Effectiveness of a school-based multimodal intervention on promoting healthy lifestyle behaviours among schoolchildren. Previene-Cádiz study Rubén Aragón-Martín, María del Mar Gómez-Sánchez, José Manuel Martínez-Nieto, Mónica Schwarz-Rodríguez, Amelia Rodríguez-Martín, et al. Journal of Public Health Germany, 2025 Aim This study aimed to evaluate the effectiveness of a school-based multimodal intervention targeting healthy lifestyle behaviours among schoolchildren in the province of Cádiz. Subject and methods A quasi-experimental design was employed, comparing outcomes between the experimental and control groups. The intervention adopted a multimodal approach, targeting students, their families and educational institutions. The students participated in a healthy educational programme of 10 sessions and were provided with two workbooks to use at home with their families. Additionally, parents attended three training courses aimed at improving their children’s lifestyle behaviours. The intervention aimed to achieve significant improvements in various health-related parameters such as body composition, physical fitness, physical activity levels, sedentary behaviours, dietary patterns and sleep pattern. Results The results suggested that the intervention produced moderate and at times variable effects in promoting healthier lifestyle behaviours among schoolchildren. While improvements were noted in the experimental group compared to the control group, these did not fully meet the initial expectations. Conclusions This outcome underscores the need for further research and adjustments in implementation, such as the integration of specialized external personnel to support teachers, embedding the intervention into the school curriculum and extending its duration throughout an entire academic year. This study contributes valuable insights into childhood obesity prevention and intervention strategies, paving the way for future research endeavours aimed at promoting the health and well-being of children worldwide.
Multimorbidity Patterns and Their Association with Social Determinants, Mental and Physical Health during the COVID-19 Pandemic Jesús Carretero-Bravo, Begoña Ramos-Fiol, Esther Ortega-Martín, Víctor Suárez-Lledó, Alejandro Salazar, et al. International Journal of Environmental Research and Public Health, 2022 Background: The challenge posed by multimorbidity makes it necessary to look at new forms of prevention, a fact that has become heightened in the context of the pandemic. We designed a questionnaire to detect multimorbidity patterns in people over 50 and to associate these patterns with mental and physical health, COVID-19, and possible social inequalities. Methods: This was an observational study conducted through a telephone interview. The sample size was 1592 individuals with multimorbidity. We use Latent Class Analysis to detect patterns and SF-12 scale to measure mental and physical quality-of-life health. We introduced the two dimensions of health and other social determinants in a multinomial regression model. Results: We obtained a model with five patterns (entropy = 0.727): ‘Relative Healthy’, ‘Cardiometabolic’, ‘Musculoskeletal’, ‘Musculoskeletal and Mental’, and ‘Complex Multimorbidity’. We found some differences in mental and physical health among patterns and COVID-19 diagnoses, and some social determinants were significant in the multinomial regression. Conclusions: We identified that prevention requires the location of certain inequalities associated with the multimorbidity patterns and how physical and mental health have been affected not only by the patterns but also by COVID-19. These findings may be critical in future interventions by health services and governments.
Independent and Combined Association of Lifestyle Behaviours and Physical Fitness with Body Weight Status in Schoolchildren Rubén Aragón-Martín, María del Mar Gómez-Sánchez, José Manuel Martínez-Nieto, José Pedro Novalbos-Ruiz, Carmen Segundo-Iglesias, et al. Nutrients, 2022 (1) Background: Lifestyle behaviours and physical fitness play a critical role in the development of childhood obesity. It has been demonstrated in this study that self-reported physical fitness is representative of a healthy lifestyle and thus is associated with a lower incidence of overweight/obesity. The objective of this study was to analyse the independent and combined association of lifestyles (physical activity, screen time, diet and hours of sleep) and self-reported physical fitness with body weight in schoolchildren. (2) Methods: This study performed a descriptive and cross-sectional analysis. The study sample consisted of 864 schoolchildren between 8–9 years old from 26 schools of the province of Cádiz. To measure lifestyles and self-reported physical fitness, questionnaires were administered to both schoolchildren and families. To obtain the body weight status, the children were measured by body mass index (BMI). To verify the influence of lifestyles and self-reported physical fitness on the body weight status of schoolchildren, a combined score of lifestyles and self-reported physical fitness was calculated. (3) Results: Schoolchildren who followed healthier lifestyles and presented good physical fitness had a better body weight status (p < 0.001). Schoolchildren who had less healthful lifestyles and bad physical fitness had a 10.34 times higher risk of being overweight or obese (p = 0.004). (4) Conclusions: It has been shown that there is an independent and combined association between lifestyles and physical fitness on the body weight of the schoolchildren. We have suggested strategies to get children to adopt healthy lifestyles and good physical fitness to maintain a healthy body weight and prevent obesity.
