NCT07800208

Brief Summary

This study will assess the impact of a school meal program on the nutritional status and academic performance of primary school children in Lahore, Pakistan. Children aged 6-11 years from selected government primary schools will participate in the study. Children in the intervention group will receive a balanced school meal during school hours for 12 weeks, providing approximately one-third of their daily energy requirement, while children in the control group will continue their usual dietary practices. The study will compare changes in children's nutritional status, including weight, height, body mass index, mid-upper arm circumference, and body composition, as well as school attendance and examination performance. The study will also examine whether nutritional status is related to academic performance.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
496

participants targeted

Target at P75+ for not_applicable

Timeline
1mo left

Started Sep 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress56%
Sep 2026Nov 2026

First Submitted

Initial submission to the registry

August 25, 2026

Completed
7 days until next milestone

Study Start

First participant enrolled

September 1, 2026

Completed
1 day until next milestone

First Posted

Study publicly available on registry

September 2, 2026

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2026

Last Updated

September 2, 2026

Status Verified

August 1, 2026

Enrollment Period

2 months

First QC Date

August 25, 2026

Last Update Submit

August 28, 2026

Conditions

Keywords

School meal programChild nutritionNutritional statusAcademic performanceBody composition

Outcome Measures

Primary Outcomes (4)

  • Change in body weight (kg)

    Change in body weight from baseline to 12 weeks among children participating in the school meal intervention compared with the control group. Body weight will be measured in kilograms using standardized anthropometric procedures.

    Baseline to 12 weeks

  • Change in body mass index (BMI, kg/m²)

    Change in body mass index from baseline to 12 weeks among children participating in the school meal intervention compared with the control group. BMI will be calculated from measured weight and height.

    Baseline to 12 weeks

  • Change in mid-upper arm circumference

    Baseline to 12 weeks

  • Change in Dietary Diversity Score (0-10)

    Dietary diversity will be assessed based on the number of food groups consumed during the previous 24 hours. The score ranges from 0 to 10, with higher scores indicating greater dietary diversity. Scores of 0-3 indicate low dietary diversity, 4-5 indicate moderate dietary diversity, and \>5 indicate high dietary diversity. Change from baseline to post-intervention will be reported as the difference in dietary diversity score.

    Baseline to 12 weeks

Secondary Outcomes (5)

  • Change in fat mass (kg)

    Baseline to 12 weeks

  • Change in skeletal muscle mass (kg)

    Baseline to 12 weeks

  • Change in school attendance rate (%)

    Baseline to 12 weeks

  • Number of participants reporting acute illness episodes

    During the 12-week intervention

  • Change in academic test score (%)

    Baseline to 12 weeks

Study Arms (2)

School Meal Intervention Group

EXPERIMENTAL

Children receiving the school meal program daily for 12 weeks in addition to their usual school routine

Other: School Meal Program

Control Group

NO INTERVENTION

Children continuing their usual school routine without receiving the school meal program during the 12-week study period

Interventions

A daily school meal will be provided to primary school children for 12 weeks as part of a school meal program. The meal is designed to provide approximately one-third of the children's daily energy requirements and will be provided during the school day.

School Meal Intervention Group

Eligibility Criteria

Age6 Years - 11 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Children aged 6-11 years (Grades 1-5).
  • Children enrolled in the selected government primary schools.
  • Children present on the day of data collection.
  • Parental or guardian consent obtained.

You may not qualify if:

  • Children with chronic illness affecting growth.
  • Students absent during data collection.
  • Refusal of consent by parents or guardians.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Veterinary and Animal Sciences, Lahore

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (2)

  • Pramesthi IL, Wiradnyani LAA, Anggraini R, Februhartanty J, Widaryat W, Waluyo BH, Wahyunto AT, Mansyur M, Fahmida U. Evaluating the Impact of Indonesia's National School Feeding Program (ProGAS) on Children's Nutrition and Learning Environment: A Mixed-Methods Approach. Nutrients. 2025 Nov 15;17(22):3575. doi: 10.3390/nu17223575.

  • Destaw Z, Wencheko E, Kidane S, Endale M, Challa Y, Tiruneh M, Tamrat M, Samson H, Shaleka D, Ashenafi M. Impact of school meals on educational outcomes in Addis Ababa, Ethiopia. Public Health Nutr. 2022 Sep;25(9):2614-2624. doi: 10.1017/S1368980022000799. Epub 2022 Mar 28.

MeSH Terms

Conditions

Child Nutrition Disorders

Condition Hierarchy (Ancestors)

Nutrition DisordersNutritional and Metabolic Diseases

Central Study Contacts

Esha, Food and Nutrition

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: Participants will be assigned to either an intervention group receiving the school meal program or a control group continuing their usual dietary practices. Both groups will be assessed before and after the 12-week study period to evaluate changes in nutritional status and academic performance.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Dr

Study Record Dates

First Submitted

August 25, 2026

First Posted

September 2, 2026

Study Start

September 1, 2026

Primary Completion (Estimated)

November 1, 2026

Study Completion (Estimated)

November 1, 2026

Last Updated

September 2, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will not share

Individual participant data will not be shared because the study involves data from children, and sharing individual-level data may pose privacy and confidentiality risks.

Locations