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Competitive Food Policy and Food Behavior and Health Metrics in K-12 Students: A Scoping Review

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Title: Competitive Food Policy and Food Behavior and Health Metrics in K-12 Students: A Scoping Review
Language: English
Authors: Mary Curnutte (ORCID 0009-0000-7319-4975), Seyed Karimi (ORCID 0000-0002-3796-8141), Juliana Cohen (ORCID 0000-0002-3145-6014), Dani LaPreze (ORCID 0000-0003-4709-0624), Bert Little
Source: Journal of School Nursing. 2026 42(1):46-62.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 17
Publication Date: 2026
Document Type: Journal Articles
Information Analyses
Reports - Research
Education Level: Elementary Secondary Education
Descriptors: Educational Policy, Program Effectiveness, Elementary Secondary Education, Child Health, School Nurses, Role, Educational Legislation, Federal Legislation, Lunch Programs, Nutrition, Federal Programs, Breakfast Programs, Food, Eating Habits
Laws, Policies and Program Identifiers: National School Lunch Act 1970, Healthy Hunger Free Kids Act 2010
DOI: 10.1177/10598405251374728
ISSN: 1059-8405
1546-8364
Abstract: School meals provide nearly half of children's daily calories, making them critical to childhood health. School food policies aim to improve student health by shaping the school food environment. While this environmental influence is known, the impact of these policies, especially following the Healthy Hunger-Free Kids Act of 2010, has not recently been synthesized. This review searched PubMed, EMBASE, ERIC, and Cochrane databases, identifying 28 studies assessing school food policy on student health. Of these, 23 found positive health effects from competitive food policies, and 5 found mixed positive and neutral effects. No studies reported negative impacts. These findings suggest that competitive food policies are an effective and equitable strategy for improving health that school nurses can support. This review synthesizes the current evidence on competitive food policy to establish baseline evidence for the function of such policies to promote population health and find areas where further research would be useful.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1496645
Database: ERIC
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  Data: Competitive Food Policy and Food Behavior and Health Metrics in K-12 Students: A Scoping Review
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  Data: <searchLink fieldCode="AR" term="%22Mary+Curnutte%22">Mary Curnutte</searchLink> (ORCID <externalLink term="https://orcid.org/0009-0000-7319-4975">0009-0000-7319-4975</externalLink>)<br /><searchLink fieldCode="AR" term="%22Seyed+Karimi%22">Seyed Karimi</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-3796-8141">0000-0002-3796-8141</externalLink>)<br /><searchLink fieldCode="AR" term="%22Juliana+Cohen%22">Juliana Cohen</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-3145-6014">0000-0002-3145-6014</externalLink>)<br /><searchLink fieldCode="AR" term="%22Dani+LaPreze%22">Dani LaPreze</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-4709-0624">0000-0003-4709-0624</externalLink>)<br /><searchLink fieldCode="AR" term="%22Bert+Little%22">Bert Little</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+School+Nursing%22"><i>Journal of School Nursing</i></searchLink>. 2026 42(1):46-62.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Data: <searchLink fieldCode="EL" term="%22Elementary+Secondary+Education%22">Elementary Secondary Education</searchLink>
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  Data: 10.1177/10598405251374728
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  Data: School meals provide nearly half of children's daily calories, making them critical to childhood health. School food policies aim to improve student health by shaping the school food environment. While this environmental influence is known, the impact of these policies, especially following the Healthy Hunger-Free Kids Act of 2010, has not recently been synthesized. This review searched PubMed, EMBASE, ERIC, and Cochrane databases, identifying 28 studies assessing school food policy on student health. Of these, 23 found positive health effects from competitive food policies, and 5 found mixed positive and neutral effects. No studies reported negative impacts. These findings suggest that competitive food policies are an effective and equitable strategy for improving health that school nurses can support. This review synthesizes the current evidence on competitive food policy to establish baseline evidence for the function of such policies to promote population health and find areas where further research would be useful.
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  Data: 2026
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  Data: EJ1496645
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      – SubjectFull: Educational Policy
        Type: general
      – SubjectFull: Program Effectiveness
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      – SubjectFull: Elementary Secondary Education
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