Rethinking School Feeding

Bundy, Donald; Burbano, Carmen; Grosh, Margaret; Gelli, Aulo; Juke, Matthew; Lesley, Drake

doi:10.1596/978-0-8213-7974-5

Cited by 157 publications

(129 citation statements)

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“…There was no significant association between skipping breakfast and nutrition knowledge score. Parents should, however, be encouraged to give children breakfast, as skipping the first meal may lead to consumption by children of non-nutritious foods such as sweets, potato crisps, biscuits, sugar added drinks among other foods which is likely to cause overweight among the 36-60 months age group [34]. In this study, less than 50% of the parents expressed knowledge on the importance of including fruits and vegetables in their diet.…”

Section: Identified Nutrition Gapsmentioning

confidence: 73%

Parental knowledge, attitudes and practices regarding overweight among preschool children in rural Zimbabwe

Mushonga¹,

Mujuru²,

Nyanga³

et al. 2017

AJFAND

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Parents have significant influence in the development of children's eating behaviour and food choices. Their knowledge and attitudes towards nutritional status play an important part in childhood growth, as parents become role models in shaping children's eating habits. The aim of this study was to assess parental knowledge and attitudes towards childhood nutritional status and evaluate the relationship between eating habits, knowledge and attitudes of parents. A cross-sectional study was conducted in five districts of Mashonaland East Province of Zimbabwe. A total of 241 parents of preschool children were selected using multi-stage sampling technique. Questionnaires were administered to parents who gathered at the selected primary schools in the Districts. Data was analysed using SPSS version 16 (2007) and MS Excel. Spearman's Coefficient Correlation at a 95% significance level was used to measure the strength of linear association between knowledge and attitude score as well as education level, gender and food consumption scores. Results showed that parents in Mashonaland East Province of Zimbabwe had a poor to moderate nutrition knowledge and understanding of the causes of overweight among preschool children. There was a significant association between education level of parents and nutrition knowledge scores attained (p = 0.028). Food consumption score was significantly associated with knowledge score (p = 0.008). Furthermore, 0.4% of the parents with good nutrition knowledge had acceptable food consumption scores. This study showed that most parents (83.4%) were knowledgeable about the concept of a balanced diet. However, this was not translated into practice as 72% of the parents had poor to borderline food consumption score. Nutrition gaps identified in this study included failure by parents to link skipping breakfast to overweight among children and that exclusive breast feeding contributes to weight reduction. Parents did not acknowledge that eating at least 5 servings of fruits and vegetables is beneficial in maintaining healthy body weight and that being overweight is a risk factor for type 2 diabetes mellitus. The results further demonstrated that parents in the province require additional nutrition knowledge to help curb overweight among preschool children by giving appropriate nutritious foods.

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Section: Identified Nutrition Gapsmentioning

confidence: 73%

Parental knowledge, attitudes and practices regarding overweight among preschool children in rural Zimbabwe

Mushonga¹,

Mujuru²,

Nyanga³

et al. 2017

AJFAND

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“…Children are particularly vulnerable to undernutrition as the priority in nutrition interventions is often to prevent malnutrition during fetal development and the first years of life [6].…”

Section: Introductionmentioning

confidence: 99%

Nutritional Status and Dietary Habits of School Children in Beni-Suef Governorate, Egypt

