School-Provided Meals and the Prevention of Childhood Obesity: A Small part of a Very Important Story

Danielle Gallegos, Alexandra Manson, Helen Anna Vidgen, Rebecca Byrne, Brittany J. Johnson

Research output: Contribution to journalReview articlepeer-review

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Abstract

Purpose of Review
To present the evidence base in support of high-income country investment in universal school-provided meals (SPMs) for the purposes of optimising child health and wellbeing, including obesity prevention.

Recent findings
Many countries provide some form of SPMs. Models (universal, free; targeted; subsidised) vary globally, however optimal growth and development of children as a potential outcome is a consistent feature. SPMs can positively impact diet quality, household food and nutrition security and potentially weight status but is dependent on the model. Universal school meals offered as part of whole-of-school approaches appear to be most effective in optimising children’s growth and development. Critical elements for successful SPMs include being underpinned by enforceable nutrition and sustainability standards, offered in ways that are stigma-free, being embedded within a whole-school approach and conceptualising SPMS as part of transformative food systems.

Summary
Weight status is only one of many potential outcomes of SPMs. Implementing universal SPMs is a triple duty action that can address the global syndemic of obesity, undernutrition and climate change. Attention needs to be paid to the model of implementation and key principles for success.
Original languageEnglish
Article number44
Number of pages12
JournalCurrent Obesity Reports
Volume14
Issue number1
DOIs
Publication statusPublished - 15 May 2025

Keywords

  • Food and nutrition security
  • Health-promoting school
  • Nutrition
  • School meals
  • Whole of school approach

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