Impact of a School-Based Gardening, Cooking, Nutrition Intervention on Diet Intake and Quality: The TX Sprouts Randomized Controlled Trial

Matthew J Landry, Alexandra E van den Berg, Deanna M Hoelscher, Fiona M Asigbee, Sarvenaz Vandyousefi, Reem Ghaddar, Matthew R Jeans, Lyndsey Waugh, Katie Nikah, Shreela V Sharma, Jaimie N Davis, Matthew J Landry, Alexandra E van den Berg, Deanna M Hoelscher, Fiona M Asigbee, Sarvenaz Vandyousefi, Reem Ghaddar, Matthew R Jeans, Lyndsey Waugh, Katie Nikah, Shreela V Sharma, Jaimie N Davis

Abstract

School gardens have become common school-based health promotion strategies to enhance dietary behaviors in the United States. The goal of this study was to examine the effects of TX Sprouts, a one-year school-based gardening, cooking, and nutrition cluster randomized controlled trial, on students' dietary intake and quality. Eight schools were randomly assigned to the TX Sprouts intervention and eight schools to control (i.e., delayed intervention) over three years (2016-2019). The intervention arm received: formation and training of Garden Leadership Committees; a 0.25-acre outdoor teaching garden; 18 student lessons including gardening, nutrition, and cooking activities, taught weekly in the teaching garden during school hours; and nine parent lessons, taught monthly. Dietary intake data via two 24 h dietary recalls (24 hDR) were collected on a random subsample (n = 468). Dietary quality was calculated using the Healthy Eating Index 2015 (HEI-2015). The intervention group compared to control resulted in a modest increase in protein intake as a percentage of total energy (0.4% vs. -0.3%, p = 0.021) and in HEI-2015 total vegetables component scores (+4% vs. -2%, p = 0.003). When stratified by ethnicity/race, non-Hispanic children had a significant increase in HEI-2015 total vegetable scores in the intervention group compared to the control group (+4% vs. -8%, p = 0.026). Both the intervention and control groups increased added sugar intake; however, to a lesser extent within the intervention group (0.3 vs. 2.6 g/day, p = 0.050). School-based gardening, cooking, and nutrition interventions can result in significant improvements in dietary intake. Further research on ways to scale and sustain nutrition education programs in schools is warranted. The trial is registered at ClinicalTrials.gov (NCT02668744).

Keywords: children; cooking; diet quality; gardening; low-income; nutrition; nutrition education; school-based intervention.

Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

References

    1. U.S. Department of Agriculture. U.S. Department of Health and Human Services . Dietary Guidelines for Americans, 2020–2025. 9th ed. U.S. Government Printing Office; Washington, DC, USA: 2020.
    1. Scaglioni S., De Cosmi V., Ciappolino V., Parazzini F., Brambilla P., Agostoni C. Factors influencing children’s eating behaviours. Nutrients. 2018;10:706. doi: 10.3390/nu10060706.
    1. Liu J., Rehm C.D., Onopa J., Mozaffarian D. Trends in diet quality among youth in the United States, 1999–2016. JAMA. 2020;323:1161–1174. doi: 10.1001/jama.2020.0878.
    1. Dunford E., Popkin B. 37 year snacking trends for US children 1977–2014. Pediatr. Obes. 2018;13:247–255. doi: 10.1111/ijpo.12220.
    1. Bleich S.N., Vercammen K.A., Koma J.W., Li Z. Trends in beverage consumption among children and adults, 2003–2014. Obesity. 2018;26:432–441. doi: 10.1002/oby.22056.
    1. Rehm C.D., Drewnowski A. Trends in consumption of solid fats, added sugars, sodium, sugar-sweetened beverages, and fruit from fast food restaurants and by fast food restaurant type among US children, 2003–2010. Nutrients. 2016;8:804. doi: 10.3390/nu8120804.
    1. Thomson J.L., Tussing-Humphreys L.M., Goodman M.H., Landry A.S. Diet quality in a nationally representative sample of American children by sociodemographic characteristics. Am. J. Clin. Nutr. 2019;109:127–138. doi: 10.1093/ajcn/nqy284.
