If a child is not healthy or not alert or unable to focus I think you have to look at every angle to find out where the problem lies.
Obviously a child who is hungry can not focus on his studies, a child who is malnourished or who is very overweight may not have the stamina to stay alert all day. Some people find sugar contributes to hyperactivity, (ask any teacher the day after Hallowe'en).
A dietitian may not be the first person I'd call but he could certainly be part of the team.
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