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Impact of Breakfast Consumption on Nutritional Status and Biochemical Markers in Sudanese School-Aged Children

Year: 2025
Type: article
Study design: Clinical Trial
Abstract: Background: Skipping breakfast among schoolchildren remains a persistent nutritional challenge in developing countries, impacting micronutrient deficiencies and undernutrition. Objective: To evaluate the effect of a school-based breakfast intervention on hemoglobin levels, vitamin A status, BMI, and macronutrient intake among students in Khartoum State, Sudan. Methods: A quasi-experimental study was conducted with 294 students aged 6–14 years. Data were collected before and after the intervention on hemoglobin levels, vitamin A deficiency, BMI classification, and nutrient intake following a daily breakfast of Adzuki beans for eight months. Results: The average hemoglobin increased from 10.88 to 12.35 g/dL (p<0.001). Vitamin A deficiency decreased from 25.5% to 1% (p<0.001). Severe thinness dropped from 29.3% to 0%, and normal BMI increased from 24.8% to 79%. Inadequate energy intake declined from 73.5% to 9.9%, while intake of protein, carbohydrate, and fat improved to over 91% adequacy. Conclusion: The breakfast program significantly improved nutritional and biochemical indicators. These findings support the implementation of sustainable school breakfast programs to combat malnutrition among Sudanese children.
Authors: Azhari A. Mohammed Nour, Braa Ahmed Abdelsalam Ali, Mohamed Awad Elkarim Mohamed Ibrahim, Wisal A.M. Babiker, Mona Abdelgadir Ahmed abuagla, Sultan Mashnafi, Hanan Elamin Ibrahim, Ali Mahzari, Ali A. Zaeri, Omar Yousof M. Ali, Soltan J. Algamdi, Lobna Saad Mohammed Abd Elmaged
Language: English
Field: Nursing
Open Access status: gold
Estimated APC paid: $1,500
OpenAlex ID: W4414510791
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