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Evidence ν. rights-based decision making for nutrition

Published online by Cambridge University Press:  08 December 2008

Roger Shrimpton
Roger Shrimpton*
Affiliation:
Helen Keller International and Centre for International Child Health, Institute of Child Health, University College London, 30 Guilford Street, London, WC1N 1EH, UK
*
Corresponding author: Roger Shrimpton, fax +44 1904 425 998, rshrimpton@ich.ucl.ac.uk
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Abstract

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The need for an evidence base for human nutrition action is analysed in the context of human rights. Over the last 50 years the twin tracks of development, economical needs based and normative rights based, have come progressively closer in terms of goals and objectives, even if they do maintain different orientations and origins. The international human rights machinery is described, together with those parts that are of relevance to the right to food and nutrition. The role of the State in respecting, protecting and facilitating these rights is further described. The evidence base for the benefit of nutrition interventions during the fetal and infant period to the health and well-being of populations throughout life's course is briefly reviewed, and reasons why such a large body of evidence has not been acted upon are discussed. The power of nutrition is in prevention more than cure, and the prevention of nutritional deficiency is best suited to radical population-wide strategies rather than high-risk strategies targeted at individuals. The population-wide distribution of benefits of nutrition is in congruence with universality of human rights. In the UK much remains to be done to ensure that food and nutrition rights are realised, especially during the critical period of fetal and infant growth. What role the Nutrition Society might play in the realisation of these rights, including the creation of a robust evidence base for nutrition action, is further discussed.

Keywords

Evidence-based nutritionRight to foodFetal and infant growth
Type
International and Public Health Nutrition Group Symposium on ‘The interface between evidence, policy and practice in public health nutrition’
Information
Proceedings of the Nutrition Society , Volume 62 , Issue 2 , May 2003 , pp. 553 - 562
Copyright
Copyright © The Nutrition Society 2003

