was read the article
array:24 [ "pii" => "S2341287915001155" "issn" => "23412879" "doi" => "10.1016/j.anpede.2015.06.002" "estado" => "S300" "fechaPublicacion" => "2015-07-01" "aid" => "1713" "copyright" => "Asociación Española de Pediatría" "copyrightAnyo" => "2014" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "An Pediatr (Barc). 2015;83:19-25" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2053 "formatos" => array:3 [ "EPUB" => 144 "HTML" => 1469 "PDF" => 440 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S1695403314004214" "issn" => "16954033" "doi" => "10.1016/j.anpedi.2014.08.010" "estado" => "S300" "fechaPublicacion" => "2015-07-01" "aid" => "1713" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "An Pediatr (Barc). 2015;83:19-25" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 6982 "formatos" => array:3 [ "EPUB" => 158 "HTML" => 5318 "PDF" => 1506 ] ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">ORIGINAL</span>" "titulo" => "Efectividad de una intervención escolar contra la obesidad" "tienePdf" => "es" "tieneTextoCompleto" => "es" "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "19" "paginaFinal" => "25" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Effectiveness of a school-based program to prevent obesity" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 949 "Ancho" => 1650 "Tamanyo" => 80986 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Evolución del índice KIDMED de adhesión a la dieta mediterránea en los colegios de intervención y control.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "D. Pérez Solís, J.J. Díaz Martín, F. Álvarez Caro, I. Suárez Tomás, E. Suárez Menéndez, I. Riaño Galán" "autores" => array:6 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Pérez Solís" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Díaz Martín" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Álvarez Caro" ] 3 => array:2 [ "nombre" => "I." "apellidos" => "Suárez Tomás" ] 4 => array:2 [ "nombre" => "E." "apellidos" => "Suárez Menéndez" ] 5 => array:2 [ "nombre" => "I." "apellidos" => "Riaño Galán" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2341287915001155" "doi" => "10.1016/j.anpede.2015.06.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287915001155?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403314004214?idApp=UINPBA00005H" "url" => "/16954033/0000008300000001/v1_201506250022/S1695403314004214/v1_201506250022/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2341287915001222" "issn" => "23412879" "doi" => "10.1016/j.anpede.2015.06.008" "estado" => "S300" "fechaPublicacion" => "2015-07-01" "aid" => "1695" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "An Pediatr (Barc). 2015;83:26-32" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1390 "formatos" => array:3 [ "EPUB" => 141 "HTML" => 907 "PDF" => 342 ] ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Preferences in the format of questionnaires and use of the Internet by schoolchildren" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "26" "paginaFinal" => "32" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Preferencias en el formato de cuestionarios y en el uso de Internet en escolares" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "L. Rajmil, N. Robles, M. Murillo, D. Rodríguez-Arjona, M. Azuara, A. Ballester, F. Codina" "autores" => array:7 [ 0 => array:2 [ "nombre" => "L." "apellidos" => "Rajmil" ] 1 => array:2 [ "nombre" => "N." "apellidos" => "Robles" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Murillo" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Rodríguez-Arjona" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Azuara" ] 5 => array:2 [ "nombre" => "A." "apellidos" => "Ballester" ] 6 => array:2 [ "nombre" => "F." "apellidos" => "Codina" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403314004007" "doi" => "10.1016/j.anpedi.2014.07.017" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403314004007?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287915001222?idApp=UINPBA00005H" "url" => "/23412879/0000008300000001/v1_201507250123/S2341287915001222/v1_201507250123/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2341287915001131" "issn" => "23412879" "doi" => "10.1016/j.anpede.2015.05.018" "estado" => "S300" "fechaPublicacion" => "2015-07-01" "aid" => "1691" "copyright" => "Asociación Española de Pediatría" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "An Pediatr (Barc). 2015;83:11-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2575 "formatos" => array:3 [ "EPUB" => 144 "HTML" => 1923 "PDF" => 508 ] ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Influence of school health promotion on the life habits of schoolchildren" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "11" "paginaFinal" => "18" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "¿Influye la promoción de la salud escolar en los hábitos de los alumnos?" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "D. Arriscado, J.J. Muros, M. Zabala, J.M. Dalmau" "autores" => array:4 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Arriscado" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Muros" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Zabala" ] 3 => array:2 [ "nombre" => "J.M." "apellidos" => "Dalmau" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1695403314003968" "doi" => "10.1016/j.anpedi.2014.07.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403314003968?idApp=UINPBA00005H" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287915001131?idApp=UINPBA00005H" "url" => "/23412879/0000008300000001/v1_201507250123/S2341287915001131/v1_201507250123/en/main.assets" ] "en" => array:21 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Effectiveness of a school-based programme to prevent obesity" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "19" "paginaFinal" => "25" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "D. Pérez Solís, J.J. Díaz Martín, F. Álvarez Caro, I. Suárez Tomás, E. Suárez Menéndez, I. Riaño Galán" "autores" => array:6 [ 0 => array:4 [ "nombre" => "D." "apellidos" => "Pérez Solís" "email" => array:1 [ 0 => "david@perezsolis.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "J.J." "apellidos" => "Díaz Martín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "F." "apellidos" => "Álvarez Caro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "I." "apellidos" => "Suárez Tomás" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "E." "apellidos" => "Suárez Menéndez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "I." "apellidos" => "Riaño Galán" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Pediatría, Hospital San Agustín, Avilés, Asturias, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Área de Gestión Clínica de Pediatría, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Pediatría, Hospital de Cabueñes, Gijón, Asturias, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Efectividad de una intervención escolar contra la obesidad" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1764 "Ancho" => 1650 "Tamanyo" => 171223 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Flow chart of participants throughout the study.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The prevalence of childhood overweight and obesity has increased considerably worldwide since the 1990s,<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">1,2</span></a> although recent studies show that it is stabilising in some developed countries.<a class="elsevierStyleCrossRef" href="#bib0160"><span class="elsevierStyleSup">3</span></a> The high prevalence of overweight and obesity in the young population has been attributed partly to a decrease in physical activity and an increase in sedentary behaviours. There is also a clear trend for individuals to have a combination of several cardiovascular risk factors that is more marked in obese children and adolescents. Nearly half of the children with severe obesity meet the criteria for metabolic syndrome.<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">4</span></a> The cardiovascular and metabolic consequences of obesity, such as hypertension, insulin resistance and dyslipidaemia, which may already be present in childhood, are particularly worrisome.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Childhood overweight and obesity carry an increased risk of becoming an overweight or obese adult.<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">5</span></a> It is also known that treating obesity with lifestyle changes is extremely difficult in adults.<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">6</span></a> Thus, interventions should focus on treatment and prevention in the paediatric population.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Public health strategies have been advocated to improve cardiovascular health in children, as research shows that they are more effective and easier to implement than other, more selective strategies based on risk factors.<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">7</span></a> The school setting offers ample opportunity for intervention programmes. For all of the above, school-based programmes have been developed that aim at reducing childhood obesity and other cardiovascular risk factors, usually by attempting to improve diet and physical activity.