{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T06:06:54Z","timestamp":1785478014885,"version":"3.56.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"content-version":"unspecified","delay-in-days":183,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1368980026103024_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To identify and synthesise the educational and programmatic components most consistently associated with effective school-based food and nutrition education (SBFNE) for children and adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026103024_as2\">\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>An umbrella review was conducted in accordance with PRISMA 2020 guidelines. We systematically searched CLEO, EDUCAT+, PubMed and Google Scholar through December 2022 for eligible literature reviews and meta-analyses. Included reviews were assessed for methodological quality and synthesised at the component level using qualitative and quantitative approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026103024_as3\">\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Reviews examined SBFNE interventions delivered primarily during regular school hours in primary and secondary education settings worldwide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026103024_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Forty-four literature reviews synthesising evidence from 1651 primary studies (1115 unique) were included. Across reviews, twenty distinct educational and programmatic components were identified and standardised. Components most frequently reported and consistently associated with positive dietary behaviour change included\n                      <jats:italic>Family Engagement<\/jats:italic>\n                      ,\n                      <jats:italic>Focused on Behaviour Change<\/jats:italic>\n                      ,\n                      <jats:italic>Multicomponent Approaches<\/jats:italic>\n                      and\n                      <jats:italic>Integration into the School Curriculum<\/jats:italic>\n                      . Other components \u2013 such as\n                      <jats:italic>Cultural Inclusivity<\/jats:italic>\n                      and\n                      <jats:italic>Environmental Sustainability<\/jats:italic>\n                      \u2013 were examined less frequently but were associated with positive dietary outcomes in the reviews that assessed them. Several components, including\n                      <jats:italic>Peer Support<\/jats:italic>\n                      ,\n                      <jats:italic>Technology-Based Engagement<\/jats:italic>\n                      and\n                      <jats:italic>Community Engagement<\/jats:italic>\n                      , demonstrated mixed or context-dependent effects, reflecting variability in implementation and study design. No component was consistently associated with adverse dietary outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1368980026103024_as5\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>By shifting the analytic focus from individual interventions to cross-cutting components, this umbrella review clarifies which elements most consistently underpin effective SBFNE. The resulting component framework provides a practical, transferable foundation to inform program design, evaluation and policy decision-making and to strengthen the equity, coherence and effectiveness of SBFNE initiatives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1368980026103024","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T08:11:10Z","timestamp":1783066270000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Educational and programmatic components of effective school-based food and nutrition education: an umbrella review"],"prefix":"10.1017","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6694-6113","authenticated-orcid":false,"given":"Natalie H.","family":"Greaves-Peters","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj8s172","id-type":"ROR","asserted-by":"publisher"}],"name":"Teachers College at Columbia University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7300-908X","authenticated-orcid":false,"given":"Pamela Ann","family":"Koch","sequence":"additional","affiliation":[{"name":"Columbia University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randi","family":"Wolf","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj8s172","id-type":"ROR","asserted-by":"publisher"}],"name":"Teachers College at Columbia University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer W.","family":"Cadenhead","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj8s172","id-type":"ROR","asserted-by":"publisher"}],"name":"Teachers College at Columbia University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,3]]},"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980026103024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T05:56:54Z","timestamp":1785477414000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980026103024\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"alternative-id":["S1368980026103024"],"URL":"https:\/\/doi.org\/10.1017\/s1368980026103024","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e160"}}