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Article

Impacts of a School-Based Intervention That Incorporates Nutrition Education and a Supportive Healthy School Canteen Environment among Primary School Children in Malaysia

1
Department of Nutrition, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
2
Department of Nutrition, Batu Pahat District Health Office, Johor State Health Department, Ministry of Health, Jalan Mohd Khalid, Batu Pahat 83000, Johor, Malaysia
3
Research Centre of Excellence, Nutrition and Non-Communicable Diseases, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
4
Department of Community Health, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, UPM Serdang 43400, Selangor, Malaysia
5
Department of District Health Office, Batu Pahat District Health Office, Johor State Health Department, Ministry of Health, Johor Bahru 80000, Johor, Malaysia
*
Author to whom correspondence should be addressed.
Academic Editor: Gulam Khandaker
Nutrients 2021, 13(5), 1712; https://doi.org/10.3390/nu13051712
Received: 17 March 2021 / Revised: 1 May 2021 / Accepted: 10 May 2021 / Published: 18 May 2021
(This article belongs to the Special Issue Nutritional Status among Vulnerable Populations)
In this study, a school nutrition program (SNP) that incorporates nutrition education and a healthy school canteen environment was developed to improve nutrition knowledge among intervention respondents and provide a healthier environment for them to practice healthy eating. In the current study, we evaluated the impacts of the SNP on eating behaviors, physical activity, body mass index-for-age (BAZ), and cognitive performance at pre-intervention, post-intervention, and 3-month follow-up points between intervention and comparison groups. This intervention study involved 523 primary school children (7–11 years old) from six selected schools in Batu Pahat District, Malaysia. Each respondent completed anthropometric and cognitive performance assessments and a set of standardized questionnaire at pre-intervention, post-intervention, and 3-month follow-up points. Multiple linear mixed model analysis was performed to determine the impacts of that SNP after being adjusted for covariates. After the program, the intervention group increased their frequency of breakfast, lunch, and dinner consumption and morning tea snacking and showed more frequent physical activity and better cognitive performance as compared to the comparison group overtime (p < 0.05). At 3-month follow-up, the intervention group showed lower BAZ scores than their comparison counterparts (p < 0.05). The SNP showed positive effects on eating behaviors, physical activity, BAZ, and cognitive performance in school children. Hence, the SNP is highly recommended for all primary school children. View Full-Text
Keywords: children; school nutrition program; nutrition education; school canteen; eating behaviors; physical activity; cognitive performance; body weight status; overweight; obesity; malnutrition children; school nutrition program; nutrition education; school canteen; eating behaviors; physical activity; cognitive performance; body weight status; overweight; obesity; malnutrition
MDPI and ACS Style

Teo, C.H.; Chin, Y.S.; Lim, P.Y.; Masrom, S.A.H.; Shariff, Z.M. Impacts of a School-Based Intervention That Incorporates Nutrition Education and a Supportive Healthy School Canteen Environment among Primary School Children in Malaysia. Nutrients 2021, 13, 1712. https://doi.org/10.3390/nu13051712

AMA Style

Teo CH, Chin YS, Lim PY, Masrom SAH, Shariff ZM. Impacts of a School-Based Intervention That Incorporates Nutrition Education and a Supportive Healthy School Canteen Environment among Primary School Children in Malaysia. Nutrients. 2021; 13(5):1712. https://doi.org/10.3390/nu13051712

Chicago/Turabian Style

Teo, Choon H., Yit S. Chin, Poh Y. Lim, Shahril A.H. Masrom, and Zalilah M. Shariff 2021. "Impacts of a School-Based Intervention That Incorporates Nutrition Education and a Supportive Healthy School Canteen Environment among Primary School Children in Malaysia" Nutrients 13, no. 5: 1712. https://doi.org/10.3390/nu13051712

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