{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T11:07:45Z","timestamp":1783940865736,"version":"3.55.0"},"reference-count":72,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nutrition literacy is increasingly recognised as a key determinant of dietary behaviours and long\u2010term public health outcomes. Schools represent strategic settings for strengthening nutrition literacy\u2010related competencies, including hydration awareness and food label use, yet comparative. However, descriptive cross\u2010country evidence across European school contexts remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional, school\u2010based survey was conducted among 432 students (aged 11\u201316 years) and 108 teachers across five European contexts (Italy, Germany, Cyprus, Serbia and Guadeloupe [France]). Culturally adapted questionnaires developed within the Erasmus+ GARDENS project assessed predefined domains of nutrition knowledge (food groups, macronutrient functions, fibre, vitamins and minerals), hydration awareness, food label use and selected sustainability\u2010related concepts. Knowledge items were coded dichotomously (correct\/incorrect), and behavioural indicators were analysed descriptively. Cross\u2010country comparisons were exploratory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Teachers in Germany and Italy reported higher levels of hydration awareness (&gt;\u200990%) and food label use (\u2265\u200975%), whereas lower self\u2010reported food label literacy was observed in Guadeloupe (48%). Among students, incorrect responses to nutrient\u2010function items (defined as misconceptions) were observed in 40% of the overall sample, with higher proportions in Guadeloupe and Serbia. Cross\u2010country variability was present across all assessed domains.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Marked substantial descriptive differences in nutrition literacy knowledge, hydration awareness and food label use were observed across school populations in selected European contexts. These findings provide baseline public health evidence supporting the integration of nutrition literacy\u2014particularly hydration and food labelling\u2014into school\u2010based health promotion strategies, with attention to equity and contextual factors. These findings provide baseline evidence to inform school\u2010based health promotion strategies and highlight the relevance of contextual and equity\u2010related considerations. Further research using validated instruments and inferential designs is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70258","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T04:00:28Z","timestamp":1777608028000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nutrition Literacy, Hydration Awareness and Food Label Use in School Populations: A Cross\u2010Sectional Study of Students and Teachers Across European Contexts"],"prefix":"10.1111","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8978-0490","authenticated-orcid":false,"given":"Donatella","family":"Coradduzza","sequence":"first","affiliation":[{"name":"Department of Biomedical Sciences University of Sassari Sassari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giannagelo","family":"Boccuzzi","sequence":"additional","affiliation":[{"name":"Mine Vaganti NGO Sassari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giancarlo","family":"Masi","sequence":"additional","affiliation":[{"name":"Mine Vaganti NGO Sassari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Porstner","sequence":"additional","affiliation":[{"name":"NGO NEST Berlin e.V. Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rapha\u00ebl","family":"Dub\u00e9","sequence":"additional","affiliation":[{"name":"Universit\u00e9 des Antilles Guadeloupe France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolas","family":"Nikolaou","sequence":"additional","affiliation":[{"name":"Department of Education University of Cyprus Nicosia Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Sedda","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences University of Sassari Sassari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maja","family":"Merdovic","sequence":"additional","affiliation":[{"name":"Institute for Public Health of Serbia Belgrade Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serenella","family":"Medici","sequence":"additional","affiliation":[{"name":"Department of Chemical, Physical, Mathematical and Natural Sciences University of Sassari Sassari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6985-4907","authenticated-orcid":false,"given":"Ciriaco","family":"Carru","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences University of Sassari Sassari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Solinas","sequence":"additional","affiliation":[{"name":"Mine Vaganti NGO Sassari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Grazia","family":"Pirina","sequence":"additional","affiliation":[{"name":"Mine Vaganti NGO Sassari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-020-01339-0"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuae052"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191710522"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-15703-5_5"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2542-5196(25)00033-6"},{"key":"e_1_2_11_7_1","unstructured":"H. Li\u2010Ra \u201cA Study on the Expansion of Education Development Agenda in UNICEF since 2000 From the UNESCOs Lifelong Learning Perspective\u201d (Doctoral diss. Graduate School of Seoul National University 2021)."},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneb.2023.10.012"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.12681\/hapscpbs.31008"},{"key":"e_1_2_11_10_1","first-page":"25","volume-title":"Farm to Fork: Sustainable Agrifood Systems. Sustainable and Circular Management of Resources and Waste Towards a Green Deal","author":"Kiran B. R.","year":"2023"},{"issue":"5","key":"e_1_2_11_11_1","first-page":"420","article-title":"The European Union Farm to Fork Strategy","volume":"15","author":"Schebesta H.","year":"2020","journal-title":"European Food and Feed Law Review"},{"key":"e_1_2_11_12_1","unstructured":"R.Sonnino C.Callenius L.L\u00e4hteenm\u00e4ki et al. Research and Innovation Supporting the Farm to Fork Strategy of the European Commission(FIT4FOOD2030 2020)."},{"key":"e_1_2_11_13_1","unstructured":"R.Sonnino C.Callenius L.Lahteenmaki et al. Research and Innovation Supporting the Farm to Fork Strategy of the European Commission: Policy Brief(FIT4FOOD2030 2020)."},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/00313831.2022.2148270"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3726\/978-3-0352-6252-0"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/15705850600839603"},{"key":"e_1_2_11_17_1","volume-title":"Nutrition: Micronutrient Intake, Imbalances, and Interventions","author":"Espinosa\u2010Salas S.","year":"2023"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s42003-024-05876-5"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.3390\/su17072955"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/day050"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.09.050"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-80"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2014.01.010"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022057412192002-307"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12428"},{"key":"e_1_2_11_26_1","unstructured":"H.Elsayed Health Promotion in Swedish Schools: Navigating Institutional Social and Professional Landscapes(2025)."