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This book highlights the reality of malnutrition among school-age children in India and relates it with dietary adequacy, diversity and choice. Using empirical data from field research conducted in Karnataka, India, it documents the nutritional status of school-going children, and examines the socio-economic determinants. It provides insights into changing dietary patterns by analysing case studies from households and schools; and documents the impact of changing dietary choices on the daily nutritional intake of young children. As the issue of nutrition for school-age children is one that is largely neglected in the literature, the book fills an important gap. The book also investigates the policy framework for addressing the nutritional needs of school-going children, and assesses the available government-sponsored interventions in terms of their efficiency and effectiveness, measured by their impact on the nutritional indices of the target group. It offers concrete recommendations for changing the nutritional intake of school-going children. Navigating through the socio-cultural causes for changing food choice and their impact on children’s nutritional outcomes, this book shows a viable path to addressing malnutrition, taking into account both macro-level policy constraints and the micro-level perspectives of families, schools and communities.
Considering the detrimental environmental impact of current food systems, and the concerns raised about their sustainability, there is an urgent need to promote diets that are healthy and have low environmental impacts. These diets also need to be socio-culturally acceptable and economically accessible for all. Acknowledging the existence of diverging views on the concepts of sustainable diets and healthy diets, countries have requested guidance from the Food and Agriculture Organization of the United Nations (FAO) and the World Health Organization (WHO) on what constitutes sustainable healthy diets. These guiding principles take a holistic approach to diets; they consider international nutrition recommendations; the environmental cost of food production and consumption; and the adaptability to local social, cultural and economic contexts. This publication aims to support the efforts of countries as they work to transform food systems to deliver on sustainable healthy diets, contributing to the achievement of the SDGs at country level, especially Goals 1 (No Poverty), 2 (Zero Hunger), 3 (Good Health and Well-Being), 4 (Quality Education), 5 (Gender Equality) and 12 (Responsible Consumption and Production) and 13 (Climate Action).
Ensuring that the food provided to children in schools is consistent with current dietary recommendations is an important national focus. Various laws and regulations govern the operation of school meal programs. In 1995, Nutrition Standards and Meal Requirements were put in place to ensure that all meals offered would be high in nutritional quality. School Meals reviews and provides recommendations to update the nutrition standard and the meal requirements for the National School Breakfast and Lunch Programs. The recommendations reflect new developments in nutrition science, increase the availability of key food groups in the school meal programs, and allow these programs to better meet the nutritional needs of children, foster healthy eating habits, and safeguard children's health. School Meals sets standards for menu planning that focus on food groups, calories, saturated fat, and sodium and that incorporate Dietary Guidelines for Americans and the Dietary Reference Intakes. This book will be used as a guide for school food authorities, food producers, policy leaders, state/local governments, and parents.
More children born today will survive to adulthood than at any time in history. It is now time to emphasize health and development in middle childhood and adolescence--developmental phases that are critical to health in adulthood and the next generation. Child and Adolescent Health and Development explores the benefits that accrue from sustained and targeted interventions across the first two decades of life. The volume outlines the investment case for effective, costed, and scalable interventions for low-resource settings, emphasizing the cross-sectoral role of education. This evidence base can guide policy makers in prioritizing actions to promote survival, health, cognition, and physical growth throughout childhood and adolescence.
As essential nutrients, sodium and potassium contribute to the fundamentals of physiology and pathology of human health and disease. In clinical settings, these are two important blood electrolytes, are frequently measured and influence care decisions. Yet, blood electrolyte concentrations are usually not influenced by dietary intake, as kidney and hormone systems carefully regulate blood values. Over the years, increasing evidence suggests that sodium and potassium intake patterns of children and adults influence long-term population health mostly through complex relationships among dietary intake, blood pressure and cardiovascular health. The public health importance of understanding these relationships, based upon the best available evidence and establishing recommendations to support the development of population clinical practice guidelines and medical care of patients is clear. This report reviews evidence on the relationship between sodium and potassium intakes and indicators of adequacy, toxicity, and chronic disease. It updates the Dietary Reference Intakes (DRIs) using an expanded DRI model that includes consideration of chronic disease endpoints, and outlines research gaps to address the uncertainties identified in the process of deriving the reference values and evaluating public health implications.