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The early literature reviews on school-based interventions for the prevention of childhood obesity have shown inconsistent results.<a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">8–14</span></a> However, studies on this subject published in recent years and new literature reviews and meta-analyses have found strong evidence that integral school-based interventions can be effective in reducing body mass index (BMI).<a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">15–17</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">The aim of our study was to assess the effect of an integral school-based intervention on BMI, as well as on the prevalence of overweight and obesity and lifestyle habits such as diet and physical activity.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Materials and methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Type of study</span><p id="par0030" class="elsevierStylePara elsevierViewall">We carried out a school-based programme for preventing obesity designed as a non-randomised controlled trial. We selected two public elementary schools in the town of Avilés (Asturias, Spain). The intervention group consisted of the first- to fifth-year students of the Villalegre public school. This school was chosen for the intervention because the previous year its teaching staff had expressed an interest in implementing a programme to fight obesity in collaboration with the Hospital San Agustín of Avilés. The control group included the students enrolled in the same years at the El Quirinal public school, located in another Avilés neighbourhood of similar socioeconomic characteristics. The two schools are 3.5<span class="elsevierStyleHsp" style=""></span>km apart, separated by a national highway. The school principals and the parent associations were given detailed information about the study and agreed to participate. The study was approved by the Comité de Ética de la Investigación (Committee on Research Ethics) of the Principality of Asturias, and we obtained the written informed consent of the parents or legal guardians of participating students.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Intervention</span><p id="par0035" class="elsevierStylePara elsevierViewall">The intervention project, called “<span class="elsevierStyleItalic">Tú decides tu salud. ¡Ponte a vivir!</span>” (Your health is up to you. Start living!) was implemented for 2 consecutive academic years (September through June) The activities of the programme were designed by the teaching staff of the school under the guidance of the paediatricians of the research team, and were carried out in the school. The programme was supported by the Asociación de Madres y Padres de Alumnos (Association of Students’ Mothers and Fathers), with whom we held several meetings prior to the study to explain the project and receive suggestions.</p><p id="par0040" class="elsevierStylePara elsevierViewall">The activities carried out consisted of: (1) workshops on healthy nutrition for the students, offered every term (trimester) of the academic year. Once each term, a workshop for all the students of approximately 60<span class="elsevierStyleHsp" style=""></span>min of duration was conducted by two paediatricians from the research team, and supplemented with activities on the same subject led by teachers in the classrooms every two weeks or every month. The first term emphasised the importance of having breakfast to achieve an optimal diet; in the second term, the focus was on the need of having a varied diet; and in the third term there was a discussion of which foods are more or less healthy. In the second year of the intervention, the workshops focused on healthy snacks and the importance of eating fish, fruits and vegetables; (2) educational talks for the parents, 60<span class="elsevierStyleHsp" style=""></span>min long, offered once each term, on the same subjects covered in the workshops attended by the children, and given by a paediatrician from the research team; they took place in the evening hours to facilitate family attendance; (3) a joint 2-h long workshop on healthy cooking and nutrition, carried out collectively by paediatricians, teachers and students’ parents, offered once each academic year; (4) monthly meetings with teachers to study healthy lifestyle habits and nutrition and to resolve any doubts about these subjects; (5) printed informational materials for the parents developed by the school's teaching staff on recommendations and limits pertaining to physical and sedentary activities, and how to follow a healthy diet, and (6) promotion of physical activity in recesses, for example, by recovering traditional outdoor children's games. In agreement with the Asociación de Madres y Padres de Alumnos, the use of handheld game consoles and mobile phones was banned during school hours.</p><p id="par0045" class="elsevierStylePara elsevierViewall">During the period of the study, no such interventions were scheduled to be performed in the control school.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Outcome variables</span><p id="par0050" class="elsevierStylePara elsevierViewall">The primary outcome measure was the BMI <span class="elsevierStyleItalic">z</span>-score (BMIz). The secondary outcome measures were the prevalence of obesity and overweight, waist circumference (WC), dietary habits and physical activity. The measurements were taken consecutively in both schools at the beginning of the intervention in October 2006 and at the end in June 2008.</p><p id="par0055" class="elsevierStylePara elsevierViewall">Weight was measured with the students barefoot and in light clothing, and was rounded to an accuracy of 0.1<span class="elsevierStyleHsp" style=""></span>kg with a calibrated scale (Seca GmbH & Co. KG, Hamburg, Germany). Height was measured with the students barefoot and rounded to the nearest millimetre using a rigid stadiometer (Año Sayol SL, Barcelona, Spain). Obesity and overweight were defined based on BMI (kg/m<span class="elsevierStyleSup">2</span>) applying the cut-off points of the International Obesity Task Force.<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">18</span></a> The World Health Organization (WHO) 2007 growth reference charts were used to calculate BMIz. We measured WCs with a measuring tape at the level of the waist, between the last rib and the iliac crest, at the end of a normal expiration.<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">19</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">The quality of the diet was assessed by the KIDMED Mediterranean Diet Quality Index. It is a questionnaire comprising 16 questions concerning the Mediterranean diet, the final score of which gives the KIDMED index, used to categorise the diet into 3 levels: ≥8, optimal diet; 4–7, dietary habits requiring improvement for better adherence to the Mediterranean pattern, and ≤3, very low quality diet.<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">20</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">Physical activity habits were assessed by means of the Physical Activity Scale,<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">21</span></a> a self-administered questionnaire that has been previously used in children<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">22</span></a> with questions covering time spent at school, spare time and sports activities.</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Statistical analysis</span><p id="par0070" class="elsevierStylePara elsevierViewall">The data were analysed with the SPSS 17.0 software (SPSS Inc., Chicago, USA). We assessed the normality of the distributions by means of the Kolmogorov–Smirnov test. We used Student's <span class="elsevierStyleItalic">t</span> test for independent or paired samples and the Mann–Whitney–Wilcoxon test as applicable. We compared proportions by means of the chi square test. We used McNemar's test to compare proportions before and after the intervention. The level of statistical significance was set at <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>0.05. We have expressed discrete variables as percentages and continuous variables as mean<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>standard deviation or median (interquartile range) depending on whether or not they followed a normal distribution.