    1. Cullen K.W., Chen T.-A. The contribution of the USDA school breakfast and lunch program meals to student daily dietary intake. Prev. Med. Rep. 2017;5:82–85. doi: 10.1016/j.pmedr.2016.11.016.
    1. Division of Population Health National Center for Chronic Disease Prevention and Health Promotion National Health Education Standards. [(accessed on 1 May 2021)]; Available online: .
    1. Turner L., Eliason M., Sandoval A., Chaloupka F.J. Increasing prevalence of US elementary school gardens, but disparities reduce opportunities for disadvantaged students. J. Sch. Health. 2016;86:906–912. doi: 10.1111/josh.12460.
    1. Schneider S., Pharr J., Bungum T. Impact of school garden participation on the health behaviors of children. Health Behav. Policy Rev. 2017;4:46–52. doi: 10.14485/HBPR.4.1.5.
    1. Lam V., Romses K., Renwick K. Exploring the relationship between school gardens, food literacy and mental well-being in youth using photovoice. Nutrients. 2019;11:1354. doi: 10.3390/nu11061354.
    1. Davis J.N., Martinez L.C., Spruijt-Metz D., Gatto N.M. LA Sprouts: A 12-week gardening, nutrition, and cooking randomized control trial improves determinants of dietary behaviors. J. Nutr. Educ. Behav. 2016;48:e11. doi: 10.1016/j.jneb.2015.08.009.
    1. Gatto N., Martinez L., Spruijt-Metz D., Davis J. LA Sprouts randomized controlled nutrition, cooking and gardening programme reduces obesity and metabolic risk in Hispanic/Latino youth. Pediatr. Obes. 2017;12:28–37. doi: 10.1111/ijpo.12102.
    1. Berezowitz C.K., Bontrager Yoder A.B., Schoeller D.A. School gardens enhance academic performance and dietary outcomes in children. J. Sch. Health. 2015;85:508–518. doi: 10.1111/josh.12278.
    1. Landry M.J., Markowitz A.K., Asigbee F.M., Gatto N.M., Spruijt-Metz D., Davis J.N. Cooking and gardening behaviors and improvements in dietary intake in hispanic/latino youth. Child. Obes. 2019;15:162–270. doi: 10.1089/chi.2018.0110.
    1. Wells N.M., Myers B.M., Henderson C.R., Jr. School gardens and physical activity: A randomized controlled trial of low-income elementary schools. Prev. Med. 2014;69:S27–S33. doi: 10.1016/j.ypmed.2014.10.012.
    1. Van den Berg A., Warren J.L., McIntosh A., Hoelscher D., Ory M.G., Jovanovic C., Lopez M., Whittlesey L., Kirk A., Walton C. Impact of a gardening and physical activity intervention in Title 1 schools: The TGEG study. Child. Obes. 2020;16:S44–S54. doi: 10.1089/chi.2019.0238.
    1. Robinson-O’Brien R., Story M., Heim S. Impact of garden-based youth nutrition intervention programs: A review. J. Am. Diet. Assoc. 2009;109:273–280. doi: 10.1016/j.jada.2008.10.051.
    1. Ozer E.J. The effects of school gardens on students and schools: Conceptualization and considerations for maximizing healthy development. Health Educ. Behav. 2007;34:846–863. doi: 10.1177/1090198106289002.
    1. Savoie-Roskos M.R., Wengreen H., Durward C. Increasing fruit and vegetable intake among children and youth through gardening-based interventions: A systematic review. J. Acad. Nutr. Diet. 2017;117:240–250. doi: 10.1016/j.jand.2016.10.014.
    1. Skelton K.R., Lowe C., Zaltz D.A., Benjamin-Neelon S.E. Garden-based interventions and early childhood health: An umbrella review. Int. J. Behav. Nutr. Phys. Act. 2020;17:121. doi: 10.1186/s12966-020-01023-5.
