Effects of a school-based intervention on physical activity, sleep duration, screen time, and diet in children

  1. Miguel Ángel Tapia Serrano
  2. Javier Sevil Serrano
  3. David Sánchez Oliva
  4. Mikel Vaquero Solís
  5. Pedro Antonio Sánchez Miguel
Revista:
Revista de psicodidáctica

ISSN: 1136-1034

Año de publicación: 2022

Volumen: 27

Número: 1

Páginas: 56-65

Tipo: Artículo

DOI: 10.1016/J.PSICOD.2021.05.002 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista de psicodidáctica

Resumen

La inactividad física, los comportamientos sedentarios y el consumo de alimentos no saludables representan un problema de salud pública entre los adolescentes. El objetivo es examinar los efectos de una intervención escolar en los comportamientos de movimiento que interaccionan durante las 24 horas (actividad física, pantallas y sueño), la dieta mediterránea y el estado de salud. Se ha llevado a cabo un diseño cuasi-experimental, durante dos meses y medio. Han participado 121 niños, entre 8 y 9 años (M = 9.01 ± .09 años; 47.11% niñas), de dos escuelas de Educación Primaria, de los cuales 66 se han asignado al grupo control y 55 al grupo experimental. Se han desarrollado diez sesiones de tutoría, de una hora semanal, sobre hábitos saludables. Se han medido la actividad física, el tiempo de pantallas, la duración de sueño, la dieta mediterránea y el estado de salud, antes y después de la intervención, a través de cuestionarios. Los niños del grupo experimental muestran un incremento significativo en la adherencia a la dieta mediterránea y en los valores de actividad física entre semana en comparación con sus valores iniciales. Además, los mayores valores iniciales en el grupo control en la adherencia a la dieta mediterránea y en la proporción de sujetos activos, han desaparecido entre los dos grupos después de la intervención. Un programa escolar implementado en las tutorías, a través de diez sesiones de una hora de duración, parece eficaz para mejorar la adherencia a la dieta mediterránea y la proporción de niños activos, pero no para otros comportamientos relacionados con la salud.