</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Results</span><p id="par0075" class="elsevierStylePara elsevierViewall">The study included 382 of a total of 526 students enrolled in the first to fifth years of elementary education in the two schools (177 girls, 205 boys), with an initial mean age of 8.4 years (range, 5.8–11.8 years). One hundred and forty four students declined to participate. We obtained the full anthropometric data for 340 of the 382 participants (162 girls, 178 boys). <a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a> shows a flow chart of the study participants; losses to follow-up were due to students being absent at the time of the second measurement or changing schools. The Physical Activity Scale questionnaire was completed by 213 children, 150 from the control group and 63 from the intervention group. The initial characteristics of both groups are shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>. When the study started, the participants in the intervention and control groups did not differ in age, sex distribution, BMIz, WC or KIDMED index. The students in the intervention school spent less time on sedentary activities and more time on physical activities. We detected overweight or obesity in a total of 141 students from both groups (41.5%). In both groups, the prevalence of overweight or obesity was greater in boys than in girls (42.0 vs 38.9% in the control school and 48/5 vs 37.0% in the intervention school), although this difference was not statistically significant.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> shows the observed changes in BMIz in the intervention and control groups. The BMIz decreased significantly in the intervention group (initial, 1.14<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.25; final, 1.02<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.23; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.017), while no significant changes were observed in the control group (initial, 0.92<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.18; final, 0.98<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.09; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.150). When we analysed the results stratifying by sex, we observed that in the intervention school the BMIz only decreased significantly in girls, while in the control school it increased significantly in boys.</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0085" class="elsevierStylePara elsevierViewall">There was a decrease in the prevalence of obesity in both groups that was not statistically significant, of 3.3% (95% confidence interval [CI], −9.6% to 2.7%) in the intervention group and 1.8% (95% CI, −5.2% to 1.3%) in the control group. When we considered the combined prevalence of overweight and obesity, the differences were more pronounced in both groups, although they still did not reach statistical significance: in the intervention group, it decreased by 3.3% (95% CI, −10.7% to 4.1%), while in the control group it increased by 2.3% (95% CI, −2.9% to 7.4%).</p><p id="par0090" class="elsevierStylePara elsevierViewall">As for the impact of the programme on eating habits, the KIDMED index of the intervention group improved, changing from 7.33<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.61 to 7.71<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.77 points (<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.045), while we found no statistically significant differences in the control group, the index of which changed from 7.61<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.76 to 7.55<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.66 (<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.603). The number of students that followed an optimal diet also increased in the intervention group (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>), from 42.6% to 52.3% (<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.021), while no significant differences were observed in the control group (from 54.1% to 55.7%; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.742).</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0095" class="elsevierStylePara elsevierViewall">The effects on physical activity habits are shown in <a class="elsevierStyleCrossRef" href="#tbl0015">Table 3</a>. We did not find statistically significant differences in the intervention group between the beginning and the end of the intervention. In the control school, we only found a small increase in the time spent on helping with house chores and using computers and videogames, along with a decrease in the duration of sleep and rest. When we compared both schools at the end of the programme, we found no statistically significant differences in the time spent on physical activities.</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><p id="par0100" class="elsevierStylePara elsevierViewall">The proportion of individuals with a WC above the 95th percentile did not change in a statistically significant manner compared to the beginning of the study: from 55.0% to 57.5% (<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.664) in the intervention group and from 54.8% to 56.1% (<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.719) in the control group.</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Discussion</span><p id="par0105" class="elsevierStylePara elsevierViewall">The main finding of our study was a significant decrease in BMI in students in the intervention school compared to students in the control school. This decrease was only found in girls, but boys also benefitted, as the intervention prevented the increase in BMI observed in the control school. The intervention was also associated to changes in lifestyle, with an improvement in the quality of the diet.</p><p id="par0110" class="elsevierStylePara elsevierViewall">The results of this study are consistent with the most recent literature reviews, which show strong evidence that school-based interventions may be moderately effective in helping reduce BMI in the paediatric population.<a class="elsevierStyleCrossRefs" href="#bib0225"><span class="elsevierStyleSup">16,17</span></a> However, these small changes achieved through population-based strategies – in this case, focused on the population of schoolchildren and their families – may have a more considerable influence on overall cardiovascular risk and a greater probability of having a long-lasting effect than results achieved with interventions that focus solely on high-risk individuals.<a class="elsevierStyleCrossRefs" href="#bib0180"><span class="elsevierStyleSup">7,23</span></a></p><p id="par0115" class="elsevierStylePara elsevierViewall">Few studies have evaluated this type of intervention in Spain. The Avall study,<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">24</span></a> an intervention over the course of 2 academic years on the dietary and physical activity habits of first-year elementary school students in Granollers, found that BMI and the combined prevalence of overweight and obesity increased less in the intervention group. The Movi programme,<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">25</span></a> a two-year long project of physical activity during leisure time conducted in Cuenca with schoolchildren 9–10 years of age did not find differences in BMI between the intervention and the control groups. The best results were obtained in the EdAl study,<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">26</span></a> a programme implemented over 3 academic years in school children 7–8 years of age in Reus that achieved significant reductions both in BMI and the prevalence of obesity in the intervention group.</p><p id="par0120" class="elsevierStylePara elsevierViewall">Despite the reduction in BMI, this study did not show a decrease in the prevalence of overweight or obesity. This circumstance has been described in other studies with similar methodologies.<a class="elsevierStyleCrossRefs" href="#bib0280"><span class="elsevierStyleSup">27,28</span></a> While it was not statistically significant, we did observe a decreasing trend in the combined prevalence of overweight and obesity in the intervention group, compared to an increase in the control group. Something that stood out in our study was the high prevalence of overweight and obesity observed, higher than the prevalences found in other interventions or reported in prevalence studies conducted in the same autonomous community under similar circumstances.<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">1</span></a> It may be that children with overweight and obesity are less susceptible to community-based strategies, but it is also possible that the effects on weight category are harder to prove in a small study than overall changes in BMI. At present, there is evidence that school-based interventions, especially those of long duration, are effective in reducing the prevalence of childhood obesity.<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">11</span></a></p><p id="par0125" class="elsevierStylePara elsevierViewall">Systematic reviews show that nutrition education, the promotion of physical activity and the fight against sedentary behaviours are key elements in the long-term prevention of childhood obesity.<a class="elsevierStyleCrossRefs" href="#bib0190"><span class="elsevierStyleSup">9,12,13,17</span></a> This is consistent with the findings in the intervention group of a higher KIDMED index and a greater proportion of children following an optimal Mediterranean diet at the end of the study. We found no differences in physical activity between the two groups.