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CSNEI / Obesity, Childhood / Nutrition, Healthy · Interventional Study
ClinicalTrials.gov · September 8, 2026
Early or partial results. Treat as a signal, not a conclusion.
This is a registry record for a planned cluster-randomized trial comparing a comprehensive school nutrition enrichment intervention (CSNEI) against matched comparison districts in rural Arkansas. No outcome data have been posted; the study is active and enrolling, with follow-up planned through Year 4 to measure changes in student BMI z-score, nutritional quality of school meals, dietary consumption, and biomarkers of fruit and vegetable intake.
Interventional, Randomized, Sequential, Open label, Prevention purpose. Obesity, Childhood, Nutrition, Healthy; age from 5 Years; to 18 Years. Intervention: CSNEI. Compared with: Control — No Intervention. n = 11,536. 1 site: United States.
This is a registry record for a planned cluster-randomized trial comparing a comprehensive school nutrition enrichment intervention (CSNEI) against matched comparison districts in rural Arkansas. No outcome data have been posted; the study is active and enrolling, with follow-up planned through Year 4 to measure changes in student BMI z-score, nutritional quality of school meals, dietary consumption, and biomarkers of fruit and vegetable intake.
Safety was not reported in the material analysed. Check the source before drawing any conclusion about harm.
The source did not state who this applies to in practice.
This is a registry record for an active cluster-randomized trial with no results posted; the study is designed to evaluate a school nutrition intervention but outcome data are not yet available.
As stated by the source record.
Quoted from the source exactly as published.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
What is missing. This record has no key findings. That is a gap in the analysis, not a judgement about the study.
Registry record from ClinicalTrials.gov (NCT05507866). This is a study registration, not published results. Lead sponsor: University of Arkansas. Recruitment status: ACTIVE_NOT_RECRUITING. Phase: NA. Study type: INTERVENTIONAL. Enrollment: 11536 participants (ACTUAL). Conditions: Obesity, Childhood, Nutrition, Healthy. Interventions: OTHER: CSNEI. Primary outcome measures: Change in student body mass index (BMI) z-score , Baseline; 3 years post-intervention; 5 years post-intervention. Brief summary: Obesity is a significant cause of cancer and cardiovascular disease incidence and mortality, and diabetes incidence among rural communities. Arkansas has the sixth-highest proportion of rural population (\~41%),and has the third-highest obesity prevalence (37.4%) in the nation. Arkansas has the third-highest prevalence of obesity for high school students (22.1%) and the fifth-highest prevalence for children ages 10-17 (20.2%). In Arkansas, children in rural areas have very high rates of both food insecurity (26%) and free and reduced lunch eligibility (72.9%). In the study's 6 participating school districts, free and reduced lunch eligibility ranges from 51.4% to 79.3%. School meals are an important opportunity to influence students' nutritional intake and long-term food preferences, which can reduce obesity. A multidisciplinary team partnered with 6 rural Arkansas school districts which to evaluate the effects of an evidence-based population-level intervention designed to improve the nutritional quality of food served in schools. The primary research question is: "Compared with similar school districts that did not implement the CSNEI, does the CSNEI intervention yield improved obesity prevention outcomes among rural K-12 students?" The study team will conduct a matched-pairs cluster-randomized trial with pre-test and repeated post-tests in 6 rural Arkansas school districts, 3 implementing CSNEI, and 3 matched comparison school districts following their existing nutritional practices. The evaluation will include \~11,500 students in 6 school districts: \~5,750 from CSNEI school districts and \~5,750 from matched comparison school districts. The study will explore heterogeneity of treatment effects for age and economic standing to understand effects on populations with higher contextual risk for obesity. Baseline data collection will take place prior to implementation (Year 1), and follow-up data will be collected annually thereafter (Years 2-4). The specific aims are: Aim 1.A: Evaluate the effects of a CSNEI on students' relative BMI change over time. Aim 1.B: Evaluate the short-term and long-term effects of a CSNEI on the nutritional quality of food served in school meals. Aim 1.C: Evaluate the short-term and long-term effects of a CSNEI on students' consumption of food served in school meals. Aim 1.D: Evaluate the short-term and long-term effects of a CSNEI on students' skin carotenoid levels, as an indicator of fruit and vegetable intake.
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