Child obesity is a major global public health issue. This study sought to identify means to improve children’s dietary behaviors through horticultural activities and effectively enhance their health and quality of life. The 129 participants were children in third grade through sixth grade in Hsinchu City, Taiwan. A quasi-experimental design was adopted as an intervention for school horticultural activities. The 68 students in the intervention group engaged in 40-minute horticultural sessions for 6 weeks. The pretest and post-test scores of both groups were measured using the Physical Questionnaire for older Children, the Connection to Nature Index, the Willingness to Taste Fruits and Vegetable Scale, and the Children’s Quality of Life Scale, as well as questionnaire items. The qualitative and quantitative data were analyzed through a parallel mixed-method approach. The findings showed that the intervention group’s physical activity levels, nature connectedness, and overall health were higher than those of the control groups. There were no significant differences in willingness to taste fruits and vegetables. This study demonstrates that engaging in natural school spaces and participating in horticultural activities improved the physical and mental health of children. Natural elements should be incorporated into the campus design, and children should be encouraged to participate in school horticultural activities.
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