Introduction/Objective: Obesity rates are reaching alarming levels. Adolescence is a critical period for the prevention of nutritional problems, as it is a time of development of one’s own eating habits. These habits will persist into adulthood, so showing adolescents healthy lifestyle patterns is important. The ideal option would be through school-based nutrition intervention programmes. The main objective of this article is to investigate the effectiveness of intervention programmes based on nutritional knowledge and the behaviour of adolescents aged 11-19 years. Method: To carry out this systematic review we employed Scopus, PubMed, and Web of Science as databases and a search period that spanned the last 10 years, following the PRISMA statement. Subsequent to the search, 110 articles were found. Finally, 19 articles were selected for in-depth analysis after a thorough screening. Results: The results show that, in general, intervention programmes have improved the nutritional knowledge of high school students, which means an improvement in their eating behaviours. In addition, these programmes increase their levels of physical activity. However, gender differences are observed, with girls being more concerned about maintaining a balanced diet. Conclusion: In conclusion, schools are an ideal environment for developing programmes that interfere in adolescent eating behaviour.

Keywords:
Feeding, health, intervention programmes, physical activity, nutritional knowledge, eating behaviours

19_RLP_55_22060_Systematic

Álvarez, J., Manonelles, P., Grao-Cruces, A., Oliete, E., Murillo, V., & Nuviala, A. (2019). Effectiveness of a school-based doping prevention programme in Spanish adolescents. Journal of Human Sport and Exercise, 14(4), 813-820. https://doi.org/10.14198/jhse.2019.144.10

American Heart Association. (2015). Coronary heart disease.  https://www.heart.org/en/health-topics/consumer-healthcare/what-is-cardiovascular-disease/coronary-artery-disease

Angeli, M., Hassandra, M., Krommidas, C., Kolovelonis, A., Bouglas, V., & Theodorakis, Y. (2022). Implementation and Evaluation of a School-Based Educational Program Targeting Healthy Diet and Exercise (DIEX) for Greek High School Students. Sports, 10(12), 196. https://doi.org/10.3390/sports10120196

Arlinghaus, K. R., & Johnston, C.A. (2017). Advocating for behavior change with education. American Journal of Lifestyle Medicine, 12(2), 113-116. https://doi.org/10.1177/1559827617745479

Barnes, V. A., & Kristeller, J. L. (2016). Impact of mindfulness-based eating awareness on diet and exercise habits in adolescents. International Journal of Alternative and Complimentary Medicine, 3(2), 60-67. https://doi.org/10.15406/ijcam.2016.03.00070

Bentley, G. F., Turner, K. M., & Jago, R. (2016). Mothers’ views of their preschool child’s screen-viewing behaviour: A qualitative study. BMC Public Health, 16(718). https://doi.org/10.1186/s12889-016-3440-z

Billich, N., Adderley, M., Ford, L., Keeton, I., Palermo, C., Peeters, A., Woods, J., & Backholer, K. (2019). The relative price of healthy and less healthy foods available in Australian School Canteens. Health Promotion International, 34(4), 677-686. https://doi.org/10.1093/heapro/day025

Carr, L. J., Bartee, R. T., Dorozynski, C., Broomfield, J. F., Smith, M. L., & Smith, D. T. (2008). Internet-delivered behavior change program increases physical activity and improves cardiometabolic disease risk factors in sedentary adults: Results of a randomized controlled trial. Preventive Medicine, 46(5), 431-438. https://doi.org/10.1016/j.ypmed.2007.12.005

Collado-Soler, R., Alférez-Pastor, M., Torres, F. L., Trigueros, R., Agular-Parra, J. M., & Navarro, N. (2023). A systematic review of healthy nutrition intervention programs in kindergarten and primary education. Nutrients, 15(3), 541. https://doi.org/10.3390/nu15030541

D’Amato-Kubiet, L. (2015). Nutrition literacy and demographic variables as predictors of adolescent weight status in a Florida county. [Doctoral Thesis] University of Central Florida. https://stars.library.ucf.edu/etd/2881