References

ACC/SCN (2000) Low Birth Weight: Report of a Meeting in Dhaka, Bangladesh on 14–17 June 1999. Nutrition Policy Paper no. 18 Podja J Kelly L Geneva ACC/SCNGoogle Scholar
Alkire, S (2002) Dimensions of human development. World Development 30, 181–205CrossRefGoogle Scholar
Allen, L & Gillespie, SR (2001) What Works? A Review of the Efficacy and Effectiveness of Nutrition Interventions Geneva ACC/SCN/Asian Development BankGoogle Scholar
Anderson, JW, Johnstone, BM & Remley, DT (1999) Breastfeeding and cognitive development: a meta-analysis. American Journal of Clinical Nutrition 70, 525–535CrossRefGoogle ScholarPubMed
Annan, KA (2001) We the Children: Meeting the Promises of the World Summit for Children. New York: UNICEF.Google Scholar
Armstrong, J & Reilly, JJ (2002) Breastfeeding and lowering the risk of childhood obesity. Lancet 359, 2003–2004CrossRefGoogle ScholarPubMed
Ashworth, A (1997) Effects of intrauterine growth retardation on mortality and morbidity in infants and young children. European Journal of Clinical Nutrition 52, S34–S42 Suppl. 1Google Scholar
Baby, Milk Action (1997) Briefing Paper: Why the UK Baby Milk Law Must Be Changed. Cambridge: Baby Milk Action.Google Scholar
Betran, AP, de, Onis, M, Lauer, JA, Villar J (2001) Ecological study of the effect of breastfeeding on infant mortality in Latin America. British Medical Journal 323, 1–5CrossRefGoogle ScholarPubMed
Birdsall, N (1993) Social Development is Economic Development. Policy Research Working Paper Series no. 1123 Washington, DC World BankGoogle Scholar
Bleichrodt, N & Born, PM (1994) A meta-analysis of research on iodine and its relationship to cognitive development. I. The Damaged Brain of Iodine Deficiency: Neuromotor, Cognitive, Behavioural and Educative Aspects, pp. 195–200 [Stanbury, JB, editors]. Port Washington, NY: Cognizant Communication Corp.Google Scholar
Brunner, E, Rayner, M, Thorogood, M, Margettes, B, Hooper, L, Summerbell, C, Dowler, E, Hewitt, G, Robertson, A & Wisemand, M (2001) Making public health nutrition relevant to evidence-based action. Public Health Nutrition 4, 1297–1299CrossRefGoogle ScholarPubMed
Ceesay, SM, Prentic, AM, Cole, TJ, Foord, F, Weaver, LT, Poskitt, EM & Whitehead, RG (1997) Effects on birth weight and perinatal mortality of maternal dietary supplements in rural Gambia: 5 year randomised control trial. British Medical Journal 315, 786–790Google Scholar
Cornia, GA, Jolly, R & Stewart, F (1987) Adjustment with a Human Face. New York: Oxford University Press.Google Scholar
Delisle, H (2002) Programming of Chronic Disease by Impaired Foetal Nutrition: Evidence and Implications for Policy and Intervention Strategies. Geneva WHO.Google Scholar
de, Onis, M, Villar, J Gulmezoglu, M (1998) Nutritional interventions to prevent intrauterine growth retardation: evidence from randomised controlled trials. European Journal of Clinical Nutrition 52, 583–593 Suppl. 1Google Scholar
Department of Health (1999) Saving Lives: Our Healthier Nation London The Stationery OfficeGoogle Scholar
Dewey, KG, Heinig, MJ, Nommsen, LA, Peerson, JM, Lönnerdal, B (1993) Breast-fed infants are leaner than formula-fed infants at 1 y of age: the DARLING Study. American Journal of Clinical Nutrition 57, 140–145CrossRefGoogle ScholarPubMed
Eide, WB (2002) Nutrition and human rights. Nutrition: A Foundation for Development Geneva ACC/SCNGoogle Scholar
Eide, WB & Kracht, U (1999) Towards a Definition of the Right to Food and Nutrition: Reflections on General Comment 12. Adequate Food: A Human Right. SCN News no. 18 39–40 Geneva ACC/SCNGoogle Scholar
Food, and & Nutrition, Board (2001) Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Nickel, Silicon, Vanadium, and Zinc Washington, DC National Academy PressGoogle Scholar
Fogel, RW (1994) Economic growth, population theory and physiology: The bearing of long term processes on the making of economic policy. American Economic Review 84, 369–395Google Scholar
Godfrey, KM & Barker, DJP (2000) Fetal nutrition and adult disease. American Journal of Clinical Nutrition 71, 1344S–1352S Suppl.Google ScholarPubMed
Habicht, JP, Victora, CG & Vaughan, JP (1999) Evaluation designs for adequacy, plausibility, and probability of public health programme performance and impact. International Journal of Epidemiology 28, 10–18CrossRefGoogle ScholarPubMed
Hamlyn, B, Brooker, S, Oleinikova, K & Wands, S (2002) Infant Feeding 2002 London The Stationery OfficeGoogle Scholar
Heller, TD, Heller, RF, Pattison, S & Fletcher, R (2001) Treating the patient or the population? Part 2. Judging the benefit of a treatment to society as a whole. Western Journal of Medicine 175, 104–107CrossRefGoogle ScholarPubMed
