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Intergenerational nutrition benefits of India’s national school feeding program

India has the world’s highest number of undernourished children and the largest school feeding program, the Mid-Day Meal (MDM) scheme. As school feeding programs target children outside the highest-return “first 1000-days” window, they have not been included in the global agenda to address stunting....

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Autores principales: Chakrabarti, Suman, Scott, Samuel P., Alderman, Harold, Menon, Purnima, Gilligan, Daniel O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8275765/
https://www.ncbi.nlm.nih.gov/pubmed/34253719
http://dx.doi.org/10.1038/s41467-021-24433-w
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author Chakrabarti, Suman
Scott, Samuel P.
Alderman, Harold
Menon, Purnima
Gilligan, Daniel O.
author_facet Chakrabarti, Suman
Scott, Samuel P.
Alderman, Harold
Menon, Purnima
Gilligan, Daniel O.
author_sort Chakrabarti, Suman
collection PubMed
description India has the world’s highest number of undernourished children and the largest school feeding program, the Mid-Day Meal (MDM) scheme. As school feeding programs target children outside the highest-return “first 1000-days” window, they have not been included in the global agenda to address stunting. School meals benefit education and nutrition in participants, but no studies have examined whether benefits carry over to their children. Using nationally representative data on mothers and their children spanning 1993 to 2016, we assess whether MDM supports intergenerational improvements in child linear growth. Here we report that height-for-age z-score (HAZ) among children born to mothers with full MDM exposure was greater (+0.40 SD) than that in children born to non-exposed mothers. Associations were stronger in low socioeconomic strata and likely work through women’s education, fertility, and health service utilization. MDM was associated with 13–32% of the HAZ improvement in India from 2006 to 2016.
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spelling pubmed-82757652021-07-20 Intergenerational nutrition benefits of India’s national school feeding program Chakrabarti, Suman Scott, Samuel P. Alderman, Harold Menon, Purnima Gilligan, Daniel O. Nat Commun Article India has the world’s highest number of undernourished children and the largest school feeding program, the Mid-Day Meal (MDM) scheme. As school feeding programs target children outside the highest-return “first 1000-days” window, they have not been included in the global agenda to address stunting. School meals benefit education and nutrition in participants, but no studies have examined whether benefits carry over to their children. Using nationally representative data on mothers and their children spanning 1993 to 2016, we assess whether MDM supports intergenerational improvements in child linear growth. Here we report that height-for-age z-score (HAZ) among children born to mothers with full MDM exposure was greater (+0.40 SD) than that in children born to non-exposed mothers. Associations were stronger in low socioeconomic strata and likely work through women’s education, fertility, and health service utilization. MDM was associated with 13–32% of the HAZ improvement in India from 2006 to 2016. Nature Publishing Group UK 2021-07-12 /pmc/articles/PMC8275765/ /pubmed/34253719 http://dx.doi.org/10.1038/s41467-021-24433-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Chakrabarti, Suman
Scott, Samuel P.
Alderman, Harold
Menon, Purnima
Gilligan, Daniel O.
Intergenerational nutrition benefits of India’s national school feeding program
title Intergenerational nutrition benefits of India’s national school feeding program
title_full Intergenerational nutrition benefits of India’s national school feeding program
title_fullStr Intergenerational nutrition benefits of India’s national school feeding program
title_full_unstemmed Intergenerational nutrition benefits of India’s national school feeding program
title_short Intergenerational nutrition benefits of India’s national school feeding program
title_sort intergenerational nutrition benefits of india’s national school feeding program
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8275765/
https://www.ncbi.nlm.nih.gov/pubmed/34253719
http://dx.doi.org/10.1038/s41467-021-24433-w
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