A multimodal intervention for prevention of overweight and obesity in schoolchildren. A protocol study “previene-cÁdiz” Rubén Aragón-Martín, María del Mar Gómez-Sánchez, D. Jiménez-Pavón, J. M. Martínez-Nieto, M. Schwarz-Rodríguez, et al. International Journal of Environmental Research and Public Health, 2021 This paper describes the protocol for a study designed to address the high prevalence (40%) of childhood overweight and obesity in the province of Cádiz, Spain, as a reflection of what is happening worldwide. It is widely known that children who suffer from childhood obesity have a higher risk of developing chronic diseases in adulthood. This causes a decrease in the quality of life and an increase in health spending. In this context, it is necessary to intervene promoting healthy lifestyle habits from an early stage. The objective of this project will be to evaluate the effectiveness of a multimodal intervention (individual, school and family) called “PREVIENE-CÁDIZ” [CADIZ-PREVENT]. The intervention will be focused mainly on diet, physical activity, sedentary lifestyle and sleep, to prevent overweight and obesity in schoolchildren from 8 to 9 years old in the province of Cádiz. It will consist of a 10-session education program carried out in the classroom by the teachers. In addition, children will be assigned two workbooks, one to work on in class and the other at home with parents. A workshop aimed at parents will be included to help teach them how to obtain healthier lifestyle habits. The proposed study will involve a quasi-experimental design with a control group.
Dietary habits of secondary school students in Andalusia during school time in relation to food stores in the environment Francisca M. García-Padilla, A. González-Rodríguez, Ildefonso Martos-Cerezuela, J. Fernández, Juan Antonio Melo Salor Enfermeria Global, 2017 Fundamento: El analisis del contexto ambiental es imprescindible para estudiar las practicas alimentarias en adolescentes. Se describen las practicas alimentarias durante la jornada escolar del alumnado usuario de los comercios de alimentos circundantes a los centros de educacion secundaria en Andalucia y las caracteristicas de los mismos. Metodos: Estudio descriptivo transversal, sobre una muestra de 8068 estudiantes y 95 centros de secundaria. Muestreo aleatorio polietapico por conglomerado: estratificado por provincia y tamano de habitat y sistematico por aulas. El tipo de establecimiento, oferta alimentaria, distancia y visualizacion desde el centro y demanda del alumnado se realizo mediante observacion directa y entrevistas, y las caracteristicas socio-demograficas y las practicas alimentarias a traves de cuestionario. Resultados: Los centros tienen establecimientos cercanos con oferta alimentaria dirigida al alumnado (72,63%). Predominan bares y cafeterias (55), tiendas de comestibles (54) y quioscos de chucherias (23). La oferta de chucherias, bolleria y bocadillos se constata en todos los establecimientos. El 25,73% del alumnado compra su merienda escolar en estos comercios, encontrando relaciones significativas en el consumo de golosinas y paquetes de fritos envasados frente al alumnado que no sale del instituto durante la hora del recreo. Conclusiones: El numero y las caracteristicas de la oferta de los establecimientos circundantes a los centros educativos obligan a profundizar en la influencia sobre las practicas alimentarias del alumnado para establecer medidas de salud publica que controlen la oferta insalubre detectada.
Implications of family socioeconomic level on risk behaviors in child-youth obesity S. Perez, J. P. Novalbos-Ruiz, A. Rodríguez-Martín, J. M. Martínez-Nieto, A. Lechuga-Sancho Nutricion Hospitalaria, 2013 INTRODUCTION Socioeconomical status may indirectly affect the obesity prevalence. This study gathers together dietary behaviour, physical activity and sedentary lifestyle in relation to the family socioeconomic status in a sample of Spanish children. DESIGN Population-based cross-sectional study of 3-16 years children. METHODS Questionnaires about dietary behaviors, physical activity and sedentary lifestyles, and direct anthropometric measures. Criteria of physical activity recommended was >5METs (metabolic equivalence) during 60 min/day, and sedentary lifestyle as 120 min/day of sedentary activities, using obesity criteria from the ENKID study. We derived a single "family socioeconomic level" indicator (FSEL) from the level of studies, professional category and work situation of both parents. RESULTS 1620 children were studied. 59.5% met the physical activity recommendations. Boys with the higher FSEL quartile tend to do more physical activity. In girls, physical activity increases with the age and degree of overweight. 57.7% of boys and 48.1% of girls were found to be sedentary, with a lower rate in families with higher FSEL. Higher FSEL quartile was related to healthy dietary habits such as having breakfast, 5 meals per day and less snacking. The FSEL was related also to the consumption of whole grains, dairy products and fruits, but not to vegetables, meat or fish. The greatest risk of excess weight was found in girls >6 years old, with a low FSEL, sedentary habits, that snack frequently and eat few proteins. DISCUSSION Family socioeconomic status seems to determine the level of physical activity, sedentary lifestyle and dietary behavior. The elaboration of a simple socioeconomic indicator may be useful to study factors involved in child obesity.
