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Multidimensional Indicators for Sustainable School Feeding: A Scoping Review.

Graciela C Gregolin1,2, Iolanda K S Dos Santos3, Marcos R P Gregolin4

  • 1Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP 01246-904, Brasil.

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|March 13, 2026
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Summary

This review identified indicators for sustainable school feeding programs, finding environmental and health-nutritional aspects most studied. Gaps remain in assessing economic, social, and political dimensions.

Keywords:
environmental impactsfood systemsnutritional statusschool mealsustainability assessment toolsustainable diets

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Area of Science:

  • Nutrition and Dietetics
  • Environmental Science
  • Public Health
  • Food Systems Analysis

Background:

  • School feeding programs are crucial for child development and promoting sustainable diets.
  • Assessing the sustainability of these programs is essential for their long-term success and impact.
  • Existing research often focuses on specific dimensions, lacking a holistic approach.

Purpose of the Study:

  • To conduct a scoping review to identify indicators used for assessing the sustainability of school feeding programs.
  • To map the sustainability dimensions and specific indicators employed in the literature.
  • To identify gaps in the assessment of school feeding program sustainability.

Main Methods:

  • A comprehensive scoping review following Joanna Briggs Institute and PRISMA-ScR guidelines.
  • Searched multiple databases (Scopus, Web of Science, PubMed, Lilacs, Embase) and other sources for relevant literature.
  • Included full-text articles in any language using objective indicators to assess school feeding sustainability.

Main Results:

  • 34 reports published between 2010-2024 were included.
  • The environmental dimension (31 reports) and health-nutritional dimension (19 reports) were most frequently assessed.
  • Greenhouse gas emissions (environmental) and nutritional composition of meals (health-nutritional) were primary indicators; few studies used integrated sustainability scales.

Conclusions:

  • School feeding sustainability assessments predominantly focus on environmental and health-nutritional aspects.
  • There is a significant gap in research addressing the economic, sociocultural, and political dimensions of school feeding sustainability.
  • Future research should develop and utilize integrated scales and indices to comprehensively evaluate program sustainability.