Impact of School Meal Program on Child Nutrition and Academic Performance
Impact of School Meal Program on Nutritional Status and Academic Performance Among Primary School Children: An Interventional Study
調査の概要
詳細な説明
Childhood nutrition is an important determinant of physical growth, cognitive development, and academic performance. Poor nutrition may affect children's physical health, concentration, school participation, and learning. School meal program provide an opportunity to improve children's access to nutritious food during school hours; however, there is limited evidence from Pakistan on their effects on both nutritional status and academic performance.
This study will be conducted among primary school children aged 6-11 years enrolled in Grades 1-5 in selected government primary schools in peri-urban areas of Lahore, Pakistan. The selected schools will be characterized by food insecurity, low socioeconomic status, limited access to basic facilities, and educational vulnerability. The study will use a school-based pre-post intervention design with a control group and will be conducted over 12 weeks.
Children in the intervention group will receive a school meal designed to provide approximately one-third of the daily energy requirement for school-aged children. Children in the control group will continue their usual dietary practices and regular school routine without receiving the study meal. Daily records will be maintained to monitor meal distribution and consumption among children in the intervention group, with support from teachers and school staff.
Changes in nutritional status will be assessed before and after the 12-week intervention using anthropometric measurements, including height, weight, BMI-for-age, and mid-upper arm circumference (MUAC). Body composition will also be assessed using bioelectrical impedance analysis to obtain indicators such as fat mass and muscle mass.
Educational outcomes will be assessed using school records, including school attendance and examination scores. Pre- and post-intervention questionnaires will collect information on dietary intake, socioeconomic background, and general health to provide additional information for interpretation of the study findings.
The primary objective of the study is to assess the impact of the school meal program on the nutritional status and academic performance of primary school children in Lahore. The study will also examine the relationship between nutritional status and academic performance.
The findings are expected to provide locally relevant evidence regarding the potential contribution of school meal program to child nutrition and educational outcomes and may support evidence-based decision-making regarding school meal programs in Pakistan.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Esha, Food and Nutrition
- 電話番号：+923245654401
- メール：eshashakeel.pro@gmail.com
研究場所
-
-
Punjab Province
-
Lahore、Punjab Province、パキスタン、54000
- University of Veterinary and Animal Sciences, Lahore
-
コンタクト：
- University of Veterinary and Animal Sciences, Lahore, Food and Nutrition
- 電話番号：+92-42-99211374
- メール：webmaster@uvas.edu.pk
-
-
参加基準
適格基準
就学可能な年齢
- 子
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Children aged 6-11 years (Grades 1-5).
- Children enrolled in the selected government primary schools.
- Children present on the day of data collection.
- Parental or guardian consent obtained.
Exclusion Criteria:
- Children with chronic illness affecting growth.
- Students absent during data collection.
- Refusal of consent by parents or guardians.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：非ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：School Meal Intervention Group
Children receiving the school meal program daily for 12 weeks in addition to their usual school routine
|
A daily school meal will be provided to primary school children for 12 weeks as part of a school meal program.
The meal is designed to provide approximately one-third of the children's daily energy requirements and will be provided during the school day.
|
|
介入なし：Control Group
Children continuing their usual school routine without receiving the school meal program during the 12-week study period
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in body weight (kg)
時間枠：Baseline to 12 weeks
|
Change in body weight from baseline to 12 weeks among children participating in the school meal intervention compared with the control group.
Body weight will be measured in kilograms using standardized anthropometric procedures.
|
Baseline to 12 weeks
|
|
Change in body mass index (BMI, kg/m²)
時間枠：Baseline to 12 weeks
|
Change in body mass index from baseline to 12 weeks among children participating in the school meal intervention compared with the control group.
BMI will be calculated from measured weight and height.
|
Baseline to 12 weeks
|
|
Change in mid-upper arm circumference
時間枠：Baseline to 12 weeks
|
Baseline to 12 weeks
|
|
|
Change in Dietary Diversity Score (0-10)
時間枠：Baseline to 12 weeks
|
Dietary diversity will be assessed based on the number of food groups consumed during the previous 24 hours.
The score ranges from 0 to 10, with higher scores indicating greater dietary diversity.
Scores of 0-3 indicate low dietary diversity, 4-5 indicate moderate dietary diversity, and >5 indicate high dietary diversity.
Change from baseline to post-intervention will be reported as the difference in dietary diversity score.
|
Baseline to 12 weeks
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in fat mass (kg)
時間枠：Baseline to 12 weeks
|
Baseline to 12 weeks
|
|
|
Change in skeletal muscle mass (kg)
時間枠：Baseline to 12 weeks
|
Baseline to 12 weeks
|
|
|
Change in school attendance rate (%)
時間枠：Baseline to 12 weeks
|
Baseline to 12 weeks
|
|
|
Number of participants reporting acute illness episodes
時間枠：During the 12-week intervention
|
Acute illness reported by participants/parents during the specified recall period.
The number and percentage of participants reporting illness will be compared between baseline and post-intervention.
|
During the 12-week intervention
|
|
Change in academic test score (%)
時間枠：Baseline to 12 weeks
|
Academic performance will be assessed using the study-specific curriculum-based test.
Change from baseline to post-intervention will be reported as the difference in test scores.
|
Baseline to 12 weeks
|
協力者と研究者
出版物と役立つリンク
一般刊行物
- Pramesthi IL, Wiradnyani LAA, Anggraini R, Februhartanty J, Widaryat W, Waluyo BH, Wahyunto AT, Mansyur M, Fahmida U. Evaluating the Impact of Indonesia's National School Feeding Program (ProGAS) on Children's Nutrition and Learning Environment: A Mixed-Methods Approach. Nutrients. 2025 Nov 15;17(22):3575. doi: 10.3390/nu17223575.
- Destaw Z, Wencheko E, Kidane S, Endale M, Challa Y, Tiruneh M, Tamrat M, Samson H, Shaleka D, Ashenafi M. Impact of school meals on educational outcomes in Addis Ababa, Ethiopia. Public Health Nutr. 2022 Sep;25(9):2614-2624. doi: 10.1017/S1368980022000799. Epub 2022 Mar 28.
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
- 455/IRC/BMR
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。