Das, J. K., Salam, R. A., Thornburg, K. L., Prentice, A. M., Campisi, S., Lassi, Z. S., Koletzko, B., & Bhutta, Z. A. (2017). Nutrition in adolescents: Physiology, metabolism, and nutritional needs. Annals of the New York Academy of Sciences, 1393(1), 21-33. https://doi.org/10.1111/nyas.13330

Del Rio, C., Wang, T. X., Li, S. F., Jia, L. B., Chen, P. R., Spicer, R. A., Wu, F.-X., Zhou, Z.-K., & Su, T. (2022). Fruits of Firmiana and Craigia (Malvaceae) from the Eocene of the Central Tibetan Plateau with emphasis on biogeographic history. Journal of Systematics and Evolution, 60(6), 1440-1452. https://doi.org/10.1111/jse.12845

Dhauvadel, A. S., Wagle, S., & Bhandari, T. R. (2019). Effects of nutrition education program in intention change for consuming healthy food among adolescents: A School-based study. Journal of the Scientific Society, 46(2), 41–45. https://doi.org/10.4103/jss.JSS_22_19

Dos Santos Ferreira Viero, V., & De Farias, J. M. (2017). Educational actions for awareness of a healthier lifestyle in adolescents. Journal Physics Education, 28, e2812. https://doi.org/10.4025/jphyseduc.v28i1.2812

Downs, S., & Demmler, K. M. (2020). Food environment interventions targeting children and adolescents: A scoping review. Global Food Security, 27. https://doi.org/10.1016/j.gfs.2020.100403

Dudley, D. A., Cotton, W. G., & Peralta, L. R. (2015). Teaching approaches and strategies that promote healthy eating in primary school children: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 12(28). https://doi.org/10.1186/s12966-015-0182-8

Elias, S. S. M., Saad, H. A., Taib, M. N. M., & Jamil, Z. (2018). Effects of sports nutrition education intervention on sports nutrition knowledge, attitude and practice, and dietary intake of Malaysian team sports athletes. Malaysian Journal of Nutrition, 24(1), 103-116.

Finkelstein, E. A., Khavjou, O. A., Thompson, H., Trogdon, J. G., Pan, L., Sherry, B., & Dietz, W. (2012). Obesity and severe obesity forecasts through 2030. American Journal of Preventive Medicine, 42(6), 563-570. https://doi.org/10.1016/j.amepre.2011.10.026

Foley, B. C., Shrewsbury, V. A., Hardy, L. L., Flood, V. M., Byth, K., & Shah, S. (2017) Evaluation of a peer education program on student leaders’ energy balance-related behaviors. BMC Public Health, 17(695). https://doi.org/10.1186/s12889-017-4707-8

Fox, C. K., Gross, A. C., Rudser, K. D., Foy, A. M. H., & Kelly, A. S. (2016). Depression, Anxiety, and Severity of Obesity in Adolescents: Is Emotional Eating the Link? Clinical Pediatrics, 55(12), 1120-1125. https://doi.org/10.1177/0009922815615825

Gámez-Calvo, L., Hernández-Beltrán, V., Pimienta-Sánchez, L. P., Delgado-Gil, S., & Gamonales, J. M. (2022). Revisión sistemática de programas de intervención para promover hábitos saludables de actividad física y nutrición en escolares españoles. Archivos Latinoamericanos de Nutrición, 72(4), 294-305. https://doi.org/10.37527/2022.72.4.007

Gómez, N., González-González, C. S., Martín-González, R., Navarro-Adelantado, V., Toledo-Delgado, P., & García-Peñalvo, F. (2019). Effects of a gamified educational program in the nutrition of children with obesity. Journal of Medical Systems, 43(7), 198. https://doi.org/10.1007/s10916-019-1293-6

Gow, M. L., Tee, M. S. Y., Garnett, S. P., Baur, L. A., Aldwell, K., Thomas, S., Lister, N. B., Paxton, S. J., & Jebeile, H. (2020). Pediatric obesity treatment, self-esteem, and body image: A systematic review with menta-analysis. Pediatric Obesity, 15(3), e12600. https://doi.org/10.1111/ijpo.12600

