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This study aims to enhance understanding of malnutrition's effect on academic achievement of primary school students.

This is a descriptive, cross-sectional design built on Roy's adaptation model (RAM). This study uses a random cluster sample, consisting of 453 primary school students. Contextual stimuli (mother's educational level, income and child’s breakfast eating) and focal stimuli (wasting, thinness, body mass index and stunting) were examined regarding adaptive responses to student’s academic achievement.

The investigation revealed that Model 1, which took into account factors of age, gender, the frequency of breakfast, income, the number of family members and the education of mothers, explained 12% (R² = 0.12) of the variance in academic achievement. Stuntedness (β = −3.2 and p < 0.01), BMI (β = 0.94 and p < 0.001), family income per month (β = 5.60 and p < 0.001) and mother's education (β = 2.79 and p < 0.001) were the significant predictors in Model 2.

This study provides evidence that malnutrition is associated with ineffective academic achievement. Moreover, variables such as the mother's level of education, family income and the child’s breakfast consumption have a significant impact on academic achievements.

RAM is a useful framework for determining factors affecting people's reactions to difficult circumstances.

This study aims to investigate the impact of an emotional support training program on weight self-stigma and body image among women with polycystic ovary syndrome (PCOS).

A randomized controlled trial was conducted with 200 women diagnosed with PCOS employing a pretest-posttest design. The experimental group, consisting of 100 women, participated in an emotional support training program and received an informational booklet, while the control group (100 women) received only the booklet. Pre- and post-intervention assessments were conducted using weight self-esteem and body shape questionnaires.

The results demonstrated a statistically significant difference in weight self-stigma and body shape scores between the experimental and control groups following the intervention. For both the immediate post-intervention test [t(198) = 31.1, p = 0.01] [t(198) = 31.1, p = 0.01] [t(198) = 31.1, p = 0.01] and [t(198) = 60.7, p = 0.01] [t(198) = 60.7, p = 0.01] [t(198) = 60.7, p =0.01], as well as the delayed post-intervention test [t(198) = 32.3, p = 0.01] [t(198) = 32.3, p = 0.01] [t(198) = 32.3, p = 0.01] and [t(198) = 70.9, p = 0.01] [t(198) = 70.9, p = 0.01] [t(198) = 70.9, p = 0.01], the experimental group exhibited lower mean scores. Specifically, the experimental group scored 20.3 ± 9.2 for immediate and 20.4 ± 9.3 for delayed assessments on weight self-stigma, and 101.2 ± 7.2 for immediate and 86.5 ± 7.6 for delayed assessments on body shape. In contrast, the control group scored 159.8 ± 6.3 for immediate and 157.6 ± 6.4 for delayed assessments, respectively.

Nurses should be aware of the adverse effects of PCOS and associated obesity on weight self-stigma and body image. They are encouraged to develop targeted emotional support training programs specifically designed to address weight self-stigma and body image concerns in women with PCOS.

This study confirms the effectiveness of an emotional support training program in mitigating the negative effects of weight-related stigma and improving body image perception.