    1. Christian M.S., Evans C.E., Nykjaer C., Hancock N., Cade J.E. Evaluation of the impact of a school gardening intervention on children’s fruit and vegetable intake: A randomised controlled trial. Int. J. Behav. Nutr. Phys. Act. 2014;11:99. doi: 10.1186/s12966-014-0099-7.
    1. Brouwer R.J.N., Neelon S.E.B. Watch Me Grow: A garden-based pilot intervention to increase vegetable and fruit intake in preschoolers. BMC Public Health. 2013;13:363.
    1. Davis J.N., Pérez A., Asigbee F.M., Landry M.J., Vandyousefi S., Ghaddar R., Hoover A., Jeans M., Nikah K., Fischer B. School-based gardening, cooking and nutrition intervention increased vegetable intake but did not reduce BMI: Texas sprouts-a cluster randomized controlled trial. Int. J. Behav. Nutr. Phys. Act. 2021;18:18. doi: 10.1186/s12966-021-01087-x.
    1. Davis J.N., Nikah K., Asigbee F.M., Landry M.J., Vandyousefi S., Ghaddar R., Hoover A., Jeans M., Pont S.J., Richards D. Design and participant characteristics of TX sprouts: A school-based cluster.randomized gardening, nutrition, and cooking intervention. Contemp. Clin. Trials. 2019;85:105834. doi: 10.1016/j.cct.2019.105834.
    1. McLeroy K.R., Bibeau D., Steckler A., Glanz K. An ecological perspective on health promotion programs. Health Educ. Q. 1988;15:351–377. doi: 10.1177/109019818801500401.
    1. Martinez L.C., Gatto N.M., Spruijt-Metz D., Davis J.N. Design and methodology of the LA Sprouts nutrition, cooking and gardening program for Latino youth: A randomized controlled intervention. Contemp. Clin. Trials. 2015;42:219–227. doi: 10.1016/j.cct.2015.04.008.
    1. Texas A&M Agrilife Extension Service . Learn, Grow, Eat, and Go! Texas A&M Agrilife Extension Service; Bryan, TX, USA: 2015. p. 203.
    1. Centers for Disease Control and Prevention (CDC) School health guidelines to promote healthy eating and physical activity. MMWR. Recomm. Rep. Morb. Mortal. Wkly. Report. Recomm. Rep. 2011;60:1–76.
    1. Feskanich D., Sielaff B.H., Chong K., Buzzard I.M. Computerized collection and analysis of dietary intake information. Comput. Methods Programs Biomed. 1989;30:47–57. doi: 10.1016/0169-2607(89)90122-3.
    1. Johnson R.K., Driscoll P., Goran M.I. Comparison of multiple-pass 24-hour recall estimates of energy intake with total energy expenditure determined by the doubly labeled water method in young children. J. Am. Diet. Assoc. 1996;96:1140–1144. doi: 10.1016/S0002-8223(96)00293-3.
    1. U.S. Department of Health and Human Services. U.S. Department of Agriculture . Dietary Guidelines for Americans 2015–2020. 8th ed. U.S. Government Printing Office; Washington, DC, USA: 2015.
    1. Reedy J., Lerman J.L., Krebs-Smith S.M., Kirkpatrick S.I., Pannucci T.E., Wilson M.M., Subar A.F., Kahle L.L., Tooze J.A. Evaluation of the healthy eating index—2015. J. Acad. Nutr. Diet. 2018;118:1622–1633. doi: 10.1016/j.jand.2018.05.019.
    1. Kirkpatrick S.I., Reedy J., Krebs-Smith S.M., Pannucci T.E., Subar A.F., Wilson M.M., Lerman J.L., Tooze J.A. Applications of the healthy eating index for surveillance, epidemiology, and intervention research: Considerations and caveats. J. Acad. Nutr. Diet. 2018;118:1603–1621. doi: 10.1016/j.jand.2018.05.020.
    1. Krebs-Smith S.M., Pannucci T.E., Subar A.F., Kirkpatrick S.I., Lerman J.L., Tooze J.A., Wilson M.M., Reedy J. Update of the healthy eating index: HEI-2015. J. Acad. Nutr. Diet. 2018;118:1591–1602. doi: 10.1016/j.jand.2018.05.021.
