scholarly journals Rank Prize Lecture Global nutrition challenges for optimal health and well-being

2008 ◽  
Vol 68 (1) ◽  
pp. 34-42 ◽  
Author(s):  
Ricardo Uauy ◽  
Camila Corvalan ◽  
Alan D. Dangour

Optimal health and well-being are now considered the true measures of human development. Integrated strategies for infant, child and adult nutrition are required that take a life-course perspective to achieve life-long health. The major nutrition challenges faced today include: (a) addressing the pending burden of undernutrition (low birth weight, severe wasting, stunting and Zn, retinol, Fe, iodine and folic acid deficits) affecting those individuals living in conditions of poverty and deprivation; (b) preventing nutrition-related chronic diseases (obesity, diabetes, CVD, some forms of cancer and osteoporosis) that, except in sub-Saharan Africa, are the main causes of death and disability globally. This challenge requires a life-course perspective as effective prevention starts before conception and continues at each stage of life. While death is unavoidable, premature death and disability can be postponed by providing the right amount and quality of food and by maintaining an active life; (c) delaying or avoiding, via appropriate nutrition and physical activity interventions, the functional declines associated with advancing age. To help tackle these challenges, it is proposed that the term ‘malnutrition in all its forms’, which encompasses the full spectrum of nutritional disorders, should be used to engender a broader understanding of global nutrition problems. This term may prove particularly helpful when interacting with policy makers and the public. Finally, a greater effort by the UN agencies and private and public development partners is called for to strengthen local, regional and international capacity to support the much needed change in policy and programme activities focusing on all forms of malnutrition with a unified agenda.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 636-636
Author(s):  
Avron Spiro

Abstract Military service during early life can result in exposure to traumatic events that can reverberate throughout life. Although much attention is focused on the negative effects of military service, many veterans report positive effects. These papers explore life course effects of military service on veterans’ health and well-being. Three used national US longitudinal cohorts (HRS, MIDUS); two sampled veterans from Oregon or from Korea. Three compared veterans to non-veterans; two examined veterans only. Cheng and colleagues found that veterans in HRS are more likely to be risk-averse than non-veterans. Risk aversion matters because it determines how people make decisions and predicts a wide array of health and economic outcomes. Kurth and colleagues examined Oregon veterans from several wars, finding PTSD symptoms were highest among Vietnam combat veterans, the oldest cohort; there were no differences among non-combat veterans. Piazza and colleagues examined in MIDUS the impact of veteran status on cortisol, a stress biomarker, finding older veterans more likely had non-normative patterns than did younger or non-veterans. Lee and colleagues studied patterns of mental health among Korean Vietnam veterans, identifying two patterns as ‘normal’ and ‘resilient’ encompassing half the sample; these veterans demonstrated positive outcomes of military service. Frochen and colleagues compared depression trajectories between veterans and non-veterans in HRS, finding veterans had less depression than non-veterans, but among veterans, trajectories varied based on extent of service. in sum, these papers demonstrate that military service can have positive as well as negative effects on veterans’ health and well-being in later life. Aging Veterans: Effects of Military Service across the Life Course Interest Group Sponsored Symposium.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract Many concepts that are key to public health policy-making are conceptual and often values-based. How such concepts can be implemented by Member States, and how the effectiveness of this implementation can be measured and reported, remains an critical challenge that all major monitoring frameworks are faced with, from Health 2020 (WHO’s European policy framework for health and well-being), to the Sustainable Development Goals for Agenda 2030. In 2016, WHO established a project to interrogate how four key values-based public health concepts can be better measured and reported on, to increase the accountability of Member States towards these concepts. Based on the priority areas of Health 2020, the concepts which were chosen are: resilience;empowerment;life-course approach; andwhole of society approach. Four Health Evidence Network (HEN) synthesis reports were commissioned from leading experts and have now been published, synthesizing the best available evidence and grey literature on these concepts, and proposing a variety of quantitative and qualitative approaches to measuring them. The workshop will be organized as round table workshop. It will bring together the authors of all four reports to provide an overarching thematic discussion on how to enhance the monitoring and reporting of values-based public health concepts. In addition, it will also present an opportunity to discuss the findings of the reports, in particular how qualitative evidence can be deployed to make up for the shortcomings of quantitative indicators. The role of culture in informing these values-based concepts will also be discussed. The session will be chaired by Nick Fahy, who will set the scene and provide some background to the WHO Europe project on enhancing monitoring and reporting. Jane South will then give overview of the HEN synthesis report on measuring resilience, followed Glenn Laverack, who will talk about the HEN report on measuring empowerment. Mark Hanson and Scott Greer will review their respective HEN reports on measuring the life-course approach and whole-of-society approach implementation. Each speaker will be asked to illustrate their presentation with a case study which demonstrates how qualitative evidence can enhance the monitoring and/or reporting of the various concepts. During the discussion, a number of key questions will be discussed by the panel with input from the audience. How can actionable measurement strategies be derived from existing research regarding values based concepts?How can meaningful, country-level reporting mechanisms be expanded to include quantitative and qualitative health information and indicators?What is the role of cultural contexts in mediating these (and other) values-based concepts? Key messages Many key public health concepts are inherently values-based. However, this is often not acknowledged, making it challenging to monitor and report on them. Qualitative evidence can be key to designing more effective ways to measure the implementation of values-based public health concepts. Jane South Contact: [email protected] Glenn Laverack Contact: [email protected] Mark Hanson Contact: [email protected] Scott Greer Contact: [email protected]


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