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Reimagining school nutrition to tackle childhood hypertension

Context : Rising Concern: Childhood Hypertension in India

  • Hypertension is no longer an adult-only issue — Indian children increasingly show elevated blood pressure.
  • CNNS (2016–18): 7.3% adolescents hypertensive; urban rate even higher at 9.1%.
  • NFHS-512% of teenagers (15–19 years) have elevated blood pressure.
  • ImplicationEarly intervention is critical — the disease often goes unnoticed until adolescence or adulthood.

Relevance : GS 2(Health ,Social Issues )

Primary Causes of the Trend

  • Unhealthy diets: Processed and packaged snacks, high in salt and low in nutrition.
  • Salt intake in adolescents: 8+ grams/day, almost double the WHO adult limit.
  • Lifestyle changes:
    • Reduced physical activity.
    • Indoor and online-based routines.
  • Food addiction cycle: Early preference for hyper-palatable foods → reduced acceptance of healthier options → long-term habits.

Role of PM POSHAN (Mid-Day Meal Scheme)

  • World’s largest school meal programme:
    • Covers 120 million children in 1.27 million+ schools (as of 2025).
  • Current strength: Provides basic nutrition.
  • Opportunity: Transform meals into tools for habit formation and food literacy.

Proposed Reform Directions

  • Reimagine PM POSHAN as a “food literacy engine”.
  • Integrate:
    • Regional menus using local, fresh produce.
    • Nutrition education embedded in curriculum.
    • Student participation in food prep, planning, and serving.

International Models to Emulate

  • Japans ShoKuiku model:
    • Children plan meals, learn about nutrition, serve food to peers.
    • Leads to lower obesity and healthier eating culture.
  • Vietnams adaptation:
    • Ministry of Education + Ajinomoto = improved school meals with ShoKuiku philosophy.

Policy Takeaways & Recommendations

  • Shift from calorie-centric to behavior-centric nutrition policies.
  • Make PM POSHAN a platform for:
    • Early intervention against NCDs (like hypertension).
    • Changing food environments in schools.
  • Build structured food education as part of national nutrition strategy.

May 2025
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