    1. Nutrition Coordinating Center Healthy Eating Index. [(accessed on 1 May 2018)]. Available online:
    1. Dietary Guidelines Advisory Committee . Scientific Report of the 2020 Dietary Guidelines Advisory Committee: Advisory Report to the Secretary of Agriculture and the Secretary of Health and Human Services. U.S. Department of Agriculture, Agricultural Research Service; Washington, DC, USA: 2020.
    1. Harris P.A., Taylor R., Minor B.L., Elliott V., Fernandez M., O’Neal L., McLeod L., Delacqua G., Delacqua F., Kirby J. The REDCap consortium: Building an international community of software platform partners. J. Biomed. Inform. 2019;95:103208. doi: 10.1016/j.jbi.2019.103208.
    1. Harris P.A., Taylor R., Thielke R., Payne J., Gonzalez N., Conde J.G. Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. J. Biomed. Inform. 2009;42:377–381. doi: 10.1016/j.jbi.2008.08.010.
    1. Murray D.M., Blitstein J.L. Methods to reduce the impact of intraclass correlation in group-randomized trials. Eval. Rev. 2003;27:79–103. doi: 10.1177/0193841X02239019.
    1. Landry M., Ranjit N., Hoelscher D., Asigbee F., Vandyousefi S., Ghaddar R., Davis J. Validity and reliability of an expanded vegetable questionnaire among elementary school children. Curr. Dev. Nutr. 2019;3:nzz080. doi: 10.1093/cdn/nzz080.
    1. Castro D.C., Samuels M., Harman A.E. Growing healthy kids: A community garden–based obesity prevention program. Am. J. Prev. Med. 2013;44:S193–S199. doi: 10.1016/j.amepre.2012.11.024.
    1. McAleese J.D., Rankin L.L. Garden-based nutrition education affects fruit and vegetable consumption in sixth-grade adolescents. J. Am. Diet. Assoc. 2007;107:662–665. doi: 10.1016/j.jada.2007.01.015.
    1. Duncan M.J., Eyre E., Bryant E., Clarke N., Birch S., Staples V., Sheffield D. The impact of a school-based gardening intervention on intentions and behaviour related to fruit and vegetable consumption in children. J. Health Psychol. 2015;20:765–773. doi: 10.1177/1359105315573445.
    1. Ratcliffe M.M., Merrigan K.A., Rogers B.L., Goldberg J.P. The effects of school garden experiences on middle school-aged students’ knowledge, attitudes, and behaviors associated with vegetable consumption. Health Promot. Pract. 2011;12:36–43. doi: 10.1177/1524839909349182.
    1. Parmer S.M., Salisbury-Glennon J., Shannon D., Struempler B. School gardens: An experiential learning approach for a nutrition education program to increase fruit and vegetable knowledge, preference, and consumption among second-grade students. J. Nutr. Educ. Behav. 2009;41:212–217. doi: 10.1016/j.jneb.2008.06.002.
    1. Lautenschlager L., Smith C. Understanding gardening and dietary habits among youth garden program participants using the Theory of Planned Behavior. Appetite. 2007;49:122–130. doi: 10.1016/j.appet.2007.01.002.
    1. Davis J.N., Ventura E.E., Cook L.T., Gyllenhammer L.E., Gatto N.M. LA Sprouts: A gardening, nutrition, and cooking intervention for Latino youth improves diet and reduces obesity. J. Am. Diet. Assoc. 2011;111:1224–1230. doi: 10.1016/j.jada.2011.05.009.
    1. Morgan P.J., Warren J.M., Lubans D.R., Saunders K.L., Quick G.I., Collins C.E. The impact of nutrition education with and without a school garden on knowledge, vegetable intake and preferences and quality of school life among primary-school students. Public Health Nutr. 2010;13:1931–1940. doi: 10.1017/S1368980010000959.