Setting nutrition guidelines and standards has been recommended internationally to ensure that school meals are in line with children’s nutrition needs and adequate to their context. This report provides a descriptive overview of the situation of school meal nutrition guidelines and standards in 33 low and middle-income countries as reported through a global survey. The report identifies key aspects to consider for stakeholders who are planning to develop or update their guidelines and standards in the context of school meal programmes.
Food is a universal basic need. The diverse ways in which people and households try to meet this need, the constraints they are up against in doing so, and the strategies they develop to reduce their vulnerability to food insecurity form the core of this book. A large range of findings on these subjects is reviewed and analysed, based on recent research carried out in Southeast Asia, with a focus on Indonesia and the Philippines. Household food provision and the nutritional status of household members reflect processes and outcomes that reach far beyond agricultural parameters of food production and biological indicators of nutrient intake. They evolve in a dynamic and gendered context shaped by ecological, socio-cultural, economic and political factors. Hence, research in the field provides a meeting ground for researchers with various disciplinary backgrounds, like agronomists, nutrition scientists, anthropologists, sociologists, and economists. The methodological implications of this are discussed in the book as well. The author, Anke Niehof, holds the chair of sociology of consumers and households at Wageningen University. She has widely published on issues relating to household food security and spent about ten years of her working life in Indonesia.
The State of the World's Children 2011: Adolescence - An Age of Opportunity examines the global state of adolescents; outlines the challenges they face in health, education, protection and participation; and explores the risks and vulnerabilities of this pivotal stage. The report highlights the singular opportunities that adolescence offers, both for adolescents themselves and for the societies they live in. The accumulated evidence demonstrates that investing in adolescents' second decade is our best hope of breaking the intergenerational cycle of poverty and inequity and of laying the foundation for a more peaceful, tolerant and equitable world.
FAO provides countries with technical support to conduct nutrition assessments, in particular to build the evidence base required for countries to achieve commitments made at the Second International Conference on Nutrition (ICN2) and under the 2016-2025 UN Decade of Action on Nutrition. Such concrete evidence can only derive from precise and valid measures of what people eat and drink. There is a wide range of dietary assessment methods available to measure food and nutrient intakes (expressed as energy insufficiency, diet quality and food patterns etc.) in diet and nutrition surveys, in impact surveys, and in monitoring and evaluation. Differenct indicators can be selected according to a study's objectives, sample population, costs and required precision. In low capacity settings, a number of other issues should be considered (e.g. availability of food composition tables, cultural and community specific issues, such as intra-household distribution of foods and eating from shared plates, etc.). This manual aims to signpost for the users the best way to measure food and nutrient intakes and to enhance their understanding of the key features, strengths and limitations of various methods. It also highlights a number of common methodological considerations involved in the selection process. Target audience comprises of individuals (policy-makers, programme managers, educators, health professionals including dietitians and nutritionists, field workers and researchers) involved in national surveys, programme planning and monitoring and evaluation in low capacity settings, as well as those in charge of knowledge brokering for policy-making.
At the 2013 Nutrition for Growth Summit in London, 96 signatories (governments, civil society organizations, donors, United Nations’ agencies, and businesses) agreed to support the creation of an annual report on global nutrition that would be authored by an independent expert group, in partnership with a large number of contributors. The first edition of this report, the Global Nutrition Report 2014, puts a spotlight on worldwide progress by the 193 member countries of the United Nations in improving their nutrition status, identifies bottlenecks to change, highlights opportunities for action, and contributes to strengthened nutrition accountability on country and global levels.