Promoting Healthy Eating among Young People—A Review of the Evidence of the Impact of School-Based Interventions
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Intro: Globally, the prevalence of overweight and obesity is increasing among children and younger adults and is associated with unhealthy dietary habits and lack of physical activity. School food is increasingly brought forward as a policy to address the unhealthy eating patterns among young people. Aim: This study investigated the evidence for the effectiveness of school-based food and nutrition interventions on health outcomes by reviewing scientific evidence-based intervention studies amongst children at the international level. Methods: This study was based on a systematic review using the PRISMA guidelines. Three electronic databases were systematically searched, reference lists were screened for studies evaluating school-based food and nutrition interventions that promoted children’s dietary behaviour and health aiming changes in the body composition among children. Articles dating from 2014 to 2019 were selected and reported effects on anthropometry, dietary behaviour, nutritional knowledge, and attitude. Results: The review showed that school-based interventions in general were able to affect attitudes, knowledge, behaviour and anthropometry, but that the design of the intervention affects the size of the effect. In general, food focused interventions taking an environmental approach seemed to be most effective. Conclusions: School-based interventions (including multicomponent interventions) can be an effective and promising means for promoting healthy eating, improving dietary behaviour, attitude and anthropometry among young children. Thus, schools as a system have the potential to make lasting improvements, ensuring healthy school environment around the globe for the betterment of children’s short- and long-term health.
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The finding that multi-component interventions are promising is consistent with recent empirical evidence.
“This finding is consistent with recent empirical evidence [46–49], highlighting the potential of such interventions to address the complex factors influencing adolescents’ eating behaviour.”
From School-based healthy eating interventions for adolescents aged 10–19 years: an umbrella review (2024) · cites this paper as [49]
The Conclusions say multicomponent interventions may be promising for improving dietary habits among primary school children. That supports the general finding, but not its extension to adolescents: the Discussion reports only limited evidence for multicomponent programmes’ effects on adolescent behaviour. The supplied passages do not give page numbers. (LLM, conf=0.86)
Experimental — accuracy not yet measuredEffective intervention components focusing on children emphasise antecedents, particularly parental involvement in shaping eating behaviour and the importance of healthy food accessibility.
“Effective intervention components focusing on children emphasise antecedents, particularly parental involvement in shaping eating behaviour and the importance of healthy food accessibility [32, 34, 49].”
From School-based healthy eating interventions for adolescents aged 10–19 years: an umbrella review (2024) · cites this paper as [49]
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- Authors
- Chaudhary, A., Sudzina, F., & Mikkelsen, B. E.
- Affiliations
- Independent Researcher, Kastrupvej 79, 2300 Copenhagen, Denmark
- Prague University of Economics and Business (CZ)
- University of Copenhagen (DK)
- Corresponding author
- Sudzina, František
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2020-09-22
- Volume
- 12
- Issue
- 9
- Pages
- 2894
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC7551272
- OpenAlex
- W3087796887
- Cited by
- 199
- References
- 70
- Citations by year
- 2026: 30 · 2025: 60 · 2024: 41 · 2023: 48 · 2022: 12 · 2021: 7 · 2020: 1
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- VBN Forskningsportal (Aalborg Universitet) (publishedVersion, cc-by)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- school-based intervention, healthy eating, children, dietary behaviour, nutrition knowledge, anthropometry, body composition, childhood obesity, overweight, environmental approach, multicomponent intervention, school nutrition policy, nutrition attitudes
- MeSH terms
- Diet, Healthy, Adolescent, Body Composition, Child, Child, Preschool, Feeding Behavior, Humans, Health Knowledge, Attitudes, Practice, School Health Services, Schools, Health Behavior, Body Mass Index, Overweight, Pediatric Obesity
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