    1. Meinen A., Friese B., Wright W., Carrel A. Youth gardens increase healthy behaviors in young children. J. Hunger Environ. Nutr. 2012;7:192–204. doi: 10.1080/19320248.2012.704662.
    1. Hayes D., Contento I.R., Weekly C. Position of the academy of nutrition and dietetics, society for nutrition education and behavior, and school nutrition association: Comprehensive nutrition programs and services in schools. J. Acad. Nutr. Diet. 2018;118:913–919. doi: 10.1016/j.jand.2018.03.005.
    1. Mozaffarian D., Afshin A., Benowitz N.L., Bittner V., Daniels S.R., Franch H.A., Jacobs D.R., Jr., Kraus W.E., Kris-Etherton P.M., Krummel D.A. Population approaches to improve diet, physical activity, and smoking habits: A scientific statement from the American Heart Association. Circulation. 2012;126:1514–1563. doi: 10.1161/CIR.0b013e318260a20b.
    1. Chriqui J.F., Pickel M., Story M. Influence of school competitive food and beverage policies on obesity, consumption, and availability: A systematic review. JAMA Pediatr. 2014;168:279–286. doi: 10.1001/jamapediatrics.2013.4457.
    1. Velazquez C.E., Black J.L., Potvin Kent M. Food and beverage marketing in schools: A review of the evidence. Int. J. Environ. Res. Public Health. 2017;14:1054. doi: 10.3390/ijerph14091054.
    1. Sildén K.E. Impact of competitive foods in public schools on child nutrition: Effects on adolescent obesity in the United States an integrative systematic literature review. Glob. Health Action. 2018;11:1477492. doi: 10.1080/16549716.2018.1477492.
    1. Burt K.G., Koch P., Contento I. Development of the GREEN (Garden Resources, Education, and Environment Nexus) tool: An evidence-based model for school garden integration. J. Acad. Nutr. Diet. 2017;117:e1514. doi: 10.1016/j.jand.2017.02.008.
    1. Van Lippevelde W., Verloigne M., De Bourdeaudhuij I., Brug J., Bjelland M., Lien N., Maes L. Does parental involvement make a difference in school-based nutrition and physical activity interventions? A systematic review of randomized controlled trials. Int. J. Public Health. 2012;57:673–678. doi: 10.1007/s00038-012-0335-3.
    1. Muzaffar H., DiFilippo K.N., Fitzgerald N., Tidwell D.K., Idris R., Kurzynske J.S., Chapman-Novakofski K. A systematic review of interventions to improve diet quality of children that included parents versus those without parental involvement. Curr. Dev. Nutr. 2020;4:1336. doi: 10.1093/cdn/nzaa059_053.
    1. Pearson N., Biddle S.J., Gorely T. Family correlates of fruit and vegetable consumption in children and adolescents: A systematic review. Public Health Nutr. 2009;12:267–283. doi: 10.1017/S1368980008002589.
    1. Asigbee F.M., Davis J.N., Markowitz A.K., Landry M.J., Vandyousefi S., Ghaddar R., Ranjit N., Warren J., van den Berg A. The association between child cooking involvement in food preparation and fruit and vegetable intake in a hispanic youth population. Curr. Dev. Nutr. 2020;4:nzaa028. doi: 10.1093/cdn/nzaa028.
    1. Allirot X., da Quinta N., Chokupermal K., Urdaneta E. Involving children in cooking activities: A potential strategy for directing food choices toward novel foods containing vegetables. Appetite. 2016;103:275–285. doi: 10.1016/j.appet.2016.04.031.
    1. Overcash F., Ritter A., Mann T., Mykerezi E., Redden J., Rendahl A., Vickers Z., Reicks M. Impacts of a vegetable cooking skills program among low-income parents and children. J. Nutr. Educ. Behav. 2018;50:795–802. doi: 10.1016/j.jneb.2017.10.016.
    1. Van der Horst K., Ferrage A., Rytz A. Involving children in meal preparation. Effects on food intake. Appetite. 2014;79:18–24. doi: 10.1016/j.appet.2014.03.030.
