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@ARTICLE{Blecha:279034,
      author       = {Blecha, Nadia and Meuer, Janina and Hübner, Wiebke and
                      Christianson, Lara and Wolters, Maike and Busse, Heide and
                      Hebestreit, Antje and Forberger, Sarah},
      title        = {{E}valuation of school food policies for secondary schools
                      in {E}urope: {R}esults for health, acceptance, and
                      affordability from a scoping review.},
      journal      = {Obesity reviews},
      volume       = {26},
      number       = {7},
      issn         = {1467-7881},
      address      = {Oxford [u.a.]},
      publisher    = {Wiley-Blackwell},
      reportid     = {DZNE-2025-00666},
      pages        = {e13911},
      year         = {2025},
      abstract     = {All European Union (EU) countries have established national
                      school food policies. However, evaluations of those policies
                      for secondary schools remain limited. This scoping review
                      aims to synthesize the evidence of school food policies in
                      secondary schools on child health, acceptance, and
                      affordability in the EU, UK, Switzerland, Norway, and
                      Iceland.The scoping review adheres to the PRISMA-ScR
                      guideline. Searches were conducted in four databases from
                      2000 to September 2023 without language and methods
                      restrictions following a published protocol. After a
                      two-stage screening process, reviewers extracted data using
                      a standardized and predefined coding scheme.The search
                      identified 185 records with N = 10 articles meeting the
                      inclusion criteria (n = 7 UK, n = 1 each in Norway, Sweden,
                      and Portugal). Among the included articles, n = 7 addressed
                      school meal acceptance, n = 6 addressed health impacts, and
                      n = 3 addressed affordability. Findings indicate low
                      acceptance rates of school meals. Results of several studies
                      showed that the reformulated menus did not meet nutritional
                      standards and were not accepted because of taste, quality,
                      and pupils' different food preferences. Affordability was
                      reported as a barrier across the three articles addressing
                      this topic.The existing literature highlights challenges in
                      interpreting the impact of school food policies on health,
                      acceptance, and affordability. Further research is needed to
                      strengthen the methodological approaches and increase the
                      evidence to inform policy development and implementation.},
      subtyp        = {Review Article},
      keywords     = {Humans / Schools / Nutrition Policy / Food Services:
                      economics / Food Services: standards / Europe / Child / Food
                      Preferences / Adolescent / obesity prevention (Other) /
                      school food (Other) / school food standards (Other) /
                      secondary schools (Other)},
      cin          = {AG Thyrian},
      ddc          = {610},
      cid          = {I:(DE-2719)1510800},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:39999473},
      doi          = {10.1111/obr.13911},
      url          = {https://pub.dzne.de/record/279034},
}