</p><p id="par0130" class="elsevierStylePara elsevierViewall">There are limitations to this study. The sample size was small, and with only 2 schools participating, it was not possible to perform a cluster randomisation. We were careful to choose two public schools in neighbourhoods of similar socioeconomic characteristics, but far enough from each other so as to avoid group contamination to the extent possible. The intervention school was selected for the interest expressed in the past by its teaching staff in implementing a programme to fight obesity. The collaboration of educators is indispensable to carry out an intervention programme of this nature, so the results may not be generalisable to every school.</p><p id="par0135" class="elsevierStylePara elsevierViewall">Another possible limitation of the study is that when it started, the students in the intervention school spent less time engaged in sedentary activities and more time engaged in physical activities than the students in the control school. This may be due to a previous greater involvement in health education on the part of the intervention school, but nevertheless the intervention improved its past results, as it obtained a higher KIDMED index of adherence to the Mediterranean diet. Thus, it is plausible that the observed reduction in BMI was due to the intervention.</p><p id="par0140" class="elsevierStylePara elsevierViewall">Another limitation was the use of the Physical Activity Scale, a self-administered questionnaire to measure physical activity validated in the adult population but rarely used in children. Self-administered instruments provide information on the type and context of physical activity, but pedometers or accelerometers are more objective measurement tools.</p><p id="par0145" class="elsevierStylePara elsevierViewall">This kind of school-based programme may be a feasible way to improve children's health without a large investment of human and material resources. In 1995, the WHO launched the Global School Health Initiative, an integral strategy that pursues teaching health information and skills in the classrooms, changing the school environments, and developing bonds with the community. According to the Health Evidence Network of the WHO, school-based programmes that promote good dietary and physical activity habits are among the most effective interventions.<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">29</span></a></p><p id="par0150" class="elsevierStylePara elsevierViewall">In conclusion, this school-based programme achieved improvements in BMI and dietary habits. More studies are needed to establish the real effectiveness of these interventions and learn whether the improvements achieved last through adulthood.</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Funding</span><p id="par0155" class="elsevierStylePara elsevierViewall">This project has been funded with a clinical and epidemiological research grant from the <span class="elsevierStyleGrantSponsor" id="gs1">Fundación Ernesto Sánchez Villares</span> (<span class="elsevierStyleGrantNumber" refid="gs1">2006/02</span>).</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Conflicts of interest</span><p id="par0160" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:11 [ 0 => array:3 [ "identificador" => "xres535712" "titulo" => "Abstract" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Materials and methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec555994" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres535711" "titulo" => "Resumen" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Introducción" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Material y métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec555995" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:3 [ "identificador" => "sec0010" "titulo" => "Materials and methods" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0015" "titulo" => "Type of study" ] 1 => array:2 [ "identificador" => "sec0020" "titulo" => "Intervention" ] 2 => array:2 [ "identificador" => "sec0025" "titulo" => "Outcome variables" ] 3 => array:2 [ "identificador" => "sec0030" "titulo" => "Statistical analysis" ] ] ] 6 => array:2 [ "identificador" => "sec0035" "titulo" => "Results" ] 7 => array:2 [ "identificador" => "sec0040" "titulo" => "Discussion" ] 8 => array:2 [ "identificador" => "sec0045" "titulo" => "Funding" ] 9 => array:2 [ "identificador" => "sec0050" "titulo" => "Conflicts of interest" ] 10 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-05-12" "fechaAceptado" => "2014-08-25" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec555994" "palabras" => array:6 [ 0 => "Body mass index" 1 => "Obesity" 2 => "Overweight" 3 => "Diet" 4 => "Physical education and training" 5 => "Schools" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec555995" "palabras" => array:6 [ 0 => "Índice de masa corporal" 1 => "Obesidad" 2 => "Sobrepeso" 3 => "Dieta" 4 => "Educación y entrenamiento físico" 5 => "Escuelas" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:3 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Intervention for childhood obesity is a public health priority. The purpose of this study was to evaluate the effectiveness of an elementary school-based intervention against obesity in children.</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Materials and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Non-randomised controlled trial was conducted on children from first to fifth grade from two public schools of Avilés (Spain). The intervention lasted for 2 school years comprising healthy diet workshops, educational chats, educational meetings, informative written material, and promotion of physical activities. Primary outcome measure was body mass index <span class="elsevierStyleItalic">z</span>-score. Secondary outcomes included obesity and overweight prevalence, waist circumference, dietary habits, and physical activity.</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A total of 382 (177 girls, 205 boys) out of 526 pupils of both schools were included in the study. Complete anthropometric data were obtained in 340 of the 382 individuals. Compared to children in the control group, those in the intervention group decreased body mass index <span class="elsevierStyleItalic">z</span>-score from 1.14 to 1.02 (<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.017), and improved KIDMED score from 7.33 to 7.71 points (<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.045). The percentage of students who carried on an optimal diet increased from 42.6% to 52.3% (<span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0.021). There were no statistical differences in the prevalence of obesity and overweight, or in waist circumference between the intervention and control groups.</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">This school-based programme resulted in modest beneficial changes in body mass index and diet quality.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0005" "titulo" => "Introduction" ] 1 => array:2 [ "identificador" => "abst0010" "titulo" => "Materials and methods" ] 2 => array:2 [ "identificador" => "abst0015" "titulo" => "Results" ] 3 => array:2 [ "identificador" => "abst0020" "titulo" => "Conclusions" ] ] ] "es" => array:3 [ "titulo" => "Resumen" "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introducción</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Las intervenciones sobre la obesidad infantil son una prioridad para la salud pública. El objetivo de este estudio fue evaluar la efectividad de un programa de intervención contra la obesidad en un colegio de Educación Primaria.</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Material y métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio de intervención controlado no aleatorizado en alumnos de primero a quinto cursos de Educación Primaria en 2 colegios públicos de Avilés (España). La intervención se desarrolló durante 2 cursos escolares, incluyendo talleres sobre alimentación saludable, charlas educativas, material informativo escrito y promoción de la actividad física. La variable de resultado principal fue la puntuación z del índice de masa corporal (IMC). Como variables de resultado secundarias se consideraron: prevalencia de obesidad y sobrepeso, perímetro abdominal, hábitos de dieta y actividad física.</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Fueron incluidos en el estudio 382 (177 niñas, 205 niños) de 526 alumnos de ambos colegios. En 340 individuos se obtuvieron datos antropométricos completos. A diferencia del grupo control, los pertenecientes al grupo de intervención disminuyeron la puntuación z del IMC desde 1,14 a 1,02 (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,017), mejoraron el índice KIDMED de adhesión a la dieta mediterránea de 7,33 a 7,71 puntos (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,045) y aumentaron la proporción de estudiantes con una dieta óptima del 42,6% al 52,3% (p<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>0,021). No se encontraron diferencias estadísticamente significativas en la prevalencia de obesidad y sobrepeso, ni en el perímetro abdominal, entre los grupos de intervención y control.</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Este programa escolar consiguió pequeñas mejoras en el IMC y la calidad de la dieta.