PDF(Pubmed)
Abstract：
BACKGROUND: Mid-day meal programmes (MDM) were introduced in India to improve school attendance, nutritional status and educational outcomes of school children. Numerous primary studies have examined the impact of the MDM programmes on both nutritional and educational outcomes in various settings across the country. However, synthesising the findings from these studies has been challenging. To address this gap, we conducted a systematic review to assess the effects of MDM programmes on the nutritional and academic outcomes of school children in India.
METHODS: A comprehensive literature search was conducted, and relevant studies published between 1997 and 2022 were included. Two reviewers independently conducted study selection, data extraction and risk of bias assessment. The results were synthesised descriptively.
RESULTS: The systematic review included 31 studies. Among them, 16 studies focused on academic outcomes, while 18 studies reported children\'s nutritional status. Studies on MDM Scheme (MDMS) in children show mixed results on nutritional outcomes. While some studies show marginal improvements in height and weight measurements, others show no significant improvement. Regular MDMS access improves enrollment, attendance and retention rates for children, with lower dropout rates and higher academic achievement. However, its impact on academic performance remains unclear.
CONCLUSIONS: The MDM programme in India was effective in improving the academic achievement and a few nutritional outcomes of school children, underscoring the importance of sustaining MDM programmes in India.
UNASSIGNED: The review was prospectively registered in PROSPERO (CRD42023391776). Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023391776.
METHODS: A comprehensive literature search was conducted, and relevant studies published between 1997 and 2022 were included. Two reviewers independently conducted study selection, data extraction and risk of bias assessment. The results were synthesised descriptively.
RESULTS: The systematic review included 31 studies. Among them, 16 studies focused on academic outcomes, while 18 studies reported children\'s nutritional status. Studies on MDM Scheme (MDMS) in children show mixed results on nutritional outcomes. While some studies show marginal improvements in height and weight measurements, others show no significant improvement. Regular MDMS access improves enrollment, attendance and retention rates for children, with lower dropout rates and higher academic achievement. However, its impact on academic performance remains unclear.
CONCLUSIONS: The MDM programme in India was effective in improving the academic achievement and a few nutritional outcomes of school children, underscoring the importance of sustaining MDM programmes in India.
UNASSIGNED: The review was prospectively registered in PROSPERO (CRD42023391776). Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023391776.
摘要：
背景：印度引入了午餐时间计划（MDM），以提高入学率，学童的营养状况和教育结果。许多主要研究已经检查了MDM计划在全国各种环境中对营养和教育成果的影响。然而,综合这些研究的发现一直具有挑战性。为了解决这个差距，我们进行了系统评价,以评估MDM计划对印度学童营养和学业结果的影响.
方法：进行了全面的文献检索，并纳入了1997年至2022年之间发表的相关研究。两名评审员独立进行研究选择，数据提取和偏差风险评估。对结果进行描述性合成。
结果：系统评价包括31项研究。其中,16项研究集中在学术成果上，18项研究报告了儿童的营养状况。对儿童MDM计划（MDMS）的研究显示，营养结果好坏参半。虽然一些研究表明在身高和体重测量方面略有改善，其他人没有显着改善。常规MDMS访问可改善注册，儿童出勤率和保留率，较低的辍学率和较高的学业成绩。然而,其对学业成绩的影响尚不清楚。
结论：印度的MDM计划有效地提高了学童的学业成绩和一些营养结果，强调在印度维持MDM计划的重要性。
■该评论在PROSPERO（CRD42023391776）中进行了前瞻性注册。可从以下网址获得：https://www.crd.约克。AC.uk/prospro/display_record.php?ID=CRD42023391776。
方法：进行了全面的文献检索，并纳入了1997年至2022年之间发表的相关研究。两名评审员独立进行研究选择，数据提取和偏差风险评估。对结果进行描述性合成。
结果：系统评价包括31项研究。其中,16项研究集中在学术成果上，18项研究报告了儿童的营养状况。对儿童MDM计划（MDMS）的研究显示，营养结果好坏参半。虽然一些研究表明在身高和体重测量方面略有改善，其他人没有显着改善。常规MDMS访问可改善注册，儿童出勤率和保留率，较低的辍学率和较高的学业成绩。然而,其对学业成绩的影响尚不清楚。
结论：印度的MDM计划有效地提高了学童的学业成绩和一些营养结果，强调在印度维持MDM计划的重要性。
■该评论在PROSPERO（CRD42023391776）中进行了前瞻性注册。可从以下网址获得：https://www.crd.约克。AC.uk/prospro/display_record.php?ID=CRD42023391776。