    1. Evans A., Ranjit N., Fair C.N., Jennings R., Warren J.L. Previous gardening experience and gardening enjoyment is related to vegetable preferences and consumption among low-income elementary school children. J. Nutr. Educ. Behav. 2016;48:e611. doi: 10.1016/j.jneb.2016.06.011.
    1. Prescott M.P., Lohse B., Mitchell D.C., Cunningham-Sabo L. Child assessments of vegetable preferences and cooking self-efficacy show predictive validity with targeted diet quality measures. BMC Nutr. 2019;5:21. doi: 10.1186/s40795-019-0286-7.
    1. Quelly S.B. Helping with meal preparation and children’s dietary intake: A literature review. J. Sch. Nurs. 2019;35:51–60. doi: 10.1177/1059840518781235.
    1. Ng C.M., Satvinder K., Koo H.C., Yap R.W.K., Mukhtar F. Influences of psychosocial factors and home food availability on healthy meal preparation. Matern. Child. Nutr. 2020;16:e13054. doi: 10.1111/mcn.13054.
    1. Van Lier L.E., Utter J., Denny S., Lucassen M., Dyson B., Clark T. Home gardening and the health and well-being of adolescents. Health Promot. Pract. 2017;18:34–43. doi: 10.1177/1524839916673606.
    1. Loso J., Staub D., Colby S.E., Olfert M.D., Kattelmann K., Vilaro M., Colee J., Zhou W., Franzen-Castle L., Mathews A.E. Gardening experience is associated with increased fruit and vegetable intake among first-year college students: A cross-sectional examination. J. Acad. Nutr. Diet. 2018;118:275–283. doi: 10.1016/j.jand.2017.09.005.
    1. Vasquez A., Sherwood N.E., Larson N., Story M. Community-supported agriculture as a dietary and health improvement strategy: A narrative review. J. Acad. Nutr. Diet. 2017;117:83–94. doi: 10.1016/j.jand.2016.09.029.
    1. Sharma S.V., Markham C., Chow J., Ranjit N., Pomeroy M., Raber M. Evaluating a school-based fruit and vegetable co-op in low-income children: A quasi-experimental study. Prev. Med. 2016;91:8–17. doi: 10.1016/j.ypmed.2016.07.022.
    1. Prescott M.P., Cleary R., Bonanno A., Costanigro M., Jablonski B.B., Long A.B. Farm to school activities and student outcomes: A systematic review. Adv. Nutr. 2020;11:357–374. doi: 10.1093/advances/nmz094.
    1. Poulsen M.N., Bailey-Davis L., Pollak J., Hirsch A.G., Schwartz B.S. Household food insecurity and home food availability in relation to youth diet, body mass index, and adiposity. J. Acad. Nutr. Diet. 2019;119:1666–1675. doi: 10.1016/j.jand.2019.01.001.
    1. Jago R., Baranowski T., Baranowski J.C. Fruit and vegetable availability: A micro environmental mediating variable? Public Health Nutr. 2007;10:681–689. doi: 10.1017/S1368980007441441.
    1. Cook L.T., O’Reilly G.A., DeRosa C.J., Rohrbach L.A., Spruijt-Metz D. Association between home availability and vegetable consumption in youth: A review. Public Health Nutr. 2015;18:640–648. doi: 10.1017/S1368980014000664.
    1. Mook K., Laraia B.A., Oddo V.M., Jones-Smith J.C. Food security status and barriers to fruit and vegetable consumption in two economically deprived communities of Oakland, California, 2013–2014. Prev. Chronic Dis. 2016;13:E21. doi: 10.5888/pcd13.150402.
    1. Wells N.M., Meyers B.M., Todd L.E., Henderson C.R., Jr., Barale K., Gaolach B., Ferenz G., Aitken M., Caroline C.T., Pattison K.O. The carry-over effects of school gardens on fruit and vegetable availability at home: A randomized controlled trial with low-income elementary schools. Prev. Med. 2018;112:152–159. doi: 10.1016/j.ypmed.2018.03.022.