</p></span>" "secciones" => array:4 [ 0 => array:2 [ "identificador" => "abst0025" "titulo" => "Introducción" ] 1 => array:2 [ "identificador" => "abst0030" "titulo" => "Material y métodos" ] 2 => array:2 [ "identificador" => "abst0035" "titulo" => "Resultados" ] 3 => array:2 [ "identificador" => "abst0040" "titulo" => "Conclusiones" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Pérez Solís D, Díaz Martín JJ, Álvarez Caro F, Suárez Tomás I, Suárez Menéndez E, Riaño Galán I. Efectividad de una intervención escolar contra la obesidad. An Pediatr (Barc). 2015;83:19–25.</p>" ] ] "multimedia" => array:5 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1764 "Ancho" => 1650 "Tamanyo" => 171223 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Flow chart of participants throughout the study.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 949 "Ancho" => 1546 "Tamanyo" => 80183 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Evolution of the KIDMED index of compliance with the Mediterranean diet in the intervention and control schools.</p>" ] ] 2 => array:7 [ "identificador" => "tbl0005" "etiqueta" => "Table 1" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Data are expressed as mean<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>standard deviation or as percentages.</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">BMIz, body mass index <span class="elsevierStyleItalic">z</span>-score; WC<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>95th %ile, waist circumference<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>95th percentile.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Variable \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Control \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Intervention \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top"><span class="elsevierStyleItalic">n</span> \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">220 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">120 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="" valign="top"> \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Female, % \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">49.1 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">45.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.497 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Age (in years) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.5<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.46 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">8.19<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.067 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">BMIz \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.92<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.14<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.25 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.245 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">WC, cm \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">64.62<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>8.61 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">65.18<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>10.94 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.625 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">KIDMED index \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.57<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.74 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.4<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.64 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.420 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Sedentary activities, h/day \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">17.92<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>2.17 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">17.01<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>2.89 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.009 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Physical activities, h/day \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.13<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>2.38 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.96<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>3.21 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.020 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Obesity, % \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">16.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.124 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Overweight, % \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">30.0 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">26.7 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.534 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Obesity or overweight, % \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">40.5 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">43.3 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.646 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">WC<span class="elsevierStyleHsp" style=""></span>><span class="elsevierStyleHsp" style=""></span>95th %ile, % \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">55 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">55 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab861347.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Participant characteristics at the beginning of the study.</p>" ] ] 3 => array:7 [ "identificador" => "tbl0010" "etiqueta" => "Table 2" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "<p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">The data are expressed as mean<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>standard deviation.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Control</th><th class="td" title="table-head " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Intervention</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Initial \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Final \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Initial \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Final \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Total \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.92<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.98<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.09 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.150 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.14<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.25 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.02<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.23 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.017 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Girls \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.75<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.00 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.73<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.02 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.680 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.74<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.23 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.60<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.24 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.042 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Boys \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.09<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.31 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.23<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.10 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.032 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.46<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.18 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.35<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>1.12 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.145 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab861348.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Evolution of the body mass index <span class="elsevierStyleItalic">z</span>-score (BMIz) in the intervention and control schools, overall and by sex.</p>" ] ] 4 => array:7 [ "identificador" => "tbl0015" "etiqueta" => "Table 3" "tipo" => "MULTIMEDIATABLA" "mostrarFloat" => true "mostrarDisplay" => false "tabla" => array:2 [ "leyenda" => "<p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">Data are expressed as median (interquartile range) in hours a day (h/day) or minutes a day (min/day). The difference corresponds to the final value minus the initial value.