Universal School Meals and Associations with Student Participation, Attendance, Academic Performance, Diet Quality, Food Security, and Body Mass Index: A Systematic Review.
Universal School Meals and Associations with Student Participation, Attendance, Academic Performance, Diet Quality, Food Security, and Body Mass Index: A Systematic Review.
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DOI：
10.3390/nu13030911
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发表时间：
2021-03-11
期刊：
影响因子：
5.9
通讯作者：
Schwartz MB
中科院分区：
文献类型：
--
作者：
Cohen JFW;Hecht AA;McLoughlin GM;Turner L;Schwartz MB
学校环境对儿童的饮食和总体健康起着重要作用，普及免费校餐的政策有可能促进积极的儿童健康成果。这篇系统性综述评估了研究普遍免费校餐与学生校餐参与率、饮食、出勤率、学习成绩和身体质量指数（BMI）以及学校财务之间关系的研究。根据系统性综述和荟萃分析的首选报告项目（PRISMA）进行检索。在PubMed、教育资源信息中心（ERIC）、汤姆森路透社的Web of Science和Academic Search Ultimate中检索了截至2020年12月在经济发达国家发表的研究，然后检查了所得文献中的参考文献。总共确定了47项研究，并应用纽卡斯尔-渥太华量表（NOS）来评估偏差。几乎所有研究普遍免费校餐发现积极的协会与学校用餐的参与。大多数研究普遍免费学校餐，包括免费午餐发现积极的联系与饮食质量，食品安全和学习成绩;然而，研究的结果只检查普遍免费早餐是混合的。在将出勤率作为一项结果进行审查时，研究结果也同样好坏参半。对学生BMI不良结果的担忧没有得到文献的支持;事实上，几项研究发现了普遍免费校餐对BMI的潜在保护作用。研究普遍免费餐对学校财务的影响是有限的，但表明美国低收入学区可能会从参与普遍免费校餐供应中获得积极的财务成果。此外，为学生提供免费膳食可能与家庭收入的增加有关，特别是在有孩子的低收入家庭中。需要进一步研究，以审查普遍免费餐对学区和家庭的财政影响。总体而言，普遍免费校餐可能对学生有多重好处，各国应考虑提供普遍免费校餐，并制定强有力的营养指南。（PROSPERO注册号：CRD 42020221782）。
The school environment plays an important role in children’s diets and overall health, and policies for universal free school meals have the potential to contribute to positive child health outcomes. This systematic review evaluates studies examining the association between universal free school meals and students’ school meal participation rates, diets, attendance, academic performance, and Body Mass Index (BMI), as well as school finances. The search was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). A search for studies published in economically developed countries published through December 2020 was performed in PubMed, Education Resources Information Center (ERIC), Thomson Reuters’ Web of Science, and Academic Search Ultimate, followed by examining the references in the resultant literature. A total of 47 studies were identified and the Newcastle-Ottawa Scale (NOS) was applied to assess bias. Nearly all studies examining universal free school meals found positive associations with school meal participation. Most studies examining universal free school meals that included free lunch found positive associations with diet quality, food security, and academic performance; however, the findings of studies examining only universal free breakfast were mixed. Research findings were similarly mixed when examining attendance as an outcome. Concerns about adverse outcomes on student BMI were not supported by the literature; in fact, several studies detected a potentially protective effect of universal free school meals on BMI. Research examining the impact of universal free meals on school finances was limited, but suggest that lower-income school districts in the U.S. may have positive financial outcomes from participation in universal free school meal provisions. Additionally, providing free meals to students may be associated with improved household incomes, particularly among lower-income families with children. Further research is needed to examine the financial implications of universal free meals for both school districts and families. Overall, universal free school meals may have multiple benefits for students and countries should consider universal free school meal provisions with strong nutrition guidelines. (PROSPERO registration: CRD42020221782).
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DOI：
10.1016/j.jand.2018.07.009
发表时间：
2018-12-01
影响因子：
4.8
作者：
Cohen, Juliana F. W.;Gorski, Mary T.;Hoffman, Jessica A.
通讯作者：
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影响因子：
3.2
作者：
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影响因子：
4.2
作者：
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Bauer, Katherine W.
影响因子：
2.9
作者：
Bartelink, Nina H. M.;van Assema, Patricia;Jansen, Maria W. J.
通讯作者：
Jansen, Maria W. J.
影响因子：
12.7
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Reicker, Zetta