Evidence map›Paper›PMID 40968702›Full record

Observational studyPublic health nutrition2025

Nutritional and environmental assessment of school menus served, consumed and wasted in primary schools in Spain: a comparison of public and charter schools.

Naiara Martinez-Perez, Rocío Barrena-Barbadillo, Iñaki Irastorza-Terradillos

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in Public health nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Naiara Martinez-PerezDepartment of Nursing I, University of the Basque Country UPV/EHUhttps://ror.org/000xsnr85, 48940Leioa, Spain.ORCID 0000-0001-7271-3657
Rocío Barrena-BarbadilloDepartment of Nursing I, University of the Basque Country UPV/EHUhttps://ror.org/000xsnr85, 48940Leioa, Spain.
Iñaki Irastorza-TerradillosDepartment of Pediatrics, BioBizkaia, Cruces University Hospital, University of the Basque Country UPV/EHU, 48903BarakaldoSpain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the nutritional composition, adequacy and environmental impact of menus served, consumed and wasted by 11-12-year-old students in public and charter schools in northern Spain.

designA cross-sectional observational study (2017-2018) involving photographing menus before and after consumption, visual portion size estimation using a validated photographic catalogue and food waste assessment via the quarter-waste visual method. Nutritional composition was analysed using food composition databases and greenhouse gas emissions using life cycle assessment data.

settingTen primary schools (five public and five charter) in northern Spain.

participants1000 school menus for students aged 11-12 years.

resultsMenus served exceeded energy recommendations (791·5 (sd 176·7) kcal) and were high in fat (39·7 (sd 13·4) g), protein (29·7 (sd 10·0) g) and Na (980·4 (sd 302·2) mg) but low in carbohydrates (74·7 (sd 18·1) g), fibre (8·8 (sd 3·7) g) and several micronutrients. Food waste averaged 140·5 g per menu, mainly vegetables and fruit, leading to nutrient losses, particularly in fibre, vitamins A and C and Fe. The carbon footprint of menus averaged 1·489 kg CO

conclusionsMenus showed nutritional imbalances, with excessive energy and Na and insufficient fibre and several micronutrients. Food waste worsened dietary adequacy while increasing environmental impact. Public schools offered more nutrient-rich food but faced greater waste compared with charter schools. Institutional differences suggest the need for tailored strategies to enhance both nutritional quality and sustainability.

Indexed as

DietFood ServicesNutritive ValueSchoolsChildCross-Sectional StudiesEnvironmentFemaleHumansMalePortion SizeSpainStudentsCarbon footprintNutritional adequacyPlate wasteSchool lunch

Identifiers

PMID40968702
PMCPMC12722078

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.