Zusammenfassung
Hintergrund
Unter Armutsbedingungen ist eine adäquate Kinderernährung besonders schwierig. Richtlinien für die Ernährung wurden deshalb unter der Führung der World Health Organization (WHO) auf der Basis von Studien und unter Beteiligung vieler Experten entwickelt. Die Richtlinien betreffen alle gesunden Neugeborenen, Säuglinge und Kleinkinder sowie spezielle Gruppen mit besonderem Risiko wie Neugeborene mit niedrigem Geburtsgewicht, Kinder mit schwerer Unterernährung und Kinder mit einer HIV-infizierten Mutter.
Ziel der Arbeit
Ein besseres Verständnis der Situation in den armen Ländern der Welt ist wichtig, um politische Prozesse zu ermöglichen, die auch für Kinder in diesen Ländern ein Leben ohne Unterernährung sicherstellen.
Material und Ergebnisse
Praxisrelevante Empfehlungen und Leitlinien für die Ernährung gesunder und kranker Kinder unter Armutsbedingungen werden vorgestellt.
Schlussfolgerung
In Anbetracht zahlreicher, nur teilweise bisher gut verstandener Interaktionen zwischen Ernährung, Immunabwehr, Infektionen und Heilungsprozessen ist die Berücksichtigung von Ernährung bei der Betreuung gesunder und kranker Kinder eine Voraussetzung für erfolgreiches (Be-)Handeln.
Abstract
Background
An adequate and appropriate nutrition of children is a challenge under life in poverty conditions. Expert panels under the guidance of the World Health Organization (WHO) have prepared guidelines and recommendations for feeding infants and young children based on many studies. The guidelines address the needs of healthy newborns, infants and young children as well as groups with special needs, such as small for gestational age newborns, children with severe malnutrition and children of mothers infected with human immunodeficiency virus (HIV).
Aim
A better understanding of the conditions in countries poor in resources is important to promote political processes, which facilitate a life without malnutrition for children living under these conditions.
Methods and results
Practice-relevant recommendations and guidelines for feeding healthy and sick children under poverty conditions are presented.
Conclusion
With respect to interactions between nutrition, immune defense, infections and healing, which have so far only been partially understood, the consideration of adequate nutrition is a prerequisite for successful child care and case management.
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Einhaltung ethischer Richtlinien
Interessenkonflikt. E. Grabosch und M. Krawinkel geben an, dass kein Interessenkonflikt besteht.
Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.
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Grabosch, E., Krawinkel, M. Kinderernährung unter Armutsbedingungen. Monatsschr Kinderheilkd 163, 1125–1129 (2015). https://doi.org/10.1007/s00112-015-3380-1
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DOI: https://doi.org/10.1007/s00112-015-3380-1