营养素养促进是改善儿童营养的有效策略-朱文丽.pdf

1、思想自由 兼容并包朱文丽，20230321北京大学公共卫生学院营养与食品卫生学系是改善儿童营养的有效策略思想自由 兼容并包膳食不均衡 儿童营养不良多重负担610岁7.833.270.955.313.394.015.233.8153.649.4198.312.129.6Too little food,too much food or the wrong food Malnutrition思想自由 兼容并包儿童营养改善策略食物系统个体食物选择健康与发展环境客主可提供性可获得性感官性状种植(养殖)加工、包装储存、运输销售、消费食物遗传生命早期生理神经内分泌营养素养情绪2020 Global Nutr

2、ition Report:Action on equity to end malnutrition.Bristol,UK:Development Initiatives.EPB膳食质量物理、社会文化、经济、政策环境建设营养教育干预食物供应环境 政策服务教育生命周期思想自由 兼容并包Guideline:Implementing effective actions for improving adolescent nutrition (WHO 2018)Food ProvisionEnvironmentNutrition EducationMalnutrition Management Provi

3、ding additional micronutrients through fortification of staple foods and targeted supplementation;Providing access to safe environment and hygiene;Promoting healthy diets;Promoting physical activity;Disease prevention and management.Managing acute malnutrition;Preventing adolescent pregnancy and poo

4、r reproductive outcomes;Promoting preconception and antenatal nutrition;Guideline:implementing effective actions for improving adolescent nutrition.Geneva:World Health Organization;2018.开展学生营养健康教育指导学生营养就餐学生超重、肥胖干预国民营养计划（2017-2030年）学生营养改善行动儿童营养改善成本效益最大的措施提高营养素养改善饮食行为思想自由 兼容并包营养素养概念思想自由 兼容并包素养（literac

5、y）环境行为个人认知素 养连接个体与环境的桥梁对行为有预测价值Social Learning Theory个体对外界信息的加工处理过程Institute of Medicine 2004.Health Literacy:A Prescription to End Confusion.个体对外界环境信息的加工处理能力To be literate=being knowledgeable or educated in a particular field.BPE思想自由 兼容并包健康素养（Health Literacy，HL）个人获取和理解基本健康信息和服务，并运用这些信息和服务作出正确决策，以维护

6、和促进自身健康的能力(Nielsen-Bohlman,2004)Institute of Medicine 2004.Health Literacy:A Prescription to End Confusion.EmpowermentWHO(1998);Nutbeam(2000)The cognitive and social skills which determine the motivation and abilityof individuals to gain access to,understand and use information in ways which promote