</p>" "tablatextoimagen" => array:1 [ 0 => array:2 [ "tabla" => array:1 [ 0 => """ <table border="0" frame="\n \t\t\t\t\tvoid\n \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head " align="left" valign="top" scope="col">Activity \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " colspan="4" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Control, <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>150</th><th class="td" title="table-head " colspan="4" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Intervention, <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>63</th></tr><tr title="table-row"><th class="td" title="table-head " align="" valign="top" scope="col" style="border-bottom: 2px solid black"> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Initial (h/day) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Final (h/day) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Difference (min/day) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Initial (h/day) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Final (h/day) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Difference (min/day) \t\t\t\t\t\t\n \t\t\t\t</th><th class="td" title="table-head " align="left" valign="top" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">P</span> \t\t\t\t\t\t\n \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Sleeping, resting \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10.0 (10.0–10.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10.0 (9.0–10.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−60 to 0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.026 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10.0 (9.0–10.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">10.0 (9.0–10.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−45 to 30) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.599 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Sitting, in class, TV, or reading \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.0 (6.0–8.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">7.0 (6.0–8.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−60 to 60) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.720 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.0 (5.0–7.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.0 (5.0–7.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−71 to 60) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.165 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Computer, videogames \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.5 (0.25–1.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.5–1.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15 (0 to 30) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.002 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.5 (0.25–1.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.5–1.75) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15 (0 to 30) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.732 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Organising, cleaning up \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.25 (0.25–0.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.5 (0.25–0.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−15 to 15) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.464 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.5 (0.25–0.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.5 (0.25–0.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−3 to 15) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.403 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Playing outdoors, running errands \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.38 (1.0–2.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.9 (1.0–2.1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−30 to 31) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.737 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">2.0 (1.0–2.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.9 (1.0–2.1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−37 to 30) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.610 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Helping with house chores \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.25 (0.0–0.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.5 (0.25–1.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15 (0 to 15) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.002 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.25 (0.0–0.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.5 (0.25–1.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (0 to 15) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.169 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Walking \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.5–1.25) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.5–1.25) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−30 to 15) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.136 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.75 (0.5–1.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.5–1.25) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−33 to 45) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.848 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Exercising, riding bicycle \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.5–1.75) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.56–2.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−30 to 30) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.845 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.5–2.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.56–2.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−30 to 45) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.507 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Sports \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.5–1.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.75–2.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">15 (−15 to 45) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.101 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.5–1.5) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1.0 (0.75–2.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−19 to 60) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.169 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Sedentary activities \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">18.0 (16.8–19.3) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">18.5 (17.3–18.3) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−60 to 90) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.647 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">17.3 (15.5–19.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">17.5 (16.5–18.7) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0 (−134 to 90) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.342 \t\t\t\t\t\t\n \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry " align="left" valign="top">Physical activities \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.0 (3.6–6.1) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.0 (4.0–6.0) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">1 (−60 to 90) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.368 \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">5.5 (4.0–6.8) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">6.0 (4.25–6.8) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">45 (−97 to 120) \t\t\t\t\t\t\n \t\t\t\t</td><td class="td" title="table-entry " align="char" valign="top">0.966 \t\t\t\t\t\t\n \t\t\t\t</td></tr></tbody></table> """ ] "imagenFichero" => array:1 [ 0 => "xTab861346.png" ] ] ] ] "descripcion" => array:1 [ "en" => "<p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">Distribution of physical and sedentary activities at the beginning and the end of the intervention.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:29 [ 0 => array:3 [ "identificador" => "bib0150" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Trends in childhood and adolescent obesity prevalence in Oviedo (Asturias, Spain) 1992–2006" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.J. Díaz Martín" 1 => "L. Somalo Hernández" 2 => "M. García Gonzalez" 3 => "C. Perillán Mendez" 4 => "C. Rey Galán" 5 => "S. Málaga Guerrero" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1651-2227.2008.00828.x" "Revista" => array:6 [ "tituloSerie" => "Acta Paediatr" "fecha" => "2008" "volumen" => "97" "paginaInicial" => "955" "paginaFinal" => "958" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18462466" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0155" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Global prevalence and trends of overweight and obesity among preschool children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "M. De Onis" 1 => "M. Blössner" 2 => "E. Borghi" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3945/ajcn.2010.29786" "Revista" => array:6 [ "tituloSerie" => "Am J Clin Nutr" "fecha" => "2010" "volumen" => "92" "paginaInicial" => "1257" "paginaFinal" => "1264" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20861173" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0160" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The leveling off of the obesity epidemic since the year 1999 – a review of evidence and perspectives" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "B. Rokholm" 1 => "J.L. Baker" 2 => "T.I.A. Sørensen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1467-789X.2010.00810.x" "Revista" => array:6 [ "tituloSerie" => "Obes Rev" "fecha" => "2010" "volumen" => "11" "paginaInicial" => "835" "paginaFinal" => "846" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20973911" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0165" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Obesity