The goal of this intervention study is to learn whether providing nutritional supplement packs can reduce hunger at school and improve healthy eating behaviors and classroom concentration among students in grades 3-9 attending schools in remote rural areas. The main questions it aims to answer are: Does receiving nutritional supplement packs reduce hunger at school and improve healthy eating behaviors and classroom concentration after one semester and one school year compared with baseline? Is hunger at school associated with healthy eating behaviors and classroom concentration?
Backgrounds: Nutritional supplement packs (long life milk, cereals, nuts) are suggested by the Taiwan Nutrition Foundation based on the general lack of intake among people in Taiwan and taking into account the growth of children. The National Food Bank raises funds from companies and distributes them to primary and secondary school children in remote rural areas for use when they are hungry at school. This program has been implemented for almost ten years and recognized by teachers and parents. It is generally believed that hunger in school children may affect their classroom performance, but most research focused only on skipping breakfast. According to actual survey experience, schoolchildren's hunger at school is not only related to whether they have eaten breakfast, but also factors such as eating habits and high activity levels (such as school teams and after physical education classes) outside of meals. Nutritional supplement packs can be provided to students in need immediately by teachers. Aims: This study aims to investigate whether nutritional supplements are effective in improving school children 's hunger, healthy eating behaviors, and classroom concentration. Methods: The survey subjects are students in grades 3 9 who received nutritional supplement packs. A total of three self-administered questionnaires will be implemented before and after the intervention (one semester and one school year) to assess changes in eating behavior and concentration. The expected number of cases is 6 00 (will be reached within 3 years). After the indicators were quantified, paired t test was used to compare the changes before and after the intervention; linear regression was used to analyze the correlation between hunger at school, healthy eating behavior and classroom concentration. Expected results: Nutritional supplement packs can effectively improve school children's hunger, eating behavior and classroom concentration; school hunger is correlated with eating behavior and classroom concentration.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
600
Nutritional supplement packs containing shelf-stable milk, cereals, and nuts are provided to participating students for consumption when they feel hungry at school. The intervention is implemented over one school year.
Danan Elementary School
Chiayi City, Taiwan
COMPLETEDWengang Elementary School
Chiayi City, Taiwan
RECRUITINGYufeng Elementary School
Hsinchu, Taiwan
COMPLETEDYudong Junior High School
Hualien City, Taiwan
COMPLETEDXuetian Elementary School
Hualien City, Taiwan
COMPLETEDDongli Junior High School
Hualien City, Taiwan
RECRUITINGDuona Elementary School
Kaohsiung City, Taiwan
COMPLETEDDanlu Elementary School
Pingtung City, Taiwan
RECRUITINGPingdeng Elementary School
Taichung, Taiwan
COMPLETEDIraraley Elementary School
Taitung, Taiwan
COMPLETED...and 4 more locations
Change in Classroom Concentration Score
Concentration will be assessed using the Classroom concentration scale. The total score ranges from 19 to 114, with higher scores indicating better classroom concentration. Changes from baseline will be assessed after one semester and one school year.
Time frame: Baseline, after one semester, and after one school year
Dietary diversity
Dietary diversity will be assessed using the questionnaire. The total score ranges from 0 to 6, with higher scores indicating better dietary diversity.
Time frame: Baseline, after one semester, and after one school year
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.