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Table 1 Characteristics of the included reviews (n = 17)

From: School-based healthy eating interventions for adolescents aged 10–19 years: an umbrella review

Author; Year;

Type of reviews

Total number of unique primary studies included; publication period

Population Age range

Included countries

Outcomes

Outcome measures

Alcântara et al., 2018 [29]

Integrative review

8; 2004–2016

10–19 years

HICs: France, Italy, US

Knowledge about health eating, and intake of FV, processed snacks, and SSB

Survey

Bailey CJ et al., 2019 [36]

Systematic review

44; 1996–2016

10–19 years

HICs: Australia, Canada, China, Denmark, France, Greece, Northern Ireland, Norway, Portugal, South Africa, Sweden, UK, US

LMICs: India, Iran, Kenya

Eating knowledge, FV, processed snacks intake,

FFQ, 24 h dietary recalls, interviews, focus groups, audio/video-taping,

observations, surveys

Calvert S et al., 2019 [37]

Systematic review

29; 1987–2017

11–16 years

HICs: Australia, Belgium, Canada, China, Denmark, England, Greece, Israel, Netherlands, Norway, Spain, Taiwan, US

LMIC: Tunisia

FV, processed snacks, SSB, calorie, fat, protein, fibre, vitamins, frequency of regular meal consumption,

FFQ, 24-h recall

Champion KE et al., 2019 [44]

Systematic review and meta-analysis

13a; 2003–2017

Mean: 13.41 years

HICS: Belgium, Mexico, Netherland, Spain, US

Eating knowledge, FV intake, fat, fibre, processed snacks, SSB,

Self-administered survey, FFQ, 24-h recall, 3-day food record

Hackman et al., 2014 [38]

Systematic review

11; 2005–2013

10–19 years

HICs: Australia, Canada, England, Greece, US, Scotland, South Africa

LMIC: Iran

FV intake, processed snack, frequency of breakfast consumption, stay in school for lunch

24-h recall, cognitive and attitudinal assessments, food diary, FV recall, number of days stayed, bought, ate school for lunch, snack scale, FFQ

McHugh C et al., 2020 [39]

Systematic review

4b; 1998–2016

11–18 years

HICs: Finland, US

FV, fat

24-h recall, self-administered KAP survey

Medeiros et al., 2022 [45]

Systematic review and meta-analysis

24; 1997–2019

10–19 years

HICs: Belgium, Brazil, China, Ecuador, Finland, Greece, Italy, Netherland, Norway, Trinidad Tobago, UK, US

LMIC: Iran

FV, processed snacks, intake

FFQ, 24-h recall, 7-day food survey, KAP

Meiklejohn et al.; 2016 [40]

Systematic review

13; 2002–2013

10–18 years

HICS: Australia, Belgium, Finland, Greece, Netherland, Norway, Spain, Sweden, US

FV, processed snacks, water, protein intake,

FFQ, 24-h recall

Melo GRDA e al., 2017 [41]

Systematic review

11; 2007–2015

10–17 years

HICs: Austria, Australia, Belgium, Denmark, Germany, Greece, Netherlands, Spain, Sweden, Taiwan, UK, US

Eating knowledge, FV, SSB, processed snacks, fat intake,

FFQ

Nakabayashi J et al., 2020 [42]

Systematic review

14; 2003–2019

10–17 years

HICS: Belgium, Brazil, England, Malaysia, Mexico, Spain, Turkey, US

LMIC: Iran

FV, fat, calorie intake,

FFQ, 5-day recall, food diary

Pierre CS et al., 2021 [43]

Systematic review

53; 2005–2019

10–14 years

HICs: Aruba, Australia, Canada, China, New Zealand, US

LMIC: Ethiopia

Eating knowledge, FV, SSB, frequency of breakfast consumption, willingness to try healthy foods

Surveys and focus groups

Rose K et al., 2021 [31]

Systematic review

27; 2009–2019

12–18 years

HICs: Denmark, France, Finland, Greece, Italy, Netherlands, Norway, Portugal, Spain, UK, Turkey

Eating knowledge, FV, processed snacks, SSB, calorie, water intake, frequency of meal consumption, food choice competency

survey, cashless system-

transactions from point of sale/till, freestanding interactive computer terminals

Sa JD & Lock K, 2008 [32]

Systematic review

7c; 1999–2007

11–18 years

HICs: Belgium, Norway, US

FV intake

FFQ, 24 h recall, KAP

Shinde et al., 2023 [30]

Systematic review

27d; 2006–2020

10–19 years

HICs: Brazil, China, Malaysia, Palestine, Turkey

LMICs: Ethiopia, India, Iran

Eating knowledge, FV, processed snacks, SSB, breakfast frequency

Not reported

Tallon JM et al., 2019 [33]

Systematic review

13; 2004–2018

12–18 years

HICs: Belgium, Denmark, UK, US

Eating knowledge, FV, fat, meal frequency

Not reported

Van Cauwenberghe et al., 2010 [34]

Systematic review

13e; 1991–2008

13–18 years

HICs: Belgium, Denmark, France, Italy, Netherlands, Norway, Sweden, UK

FV, fat, water, SSB, fish

Food diary, 24-h recall, FFQ, self-reported questionnaire, observation, sales data

Vézina-Im LA et al., 2017 [35]

Systematic review

36; 1989–2016

12–17 years

HICs: Australia, Belgium, Brazil, Canada, China, Korea, Netherlands, US

LMICs: India

SSB consumption

FFQ, 24-h recall, web-based self-administered survey

  1. HICs: High Income Countries; LMICs: Low- and middle-income countries; FV: Fruits and Vegetables; SSB: Sugar-sweetened Beverage; FFQ: Food Frequency Questionnaire; a: out of 22 unique primary studies assessing different health outcomes, 13 specifically reported on healthy eating outcomes; b: out of 12 unique primary studies assessing different health outcomes, four specifically reported on healthy eating outcomes; c: out of 30 unique primary studies assessing healthy eating outcomes for children and adolescents, seven reported on adolescents aged 11 to 18 years; d: out of 68 unique primary studies, 27 specifically reported on healthy eating outcomes; e: out of 42 unique primary studies assessing healthy eating outcomes for children and adolescents, 13 specifically reported on adolescents