Guttersrud, O. & Sverre, K. (2015). Young adolescents’ engagement in dietary behaviour -the impact of gender, socio-economic status, self-efficacy and scientific literacy. Methodological aspects of constructing measures in nutrition literacy research using the Rasch model. Public Health Nutrition, 18(14), 2565-2574. https://doi.org/10.1017/S1368980014003152

Hargreaves, D., Mates, E., Menon, P., Alderman, H., Devakumar, D., Fawzi, W., Greenfield, G., Hammoudeh, W., He, S. S., Anwesha, L., Liu, Z., Nguyen, P., Sethi, V., Wang, H., Neufeld, L., & Patton, G. C. (2022). Strategies and interventions for healthy adolescent growth, nutrition, and development. The Lancet, 399(10320), 198-210. https://doi.org/10.1016/S0140-6736(21)01593-2

Huitink, M., Poelman, M. P., Seidell, J. C., & Dijkstra, S. C. (2021). The healthy supermarket coach: Effects of a nutrition peer-education intervention in dutch supermarkets involving adolescents with a lower educational level. Health Education & Behavior, 48(2), 150-159. https://doi.org/10.1177/1090198120957953

Ibeanu, V. N., Edeh, C. G., & Ani, P. N. (2020). Evidence-based strategy for prevention of hidden hunger among adolescents in a suburb of Nigeria. BMC Public Health, 20(1), 1683. https://doi.org/10.1186/s12889-020-09729-8

Indrayana, S., & Palupi, N. S. (2014). Strategi implementasi pencantuman informasi kandungan gula, garam, dan lemak untuk pencegahan risiko penyakit Tidak Menular. Journal Mutu Pangan, 1(2), 159-164. https://journal.ipb.ac.id/index.php/jmpi/article/view/27466

Ishak, S. I. Z. S., Chin, Y. S., Taib, M. N. M., & Shariff, Z. M. (2016). School-based intervention to prevent overweight and disordered eating in secondary school Malaysian adolescents: A study protocol. BMC Public Health, 16(1), 1101. https://doi.org/10.1186/s12889-016-3773-7

Ismail, M. R., Seabrook, J. A., & Gilliland, J. A. (2021). Outcome evaluation of fruits and vegetables distribution interventions in schools: A systematic review and meta-analysis. Public Health Nutrition, 24(14), 4693-4705. https://doi.org/10.1017/S1368980021001683

Jebeile, H., Kelly, A. S., O’Malley, G., & Baur, L.A. (2022). Obesity in children and adolescents: Epidemiology, causes, assessment, and management. The Lancet Diabetes & Endocrinology, 10(5), 351-365. https://doi.org/10.1016/S2213-8587(22)00047-X

Jones, M., Lynch, K. T., Kass, A. E., Burrows, A., Williams, J., Wilfley, D. E., & Taylor, C. B. (2014). Healthy weight regulation and eating disorder prevention in high school students: A universal and targeted web-based intervention. Journal of Medical Internet Research, 16(2), e57. https://doi.org/10.2196/jmir.2995

Joulaei, H., Keshani, P., & Kaveh, M. H. (2018). Nutrition literacy as a determinant for diet quality amongst young adolescents: A cross sectional study. Progress in Nutrition, 20(3), 455-464. https://doi.org/10.23751/pn.v20i3.6705

Kaveh, M. H., Darabi, F., Khalajabadi-Farahani, F., Yaseri, M., Mohammadi, M. J., Adeli Behrooz, H. R., Shojaeizadeh, D., & Rohban, A. (2018). The impact of a Tpb-based educational intervention on nutritional behaviors in Iranian adolescent girls: A randomized controlled trial. Fresenius Environmental Bulletin, 27(6), 4349-4356. http://irdoi.ir/768-373-561-686

Kocken, P. L., Van Kesteren, N. M. C., Bujis, G., Snel, J., & Dusseldorp, E. (2015) Students’ beliefs and behaviour regarding low-calorie beverages, sweets or snacks: are they affected by lessons on healthy food and by changes to school vending machines? Public Health Nutrition, 18(9), 1545-1553. https://doi.org/10.1017/S1368980014002985

Koca, B., & Arkan, G. (2020). The relationship between adolescents’ nutrition literacy and food habits, and affecting factors. Public Health Nutrition, 24(4), 717-728. https://doi.org/10.1017/S1368980020001494

