild birth2-yrs old

age

P. Winichagoon, INMU

Target groups

Pregnant women

0-6 moold infants6-24 moold children

Strategy

Integrated health and social activities by local government and participation of stakeholders

Integrated package:

nutrition, play, child development, dental hygiene, water, sanitation, etcANC, WCC and family well-being through local

H and MCH

board

Committee on

quality of life at district level -Hlth/

Social

protection/Ed /Interior

Achievements

: Optimal growth (height) & development

CONCEPT & STRATEGY

P. Winichagoon, INMU

Menu of activities for 1000 days

Health

functionary

Pregnant womenLactation0-6 moinfants

6-24 mo

At ANC:

•Monitor pregwt

gain-GWG graph

•Assess -counsel

-demonstrate diets

•Iron-folate-iodine

supplement throughout preg

Services for lactating mothers:

•Reviving 10-step for successful BF

•Enforce code of marketing for

infant formula

•Counsel on breastfeeding/ diets

during lactation

•Provide iron/folate/iodine

supplement

•Demonstrate: diets for lactating

women

•Counsel -

diets for 1-

2 y old

•weekly

iron suppl.

•Assessing child growth and development

•Assessing child eating (dietary diversity)

•Demonstrate: preparation of child diets

•Counsel & demonstrate to mothers on monitoring & interpretation of child growth

Courtesy: Prof. Yap-Seng Chong, TCN Oct 2018

Courtesy: Prof Yap-Seng Chong, TCN Oct 2018

Courtesy: Prof Yap-Seng Chong, TCN Oct 2018

Courtesy: Prof Yap-Seng Chong, TCN Oct 2018

Strengthen Biology -Implementation

•Type and quality matters-The BEST of Science drives Policy-endorsed by international experts

•Existing international events global gatherings as dialogue platform for knowledge sharing and interactive discussion

•strategic communication-insights on national policy/program decision and PRIORITY area •translation of advanced biological evidence for effective interventions •identification of 'entry point' for dialogue-building trust •proposing model of collaboration to speed up achievement of committed goals.
Politique de confidentialité -Privacy policy