The impact of school breakfast programs on children's nutrition and health: a systematic review_Chinese Journal of Evidence-Based Medicine

Authors：

WANG Yan ^1,2,3 , YANG Chaoqun ^1,2,3 , CHEN Nan ^1,2,3 , GUO Kangle ^1,2,3 , LI Yanfei ^1,2,3 , E Fenfen ^1,2,3 , SHANG Xue ^1,2,3 , CHEN Yani ^1,2,3 ,  YANG Kehu ^1,2,3 , LI Xiuxia ^1,2,3

1. Health Technology Assessment Center/Evidence-Based Social Science Research Center, School of Public Health, Lanzhou University, Lanzhou 730000, P. R. China;
2. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, P. R. China;
3. Evidence Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P. R. China;

Corresponding?author：

YANG Kehu, Email: lixiuxia@lzu.edu.cn

Keywords：

School breakfast; Children; Nutrition; Health; Meta-analysis; Systematic review; Randomized controlled trial

DOI：

10.7507/1672-2531.202204135

Video：

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Objective To systematically review the impact of school breakfast on children's nutrition and health. Methods The PubMed, Web of Science, The Cochrane Library, EMbase, CNKI, CBM, WanFang Data and VIP databases were electronically searched to collect randomized controlled trials (RCTs) on the impact of school breakfast on children's nutrition and health from inception to June 2022. Two reviewers independently screened the literature, extracted data and assessed the risk of bias of the included studies. Meta-analysis was then performed by using RevMan 5.4 software. Results A total of 8 RCT, involving 8 208 children were included. The results of meta-analysis showed that compared with non-school breakfast, the school breakfast could significantly improve the rate of school attendance (RR=1.38, 95%CI 1.26 to 1.51, P<0.000 1). However, there was no statistically significant difference in height, weight, weight-for-age, height for age, energy, protein, iron, or incidence of nutritional disease between the groups. Conclusion The current evidence suggests that school breakfast has no impact on children's nutrition and health. Due to the limited quality and quantity of the included studies, more high-quality studies are needed to verify the above conclusion.

Citation： WANG Yan, YANG Chaoqun, CHEN Nan, GUO Kangle, LI Yanfei, E Fenfen, SHANG Xue, CHEN Yani, YANG Kehu, LI Xiuxia. The impact of school breakfast programs on children's nutrition and health: a systematic review. Chinese Journal of Evidence-Based Medicine, 2022, 22(10): 1161-1166. doi: 10.7507/1672-2531.202204135 Copy

