Author
Emorn Udomkesmalee
Bio: Emorn Udomkesmalee is an academic researcher from Mahidol University. The author has contributed to research in topics: Vitamin & Micronutrient. The author has an hindex of 10, co-authored 20 publications receiving 898 citations.
Topics: Vitamin, Micronutrient, Retinol, Malnutrition, Health promotion
Papers
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29 Nov 2018
TL;DR: The 2018 Global Nutrition Report puts forward five critical steps that are needed to speed up progress to end malnutrition in all its forms and argues that, if the authors act now, it is not too late to achieve this goal.
Abstract: The 2018 Global Nutrition Report shares insights into the current state of global nutrition, highlighting the unacceptably high burden of malnutrition in the world. It identifies areas where progress has been made in recent years but argues that it is too slow and too inconsistent. It puts forward five critical steps that are needed to speed up progress to end malnutrition in all its forms and argues that, if we act now, it is not too late to achieve this goal. In fact, we have an unprecedented opportunity to do so.
391 citations
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International Food Policy Research Institute1, University of Indonesia2, Food and Agriculture Organization3, Philippine Institute for Development Studies4, Aga Khan University5, University of Ghana6, University of Cambridge7, Columbia University8, National University of Benin9, UNICEF10, University of Washington11, Mahidol University12, Public Health Foundation of India13
TL;DR: By focusing on undernutrition and overweight, the GNR puts malnutrition in a new light and identifies bottlenecks in the scale-up of nutrition-specific and nutrition-sensitive approaches and highlights actions to accelerate coverage and reach.
Abstract: In 2013, the Nutrition for Growth Summit called for a Global Nutrition Report (GNR) to strengthen accountability in nutrition so that progress in reducing malnutrition could be accelerated. This article summarizes the results of thefirst GNR. By focusing on undernutrition and overweight, the GNR puts malnutrition in a new light. Nearly every country in the world is affected by malnutrition, and multiple malnutrition burdens are the ‘‘new normal.’’ Unfortunately, the world is off track to meet the 2025 World Health Assembly (WHA) targets for nutrition. Many countries are, however, making good progress on WHA indicators, providing inspiration and guidance for others. Beyond the WHA goals, nutrition needs to be more strongly represented in the Sustainable Development Goal (SDG) framework. At present, it is only explicitly mentioned in 1 of 169 SDG targets despite the many contributions improved nutritional status will make to their attainment. To achieve improvements in nutrition status, it is vital to scale up nutrition programs. We identify bottlenecks in the scale-up of nutrition-specific and nutrition-sensitive approaches and highlight actions to accelerate coverage and reach. Holding stakeholders to account for delivery on nutrition actions requires a well-functioning accountability infrastructure, which is lacking in nutrition. New accountability mechanisms need piloting and evaluation, financial resource flows to nutrition need to be made explicit, nutrition spending targets should be established, and some key data gaps need to be filled. For example, many UN member states cannot report on their WHA progress and those that can often rely on data >5 y old. The world can accelerate malnutrition reduction substantially, but this will require stronger accountability mechanisms to hold all stakeholders to account. JN utrdoi: 10.3945/jn.114.206078.
261 citations
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TL;DR: Both functional indices, VRT and CIC, showed significant correlations with plasma zinc and vitamin A, respectively, and suggest that functional improvements in populations with suboptimal vitamin A and zinc nutriture can be accomplished by supplementation with less the recommended dietary allowance of these nutrients.
86 citations
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72 citations
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New York Academy of Sciences1, Wageningen University and Research Centre2, University of Ghana3, Johns Hopkins University4, Bill & Melinda Gates Foundation5, University of London6, Tufts University7, World Food Programme8, University of California, Davis9, International Centre for Diarrhoeal Disease Research, Bangladesh10, UNICEF11, Pennsylvania State University12, Cornell University13, Helen Keller International14, King's College London15, Global Alliance for Improved Nutrition16, Harvard University17, Mahidol University18
TL;DR: The data suggest that countries with inadequate micronutrient intakes should consider supplementing pregnant women with MMS as a cost‐effective method to reduce the risk of adverse birth outcomes.