Langford, R., Bonell, C., Jones, H., Pouliou, T., Murphy, S., Waters, E., & Campbell, R. (2015). The World Health Organization’s health promoting schools framework: A Cochrane systematic review and meta-analysis. BMC Public Health, 15(130). https://doi.org/10.1186/s12889-015-1360-y

Lundborg, P., Rooth, D. O., & Alex-Petersen, J. (2022). Long-term effects of childhood nutrition: evidence from a school lunch reform. The Review of Economic Studies, 89(2), 876-908. https://doi.org/10.2139/ssrn.3097332

Lee, C.-K., Liao, L.-L., Lai, I.-J., & Chang, L.-C. (2019). Effects of a healthy-eater self-schema and nutrition literacy on healthy-eating behaviors among Taiwanese college students. Health Promotion International, 34(2), 269-276. https://doi.org/10.1093/heapro/dax080

Little, J. C., Perry, D. R., & Volpe, S. L. (2002). Effect of nutrition supplement education on nutrition supplement knowledge among high school students from a low-income community.  Journal of Community Health, 27, 433–450. https://doi.org/10.1023/A:1020653202522

Liu, D., Zhao, L. Y., Yu, D. M., Ju, L. H., Zhang, J., Wang, J. Z., & Zhao, W. H. (2019). Dietary patterns and association with obesity of children aged 6-17 years in medium and small cities in China: Findings from the CNHS 2010-2012. Nutrients, 11(1), 3. https://doi.org/10.3390/nu11010003

Liu, K. S. N., Chen, J. Y., Ng, M. Y. C., Yeung, M. H. Y., Bedford, L. E., & Lam, C. L. K. (2021). How Does the family influence adolescent eating habits in terms of knowledge, attitudes and practices? A global systematic review of qualitative studies. Nutrients, 13(11), 3717. https://doi.org/10.3390/nu13113717

Lytle, L. A., Murray, D. M., Perry, C. L., Story, M., Birnbaum, A. S., Kubik, M. Y., & Varnell, S. (2004) School-based approaches to affect adolescents’ diets: results from the TEENS study. Health Education and Behavior, 31(2), 270–287. https://doi.org/10.1177/1090198103260635

Madden, A. M., Harrex, R., Radalowicz, J., Boaden, D. C., Lim, J., & Ash, R. (2013). A kitchen-based intervention to improve nutritional intake from school lunches in children aged 12-16 years. Journal of Human Nutrition and Dietetics, 26(3), 243-251. https://doi.org/10.1111/jhn.12037

Mahumud, R. A., Sahle, B. W., Owusu-Addo, E., Chen, W., Morton, R. I., & Renzaho, A. M. N. (2021). Association of dietary intake, physical activity, and sedentary behaviours with overweight and obesity among 282, 213 adolescents in 89 low and middle income to high-income countries. International Journal of Obesity, 45(11), 2404-2418. https://doi.org./10.1038/s41366-021-00908-0

Majid, H. A., Ng, A. K., Dahlui, M., Mohammadi, S., Mohamed, M.., Su, T. T., & Jalaludin, M. Y. (2022). Outcome evaluation on impact of the nutrition intervention among adolescents: A feasibility, randomised control study from myheart beat (Malaysian health and adolescents longitudinal research team- behavioural epidemiology and trial). Nutrients, 14(13), 2733. https://doi.org/10.3390/nu14132733

McIsaac, J. L. D., Spencer, R., Chiasson, K., Kontak, J., & Kirk, S. F. (2019). Factors influencing the implementation of nutrition policies in schools: A scoping review. Health Education & Behavior, 46(2), 224-250. https://doi.org/10.1177/1090198118796891

Medeiros, G. C. B. S., Azevedo, K. P. M., Oliveira Segundo, V. H., Mata, Á. N. S., Fernandes, A. K. P., Santos, R. P., Trindade, D. D. B. B., Moreno, I. M., Guillén Martínez, D., & Piuvezam, G. (2022). Effect of school-based food and nutrition education interventions on the food consumption of adolescents: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 19(17), 10522. https://doi.org/10.3390/ijerph191710522

