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)
Summary
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
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