Horton, S (1999) Opportunities for investments in nutrition in low-income Asia. Asian Development Review 17, 246–273Google Scholar
International Monetary, Fund/Organization for, Economic Co-operation and, Development/United Nations/World Bank (2000) A Better World for All: Progress Towards the International Development Goals. Paris: OECD; available at www.paris21.org /betterworld.Google Scholar
James, WPT, Nelson, M, Ralph, A & Leather, S (1997) Socio-economic determinants of health: The contribution of nutrition to inequalities in health. British Medical Journal 314, 1545–1549CrossRefGoogle ScholarPubMed
James, P, Norum, KR, Smitasiri, S, Swaminathan, MS, Tagwireyi, J, Uauy, R & Haq, M (2000) Ending Malnutrition by 2020: An Agenda for Change in the Millennium. Final Report of the Commission on Nutrition Challenges in the 21st Century Geneva ACC/SCNGoogle Scholar
Jonsson, U (1996) Nutrition and the convention on the rights of the child. Food Policy 21, 41–55CrossRefGoogle Scholar
Jonsson, U (2000) An Approach to Human Rights Based Programming in UNICEF (Eastern and Southern Africa). SCN News no. 20 6–9 Geneva ACC/SCNGoogle Scholar
Kean, YJ & Allain, A (2001) The State of the Code by Country Penang, Malaysia IBFAN/ICDCGoogle Scholar
Kracht, U & Hug, M (1996) Realizing the right to food and nutrition through public and private action. Food Policy 21, 73–82CrossRefGoogle Scholar
Kramer, MS (1987) Determinants of low birth weight: methodological assessment and meta-analysis. Bulletin of the World Health Organization 65, 663–737Google ScholarPubMed
Kramer, MS & Kakuma, R (2002) The Optimal Duration of Exclusive Breastfeeding: A Systematic Review Geneva WHOCrossRefGoogle Scholar
Kries, R, Koletzko, B, Sauerwald, T, Martins, E, Barnet, D, Grunert, V & Vos, H (1999) Breastfeeding and obesity: cross sectional study. British Medical Journal 319, 147–150Google Scholar
Leather, S & Dowler, E (1997) Intake of micronutrients in Britain's poorest fifth has declined. British Medical Journal 314 1412CrossRefGoogle ScholarPubMed
Macdonald, B, Haddad, L, Gross, R & McLachlan, M (2000) Nutrition: Making the case. Nutrition: A Foundation for Development 1–4 Geneva ACC/SCNGoogle Scholar
Macfarlane, A (2000) Birth Counts: Statistics of Pregnancy and Child Birth, Vol. 1 London The Stationery OfficeGoogle Scholar
Mahomed, K (2002a) Folate supplementation in pregnancy. In The Cochrane Library, Issue 1, 2002. Oxford: update software available from URL: http://www.update-software.com cochrane/default.htm.Google Scholar
Mahomed, K (2002b) Iron and folate supplementation in pregnancy. In The Cochrane Library, Issue 1, 2002. Oxford: update software available from URL: http://www.update-software.comcochrane/default.htm.Google Scholar
Mahomed, K (2002c) Iron supplementation in pregnancy. In The Cochrane Library, Issue 1, 2002. Oxford: update software available from URL: http://www.update-software.comcochrane/default.htm.Google Scholar
Margetts, B (2001) Making public health nutrition relevant to evidence-based action: are we doing enough? Public Health. Nutrition 4 1199Google ScholarPubMed
Nemer, L, Gelband, H & Jha, P (2001) The Evidence Base for Interventions to Reduce Malnutrition in Children under Five and School-age Children in Low and Middle-income Countries. Commission on Macroeconomics and Health Working Paper Series no. WG5 11 Geneva WHOGoogle Scholar
Organization, for, Economic, Cooperation & and, Development (2001) The Well-being of Nations: The Role of Human and Social Capital Paris OECDGoogle Scholar
Pelletier, DL, Frongillio, EA, Schroeder, DG, Habicht, J-P (1994) A methodology for estimating the contribution of malnutrition to child mortality in developing countries. Journal of Nutrition 124, 2106S–2122SGoogle ScholarPubMed
Power, C (1994) National trends in birth weight: implications for future adult disease. British Medical Journal 308, 1270–1271CrossRefGoogle ScholarPubMed
Promotion, of, Breastfeeding, Intervention & Study, Group (2001) Promotion of breastfeeding intervention trial (PROBIT) 2001. A randomised trial in the Republic of Belarus. Journal of the American Medical Association 285, 413–420Google Scholar
Ravelli, ACJ, van, der, Meulen, JHP, Osmond, C, Barker, DJP & Bleker, OP (2000) Infant feeding and adult glucose tolerance, lipid profile, blood pressure, and obesity. Archives of Disease of Childhood 82, 248–252CrossRefGoogle ScholarPubMed
Richards, M, Hardy, R, Kuh, D & Wadsworth, MEJ (2001) Birth weight and cognitive function in the British 1946 birth cohort: longitudinal population based study. British Medical Journal 322, 199–203CrossRefGoogle ScholarPubMed