    1. Landry M.J., Burgermaster M., van den Berg A.E., Asigbee F.M., Vandyousefi S., Ghaddar R., Jeans M.R., Yau A., Davis J.N. Barriers to preparing and cooking vegetables are associated with decreased home availability of vegetables in low-income households. Nutrients. 2020;12:1823. doi: 10.3390/nu12061823.
    1. Prochaska J.O., Johnson S., Lee P. The transtheoretical model of behavior change. Am. J. Health Promot. 2009;12:38–48. doi: 10.4278/0890-1171-12.1.38.
    1. Nakabayashi J., Melo G.R.-I., Toral N. Transtheoretical model-based nutritional interventions in adolescents: A systematic review. BMC Public Health. 2020;20:1543. doi: 10.1186/s12889-020-09643-z.
    1. Thompson F.E., Subar A.F. Nutrition in the Prevention and Treatment of Disease. 4th ed. Elsevier; Amsterdam, The Netherlands: 2017. Dietary assessment methodology; pp. 5–48.
    1. Subar A.F., Freedman L.S., Tooze J.A., Kirkpatrick S.I., Boushey C., Neuhouser M.L., Thompson F.E., Potischman N., Guenther P.M., Tarasuk V. Addressing current criticism regarding the value of self-report dietary data. J. Nutr. 2015;145:2639–2645. doi: 10.3945/jn.115.219634.
    1. McPherson R.S., Hoelscher D.M., Alexander M., Scanlon K.S., Serdula M.K. Dietary assessment methods among school-aged children: Validity and reliability. Prev. Med. 2000;31:S11–S33. doi: 10.1006/pmed.2000.0631.
    1. Foster E., Bradley J. Methodological considerations and future insights for twenty-four hour dietary recall assessment in children. Nutr. Res. 2018;51:1–11. doi: 10.1016/j.nutres.2017.11.001.
    1. Livingstone M., Robson P. Measurement of dietary intake in children. Proc. Nutr. Soc. 2000;59:279–293. doi: 10.1017/S0029665100000318.
    1. Livingstone M., Robson P., Wallace J. Issues in dietary intake assessment of children and adolescents. Br. J. Nutr. 2004;92:S213–S222. doi: 10.1079/BJN20041169.
    1. Ray R., Fisher D.R., Fisher-Maltese C. School gardens in the city: Does environmental equity help close the achievement gap? Du Bois Rev. 2016;13:379–395. doi: 10.1017/S1742058X16000229.
    1. Ogden C.L., Fryar C.D., Martin C.B., Freedman D.S., Carroll M.D., Gu Q., Hales C.M. Trends in obesity prevalence by race and hispanic origin—1999–2000 to 2017–2018. JAMA. 2020;324:1208–1210. doi: 10.1001/jama.2020.14590.
    1. Coleman-Jensen A., Rabbitt M.P., Gregory C.A., Singh A. Household Food Security in the United States in 2019. U.S. Department of Agriculture, Economic Research Service; Washington, DC, USA: 2020.
    1. Landry M.J., van den Berg A.E., Asigbee F.M., Vandyousefi S., Ghaddar R., Davis J.N. Child-report of food insecurity is associated with diet quality in children. Nutrients. 2019;11:1574. doi: 10.3390/nu11071574.
    1. Hoover A., Vandyousefi S., Martin B., Nikah K., Cooper M.H., Muller A., Marty E., Duswalt-Epstein M., Burgermaster M., Waugh L. Barriers, Strategies, and Resources to Thriving School Gardens. J. Nutr. Educ. Behav. 2021;53:591–601. doi: 10.1016/j.jneb.2021.02.011.
    1. Burt K.G., Luesse H.B., Rakoff J., Ventura A., Burgermaster M. School gardens in the United States: Current barriers to integration and sustainability. Am. J. Public Health. 2018;108:1543–1549. doi: 10.2105/AJPH.2018.304674.
    1. Davis J.N., Spaniol M.R., Somerset S. Sustenance and sustainability: Maximizing the impact of school gardens on health outcomes. Public Health Nutr. 2015;18:2358–2367. doi: 10.1017/S1368980015000221.

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