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Beyond transmission: Dire need for integration of nutrition interventions in COVID-19 pandemic-response strategies in Developing Countries like Pakistan

机译:传播之外:巴基斯坦等发展中国家迫切需要将营养干预措施纳入COVID-19大流行应对策略

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摘要

Synergistic associations between infection and nutrition are well known. Impact of nutrition interventions on the outcomes have been scientifically assessed and reported. The role of nutrition in limiting the infection related morbidity and mortality does not appear to be a debatable question but nutrition interventions do not appear to be an essential part of current COVID-19 management strategies. Given the nature of pandemic and lack of organism-specific evidence, variability in nutrition interventions and lack of nutrition interventions is not unexpected. However, delay in realization of the crucial need of nutrition interventions to limit the immediate and long term outcomes at personal and community level may aggravate health related issues that can have long term impact on quality of life and economy. Due to existing undernutrition and lack of nutrition related awareness and competence, need for timely and appropriate interventions is much more critical for developing countries. This manuscript highlights the need and feasibility of various nutrition interventions to assure optimum quality of life during and after COVID-19 pandemic. Available evidence provides enough guidance for nutrition interventions that are safe and promise to accrue various degrees of benefits with almost no likelihood of harm. Nutrition interventions suggested by author are: 1) population level efforts for promoting better use of existing resources; 2) quicker augmentation of nutrition status of high risk people and non-hospitalized cases by use of supplement and individualized guidance and 3) nutritional support of sever case by timely and adequate enteral and parenteral feeding.
机译:感染与营养之间的协同关联是众所周知的。营养干预对结果的影响已得到科学评估和报告。营养在限制与感染有关的发病率和死亡率方面的作用似乎不是值得商question的问题,但是营养干预似乎并不是当前COVID-19管理策略的重要组成部分。鉴于大流行的性质和缺乏特定生物的证据,营养干预措施的可变性和缺乏营养干预措施并非意料之外。然而,未能实现营养干预措施的迫切需求,以限制个人和社区一级的近期和长期结果,可能加剧与健康有关的问题,这些问题可能对生活质量和经济产生长期影响。由于目前营养不足,缺乏营养相关的意识和能力,因此对发展中国家而言,及时采取适当干预措施的需求更为紧迫。该手稿强调了各种营养干预措施的必要性和可行性,以确保COVID-19大流行期间和之后的最佳生活质量。现有证据为营养干预措施提供了足够的指导,这些干预措施是安全的,并有望在几乎没有伤害可能性的情况下产生各种程度的收益。作者建议的营养干预措施是:1)在人口层面上努力促进更好地利用现有资源; 2)通过使用补充剂和个性化指导,更快地增加高危人群和非住院患者的营养状况; 3)通过及时,适当的肠内和肠胃外喂养,为严重病例提供营养支持。

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