Evidence map›Paper›PMID 42837131›Full record

SynthesisThe Journal of school health2026

School Nutrition Policies and Associations With Academic Outcomes: A Comprehensive Summary of Current Evidence.

Mary Curnutte, Leah Chapman, Ashely Kesack, Parisa Afsharian, Lucine Francis, Gina Genova, Erin Hager, Juliana Cohen

Abstract readSystematic Review
In one paragraph

Synthesis in The Journal of school health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Mary CurnutteSchool of Public Health & Information Sciences, University of Louisville, Louisville, Kentucky, USA.ORCID https://orcid.org/0009-0000-7319-4975
Leah ChapmanHarvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-3773-2996
Ashely KesackHarvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0009-0001-2690-2251
Parisa AfsharianHarvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0009-0007-6302-3161
Lucine FrancisJohns Hopkins School of Nursing, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0002-0063-9934
Gina GenovaSchool of Public Health & Information Sciences, University of Louisville, Louisville, Kentucky, USA.ORCID https://orcid.org/0000-0003-0776-7995
Erin HagerJohns Hopkins Center for School Health, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0002-5499-2952
Juliana CohenMerrimack College, North Andover, Massachusetts, USA.ORCID https://orcid.org/0000-0002-3145-6014

Funding

ACL HHS U48DP006864JG CDC HHS U48DP006864Nutrition and Obesity Policy Research and Evaluation Network (NOPREN)
6 · The paper itself

Abstract

backgroundHealthy diets can improve cognitive function; therefore, school nutrition policies may support academic performance. Prior systematic reviews documented positive associations between school nutrition-related policies and academics, but less is known about their associations with academic inequities. This review updates the evidence while addressing the gap on academic inequities.

methodsBuilding on two prior systematic reviews (2021, 2023) of naturally-occurring during-school U.S. nutrition policies and academics (i.e., attendance, test scores, behavior), we conducted an updated systematic search using their established terms and synthesized evidence on academic equity (differences in subgroup outcomes, i.e., race, ethnicity, income).

resultsThis updated comprehensive review includes 33 studies (10 new, 23 from the prior reviews). Newly identified studies examined Universal Free School Meals (UFSM; n = 6), Breakfast After the Bell (BATB; n = 2), the School Breakfast Program (n = 1), and Recess Before Lunch (n = 1). Most reported positive or neutral academic associations. Most studies examining equity-related outcomes found larger academic improvements among subpopulations. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: School nutrition policies can improve academic achievement while addressing educational equity.

conclusionsUFSM and BATB equitably improve academic performance. More research is needed for other promising policies.

Indexed as

Academic PerformanceFood ServicesNutrition PolicySchoolsChildHumansUnited Statesbreakfast after the bellcommunity eligibility provisionsnutrition policyrecessschool fooduniversal free school meals

Identifiers

PMID42837131
PMCPMC13656327

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.