Richards, M, Hardy, R & Wadsworth, ME (2002) Long-term effects of breastfeeding in a national birth cohort: educational attainment and midlife cognition function. Public Health Nutrition 5, 631–635CrossRefGoogle Scholar
Richter, J (2001) Holding Corporations Accountable: Corporate Conduct, International Codes and Citizen Action New York Zed BooksCrossRefGoogle Scholar
Rose, G (1985) Sick individuals and sick populations. International Journal of Epidemiology 14, 32–38CrossRefGoogle ScholarPubMed
Sackett, D, Rosenberg, WM, Gray, JA, Haynes, RB & Richardson, WS (1996) Evidence based medicine: what it is and what it isn't. British Medical Journal 312, 371–372CrossRefGoogle ScholarPubMed
Seeker-Walker, RH, Vacek, PM, Flynn, BS & Mead, PB (1998) Estimated gains in birthweight associated with reductions in smoking during pregnancy. Reproductive Medicine 43, 967–974Google Scholar
Sen, A (2000) Development as Freedom New York. Alfred A KnopfGoogle Scholar
Seymoor, J (2000) Poverty in Plenty: A Human Development Report for the UK London. Earthscan PublicationsGoogle Scholar
Shrimpton, R & Schultink, W (2002) Can supplements help meet the micronutrient needs of the developing world? Proceedings of the. Nutrition Society 61, 223–229CrossRefGoogle Scholar
Shrimpton, R, Victora, CG, de, Onis, M, Connor, PB, Dali, SM, Christian, P, Pokhrel RP (2001) Worldwide timing of growth faltering: implications for nutritional interventions. Pediatrics 107 E75CrossRefGoogle ScholarPubMed
Sokol, EJ (1997) The Code Handbook: A Guide to Implementing the International Code of Marketing of Breastmilk Substitutes Penang, Malaysia IBFAN/ICDCGoogle Scholar
UNICEF UK, Baby Friendly Initiative (2002) Baby Friendly News Issue No. 11. London: UNICEF UK; available from URL: http://www.babyfriendly.org.uk.Google Scholar
United Nations (1997) Compendium of Social Issues from the United Nations Global Conferences in the 1990s. ACC, Task Force on Basic Social Services for All New York United Nations Population FundGoogle Scholar
United Nations, Development Program (1990) Human Development Report 1990 New York. Oxford University PressGoogle Scholar
United Nations, Development Program (1998) Integrating Human Rights with Sustainable Development: A UNDP Policy Document New York UNDPGoogle Scholar
United Nations, Development Program (1999) Human Development Report 1999 New York Oxford University PressGoogle Scholar
United Nations, Development Program (2000) Human Development Report 2000 New York Oxford University PressGoogle Scholar
Vienonen, M, Jankauskiene, D & Vask, A (1999) Towards evidence-based health care reform. Bulletin of the World Health Organization 77, 44–47Google ScholarPubMed
Villalpando, S, Lopez-Alarcon, M (2000) Growth faltering is prevented by breast-feeding in underprivileged infants from Mexico City. Journal of Nutrition 130, 546–552CrossRefGoogle ScholarPubMed
West, KP, Katz, J, Khatry, SK, LeClerq, SC, Pradhan, EK, Shrestha, SR, Connor, PB, Dali, SM, Christian, P & Pokhrel, RP (1999) Double blind, cluster randomised trial of low dose supplementation with vitamin A or Beta-carotene on mortality related to pregnancy in Nepal. British Medical Journal 318, 570–575CrossRefGoogle ScholarPubMed
World Bank (1993) World Development Report 1993. Investing in Health New York Oxford University PressCrossRefGoogle Scholar
World Bank (2000) World Development Report 2000/2001. Attacking Poverty New York Oxford University PressGoogle Scholar
World Bank (2002) The Millennium Development Goals. Washington, DC: World Bank; available at http://www.developmentgoals.org/.Google Scholar
World, Health Organization (1995) Physical Status: The Use and Interpretation of Anthropometry. WHO Technical Report Series no. 854 Geneva WHOGoogle Scholar
World Health Organization (1998) Nutrition–The Innocenti Declaration. Progress and achievements: Part 1. Weekly Epidemiological Record 73, 25–30Google Scholar
World Health Organization (2000) Collaborative Study Team on the role of breastmilk on the prevention of infant mortality: Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. Lancet 355, 451–455CrossRefGoogle Scholar
World Health Organization (2002) Report of the Expert Consultation on the Optimal Duration of Exclusive Breast-feeding Geneva WHOGoogle Scholar
Wynn, M & Wynn, A (2000) Low birth weight in electoral wards: a useful health and social indicator at local level. Nutrition and Health 14, 77–87CrossRefGoogle ScholarPubMed
Yach, D (2001) Chronic disease and disability of the poor: tackling the challenge. Development 44, 59–65CrossRefGoogle Scholar
Yip, R & Scanlon, K (1994) The burden of malnutrition: a population perspective. American Journal of Clinical Nutrition 124, 2043S–2046SGoogle ScholarPubMed