Meiklejohn, S., Ryan, L., & Palermo, C. (2016). A systematic review of the impact of multi-strategy nutrition education programs on health and nutrition of adolescents. Journal of Nutrition Education and Behavior, 48(9), 631-646. https://doi.org/10.1016/j.jneb.2016.07.015

Meng, Y., Manore, M. M., Schuna, J. M., Patton-Lopez, M. M., Branscum, A., & Wong, S. S. (2018).  Promoting healthy diet, physical activity, and life-skills in high school athletes: Results from WAVE ripples for change childhood obesity prevention two-year intervention. Nutrients, 10(7), 947. https://doi.org/10.3390/nu10070947

Micha, R., Di Cesare, M., Ghosh, S., & Zonello, G. (2022). The Global Nutrition Report. Stronger commitments for greater action. Development initiatives. https://globalnutritionreport.org/documents/922/2022_Global_Nutrition_Report.pdf

Millar, L., Robertson, N., Allender, S., Nichols, M., Bennet, C., & Swinburn, B. (2013). Increasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among Australian adolescents. Preventive Medicine, 56(6), 379-384. https://doi.org/10.1016/j.ypmed.2013.02.020

Mohammadi, S., Su, T. T., Papadaki, A., Jalaludin, M. Y., Dahlui, M., Mohamed, M. N. A., Jago, R., Toumpakari, Z., Johnson, L., & Majid, H. A. (2020). Perceptions of eating practices and physical activity among Malaysian adolescents in secondary schools: A qualitative study with multi-stakeholders. Public Health Nutrition, 24(8), 2273-2285. https://doi.org/10.1017/S1368980020002293

Moitra, P., & Madan, J. (2022). Socioeconomic, intrapersonal and food environmental correlates of unhealthy snack consumption in school-going adolescents in Mumbai. BMC Public Health, 22(1), 1129. https://doi.org/10.1186/s12889-022-13449-6

Nathan, N., Wolfenden, L., Butler, M., Bell, A. C., Wyse, R., Campbell, E., Milat, A. J., & Wiggers, J. (2011). Vegetable and fruit breaks in Australian primary schools: Prevalence, attitudes, barriers and implementation strategies. Health Education Research, 26(4), 722–731. https://doi.org/10.1093/her/cyr033

Nik, N. H., Wan, W. M., Noor, N. J., Nik, N. H., & Razlina, A. R. (2018). Evaluating the implementation of a canteen-based food nutrition intervention among schoolchildren: A prospective intervention study. Journal of Health and Translational Medicine, 21(1), 21-27. https://jummec.um.edu.my/index.php/jummec/article/view/11421

Nikolaus, C. J., Muzaffar, H., & Nickols-Richardson, S. M. (2016). Grocery store (or supermarket) tours as an effective nutrition education medium: A systematic review. Journal of Nutrition Education and Behavior, 48(8), 544-554.  https://doi.org/10.1016/j.jneb.2016.05.016

Noer, E. R., Dieny, F. F., & Panunggal, B. (2017). Promoting healthy diet through peer nutrition counseling Posyandu Remaja in Semarang City, Central Java, Indonesia. Advanced Science Letters, 23(4), 3424-3426. https://doi.org/10.1166/asl.2017.9117

Oostindjer, M., Aschemann-Witzel, J., Wang, Q., Skuland, S. E., Egelandsdal, B., Amdam, G. V., Schjøll, A., Pachucki, M. C., Rozin, P., Stein, J., Lengard, V., & Van Kleef, E. (2017). Are school meals a viable and sustainable tool to improve the healthiness and sustainability of children´s diet and food consumption? A cross-national comparative perspective. Critical Reviews in Food Science and Nutrition, 57(18), 3942-3958. https://doi.org/10.1080/10408398.2016.1197180

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021) The PRISMA 2020 Statement: An updated guideline for reporting systematic reviews. Research Methods & Reporting, 372( n71).  https://doi.org/10.1136/bmj.n71

Partida, S., Marshall, A., Henry, R., Townsend, J., & Toy, A. (2018). Attitudes toward nutrition and dietary habits and effectiveness of nutrition education in active adolescents in a private school setting: A pilot study. Nutrients, 10(9), 1260. https://doi.org/10.3390/nu10091260

Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C., Kakuma, R., Kennedy, E., Mahon, J., McGovern, T., Mokdad, A. H., Patel, V., Petroni, S., Reavley, N., Taiwo, K., … Viner, R. M. (2016). Our future: A Lancet commission on adolescent health and wellbeing. The Lancet, 387(10036), 2423–2478. https://doi.org/10.1016/S0140-6736(16)00579-1

Pierce, B., Bowden, B., McCullagh, M., Diehl, A., Chissell, Z., Rodriguez, R., Berman, B. M., & D’Adamo, C. R. (2017). A summer health program for African-American high school students in Baltimore, Maryland: Community Partnership for Integrative Health. Explore, 13(3), 186-197. https://doi.org/10.1016/j.explore.2017.02.002

Popkin, B. M. (2015). Nutrition transition and the global diabetes epidemic. Current Diabetes Reports, 15(9), 64-78. https://doi.org/10.1007/s11892-015-0631-4

Pulimeno, M., Piscitelli, P., Colazzo, S., Colao, A., & Miani, A. (2020). School as ideal setting to promote health and wellbeing among young people. Health Promotion Perspectives, 10(4), 316-324. https://doi.org/10.34172/hpp.2020.50

Rani, M. A., Shriraam, V., Zachariah, R., Harries, A. D., Satyanarayana, S., Tetali, S., Anchala, R., Muthukumar, D., & Sathiyasekaran, B. W. C. (2013). Does a nutrition education programme change the knowledge and practice of healthy diets among high school adolescents in Chennai, India? Health Education, 72(6), 733-741. https://doi.org/10.1177/0017896912461093

Rao, E. S., Yadav, R., Rizwana, Lalmuanpuia, C., Marwaha, A., Bharti, R., & Meena, P.L. (2022). Impact of nutrition education on whole grains consumption amongst primary and middle school children in Delhi. Food Science and Technology, 10(2), 23-33. https://doi.org/10.13189/fst.2022.100202

Ridder, M. A., Koning, M., Visscher, T. L., Hirasing, R. A., Seidell, J. C., & Renders, C. M. (2017). Energy balance–related behavior and anthropometric measures among adolescents across three educational levels: A cross-sectional study in Dutch schools. Health Education & Behavior, 45(3), 349-358.  https://doi.org/10.1177/1090198117715666

Robinson, T. N., Banda, J. A., Hale, L., Lu, A. S., Fleming-Milici, F., Calvert, S. L., & Wrtella, E. (2017). Screen media exposure and obesity in children and adolescents. Pediatrics, 140(2), 97-101. https://doi.org/10.1542/peds.2016-1758K

Roy, S. K., Jahan, K., Alam, N., Rois, R., Ferdaus, A., Israt, S., & Karim, M. D. R. (2021). Perceived stress, eating behavior, and overweight and obesity among urban adolescents. Journal of Health, Population and Nutrition, 40(54). https://doi.org/10.1186/s41043-021-00279-2

Sagar, R., & Gupta, T. (2018). Psychological aspects of obesity in children and adolescents. Indian Journal of Pediatrics, 85(7), 554-559. https://doi.org/10.1007/s12098-017-2539-2

Saucedo-Molina, T. D. J., Villarreal, M., Oliva, L. A., Unikel, C., & Guzmán, R. M. E. (2018). Disordered eating behaviours and sedentary lifestyle prevention among young Mexicans: a pilot study. Health Education, 77(8), 872-883. https://doi.org/10.1177/0017896918782279

Schlechter, C. R., Rosenkranz, R. R., Guagliano, J. M., & Dzewaltowski, D. A. (2016). A systematic review of children’s dietary interventions with parents as change agents: Application of the RE-AIM framework. Preventive Medicine, 91, 233-43. https://doi.org/10.1016/j.ypmed.2016.08.030

Shahnazi, H., Bee Koon, P., Talib, R. A., Lubis, S. H., Dashti, M. G., Khatooni, E., & Esfahani, N. B. (2016). Can the BASNEF model help to develop self-administered healthy behavior in Irinian youth? Iran Red Crescent Medical Journal, 18(3), e23847. https://doi.org/10.5812/ircmj.23847

