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The impact of nutrition standards for school meals on the diets of schoolchildren in Cambodia

A cluster randomized trial to assess the impact of school meals compliant with nutrition standards on the diet quality of Cambodian schoolchildren

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN79659112
Enrollment
800
Registered
2023-10-30
Start date
2023-03-15
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diet modification Nutritional, Metabolic, Endocrine

Interventions

Current interventions as of 18/03/2024: All children from 40 selected schools (according to pre-defined criteria) in three regions in Cambodia will be randomly allocated to an intervention arm or to

Sponsors

Food and Agriculture Organization of the United Nations
Lead Sponsor

Eligibility

Sex/Gender
All
Age
9 Years to 11 Years

Inclusion criteria

Inclusion criteria: 1. Students aged 9 to 11 years old from the selected schools 2. Students receiving school meals

Exclusion criteria

Exclusion criteria: 1. Students with grave intolerances or food allergies 2. Students with health conditions that may affect their food consumption

Design outcomes

Secondary

MeasureTime frame
Current secondary outcome measures as of 19/08/2024: 1. Differences from baseline between the two treatment arms at the endline in usual energy (kcal) intake and estimated habitual daily intake and prevalence of inadequacy of protein (grams), fibre (grams), vitamin A (micrograms), vitamin C (milligrams), calcium (milligrams), iron (milligrams) and zinc (milligrams). 2. Differences from baseline between the two treatment arms at the endline in usual intake (grams) of fruits, vegetables; meat, poultry, fish and eggs; and snack foods rich in salt, sugar and fat, obtained from the home diet (i.e. excluding the school meal). Other outcomes 3. Difference between the two treatment arms at the endline in weighed total mean plate waste from school meals 4. Difference between the two treatment arms at the endline in mean proportion of weighed plate waste relative to total served meal weight 5. Differences between the two treatment arms at three intervention points (once every month of the intervention) in mean hedonic ratings of meal liking. 6. School-level adherence to the prescribed menus, calculated as the average number of compliance days in each intervention school during the three-month period 7. Dose received of the intervention, calculated as the average number of days in which children in each intervention school received the meals during the three-month period 8. Main implementation barriers and enablers in intervention schools identified at post-intervention _____ Previous secondary outcome measures as of 18/03/2024 to 19/08/2024: 1. Differences between the two treatment arms at endline in mean energy (kcal) and estimated habitual daily intake of protein (grams), fibre (grams), vitamin A (micrograms), vitamin C (milligrams), calcium (milligrams), iron (milligrams) and zinc (milligrams). 2. Differences between the two treatment arms at endline in mean intake (grams) of fruits, vegetables; meat, poultry, fish and eggs; and snack foods rich in salt, sugar and f

Primary

MeasureTime frame
Current primary outcome measure as of 19/08/2024: 1. Differences from baseline between treatment arms at the endline in habitual daily intake (grams) of fruits; vegetables; meat, poultry, fish and eggs; and snack foods rich in salt, sugar and fat (including sugar-sweetened beverages, processed salty foods, grain-based and other sweets) Previous primary outcome measure as of 18/03/2024 to 19/08/2024: 1. Differences between treatment arms at endline in habitual daily intake (grams) of fruits; vegetables; meat, poultry, fish and eggs; and snack foods rich in salt, sugar and fat (including sugar sweetened beverages, processed salty foods, grain-based and other sweets) _____ Previous primary outcome measure: 1. Daily consumed grams of total fruits, total vegetables, animal source foods, and snack foods, measured via 24-hour recall at baseline and the end of the intervention period 2. Contribution of school meals to daily consumed grams of fruits, vegetables, animal source foods and legumes and snack foods, measured via 24-hour recall and weighed food record at baseline and the end of the intervention period 3. Dietary diversity scores, measured via 24-hour recall at baseline and the end of the intervention period

Countries

Cambodia

Contacts

Public ContactFatima Hachem
fatima.hachem@fao.org+3906570 55735

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Sep 19, 2026