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5.	廖郁. 城市學校推廣營養餐的必要性及措施. 食品安全導刊, 2019, (24): 92.
6.	Colley P, Myer B, Seabrook J, et al. The impact of canadian school food programs on children's nutrition and health: a systematic review. Can J Diet Pract Res, 2019, 80(2): 79-86.
7.	Amigo H. School feeding programmes in Latin America: An analysis. Arch Latinoam Nutr, 1997, 47(4): 299-304.
8.	德國大力推廣早餐計劃. 家庭教育(中小學版), 2016, (4): 1.
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11.	黨佳佳, 閆曉晉, 馬寧, 等. 兒童青少年超重肥胖評價方法及SPSS和SAS實現. 中華預防醫學雜志, 2022, 56(1): 75-81.
12.	馮玉榮, 段愛旭, 范利國. 山西省大同市衛生學校學生早餐狀況. 中國學校衛生, 2004, 25(2): 181-182.
13.	劉文, 李紅霞. 分析營養早餐影響學生體質發育的效果. 中國社區醫師, 2020, 36(30): 164-165.
14.	劉林濤. 延安市某小學學生早餐行為調查分析. 延安大學學報(醫學科學版), 2012, 10(1): 60-61.
15.	李菁菁, 戴詩玙, 歐陽英英, 等. 湖北省農村貧困地區中小學生早餐行為現狀及影響因素. 西安: 達能營養中心第二十三屆學術會議—營養與認知, 2020.
16.	Bhattacharya J, Haider CSJ. Breakfast of champions. The school breakfast program and the nutrition of children and families. J Hum Resour, 2006, 41(3): 445-466.
17.	Adolphus K, Lawton CL, Champ CL, et al. The effects of breakfast and breakfast composition on cognition in children and adolescents: a systematic review. Adv Nutr, 2016, 7(3): 590S-612S.
18.	Powell CA, Walker SP, Chang SM, et al. Nutrition and education: a randomized trial of the effects of breakfast in rural primary school children. Am J Clin Nutr, 1998, 68(4): 873-879.
19.	Pollitt E, Mathews R. Breakfast and cognition: an integrative summary. Am J Clin Nutr, 1998, 67(4): 804S-813S.
20.	Taras H. Nutrition and student performance at school. J Sch Health, 2005, 75(6): 199-213.
21.	Borghi E, de Onis M, Garza C, et al. Construction of the World Health Organization child growth standards: selection of methods for attained growth curves. Stat Med, 2006, 25(2): 247-265.
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24.	Tao WW, Jiang H, Tao XM, et al. Effects of acupuncture, tuina, tai chi, qigong, and traditional Chinese medicine five-element music therapy on symptom management and quality of life for cancer patients: a meta-analysis. J Pain Symptom Manage, 2016, 51(4): 728-747.
25.	Yao X, Florez ID, Zhang P, et al. Clinical research methods for treatment, diagnosis, prognosis, etiology, screening, and prevention: a narrative review. J Evid Based Med, 2020, 13(2): 130-136.
26.	Higgins JP, Thompson SG, Deeks JJ, et al. Measuring inconsistency in meta-analyses. BMJ, 2003, 327(7414): 557-560.
27.	Li J, Mu Z, Xie J, et al. Effectiveness and safety of Chinese herbal medicine Xiaoyao san for the treatment of insomnia: Protocol for a systematic review and meta-analysis. Medicine (Baltimore), 2019, 98(29): e16481.
28.	Pollitt E, Jacoby E, Cueto S. School breakfast and cognition among nutritionally at-risk children in the Peruvian Andes. Nutr Rev, 1996, 54(4 Pt 2): S22-S26.
29.	Jacoby E, Cueto S, Pollitt E. Benefits of a school breakfast programme among Andean children in Huaraz, Peru. Food Nutr Bull, 1996, 17(1): 54-64.
30.	李世敏, 劉冬, 李廣京. 營養早餐對學生營養狀況的干預作用. 食品科學, 2003, 24(9): 128-130.
31.	Crepinsek MK, Singh A, Bernstein LS, et al. Dietary effects of universal-free school breakfast: findings from the evaluation of the school breakfast program pilot project. J Am Diet Assoc, 2006, 106(11): 1796-1803.
32.	Mhurchu CN, Gorton D, Turley M, et al. Effects of a free school breakfast programme on children's attendance, academic achievement and short-term hunger: results from a stepped-wedge, cluster randomised controlled trial. J Epidemiol Community Health, 2013, 67(3): 257-264.
33.	Jenkins KT, Benton D, Tapper K, et al. A cross-sectional observational study of the nutritional intake of UK primary school children from deprived and non-deprived backgrounds: implications for school breakfast schemes. Int J Behav Nutr Phys Act, 2015, 12: 86.
34.	Lohman T, Roche A, Martorell R, et al. Anthropometrical standardization reference manual: Abridged edition, 1988. Available at: https://www.scienceopen.com/document?vid=f0220587-ecf2-4ee0-9fd0-66427f258aa2.

