Cent Eur J Public Health 2004, 12(3):166-170
Life Cycle Approach to Child and Adolescent Health
- Charles University of Prague, First Faculty of Medicine, Institute of Hygiene and Epidemiology, Prague, Czech Republic
Young people are our human capital for the future, therefore child and adolescent health has attracted considerable political and professional attention in recent years. Health is indivisible, requirs holistic approach throughout the individual's life. Healthy outcome at one point in the life cycle, provides a positive determinant for health elsewhere in the cycle. Health and development of the 0-19 age group links intimately, at both ends of the range, with reproductive health. Health during childhood is in part determined by the health of the mother, and affected also by factors such as the nutrition of adolescent girls and the avoidance of early pregnancy. These factors, in turn, are influenced by healthy growth and development in childhood.
The paper presents main environmental and socio-cultural challenges for each of the stages of child and adolescent life. Main challenge described are: unsafe abortion, malnutrition, anaemia, malformations, and infections during pregnancy; low birth weight, asphyxia, hypothermia, infection, failure to initiate early and full breastfeeding in the neonatal period; poor nutrition, growth and development, frequent illnesses, injury, abuse and neglect in the early childhood; poor nutrition, growth and development, injury, abuse, neglect, and helminth infections in the early school age; poor nutrition, poor development, chronic conditions, mental disorders, injury, drug abuse, and violence in the adolescence.
Both, prevention of ill health and care for illnesses are important at all times but the balance between them shifts over time during the childhood and adolescence. Main actions needed to meet the child and adolescent needs are presented as well.
Klíčová slova: child health, adolescent heath, life cycle, environmental risk, child development˝
Revidováno: 3. březen 2004; Přijato: 3. březen 2004; Zveřejněno: 1. září 2004 Zobrazit citaci
Reference
- WHO: The First Action Plan for Food and Nutrition Policy. WHO European Region 2000-2005. Copenhagen, WHO Regional Office for Europe, 2001 (document EUR/01/5026013, http://www.euro.who.int/Document/E72199.pdf (Accessed 25.2.2004).
- World Bank: World Development Report 2000/2001:Attacking Poverty. New York, Oxford University Press, 2001.
- European Health for All Database http://www.who.dk/hfadb (Accessed 25.2.2004).
- UNEP, UNICEF, WHO: Children in the New Millennium: Environmental Impact on Health. United Nations Environment Programme, United Nations Children's Fund and WHO, Geneva 2002, 142 p.
- WHO: World Health Report 1999. WHO, Geneva 1999, 121 p.
- Faustman EM, Silbernagel SM, Fenske RA, Burbacher TM, Ponce RA: Mechanisms underlying children's susceptibility to environmental intoxicants. Environ Health Perspect, 2000; 108, Suppl. 1: 13-21.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Schroeder SR: Mental retardation and developmental disabilities influenced by environmental neurotoxic insults. Environ Health Perspect, 108, Suppl. 3, 2000, 395-9.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Wynn M, WynnA: New nutrient intake recommendations are needed for childbearing. Nutr Health, 2000; 13: 199-211.
Přejít k původnímu zdroji...
- WHO/EURO:The health of children and adolescents in WHO's European Region. WHO European Regional Office, Copenhagen 2003, 12p.
- WHO: Improving child health. IMCI: the integrated approach. WHO, Geneva, 1997, 12 p.
- Natural Resources Defence Council: Our Children At Risk: The 5 Worst Environmental Threats To Their Health. Natural Resources Defence Council, New York 1997. http://www.nrdc.org/health/kids/ocar/ocarinx.asp (Accessed 26.2.2004).
- WHO: World Health Report 2002. WHO, Geneva 2002, 248 p.
- WHO: Food and health in Europe: a new basis for action. WHO Regional Office for Europe, Copenhagen 2002, 28 p.
- Kramer MS, Chalmers B, Hodnett ED et al: Promotion of breastfeeding interventionl trial (PROBIT) - a randomised trial in the Republic of Belarus. JAMA, 2001; 285 (4): 1413-420.
Přejít k původnímu zdroji...
- Kudlová E, Rameš J: Evaluation of nutrition status of Prague infants according to WHO recommended criteria. Čs. Pediat, 55, 1, 2000; 16-20. (In Czech.)
- WHO: Infant and young child nutrition. Global strategy on infant and young child feeding. Report by the Secretariat. Geneva, WHO, Geneva 2002, 18 p.
- Carnegie Task Force: Starting Points: Meeting the Needs of OurYoungest Children Carnegie Corporation of New York, New York 1994, 150p.
- Zahm SH, Devisa SS: Childhood Cancer: Overview of incidence trends and environmental carcinogens. Eviron. Health Persp. 1995; Suppl. 6: 177-184.
Přejít k původnímu zdroji...
Přejít na PubMed...
- UNICEF: Sanitation for all: Promoting dignity and human rights. UNICEF, New York 2000.
- WHO: Adolescent health and development. http://www.who.int/child-adolescent-health/OVERVIEW/AHD/adh_over.htm (Accessed 27.2.2004).
- Beasley R, Ellwood P, Asher I. Beasley R, Ellwood P, Asher I: International patterns of the prevalence of paediatric asthma the ISAAC program. Pediatr Clin North Am 2003 Jun; 50(3): 539-53.
Přejít k původnímu zdroji...
Přejít na PubMed...