Parentsperception of childhood overweight and obesity and eating behaviors, physical activity and sedentary lifestyle of their Revista Espanola De Salud Publica, 2012
Habits and lifestyles modifiable in children with overweight and obesity S. V. Pérez, A. Rodríguez-Martín, J. P. N. Ruiz, J. M. M. Nieto, J. L. L. Campoy Nutricion Hospitalaria, 2010 Introduction: In the prevention for being overweight and for obesity, much attention is given to the influence of dietary factors, making the joint evaluation with other modifiable factors necessary. Objetives: The aim of this project is to study the association between modifiable factors (physical activity, sedentary lifestyle, and dietary habits) with the prevalence of being overweight or obesess in the youth population. Methods: Cross-Sectional study of 1283 school children between the ages of 3 and 16 years old, with measurements of the MBI, dietary habits, physical activity, sedentary lifestyle and family history of being overweight. Physical activity measured in MET was classified according to Pate criteria. Results: 22.4% of the boys and 32.9% of the girls were overweightThe presence of a BMI>25 in parents multiplied by 2.4 the risk of being overweight in children (OR CI 95% 1.5-3.7). 63.6% of overweight boys meet physical activity recommendations compared with 52.2% of girls, although in their case, it was greater than the average (45%). Sedentary time was 141 minutes for men and 128 minutes for women, with more sedentary behaviors associated with being overweight, especially in girls over 12 years of age (66.7%). Consuming cereal (OR 0.8) and having five meals per day (OR 0.5) act as protective factors. Conclusions: In subjects with overweight, the levels of physical activity are close to those recommended levels, so which the values of a sedentary lifestyle together with dietary habits (if the parents have overweight) acquire a new relevance in intervention strategies of this problem. (Nutr Hosp. 2010;25:823-831) DOI:10.3305/nh.2010.25.5.4683
Life-style factors associated with overweight and obesity among Spanish adults Nutricion Hospitalaria, 2009
Unhealthy eating behaviour in adolescents Amelia Rodríguez Martín, José Manuel Martínez Nieto, Miguel Angel Ruiz Jiménez, José Pedro Novalbos Ruiz, M. Carmen Díaz Vázquez, et al. European Journal of Epidemiology, 1999
Hospital infections. Risky practices of nursing students Revista De Enfermeria Barcelona Spain, 1999
Level of knowledge about nourishment/nutrition among school adolescents in Cadiz Atencion Primaria Sociedad Espanola De Medicina De Familia Y Comunitaria, 1998
Contraception in adolescents included in a family planning program Atencion Primaria Sociedad Espanola De Medicina De Familia Y Comunitaria, 1997
USFAM report: Prevalence of allergic diseases in the school population of the province of cadiz. Part I Anales Espanoles De Pediatria, 1996
Attitudes towards AIDS. A questionnaire for health professionals Revista De Enfermeria Barcelona Spain, 1995
Smoking behavior in the young population of Cadiz Anales Espanoles De Pediatria, 1990
Alcohol consume in Cadiz's young population Anales Espanoles De Pediatria, 1990
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Autoestima/autoconcepto: un análisis de la autoimagen profesional en alumnos/as de enfermería RG Rodríguez, MCP Herrera, ML Giménez, JMM Nieto, FJG León, ... Las enfermeras, diversas miradas para una imagen, 177-186 , 1997 1997 Citations: 7
Cómo evoluciona la autoestima profesional: un análisis comparativo entre alumnos y profesionales de enfermería FJ Gala, M Lupiani, R González, JM Martínez, P Bas, C Guillén Scientia Nº III-4, Revista Ciencias de la Salud 4 (3), 7-15 , 1997 1997 Citations: 6
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