An Ecological Approach for Advancing the Understanding of Nutrition and Health

Raiten, Daniel J.; Bremer, Andrew A.

doi:10.1001/jamapediatrics.2023.1613

Cited by 2 publications

(1 citation statement)

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“…Does the measurement of a given biomarker of nutrient status tell us how the status was achieved (e.g., was it the result of appetite/intake, a physiological response to inflammation, or a biochemical anomaly due to a nutrient-xenobiotic interaction)? Importantly, our ability to be more precise in diagnosis/attribution requires attention to an individual's nutritional ecology [15].…”

Section: Anemia and Obesitymentioning

confidence: 99%

The Value of an Ecological Approach to Improve the Precision of Nutritional Assessment: Addressing Contributors and Implications of the “Multiple Burdens of Malnutrition”

Raiten,

Steiber,

Dary

et al. 2024

Nutrients

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Globally, children are exposed to multiple health risks associated with diet and nutrition. Rather than simply being a condition of having too much or too little food, malnutrition is more a syndrome comprising multiple burdens of coexisting and reciprocal malnutrition, infection, or other conditions. Importantly, children with such syndromes (e.g., stunting and anemia, which are neither specific nor necessarily sensitive to nutritional status) are more likely to also have irreversible functional outcomes such as poor growth, impaired immune function, or cognitive delays. The global health community has identified nutrition-related targets (e.g., Sustainable Development Goals (SDGs) and World Health Organization (WHO) Global Nutrition Targets) that, for multiple reasons, are difficult to address. Moreover, as the complexity of the global health context increases with persistent pandemics of infectious diseases and the rising prevalence of noncommunicable diseases, there is a growing appreciation that conditions selected as nutrition/health targets indeed represent syndromes for which nutritional status serves as both an input and outcome. In recognition of the impact of these combined challenges and the role of the multiple manifestations of malnutrition, we suggest an approach to nutritional assessment that is intended to improve the precision of context-specific, equitable approaches to health promotion, disease prevention, and treatment.

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Section: Anemia and Obesitymentioning

confidence: 99%