Abstract: Inadequate micronutrient intakes are relatively common in low- and middle-income countries (LMICs), especially among pregnant women, who have increased micronutrient requirements. This can lead to an increase in adverse pregnancy and birth outcomes. This review presents the conclusions of a task force that set out to assess the prevalence of inadequate micronutrient intakes and adverse birth outcomes in LMICs; the data from trials comparing multiple micronutrient supplements (MMS) that contain iron and folic acid (IFA) with IFA supplements alone; the risks of reaching the upper intake levels with MMS; and the cost-effectiveness of MMS compared with IFA. Recent meta-analyses demonstrate that MMS can reduce the risks of preterm birth, low birth weight, and small for gestational age in comparison with IFA alone. An individual-participant data meta-analysis also revealed even greater benefits for anemic and underweight women and female infants. Importantly, there was no increased risk of harm for the pregnant women or their infants with MMS. These data suggest that countries with inadequate micronutrient intakes should consider supplementing pregnant women with MMS as a cost-effective method to reduce the risk of adverse birth outcomes.
48 citations
Cited by
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University of Melbourne1, Royal Children's Hospital2, Columbia University3, University of London4, World Health Organization5, American University of Beirut6, University of Oregon7, Public Health Foundation of India8, University College London9, Burnet Institute10, United Nations Population Fund11, University of Toronto12, Aga Khan University13, Obafemi Awolowo University14, Jawaharlal Nehru University15, UNICEF16, Kunming Medical University17
TL;DR: This Commission outlines the opportunities and challenges for investment in adolescent health and wellbeing at both country and global levels (panel 1).
1,976 citations
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TL;DR: Parts of zinc biology of the immune system are explored and a biological basis for the altered host resistance to infections observed during zinc deficiency and supplementation is attempted.
1,488 citations
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University of Auckland1, Deakin University2, Virginia Tech3, Commonwealth Scientific and Industrial Research Organisation4, Catholic University of Leuven5, Public Health Foundation of India6, Imperial College London7, Australian National University8, Brookings Institution9, Washington University in St. Louis10, University of Stirling11, University of London12, Harvard University13, University of Hertfordshire14, McGill University15, Drexel University16, Tehran University of Medical Sciences17, George Washington University18, Newcastle University19, Wellington Management Company20, Huazhong University of Science and Technology21, World Bank22, University of Cape Town23, University of Amsterdam24, University of Newcastle25
TL;DR: This work aims to demonstrate the efforts towards in-situ applicability of EMMARM, which aims to provide real-time information about concrete mechanical properties such as E-modulus and compressive strength.
1,480 citations
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TL;DR: It is shown that stunting is the best overall indicator of children's well‐being and an accurate reflection of social inequalities and the challenge is to prevent linear growth failure while keeping child overweight and obesity at bay.
Abstract: Childhood stunting is the best overall indicator of children's well-being and an accurate reflection of social inequalities. Stunting is the most prevalent form of child malnutrition with an estimated 161 million children worldwide in 2013 falling below -2 SD from the length-for-age/height-for-age World Health Organization Child Growth Standards median. Many more millions suffer from some degree of growth faltering as the entire length-for-age/height-for-age z-score distribution is shifted to the left indicating that all children, and not only those falling below a specific cutoff, are affected. Despite global consensus on how to define and measure it, stunting often goes unrecognized in communities where short stature is the norm as linear growth is not routinely assessed in primary health care settings and it is difficult to visually recognize it. Growth faltering often begins in utero and continues for at least the first 2 years of post-natal life. Linear growth failure serves as a marker of multiple pathological disorders associated with increased morbidity and mortality, loss of physical growth potential, reduced neurodevelopmental and cognitive function and an elevated risk of chronic disease in adulthood. The severe irreversible physical and neurocognitive damage that accompanies stunted growth poses a major threat to human development. Increased awareness of stunting's magnitude and devastating consequences has resulted in its being identified as a major global health priority and the focus of international attention at the highest levels with global targets set for 2025 and beyond. The challenge is to prevent linear growth failure while keeping child overweight and obesity at bay.
762 citations
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TL;DR: Understanding that the lowest income LMICs face severe levels of the DBM and that the major direct cause is rapid increases in overweight allows identifying selected crucial drivers and possible options for addressing the D BM at all levels.
661 citations