and the metabolic syndrome in children and adolescents" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "R. Weiss" 1 => "J. Dziura" 2 => "T.S. Burgert" 3 => "W.V. Tamborlane" 4 => "S.E. Taksali" 5 => "C.W. Yeckel" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMoa031049" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "2004" "volumen" => "350" "paginaInicial" => "2362" "paginaFinal" => "2374" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15175438" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0170" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Tracking of childhood overweight into adulthood: a systematic review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A.S. Singh" 1 => "C. Mulder" 2 => "J.W.R. Twisk" 3 => "W. van Mechelen" 4 => "M.J.M. Chinapaw" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1467-789X.2008.00475.x" "Revista" => array:6 [ "tituloSerie" => "Obes Rev" "fecha" => "2008" "volumen" => "9" "paginaInicial" => "474" "paginaFinal" => "488" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18331423" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0175" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Can a small-changes approach help address the obesity epidemic? A report of the Joint Task Force of the American Society for Nutrition, Institute of Food Technologists, and International Food Information Council" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.O. Hill" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3945/ajcn.2008.26566" "Revista" => array:6 [ "tituloSerie" => "Am J Clin Nutr" "fecha" => "2009" "volumen" => "89" "paginaInicial" => "477" "paginaFinal" => "484" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19088151" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0180" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A public health vs a risk-based intervention to improve cardiovascular health in elementary school children: the Cardiovascular Health in Children Study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.S. Harrell" 1 => "R.G. McMurray" 2 => "S.A. Gansky" 3 => "S.I. Bangdiwala" 4 => "C.B. Bradley" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Public Health" "fecha" => "1999" "volumen" => "89" "paginaInicial" => "1529" "paginaFinal" => "1535" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10511835" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0185" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Clinical review: behavioral interventions to prevent childhood obesity: a systematic review and metaanalyses of randomized trials" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C.C. Kamath" 1 => "K.S. Vickers" 2 => "A. Ehrlich" 3 => "L. McGovern" 4 => "J. Johnson" 5 => "V. Singhal" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1210/jc.2006-2411" "Revista" => array:6 [ "tituloSerie" => "J Clin Endocrinol Metab" "fecha" => "2008" "volumen" => "93" "paginaInicial" => "4606" "paginaFinal" => "4615" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18782880" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0190" "etiqueta" => "9" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Systematic review of school-based interventions that focus on changing dietary intake and physical activity levels to prevent childhood obesity: an update to the obesity guidance produced by the National Institute for Health and Clinical Excellence" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "T. Brown" 1 => "C. Summerbell" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/j.1467-789X.2008.00515.x" "Revista" => array:6 [ "tituloSerie" => "Obes Rev" "fecha" => "2009" "volumen" => "10" "paginaInicial" => "110" "paginaFinal" => "141" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18673306" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0195" "etiqueta" => "10" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A meta-analytic review of obesity prevention in the schools: 1997–2008" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C. Cook-Cottone" 1 => "C.M. Casey" 2 => "T.H. Feeley" 3 => "J. Baran" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Psychol Sch" "fecha" => "2009" "volumen" => "46" "paginaInicial" => "695" "paginaFinal" => "719" ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0200" "etiqueta" => "11" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "School-based interventions on childhood obesity: a meta-analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "C. Gonzalez-Suarez" 1 => "A. Worley" 2 => "K. Grimmer-Somers" 3 => "V. Dones" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.amepre.2009.07.012" "Revista" => array:6 [ "tituloSerie" => "Am J Prev Med" "fecha" => "2009" "volumen" => "37" "paginaInicial" => "418" "paginaFinal" => "427" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19840696" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0205" "etiqueta" => "12" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Strategies for the prevention and control of obesity in the school setting: systematic review and meta-analysis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D.L. Katz" 1 => "M. O’Connell" 2 => "V.Y. Njike" 3 => "M.-C. Yeh" 4 => "H. Nawaz" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Int J Obes (Lond)" "fecha" => "2008" "volumen" => "32" "paginaInicial" => "1780" "paginaFinal" => "1789" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0210" "etiqueta" => "13" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "School-based obesity prevention programs: an evidence-based review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.A. Kropski" 1 => "P.H. Keckley" 2 => "G.L. Jensen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Obesity (Silver Spring)" "fecha" => "2008" "volumen" => "16" "paginaInicial" => "1009" "paginaFinal" => "1018" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib0215" "etiqueta" => "14" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intervenciones aleatorias controladas basadas en las escuelas para prevenir la obesidad infantil: revisión sistemática de 2006 a 2009" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.E. Pérez-Morales" 1 => "M. Bacardí-Gascón" 2 => "A. Jiménez-Cruz" 3 => "A. Armendáriz-Anguiano" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Latinoam Nutr" "fecha" => "2009" "volumen" => "59" "paginaInicial" => "253" "paginaFinal" => "259" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19886509" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib0220" "etiqueta" => "15" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Interventions for preventing obesity in children" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Waters" 1 => "A. de Silva-Sanigorski" 2 => "B.J. Hall" 3 => "T. Brown" 4 => "K.J. Campbell" 5 => "Y. Gao" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:3 [ "tituloSerie" => "Cochrane Database Syst Rev" "fecha" => "2011" "paginaInicial" => "CD001871" ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib0225" "etiqueta" => "16" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Systematic review and meta-analysis of school-based interventions to reduce body mass index" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "H.V. Lavelle" 1 => "D.F. Mackay" 2 => "J.P. Pell" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Public Health (Oxf)" "fecha" => "2012" "volumen" => "34" "paginaInicial" => "360" "paginaFinal" => "369" ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib0230" "etiqueta" => "17" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "School-based obesity prevention programs: a meta-analysis of randomized controlled trials" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Sobol-Goldberg" 1 => "J. Rabinowitz" 2 => "R. Gross" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Obesity (Silver Spring)" "fecha" => "2013" "volumen" => "21" "paginaInicial" => "2422" "paginaFinal" => "2428" ] ] ] ] ] ] 17 => array:3 [ "identificador" => "bib0235" "etiqueta" => "18" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Establishing a standard definition for child overweight and obesity worldwide: international survey" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "T.J. Cole" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Br Med J" "fecha" => "2000" "volumen" => "320" "paginaInicial" => "1240" "paginaFinal" => "1243" ] ] ] ] ] ] 18 => array:3 [ "identificador" => "bib0240" "etiqueta" => "19" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Waist circumference and waist–hip ratio: report of a WHO expert consultation, Geneva, 8–11 December 2008" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "World Health Organization (WHO)" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2011" "editorial" => "WHO" "editorialLocalizacion" => "Geneva" ] ] ] ] ] ] 19 => array:3 [ "identificador" => "bib0245" "etiqueta" => "20" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Serra-Majem" 1 => "L. Ribas" 2 => "J. Ngo" 3 => "R.M. Ortega" 4 => "A. García" 5 => "C. Pérez-Rodrigo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Public Health Nutr" "fecha" => "2007" "volumen" => "7" "paginaInicial" => "931" "paginaFinal" => "935" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15482620" "web" => "Medline" ] ] ] ] ] ] ] ] 