Evidence map›Paper›PMID 39019632›Full record

SynthesisBMJ open2024

Impact of free school lunch program on nutritional status and academic outcomes among school children in India: A systematic review.

Lakshana Raveenthiranathan, Venkitachalam Ramanarayanan, K R Thankappan

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Inequities in Children's Food Environment: A Comparison between Slum and Non-slum Settings in Urban Bangladesh.Journal of urban health : bulletin of the New York Academy of Medicine · 2026
    Article
  2. Mitigating food safety risks in Indonesia's free school meals programme.The Lancet regional health. Southeast Asia · 2026
    Article
  3. Article
  4. Observational
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lakshana RaveenthiranathanDepartment of Public Health, Amrita Vishwa Vidyapeetham Amrita School of Medicine, Kochi, Kerala, India.
Venkitachalam RamanarayananDepartment of Public Health Dentistry, Amrita Vishwa Vidyapeetham Amrita School of Dentistry, Kochi, Kerala, India venkitr2006@gmail.com.ORCID 0000-0002-5587-3453
K R ThankappanDepartment of Public Health, Amrita Vishwa Vidyapeetham Amrita School of Medicine, Kochi, Kerala, India.ORCID 0000-0002-4536-2684

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMid-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.

methodsA 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.

resultsThe 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.

conclusionThe 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. PROTOCOL REGISTRATION NUMBER: The review was prospectively registered in PROSPERO (CRD42023391776). Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023391776.

Indexed as

Food ServicesLunchNutritional StatusSchoolsAcademic SuccessChildHumansIndiacommunity child healthhealth policymeta-analysisnutritionpublic healthsystematic review

Identifiers

PMID39019632
PMCPMC11256073

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.