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The Role of Farm to School Programs in Promoting Healthy School Food Environments in the United States

A Scoping Review of Child‐Level Outcomes

Bibliographic Data

ID17337757
AuthorsSydney Pryor (0000-0002-9597-2835, Department of Exercise and Nutrition Sciences George Washington University Milken Institute School of Public Health Washington DC USA, corresponding author), Sumathi Venkatesh (0009-0008-3254-7509, Department of Nutrition Texas A&M AgriLife Extension Service College Station Texas USA), Maha Almohamad (0000-0002-1214-9449, Center for Health Equity, School of Public Health, Department of Neurology McGovern Medical School, the University of Texas Health Science Center at Houston Houston Texas USA), Stephanie M Lopez‐Neyman (Department of Dietetics and Nutrition College of Health Professions, University of Arkansas for Medical Sciences Little Rock Arkansas USA), Shir Lerman (0000-0003-1119-670X, MCPHS University), Shir Lerman Ginzburg (MPH Program, School of Arts and Sciences Massachusetts College of Pharmacy and Health Sciences Boston Massachusetts USA), Seleste Sanchez (Indiana University Bloomington), Sofia O Sanchez (0000-0001-5497-1425, Department of Kinesiology Indiana University Bloomington Indiana USA), Ross Hatton (Department of Population Medicine Harvard Pilgrim Health Care Institute Boston Massachusetts USA), Sarah L McKee (0000-0003-4003-9578, Community Food Bank), Sarah McKee (Food Bank of Western Massachusetts Chicopee Massachusetts USA)
Year2026
Volume96
Issue5
Pagese70140-e70140
Publication date2026-03-31
Open AccessYes
TypeARTICLE
VenueJournal of School Health (JOURNAL)
Journal identifiersISSN: 0022-4391 • E-ISSN: 1746-1561
PublisherWiley (PUBLISHER • GB)
DOI10.1111/josh.70140
PMID41916901
OpenAlexW7147027150
LanguageEN
References cited16

BACKGROUND: Most children and adolescents in the United States fall short of the Dietary Guidelines for Americans, with disparities by race and ethnicity, socioeconomic status, and geography. As K-12 students consume much of their daily nutrition from school meals, this scoping review sought to document reported impacts of Farm to School (F2S) programs on child-level food-related outcomes and discuss their potential to advance nutrition and health equity within school settings. METHODS: A literature search was conducted in PubMed, Scopus, Google Scholar, and Google search engine to identify publications evaluating F2S programs on health and food-related outcomes. Eligible English-language articles published from 2018 to 2024 were included, relevant data was extracted from each publication, and key themes were synthesized using content analysis. FINDINGS: Eight studies met the inclusion criteria. Most interventions were multicomponent and assessed student-level outcomes, including nutrition knowledge, food attitudes, and fruit and vegetable selection and consumption. Findings suggest F2S programs support healthier eating behaviors and positive food-related attitudes among students, particularly those with multiple F2S components. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: F2S programs are a Policy, Systems, and Environmental (PSE) strategy for promoting healthier school food environments. CONCLUSIONS: F2S programs can promote healthy dietary behaviors and perceptions among students while providing an avenue to support equity in school nutrition. Implementation barriers, including funding and local food availability, require further attention to improve equitable F2S adoption and sustainability

Equity (law) · Food service · Food systems · Healthy eating · Healthy food · Perception · Agriculture Sustainability and Environmental Impact · Food Security and Health in Diverse Populations · Organic Food and Agriculture

  • Consistent dietary patterns identified from childhood to adulthood

    Open Access•Vera Mikkilä, Leena Räsänen et al.•British Journal of Nutrition•2005

  • Evaluation of a Farm‐to‐School Intervention to Improve Locally Grown Vegetable Choices of Low‐Income, Primary School Students

    Open Access•Jesse D Chiero, Amy R Mobley•Journal of School Health•2021

  • Impact of Nutrition Interventions on Vitamin and Mineral Intake among Native American Children and Parents

    Open Access•Wenjie Sun, Tori Taniguchi et al.•International Journal of…•2024

  • Impact of introducing a farm to school program on the number of school lunches served

    Open Access•Benjamin Y Avuwadah, Jaclyn D Kropp•Appetite•2022

Highly citedNo

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