Abdelaziz¹,

Youssef²,

Sedrak³

et al. 2015

FNS

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Objectives: Childhood malnutrition is a major concern in developing countries. Therefore, the present study aimed to determine the nutritional status and dietary habits of school children. Methods: This is a community based cross-sectional survey designed to evaluate nutritional status of students aged (5 -19 years) in Beni-Suef Governorate, Egypt, during September-December 2013. A two-stage sampling technique was done; 22 government schools were selected in the first stage. In the second stage, 1100 students were selected from the target population of the study. Weight, height, and age data were used to calculate z-scores of the three different nutritional indicators. Dietary habits were studied using a food frequency questionnaire. Results: Underweight (WAZ < −2) and stunting (HAZ < −2) occurred in 10% and 53.2%, respectively. WAZ and HAZ mean scores of the children were −0.22 (SD = 1.39) and −2.09 (SD = 2.03), respectively. The malnourished children were classified on the basis of (WHO/NCHS) reference population BMI z-scores as being: 2.8% underweight (<−2SD) and 34.4% obese (>+2SD). Boys were more underweight (3%) than girls (2.2%). Conversely, girls tend to be more stunted (65.3%) compared to boys (59.9%) in the age group 10 -14 years. Identified risk factors associated with malnutrition for those aged more than 10 years were: mother education (P-value = 0.03), father education (P-value = 0.04) and family size (P-value = 0.014). Conclusıon and Recommendatıons: Child's nutritional status is strongly associated with the literacy of both parents and family size. The prevalence of malnutrition can be reduced by implementation of school intervention programs for the socioeconomic development.

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“…Nutritional deficits accrued during early childhood can persist into the school-aged years, with implications for subsequent development including school performance [5]. Baseline micronutrient status in the primary school children participating in our study suggest worrisome levels of deficiency which are in line with recent findings from the National Micronutrient Survey (NMS) [4]: rates of anemia were slightly lower (12.5% vs. 19.1%); Vitamin A deficiency was slightly higher (36% vs. 20.9% in MNS), while levels of iron deficiency anemia measured by serum levels of ferritin were similar (5.5% vs. 3.9%).…”

Section: Discussionmentioning

confidence: 99%

“…To address the nutritional needs of young school going children and provide social protection to families, global efforts have largely focused on school feeding and school-based fortification approaches [5]. There are several modalities of school feeding, which can be classified into two main groups: take home rations, and in-school feeding programs involving the provision of meals or snacks such as biscuits.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to their contribution to social protection, there is substantial evidence that if effectively implemented, school feeding programs can increase school attendance, cognition, attention span, and educational achievement [6]. Evidence is even more persuasive when accompanied by complementary actions such as de-worming and micronutrient fortification or supplementation [5]. …”

Section: Introductionmentioning

confidence: 99%

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Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh

et al. 2017

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BackgroundMicronutrient deficiencies can compromise the development potential of school-aged children, and their later health and productivity as adults. School feeding and school-based fortification approaches have been utilized globally to redress nutritional deficiencies in this age group.ObjectiveWe explored the acceptability and micronutrient impact of a Bangladesh Government supported school-based micronutrient fortification program for children attending rural primary schools in 10 disadvantaged sub-districts.MethodsWe applied a mixed methods approach. The quantitative component assessed the impact of micronutrient fortification on 351 children aged 6–11 years using a cohort pre-post research design with a control group. The qualitative component explored the acceptability of the intervention using focus group discussions, body mapping and semi-structured interviews with teachers, school-going children and school authorities.ResultsDaily consumption of fortified biscuits by primary school children had a significant positive impact on mean levels of iron, folic acid, vitamin B12, retinol and vitamin D controlling for sex, baseline deficiency status, CRP, and H. pylori. Levels of anemia and vitamin D deficiency were also significantly reduced. Qualitative findings indicated the widespread acceptability of the daily biscuit. Teachers perceived students to be more attentive in class, less tired, and some attributed better school performance to biscuit consumption. Children reported similar improvements in concentration and energy levels.ConclusionsThis study is among the first in Bangladesh to comprehensively assess a school-based fortification program in terms of its acceptability and impact on micronutrient status of children aged 6–11 years of age. While results strongly support this modality of school feeding, research on the cognitive impacts of micronutrient fortified biscuits will help clarify the case for scaled-up investments in school- based feeding program in Bangladesh and other low and middle income countries.

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Rethinking School Feeding

Cited by 157 publications

References 0 publications

Parental knowledge, attitudes and practices regarding overweight among preschool children in rural Zimbabwe

Parental knowledge, attitudes and practices regarding overweight among preschool children in rural Zimbabwe

Nutritional Status and Dietary Habits of School Children in Beni-Suef Governorate, Egypt

Impact of fortified biscuits on micronutrient deficiencies among primary school children in Bangladesh

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