Sharif Ishak S. I., Chin, Y. S., Taib, N. M., Chan, Y. M., & Shariff, Z. M. (2020). Effectiveness of a school-based intervention on knowledge, attitude and practice on healthy lifestyle and body composition in Malaysian adolescents. BMC Pediatrics, 20(122).  https://doi.org/10.1186/s12887-020-02023-x

Shrewsbury, V. A., Venchiarrutti, R. L., Hardy, L. L., Foley, B. C., Bonnefin, A., Byth, K., Hayes, A. J., Flood, V. M., Steinbeck, K. S., Baur, L. A., & Shah, S. (2020). Impact and cost of the peer-led students as lifestyle activists programme in high schools. Health Education Journal, 79(1), 3–20. https://doi.org/10.1177/0017896919856050

Siega-Riz, A. M., El Ghormli, L., Mobley, C., Gillis, B., Stadler, D., Hartstein, J., Volpe, S. L., Virus, A., & Bridgman, J. (2011) The effects of the HEALTHY study intervention on middle school student dietary intakes. International Journal of Behavioral Nutrition and Physical Activity, 8(7). https://doi.org/10.1186/1479-5868-8-7

Stice, E., Rohde, P., Shaw, H., & Gau, J. (2011) An effectiveness trial of a selected dissonance-based eating disorder prevention program for female high school students: Long-term effects. Journal of Consulting and Clinical Psychology, 79(4), 500-508. https://doi.org/10.1037/a0024351

Timmermans, J., Dijkstra, C., Kamphuis, C., Huitink, M., van der Zee, E., & Poelman, M. (2018).  “Obesogenic” school food environments? An urban case study in The Netherlands. International Journal of Environmental Research and Public Health, 15(4), 619. https://doi.org/10.3390/ijerph15040619

Vaitkeviciute, R., Ball, L. E., & Harris, N. (2015). The relationship between food literacy and dietary intake in adolescents: A systematic review. Public Health Nutrition, 18(4), 649-658. https://doi.org/10.1017/S1368980014000962

Waasdorp, T. E., Mehari, K., & Bradshaw, C. P. (2018). Obese and overweight youth: Risk for experiencing bullying victimization and internalizing symptoms. American Journal of Orthopsychiatry, 88(4), 483-491. https://doi.org/10.1037/ort0000294

Wilson, D. B., Jones, R. M., McClish, D., Westerberg, A. L., & Danish, S. (2012) Fruit and vegetable intake among rural youth following a school-based randomized controlled trial. Preventive Medicine, 54(2), 150–156. https://doi.org/10.1016/j.ypmed.2011.11.005

Wolfenden, L., Nathan, N., Janssen, L.M., Wiggers, J., Reilly, K., Delaney, T., Williams, C. M., Bell, C., Wyse, R., & Sutherland, R. (2017). Multi-strategic intervention to enhance implementation of healthy canteen Policy: A randomised controlled trial. Implementation Science, 12(1), 1–11. https://doi.org/10.1186/s13012-016-0537-9

World Health Organisation (s.f.b). A healthy lifestyle -WHO recommendations. https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/body-mass-index

World Health Organisation (s.f.c). Cardiovascular diseases. https://www.who.int/health-topics/cardiovascular-diseases/#tab=tab_1

World Health Organisation. (2021). Obesity: Health consequences of being overweight. https://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight

World Health Organisation. (s.f.a) WHO. Report of the Comission on Ending Childhood Obesity. https://www.who.int/publications/i/item/9789241510066

Worsley, A. (2002). Nutrition knowledge and food consumption: Can nutrition knowledge change food behaviour? Asia Pacific Journal of Clinical Nutrition, 11, S579-S585. https://doi.org/10.1046/j.1440-6047.11.supp3.7.x

Yang, Y. T. C., Wang, C. J., Tsai, M. F., & Wang, J. S. (2015). Technology-enhanced game-based team learning for improving intake of food groups and nutrition elements. Computers & Education, 88, 143-159. https://doi.org/10.1016/j.compedu.2015.04.008