20 => array:3 [ "identificador" => "bib0250" "etiqueta" => "21" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Validation of a new self-report instrument for measuring physical activity" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Aadahl" 1 => "T. Jørgensen" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1249/01.MSS.0000074446.02192.14" "Revista" => array:6 [ "tituloSerie" => "Med Sci Sports Exerc" "fecha" => "2003" "volumen" => "35" "paginaInicial" => "1196" "paginaFinal" => "1202" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12840642" "web" => "Medline" ] ] ] ] ] ] ] ] 21 => array:3 [ "identificador" => "bib0255" "etiqueta" => "22" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Nonobese, exercising children diagnosed with dyslipidemia have normal C-reactive protein" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.A. Salazar Vázquez" 1 => "B.Y. Salazar Vázquez" 2 => "M. Intaglietta" 3 => "P. Cabrales" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Vasc Health Risk Manage" "fecha" => "2009" "volumen" => "5" "paginaInicial" => "65" "paginaFinal" => "72" ] ] ] ] ] ] 22 => array:3 [ "identificador" => "bib0260" "etiqueta" => "23" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sick individuals and sick populations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "G. Rose" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Epidemiol" "fecha" => "1985" "volumen" => "14" "paginaInicial" => "32" "paginaFinal" => "38" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3872850" "web" => "Medline" ] ] ] ] ] ] ] ] 23 => array:3 [ "identificador" => "bib0265" "etiqueta" => "24" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Medium-term evaluation of an educational intervention on dietary and physical exercise habits in schoolchildren: the Avall 2 study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Llargués" 1 => "A. Recasens" 2 => "R. Franco" 3 => "A. Nadal" 4 => "M. Vila" 5 => "M.J. Pérez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.endonu.2012.03.002" "Revista" => array:6 [ "tituloSerie" => "Endocrinol Nutr" "fecha" => "2012" "volumen" => "59" "paginaInicial" => "288" "paginaFinal" => "295" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22521298" "web" => "Medline" ] ] ] ] ] ] ] ] 24 => array:3 [ "identificador" => "bib0270" "etiqueta" => "25" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact of an after-school physical activity program on obesity in children" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Salcedo Aguilar" 1 => "V. Martínez-Vizcaíno" 2 => "M. Sánchez López" 3 => "M. Solera Martínez" 4 => "R. Franquelo Gutiérrez" 5 => "S. Serrano Martínez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jpeds.2009.12.046" "Revista" => array:6 [ "tituloSerie" => "J Pediatr" "fecha" => "2010" "volumen" => "157" "paginaInicial" => "36" "paginaFinal" => "42" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20227726" "web" => "Medline" ] ] ] ] ] ] ] ] 25 => array:3 [ "identificador" => "bib0275" "etiqueta" => "26" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A primary-school-based study to reduce the prevalence of childhood obesity – the EdAl (Educació en Alimentació) study: a randomized controlled trial" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "L. Tarro" 1 => "E. Llauradó" 2 => "R. Albaladejo" 3 => "D. Moriña" 4 => "V. Arija" 5 => "R. Solà" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/1745-6215-15-58" "Revista" => array:5 [ "tituloSerie" => "Trials" "fecha" => "2014" "volumen" => "15" "paginaInicial" => "58" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24529258" "web" => "Medline" ] ] ] ] ] ] ] ] 26 => array:3 [ "identificador" => "bib0280" "etiqueta" => "27" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "APPLE Project: 2-y findings of a community-based obesity prevention program in primary school age children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "R. Taylor" 1 => "K. McAuley" 2 => "W. Barbezat" 3 => "A. Strong" 4 => "S. Williams" 5 => "J. Mann" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Clin Nutr" "fecha" => "2007" "volumen" => "86" "paginaInicial" => "735" "paginaFinal" => "742" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17823440" "web" => "Medline" ] ] ] ] ] ] ] ] 27 => array:3 [ "identificador" => "bib0285" "etiqueta" => "28" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Reducing unhealthy weight gain in children through community capacity-building: results of a quasi-experimental intervention program. Be Active Eat Well" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A.M. Sanigorski" 1 => "A.C. Bell" 2 => "P.J. Kremer" 3 => "R. Cuttler" 4 => "B.A. Swinburn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Int J Obes (Lond)" "fecha" => "2008" "volumen" => "32" "paginaInicial" => "1060" "paginaFinal" => "1067" ] ] ] ] ] ] 28 => array:3 [ "identificador" => "bib0290" "etiqueta" => "29" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "What is the evidence on school health promotion in improving health or preventing disease and, specifically, what is the effectiveness of the health promoting schools approach?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S. Stewart-Brown" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2006" "editorial" => "WHO Regional Office for Europe" "editorialLocalizacion" => "Copenhagen" ] ] ] ] ] ] ] ] ] ] "agradecimientos" => array:1 [ 0 => array:3 [ "titulo" => "Acknowledgments" "texto" => "<p id="par0165" class="elsevierStylePara elsevierViewall">We want to thank all the teachers, students and families that participated in the project. We thank Isabel Aguilera, a teacher at the Villalegre public school, for her outstanding work and leadership in launching the school-based programme.</p>" "vista" => "all" ] ] ] "idiomaDefecto" => "en" "url" => "/23412879/0000008300000001/v1_201507250123/S2341287915001155/v1_201507250123/en/main.assets" "Apartado" => array:4 [ "identificador" => "26005" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Original Articles" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23412879/0000008300000001/v1_201507250123/S2341287915001155/v1_201507250123/en/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341287915001155?idApp=UINPBA00005H" ]
Year/Month | Html | Total | |
---|---|---|---|
2024 November | 8 | 15 | 23 |
2024 October | 80 | 53 | 133 |
2024 September | 84 | 30 | 114 |
2024 August | 66 | 43 | 109 |
2024 July | 108 | 61 | 169 |
2024 June | 64 | 39 | 103 |
2024 May | 65 | 61 | 126 |
2024 April | 71 | 35 | 106 |
2024 March | 57 | 20 | 77 |
2024 February | 47 | 26 | 73 |
2024 January | 50 | 32 | 82 |
2023 December | 72 | 24 | 96 |
2023 November | 73 | 62 | 135 |
2023 October | 55 | 28 | 83 |
2023 September | 42 | 26 | 68 |
2023 August | 57 | 20 | 77 |
2023 July | 44 | 24 | 68 |
2023 June | 57 | 30 | 87 |
2023 May | 70 | 17 | 87 |
2023 April | 76 | 20 | 96 |
2023 March | 114 | 21 | 135 |
2023 February | 69 | 28 | 97 |
2023 January | 49 | 24 | 73 |
2022 December | 71 | 46 | 117 |
2022 November | 65 | 46 | 111 |
2022 October | 66 | 35 | 101 |
2022 September | 45 | 27 | 72 |
2022 August | 81 | 49 | 130 |
2022 July | 50 | 39 | 89 |
2022 June | 50 | 38 | 88 |
2022 May | 51 | 38 | 89 |
2022 April | 65 | 41 | 106 |
2022 March | 84 | 59 | 143 |
2022 February | 43 | 30 | 73 |
2022 January | 50 | 37 | 87 |
2021 December | 47 | 43 | 90 |
2021 November | 48 | 53 | 101 |
2021 October | 55 | 51 | 106 |
2021 September | 42 | 56 | 98 |
2021 August | 64 | 59 | 123 |
2021 July | 31 | 29 | 60 |
2021 June | 47 | 51 | 98 |
2021 May | 44 | 31 | 75 |
2021 April | 84 | 55 | 139 |
2021 March | 56 | 46 | 102 |
2021 February | 21 | 23 | 44 |
2021 January | 33 | 23 | 56 |
2020 December | 41 | 29 | 70 |
2020 November | 45 | 17 | 62 |
2020 October | 34 | 32 | 66 |
2020 September | 39 | 18 | 57 |
2020 August | 28 | 13 | 41 |
2020 July | 25 | 23 | 48 |
2020 June | 31 | 10 | 41 |
2020 May | 47 | 27 | 74 |
2020 April | 37 | 33 | 70 |
2020 March | 41 | 21 | 62 |
2020 February | 47 | 23 | 70 |
2020 January | 35 | 26 | 61 |
2019 December | 47 | 16 | 63 |
2019 November | 33 | 14 | 47 |
2019 October | 56 | 18 | 74 |
2019 September | 29 | 7 | 36 |
2019 August | 61 | 19 | 80 |
2019 July | 41 | 18 | 59 |
2019 June | 43 | 20 | 63 |
2019 May | 62 | 22 | 84 |
2019 April | 80 | 32 | 112 |
2019 March | 52 | 20 | 72 |
2019 February | 44 | 19 | 63 |
2019 January | 62 | 23 | 85 |
2018 December | 46 | 35 | 81 |
2018 November | 76 | 29 | 105 |
2018 October | 119 | 12 | 131 |
2018 September | 72 | 16 | 88 |
2018 August | 2 | 0 | 2 |
2018 July | 3 | 0 | 3 |
2018 June | 2 | 0 | 2 |
2018 May | 5 | 0 | 5 |
2018 April | 26 | 0 | 26 |
2018 March | 20 | 0 | 20 |
2018 February | 14 | 0 | 14 |
2018 January | 18 | 0 | 18 |
2017 December | 17 | 0 | 17 |
2017 November | 16 | 0 | 16 |
2017 October | 12 | 0 | 12 |
2017 September | 17 | 0 | 17 |
2017 August | 13 | 1 | 14 |
2017 July | 15 | 0 | 15 |
2017 June | 37 | 16 | 53 |
2017 May | 22 | 8 | 30 |
2017 April | 14 | 8 | 22 |
2017 March | 19 | 5 | 24 |
2017 February | 20 | 5 | 25 |
2017 January | 12 | 5 | 17 |
2016 December | 31 | 10 | 41 |
2016 November | 39 | 4 | 43 |
2016 October | 28 | 9 | 37 |
2016 September | 37 | 7 | 44 |
2016 August | 28 | 6 | 34 |
2016 July | 18 | 2 | 20 |