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Dietary intake and diet quality of Canadian elementary schoolchildren accessing school food programmes: a cross-sectional study

Published online by Cambridge University Press:  02 February 2026

Julia Dabravolskaj
Affiliation:
MAP Centre for Urban Health Solutions, St Michael’s Hospital, Canada
Nicholas Grubic
Affiliation:
Dalla Lana School of Public Health, University of Toronto, Canada
Paul J. Veugelers
Affiliation:
School of Public Health, University of Alberta, Canada
Katerina Maximova*
Affiliation:
MAP Centre for Urban Health Solutions, St Michael’s Hospital, Canada Dalla Lana School of Public Health, University of Toronto, Canada
*
Corresponding author: Katerina Maximova; Email: katerina.maximova@utoronto.ca
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Abstract

International studies show that school food programmes (SFP) can improve children’s diets but evidence from Canada is nascent. We examined whether SFP are linked to better dietary intake and diet quality among Canadian elementary schoolchildren. This cross-sectional study surveyed 2366 grade 4–8 students (age 9–14 years; 48·9 % girls) from 32 schools in socioeconomically disadvantaged communities in Alberta and Ontario, Canada. Students completed a 24-hour diet recall, recording foods and beverages consumed during school hours (breakfast, morning snack, lunch, afternoon snack), and their source (school, other). Multivariable linear models examined the association of accessing SFP (≥1 meal/snack provided by school) with student daily intakes of vegetables and fruit, grains and grain products, milk and alternatives, meat and alternatives, free sugars, sodium and diet quality, adjusting for relevant confounders. Only 293 (12·4 %) students accessed SFP. Overall, accessing SFP was associated with higher intake of vegetables and fruit (β = 0·4, 95 % CI = 0·1; 0·7) and better diet quality score (β = 1·8, 95 % CI = 0·7; 3·0). Specifically, morning snacks provided by schools were associated with lower intake of free sugars (β = –8·9, 95 % CI = –16·5; −1·4), while school-provided lunches were associated with higher intake of milk and alternatives (β = 0·5, 95 % CI = 0·2; 0·8). Further, school-provided afternoon snacks were associated with higher intake of vegetables and fruit (β = 1·1, 95 % CI = 0·6; 1·6), lower sodium intake (β = –258·4, 95 % CI = –506·7; −10·0) and better diet quality (β = 3·1, 95 % CI = 1·1; 5·1). One in eight elementary schoolchildren accessed SFP. Students who accessed SFP had better diets, highlighting the potential of SFP (particularly snacks) in improving children’s diets.

Information

Type
Research Article
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use and/or adaptation of the article.
Copyright
© The Author(s), 2026. Published by Cambridge University Press on behalf of The Nutrition Society
Figure 0

Table 1. Characteristics of schools and students participating in the APPLE Schools initiative in Alberta and Ontario, 2023–2024

Figure 1

Table 2. Student characteristics and average daily dietary intake and diet quality according to school food programme (SFP) access

Figure 2

Table 3. Association between accessing school food programmes (SFP) and student dietary intake of vegetables and fruit, grains and grain products, milk and alternatives, meat and alternatives, free sugars and sodium

Figure 3

Table 4. Association between accessing SFP and student diet quality