Adequate nutrition during school age is essential for optimal growth, cognitive development, immune function, and academic performance. Nutritional deficiencies and unhealthy dietary habits remain major public health concerns globally, particularly in low- and middle-income countries. Simultaneously, rising rates of childhood overweight and obesity have introduced a double burden of malnutrition.

Objective

To assess the nutritional status of school-aged children and identify factors associated with undernutrition, overweight, and dietary quality.

Methods

A cross-sectional multicenter study was conducted among 3,200 school-aged children (6–12 years). Anthropometric measurements, dietary intake, socioeconomic characteristics, and health indicators were assessed. Nutritional status was evaluated using WHO growth standards. Statistical analyses included descriptive statistics, chi-square tests, and multivariate logistic regression.

Results

Normal nutritional status was observed in 63.8% of children. The prevalence of underweight, stunting, wasting, overweight, and obesity was 14.5%, 12.7%, 8.6%, 11.4%, and 5.8%, respectively. Children consuming balanced diets and participating in regular physical activity demonstrated significantly better nutritional outcomes. Socioeconomic status, parental education, dietary diversity, and physical activity were significant predictors of nutritional status.

Conclusion

Both undernutrition and overnutrition remain significant concerns among school-aged children. Comprehensive school-based nutrition programs, parental education, and healthy lifestyle interventions are essential to improve child health outcomes.