Abstract

Background : In Russian schools, children are provided with meals, and certain categories of students get free meals. However, not all school students eat regularly. Objective : Our aim was to study the role of school meals in physical development of children and adolescents. Methods: The survey of schoolchildren aged 8–18 years (Voronezh) revealed two groups of students who eat at school regularly (Group 1) and on occasions (Group 2). We calculated Z scores of body length and body mass index (BMI) using ANTHROPlus software. Nutritional status was determined based on the values of standard BMI deviations ( +2, +2 to +1, -1 to -2, -2). Health groups were formed according to the Children Health Comprehensive Assessment Instruction. Results : 484 schoolchildren (students of grades 3–11) were examined. 251 (52%) school students had regular meals at school. Regular meal frequency decreased from 69% in the group of 8–10 year old students to 30% in the group of 15–18-year-olds. Z scores of body length in students of Groups 1 and 2 did not differ (0.44 ± 1.00 and 0.30 ± 1.00, respectively; p = 0.124). At the same time, children in Group 1 had higher Z scores of BMI (0.44 ± 1.30 and 0.12 ± 1.30, respectively; p = 0.007). In Group 1, the incidence of overweight and obesity decreased from 40% in group of 8–10 year old students to 15% in 15–18-year-olds, in Group 2 — from 35 to 18%, respectively; incidence of malnutrition increased from 9 to 24% in Group 1 and from 11 to 15% in Group 2. In Group 1, the number of students with health group III or IV was smaller (30% compared to 42% in the control group; p = 0.005). Conclusion : Regular meals at school are an important, but not critical factor in the physical development of children. The absence of regular meals at school may be a risk factor for chronic diseases in schoolchildren.

Highlights

  • In Russian schools, children are provided with meals, and certain categories of students get free meals

  • Our aim was to study the role of school meals in physical development of children and adolescents

  • Nutritional status was determined based on the values of standard body mass index (BMI) deviations (у +2, +2 to +1, -1 to -2, р -2)

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Summary

Оригинальная статья

На основании анкетирования школьников в возрасте 8–18 лет (Воронеж) выделены группы детей, регулярно (1-я группа) и нерегулярно (2-я группа) питающихся в школе. Частота регулярного питания уменьшалась с 69% в группе 8–10-летних до 30% среди подростков 15–18 лет. В 1-й группе частота случаев избыточной массы тела и ожирения снижалась с 40% в группе 8–10 лет до 15% среди 15–18-летних, во 2-й группе — с 35 до 18% соответственно; частота случаев недостаточности питания увеличивалась соответственно с 9 до 24% и с 11 до 15%. Среди детей 1-й группы реже встречались учащиеся с III или IV группой здоровья (30 и 42% соответственно; р = 0,005). Регулярное питание в школе является важным, но не определяющим фактором физического развития детей. И. Регулярное питание в школе как фактор физического развития детей и подростков: результаты когортного исследования. Regular Meals at School as a Factor of Physical Development of Children and Adolescents: Results of a Cohort Study

Background
Нерегулярное питание
Нарушения питания
Группы здоровья
Findings
СПИСОК ЛИТЕРАТУРЫ
Full Text
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