1. Guthrie JF, Newman C, Ralston K. USDA national school meal programs: established programs face new challenges. Choices, 2011, 24(3): 36-46.
2. 國務院辦公廳. 關于實施農村義務教育學生營養改善計劃的意見(國辦發〔2011〕54號). Available at: http://www.gd.gov.cn/zwgk/wjk/zcfgk/content/post_2532411.html.
3. 馬莉娜. 美國中小學校供餐體系及啟示. 世界教育信息, 2014, 27(20): 48-52.
4. 李偉. 為陽光枝餐點贊—農村學生營養改善計劃的重要意義. 中國改革, 2017.
5. 廖郁. 城市學校推廣營養餐的必要性及措施. 食品安全導刊, 2019, (24): 92.
6. Colley P, Myer B, Seabrook J, et al. The impact of canadian school food programs on children's nutrition and health: a systematic review. Can J Diet Pract Res, 2019, 80(2): 79-86.
7. Amigo H. School feeding programmes in Latin America: An analysis. Arch Latinoam Nutr, 1997, 47(4): 299-304.
8. 德國大力推廣早餐計劃. 家庭教育(中小學版), 2016, (4): 1.
9. 法國: 政府出資600萬支持學校提供免費早餐. 中國食品, 2019.
10. 孫春燕. 濟寧市初中生飲食行為, 健康狀況及影響因素研究. 濟南: 山東大學.
11. 黨佳佳, 閆曉晉, 馬寧, 等. 兒童青少年超重肥胖評價方法及SPSS和SAS實現. 中華預防醫學雜志, 2022, 56(1): 75-81.
12. 馮玉榮, 段愛旭, 范利國. 山西省大同市衛生學校學生早餐狀況. 中國學校衛生, 2004, 25(2): 181-182.
13. 劉文, 李紅霞. 分析營養早餐影響學生體質發育的效果. 中國社區醫師, 2020, 36(30): 164-165.
14. 劉林濤. 延安市某小學學生早餐行為調查分析. 延安大學學報(醫學科學版), 2012, 10(1): 60-61.
15. 李菁菁, 戴詩玙, 歐陽英英, 等. 湖北省農村貧困地區中小學生早餐行為現狀及影響因素. 西安: 達能營養中心第二十三屆學術會議—營養與認知, 2020.
16. Bhattacharya J, Haider CSJ. Breakfast of champions. The school breakfast program and the nutrition of children and families. J Hum Resour, 2006, 41(3): 445-466.
17. Adolphus K, Lawton CL, Champ CL, et al. The effects of breakfast and breakfast composition on cognition in children and adolescents: a systematic review. Adv Nutr, 2016, 7(3): 590S-612S.
18. Powell CA, Walker SP, Chang SM, et al. Nutrition and education: a randomized trial of the effects of breakfast in rural primary school children. Am J Clin Nutr, 1998, 68(4): 873-879.
19. Pollitt E, Mathews R. Breakfast and cognition: an integrative summary. Am J Clin Nutr, 1998, 67(4): 804S-813S.
20. Taras H. Nutrition and student performance at school. J Sch Health, 2005, 75(6): 199-213.
21. Borghi E, de Onis M, Garza C, et al. Construction of the World Health Organization child growth standards: selection of methods for attained growth curves. Stat Med, 2006, 25(2): 247-265.
22. Collection U. Convention on the rights of the child. Law Policy, 2010, 17(4): 483-502.
23. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions (version 5.1. 0). The Cochrane Collaboration, 2011. Available at: http://www.cochrane-handbook.org.
24. Tao WW, Jiang H, Tao XM, et al. Effects of acupuncture, tuina, tai chi, qigong, and traditional Chinese medicine five-element music therapy on symptom management and quality of life for cancer patients: a meta-analysis. J Pain Symptom Manage, 2016, 51(4): 728-747.
25. Yao X, Florez ID, Zhang P, et al. Clinical research methods for treatment, diagnosis, prognosis, etiology, screening, and prevention: a narrative review. J Evid Based Med, 2020, 13(2): 130-136.
26. Higgins JP, Thompson SG, Deeks JJ, et al. Measuring inconsistency in meta-analyses. BMJ, 2003, 327(7414): 557-560.
27. Li J, Mu Z, Xie J, et al. Effectiveness and safety of Chinese herbal medicine Xiaoyao san for the treatment of insomnia: Protocol for a systematic review and meta-analysis. Medicine (Baltimore), 2019, 98(29): e16481.
28. Pollitt E, Jacoby E, Cueto S. School breakfast and cognition among nutritionally at-risk children in the Peruvian Andes. Nutr Rev, 1996, 54(4 Pt 2): S22-S26.
29. Jacoby E, Cueto S, Pollitt E. Benefits of a school breakfast programme among Andean children in Huaraz, Peru. Food Nutr Bull, 1996, 17(1): 54-64.
30. 李世敏, 劉冬, 李廣京. 營養早餐對學生營養狀況的干預作用. 食品科學, 2003, 24(9): 128-130.
31. Crepinsek MK, Singh A, Bernstein LS, et al. Dietary effects of universal-free school breakfast: findings from the evaluation of the school breakfast program pilot project. J Am Diet Assoc, 2006, 106(11): 1796-1803.
32. Mhurchu CN, Gorton D, Turley M, et al. Effects of a free school breakfast programme on children's attendance, academic achievement and short-term hunger: results from a stepped-wedge, cluster randomised controlled trial. J Epidemiol Community Health, 2013, 67(3): 257-264.
33. Jenkins KT, Benton D, Tapper K, et al. A cross-sectional observational study of the nutritional intake of UK primary school children from deprived and non-deprived backgrounds: implications for school breakfast schemes. Int J Behav Nutr Phys Act, 2015, 12: 86.
34. Lohman T, Roche A, Martorell R, et al. Anthropometrical standardization reference manual: Abridged edition, 1988. Available at: https://www.scienceopen.com/document?vid=f0220587-ecf2-4ee0-9fd0-66427f258aa2.

Chinese Journal of Evidence-Based Medicine

The impact of school breakfast programs on children's nutrition and health: a systematic review

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