TRANSFERRED ARTICLE
The effect of egg supplementation on growth parameters in children
participating in a school feeding program in rural Uganda: a pilot study
Jamie I. Baum
a
, Jefferson D. Miller
b
and Brianna L. Gaines
a
a
Department of Food Science, University of Arkansas, Fayetteville, AR, USA;
b
Department of Agricultural Education, Communications and
Technology, University of Arkansas, Fayetteville, AR, USA
ABSTRACT
Background: School feeding programs have gained popularity in developing countries .
Eggs are an inexpensive source of micronutrients and high-quality protein. Therefore, the
objective of this study was to gain preliminary data regarding the impact of egg supple-
mentation on growth in primary school students participating in a school feeding program in
rural Uganda.
Methods: Children (ages 6–9; n = 241) were recruited from three different schools located
throughout the Kitgum District of Uganda. All participants in the same school received the same
dietary intervention: control (no eggs (0 eggs); n = 56), one egg five days per week (1 egg; n = 89), or
two eggs five days per week (2 eggs; n = 96). Height, weight, tricep skinfold thickness (TSF), and
mid-upper arm circumference (MUAC) were measured monthly over 6 months.
Results: Following six months of egg supplementation, participants receiving 2 eggs had a
greater increase in height and weight compared to the 0 eggs and 1 egg groups (P < 0.05). In
addition, participants receiving 1 egg and 2 eggs had a significantly higher (P < 0.05) increase in
MUAC at six months compared to 0 eggs.
Conclusion: These results suggest that supplementation with eggs can improve parameters of
growth in school-aged children participating in school feeding programs in rural Uganda.
Abbreviations: MUAC: Mid-Upper Arm Circumference; TSF: Tricep Skinfold Thickness
ARTICLE HISTORY
Received 22 December 2016
Accepted 7 May 2017
KEYWORDS
Children; Uganda; eggs;
growth; mid-upper arm
circumference; school
feeding program; human
nutrition
Background
Although protein-energy malnutrition is a concern for
many children in developing countries, micronutrient
malnutrition has been recognized as a more widespread
problem [1]. This prevalence of malnutrition is linked to
poverty, poor diet quality, and little or no intake of animal-
source foods [2, 3]. Countries in sub-Saharan Africa have a
high prevalence of children that are underweight, wasting,
and stunting [4, 5]. In Uganda, the prevalence of malnutri-
tion remains highest among children younger than five
years of age [4, 5] and the nutrition status of children over
the age of five in Uganda remains relatively unknown.
School feeding programs are gaining popularity in
developing countries such as Uganda [6]. Such programs
aim to reduce the short-term hunger that negatively
impacts concentration span and learning capacity of
school children [6]. A recent study found that early stage
primary school children attending a Malawian school feed-
ing program for one year had improved catch-up growth
in lean muscle mass and improved cognitive outcomes
compared to children attending a non-school feeding pro-
gram school [7].
Eggs are an inexpensive source of 13 essential
micronutrients (i.e. choline, biotin, riboflavin, vita-
min B12, pantothenic acid, vitamin A, folate, vitamin
E, vitamin D, calcium, magnesium, sodium, phos-
phorus, potassium, and zinc), and an excellent source
of high-quality protein [8,9], which makes them an
ideal candidate for implementation into a school
feeding program. Therefore, the objective of this
study was to gain preliminary data regarding the
impact of egg supplementation five days per week
on growth in primary school students participating
in a school feeding program in rural Uganda.
Growth outcomes are a relatively easy, non-invasive
measure to evaluate the effects of eggs on nutrition
status, which would support future studies on the
effects of eggs on cognitive performance. We
hypothesized that egg supplementation with eggs
will improve markers of growth.
CONTACT Jamie I. Baum baum@uark.edu Department of Food Science, University of Arkansas, 2650 North Young Avenue, Fayetteville, AR, 72704, USA
FOOD & NUTRITION RESEARCH, 2017
VOL. 61, 1330097
https://doi.org/10.1080/16546628.2017.1330097
© 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted
use, distribution, and reproduction in any medium, provided the original work is properly cited.