},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/21582440251365699"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2022.100522"},{"key":"e_1_2_11_29_1","first-page":"46","volume-title":"Indicators for Evaluation of Awareness and Fundraising for Low Literacy in Europe","author":"De Greef M.","year":"2014"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijedudev.2025.103398"},{"key":"e_1_2_11_31_1","volume-title":"Treatment Adherence Among African American Women With Heart Failure in Rural Western Tennessee: A Qualitative Hermeneutic Phenomenological Study","author":"Agbetoyin A.","year":"2025"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980023001313"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-23940-5"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10566-020-09559-0"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.3389\/fsufs.2025.1589413"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2016.12.029"},{"key":"e_1_2_11_37_1","doi-asserted-by":"crossref","unstructured":"M. R.Bottcher Mediterranean Diet Adherence in the Southeast United States: Validation of a Field\u2010Based Survey Instrument and the Impact of Nutrition Knowledge(Auburn University;2016).","DOI":"10.1016\/j.appet.2016.12.029"},{"key":"e_1_2_11_38_1","first-page":"39","article-title":"\u2018It's Not Just Bits of Paper and Light Bulbs\u2019: A Review of Sustainability Pedagogies and Their Potential for Use in Higher Education","author":"Cotton D.","year":"2010","journal-title":"Sustainability Education"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11071590"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11071590"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1601824"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2020.101178"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-443-21975-7.00012-5"},{"key":"e_1_2_11_44_1","unstructured":"World Health Organization Making Every School a Health\u2010Promoting School: Country Case Studies(World Health Organization 2021)."},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2025.108440"},{"key":"e_1_2_11_46_1","unstructured":"World Health Organization WHO Report on Surveillance of Antibiotic Consumption: 2016\u20132018 Early Implementation(World Health Organization 2018)."},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jneb.2013.01.007"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuad072"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.appet.2021.105658"},{"key":"e_1_2_11_50_1","unstructured":"J. M. S.Rebelo Impact of the Use of an Educational Web\u2010Application on Nutritional Knowledge and Food Consumption in Children and Adolescents With Overweight or Obesity(Universidade do Porto 2023)."},{"key":"e_1_2_11_51_1","volume-title":"WHO Child Growth Standards: Head Circumference\u2010for\u2010Age, Arm Circumference\u2010for\u2010Age, Triceps Skinfold\u2010for\u2010Age and Subscapular Skinfold\u2010for\u2010Age: Methods and Development","year":"2007"},{"issue":"2","key":"e_1_2_11_52_1","first-page":"1495","article-title":"Guidance on a Harmonised Framework for Pest Risk Assessment and the Identification and Evaluation of Pest Risk Management Options by EFSA","volume":"8","year":"2010","journal-title":"EFSA Journal"},{"key":"e_1_2_11_53_1","volume-title":"WHO European Regional Obesity Report 2022","author":"Nutrition, Physical Activity & Obesity (NAO), Office for Prevention & Control of NCDs (MOS)","year":"2022"},{"issue":"2","key":"e_1_2_11_54_1","article-title":"Scientific Opinion on the Update of the List of QPS\u2010Recommended Biological Agents Intentionally Added to Food or Feed as Notified to EFSA (2017\u20132019)","volume":"18","author":"Koutsoumanis EFSA Panel on Biological Hazards (BIOHAZ); K.","year":"2020","journal-title":"EFSA Journal"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2020-102955"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.3945\/an.111.001347"},{"key":"e_1_2_11_57_1","volume-title":"Communication sur les risques et participation communautaire (RCCE): pr\u00e9paration et riposte face au nouveau coronavirus 2019 (2019\u2010nCoV). Lignes directrices provisoires, 26 janvier 2020","author":"World Health Organization","year":"2020"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2019.100942"},{"key":"e_1_2_11_59_1","unstructured":"Diet Nutrition and the Prevention of Chronic Diseases: Report of a Joint WHO\/FAO Expert Consultation World Health Organization Technical Report Series 916 (2003): i\u2013viii: 1\u2013149."},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.2903\/j.efsa.2010.1462"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7244.1240"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)01822-1"},{"key":"e_1_2_11_63_1","volume-title":"Sustainable Healthy Diets\u2013Guiding Principles","author":"World Health Organization, Food and Agriculture Organization of the United Nations","year":"2019"},{"key":"e_1_2_11_64_1","article-title":"Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation","volume":"894","year":"2000","journal-title":"World Health Organization Technical Report Series"},{"key":"e_1_2_11_65_1","volume-title":"World Health Statistics 2007","author":"World Health Organization","year":"2007"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.03.012"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780192869487.001.0001"},{"key":"e_1_2_11_68_1","doi-asserted-by":"publisher","DOI":"10.1038\/leu.2017.29"},{"key":"e_1_2_11_69_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu15092064"},{"key":"e_1_2_11_70_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_2_11_71_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30041-8"},{"key":"e_1_2_11_72_1","doi-asserted-by":"crossref","unstructured":"G. Boccuzzi and F. Manganello eds. \u201cIntegrating Generative AI Synthetic Data and Machine Learning in a 5G\u2010Enabled Metaverse for Educational Orientation: The ITAVER5O Project \u201d paper presented at ICERI2024 Proceedings Seville Spain November 11\u201313 2024 (IATED 2024).","DOI":"10.21125\/iceri.2024.2150"},{"key":"e_1_2_11_73_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-023-01398-y"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.70258","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jhn.70258","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.70258","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T10:46:29Z","timestamp":1783939589000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.70258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":72,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/jhn.70258"],"URL":"https:\/\/doi.org\/10.1111\/jhn.70258","archive":["Portico"],"relation":{},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]},"assertion":[{"value":"2026-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70258"}}