Elsevier

The Journal of Nutrition

Volume 140, Issue 1, January 2010, Pages 138S-142S
The Journal of Nutrition

How to Ensure Nutrition Security in the Global Economic Crisis to Protect and Enhance Development of Young Children and Our Common Future12

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Abstract

The global economic crisis, commodity price hikes, and climate change have worsened the position of the poorest and most vulnerable people. These crises are compromising the diet and health of up to 80% of the population in most developing countries and threaten the development of almost an entire generation of children (∼250 million), because the period from conception until 24 mo of age irreversibly shapes people's health and intellectual ability. High food prices reduce diversity and nutritional quality of the diet and for many also reduce food quantity. Poor households are hit hardest, because they already spend 50–80% of expenditures on food, little on medicines, education, transport, or cooking fuel, and cannot afford to pay more. Reduced public spending, declining incomes, increased food and fuel prices, and reduced remittance thus impede and reverse progress made toward Millenium Development Goals 1, 4, and 5. Investments in nutrition are among the most cost-effective development interventions because of very high benefit:cost ratios, for individuals and for sustainable growth of countries, because they protect health, prevent disability, boost economic productivity, and save lives. To bridge the gap between nutrient requirements, particularly for groups with high needs, and the realistic dietary intake under the prevailing circumstances, the use of complementary food supplements to increase a meal's nutrient content is recommended. This can be in the form of, e.g., micronutrient powder or low-dose lipid-based nutrient supplements, which can be provided for free, in return for vouchers, at subsidized, or at commercial prices.

Abbreviations used:

CFA
Comprehensive Framework for Action
MDG
Millennium Development Goal
WFP
World Food Program

Cited by (0)

1

Published in a supplement to The Journal of Nutrition. Presented at the workshop “The Impact of Climate Change, the Economic Crisis, and the Increase in Food Prices on Malnutrition,” held in Castel Gandolfo, Italy, January 25, 2009. The workshop was organized by Martin W. Bloem, United Nations World Food Programme, Rome, Italy; Klaus Kraemer, Sight and Life, Basel, Switzerland; and Richard D. Semba, Johns Hopkins University School of Medicine, and with the support of an educational grant from Sight and Life, Basel, Switzerland. Supplement contents are solely the responsibility of the authors and do not necessarily represent the official views of the organization that they are affiliated with. Publication costs for this supplement were defrayed in part by the payment of page charges. This publication must therefore be hereby marked "advertisement" in accordance with 18 USC section 1734 solely to indicate this fact. Supplement Coordinator disclosures: Klaus Kraemer has no relationships to disclose. Supplement Guest Editor disclosures: Richard D. Semba participated in the writing of six papers in this supplement. A. Catharine Ross acted as Guest Editor for these papers. No additional conflicts were declared. The opinions expressed in this publication are those of the authors and are not attributable to the sponsors or the publisher, Editor, or Editorial Board of The Journal of Nutrition.

2

Author disclosures: S. de Pee, H-J. Brinkman, P. Webb, S. Godfrey, I. Darnton-Hill, H. Alderman, R. D. Semba, E. Piwoz, and M. W. Bloem, no conflicts of interest.

12

Estimated as follows: 555 million under-5 children in developing countries (1) × (9+24=33 mo)/(0–59 mo) = 0.56 × 80% at-risk (see section, managing high food prices: the household response) = 250 million.

14

The Amsterdam Initiative on Malnutrition is a public private programme supported by the Government of Netherlands, Dutch companies and academic institutions, and the Global Alliance for Improved Nutrition. Launched on May 27 2009, it aims to address the nutrition needs of 100 million people in 6 African countries by 2015.