The Impact of School-Based Nutrition Interventions on Parents and Other Family Members: A Systematic Literature Review
Open accessAbstract
Little is known about the impact of school-based nutrition interventions on parents and other family members. This systematic review aims to explore the impact of school-based nutrition interventions on different parental/family outcomes, mainly dietary intake, nutrition knowledge, and health outcomes. PubMed, Web of Science, PsycINFO, EconLit, Cochrane Reviews, and Google Scholar were systematically searched for controlled trials or natural experiments measuring the impact of school-based nutrition interventions, with or without parental involvement, on parents/families of school children. Twenty-two studies met the inclusion criteria. Of which, 15 studies assessed the impact of school-based nutrition interventions on parental/family dietary intake, 10 on parental/family nutrition knowledge, and 2 on parental/family health outcomes. Inconsistent results were found for parental dietary intake with six studies reporting favorable effects. Most studies found improved parental nutrition knowledge. Positive impacts were seen by both studies that assessed the impact on a parental health outcome. Overall, we found that there is potential for school-based nutrition interventions to result in positive effects for parents, in particular for nutrition knowledge. More research is needed to assess the impacts of school-based nutrition interventions on parents and other family members and to assess important intervention characteristics in creating a positive impact.
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Programs based mainly on information delivery were less likely to produce lasting behavioral change than those that also included skills practice, family involvement, or environmental support.
“For this reason, programs based mainly on information delivery were less likely to produce lasting behavioral change than those that also included skills practice, family involvement, or environmental support [22, 39, 65, 67].”
From Effects of school-based nutrition literacy Intervention on obesity prevention in school-age students: a systematic review and meta-analysis (2026) · cites this paper as [67]
The Discussion (page not available in our copy) says the review found no differences between effective and ineffective interventions by single versus multiple components or parental involvement. It also says there were too few studies of long-term parental dietary intake to determine whether effects lasted. This does not support the claimed advantage in lasting behavioral change for programs adding skills, family involvement, or environmental support. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredFamily involvement may further strengthen program effects, although evidence at the household level remains less consistent than evidence for child outcomes.
“Family involvement may further strengthen program effects, although evidence at the household level remains less consistent than evidence for child outcomes, as noted in a systematic review of school-based nutrition interventions involving parents and other family members [67].”
From Effects of school-based nutrition literacy Intervention on obesity prevention in school-age students: a systematic review and meta-analysis (2026) · cites this paper as [67]
The Discussion reports that one prior review associated greater parental involvement with better dietary changes in children, but it also describes evidence for child outcomes as inconclusive. The Results report mixed findings for parental dietary intake, and the Conclusions find less evidence for parental dietary or health impacts than for nutrition knowledge. The paper therefore supports the cautious points about possible benefits and uneven household outcomes, but not a general claim that household-level evidence is less consistent than evidence for child outcomes. (LLM, conf=0.86)
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- Authors
- Abderbwih, E., Mahanani, M. R., Deckert, A., Antia, K., Agbaria, N., Dambach, P., Kohler, S., Horstick, O., Winkler, V., & Wendt, A. S.
- Affiliations
- University Hospital Heidelberg (DE)
- Leibniz Association (DE)
- Corresponding author
- Abderbwih, Eman
- ORCID
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2022-06-09
- Volume
- 14
- Issue
- 12
- Pages
- 2399
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC9231235
- OpenAlex
- W4282564929
- Cited by
- 32
- References
- 41
- Citations by year
- 2026: 12 · 2025: 11 · 2024: 3 · 2023: 5 · 2022: 1
- FWCI
- 0.67
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Publication Database PIK (Potsdam Institute for Climate Impact Research (PIK)) (submittedVersion, cc-by)
- Funders
- Saudi Arabian Ministry of Education
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- school-based nutrition intervention, parental nutrition knowledge, family health outcomes, parental involvement, elementary school students, family nutrition
- MeSH terms
- Child, Eating, Family, Humans, Parents, Schools
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