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Referencias bibliográficas

  • Altavilla, C., Comeche, J. M., Comino Comino, I., y Caballero Pérez, P. (2020). Spanish update of the Kidmed questionnaire, a mediterranean diet quality index in children and adolescents. Revista Espanola de Salud Publica, 22(14), 2543–2547. https://doi.org/10.1017/S1368980019001058
  • Benítez-Porres, J., López-Fernández, I., Raya, J. F., Álvarez Carnero, S., Alvero-Cruz, J. R., y Álvarez Carnero, E. (2016). Reliability and validity of the PAQ-C Questionnaire to assess physical activity in children. Journal of School Health, 86(9), 677–685. https://doi.org/10.1111/josh.12418
  • Busch, V., de Leeuw, J. R. J., de Harder, A., y Schrijvers, A. J. P. (2013). Changing multiple adolescent health behaviors through school-based interventions: A review of the literature. Journal of School Health, 83(7), 514–523. https://doi.org/10.1111/josh.12060
  • Cabanas-Sánchez, V., Martínez-Gómez, D., Esteban-Cornejo, I., Castro-Piñero, J.,Conde-Caveda, J., y Veiga, Ó. L. (2018). Reliability and validity of the Youth Leisure-time Sedentary Behavior Questionnaire (YLSBQ). Journal of Science and Medicine in Sport, 21(1), 69–74. https://doi.org/10.1016/J.JSAMS.2017.10.031
  • Caspersen, C. J., Powell, K. E., y Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100(2), 126–131.
  • Cotton, W., Dudley, D., Peralta, L., y Werkhoven, T. (2020). The effect of teacher-delivered nutrition education programs on elementary-aged students: An updated systematic review and meta-analysis. Preventive Medicine Reports, 20, 101178. https://doi.org/10.1016/j.pmedr.2020.101178
  • Currie, C., Molcho, M., Boyce, W., Holstein, B., Torsheim, T., y Richter, M. (2008). Researching health inequalities in adolescents: The development of the Health Behaviour in School-Aged Children (HBSC) Family Affluence Scale. Social Science and Medicine, 66(6), 1429–1436. https://doi.org/10.1016/j.socscimed.2007.11.024
  • Daly-Smith, A., Quarmby, T., Archbold, V. S. J., Corrigan, N., Wilson, D., Resaland, G. K., Bartholomew, J. B., Singh, A., Tjomsland, H. E., Sherar, L. B., Chalkley, A., Routen, A. C., Shickle, D., Bingham, D. D., Barber, S. E., Van Sluijs, E., Fairclough, S. J., y McKenna, J. (2020). Using a multi-stakeholder experience- based design process to co-develop the creating active schools framework. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1–12. https://doi.org/10.1186/s12966-020-0917-z
  • Garrido-Miguel, M., Cavero-Redondo, I., Álvarez-Bueno, C., Rodríguez-Artalejo, F., Moreno, L. A., Ruiz, J. R., Ahrens, W., y Martínez-Vizcaíno,V. (2019). Prevalence and trends of overweight and obesity in European children from 1999 to 2016. JAMA Pediatrics, 173(10), e192430. https://doi.org/10.1001/jamapediatrics.2019.2430
  • Geller, K., Lippke, S., y Nigg, C. R. (2017). Future directions of multiple behavior change research. Journal of Behavioral Medicine, 40(1), 194–202. https://doi.org/10.1007/s10865-016-9809-8
  • Goldthorpe, J., Epton, T., Keyworth, C., Calam, R., y Armitage, C. J. (2020). Are primary/elementary school-based interventions effective in preventing/ameliorating excess weight gain? A systematic review of systematic reviews. Obesity Reviews, 21(6), e13001. https://doi.org/10.1111/obr.13001
  • Grgic, J., Dumuid, D., Bengoechea, E. G., Shrestha, N., Bauman, A., Olds, T., y Pedisic, Z. (2018). Health outcomes associated with reallocations of time between sleep, sedentary behaviour, and physical activity: A systematic scoping review of iso- temporal substitution studies. International Journal of Behavioral Nutrition and Physical Activity, 15(1), 69. https://doi.org/10.1186/s12966-018-0691-3
  • Hagger, M. S., y Weed, M. (2019). DEBATE: Do interventions based on behavioral theory work in the real world? International Journal of Behavioral Nutrition and Physical Activity, 16(1), 1–10. https://doi.org/10.1186/s12966-019-0795-4
  • Herlitz, L., MacIntyre, H., Osborn, T., y Bonell, C. (2020). The sustainability of public health interventions in schools: A systematic review. Implementation Science, 15(1), 4. https://doi.org/10.1186/s13012-019-0961-8
  • Iaccarino Idelson, P., Scalfi, L., y Valerio, G. (2017). Adherence to the Mediterranean Diet in children and adolescents: A systematic review. Nutrition, Metabolism and Cardiovascular Diseases, 27(4), 283–299. https://doi.org/10.1016/j.numecd.2017.01.002
  • Jones, M., Defever, E., Letsinger, A., Steele, J., y Mackintosh, K. A. (2020). A mixed-studies systematic review and meta-analysis of school-based interventions to promote physical activity and/or reduce sedentary time in children. Journal of Sport and Health Science, 9(1), 3–17. https://doi.org/10.1016/j.jshs.2019.06.009
  • Junta de Extremadura. (2018). Extremadura Statistics Institute. Portal Ciudadano.,.https://ciudadano.gobex.es/web/ieex
  • Manchola-Gonzalez, J., Bagur-Calafat, C., y Girabent-Farrés, M. (2017). Fiabilidad de la versión espa ̃nola del cuestionario de actividad física PAQ-C. Revista Internacional de Medicina y Ciencias de la Actividad Fisica y del Deporte, 17(65), 139–152. https://doi.org/10.15366/rimcafd2017.65.010
  • Marasso, D., Lupo, C., Collura, S., Rainoldi, A., y Brustio, P. R. (2021). subjective versus objective measure of physical activity: A systematic review and meta-analysis of the convergent validity of the Physical Activity Questionnaire for Children (PAQ-C). International Journal of Environmental Research and Public Health, 18(7), 3413. https://doi.org/10.3390/ijerph18073413
  • Michie, S., van Stralen, M. M., y West, R. (2011). The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6(1), 42. https://doi.org/10.1186/1748-5908-6-42
  • Ntoumanis, N., Ng, J. Y., Prestwich, A., Quested, E., Hancox, J. E., Thøgersen-Ntoumani, C., Deci, E. L., Ryan, R. M., Lonsdale, C., y Williams, G. C. (2020). A meta-analysis of self-determination theory-informed intervention studies in the health domain: effects on motivation, health behavior, physical, and psychological health. Health Psychology Review, 3, 1–31. https://doi.org/10.1080/17437199.2020.1718529
  • Olds, T., Sanders, I., Maher, C., Fraysse, F., Bell, L., y Leslie, E. (2018). Does compliance with healthy lifestyle behaviours cluster within individuals in Australian primary school-aged children? Child: Care, Health and Development, 44(1), 117–123. https://doi.org/10.1111/cch.12497
  • Øyane, N. M., Ursin, R., Pallesen, S., Holsten, F., y Bjorvatn, B. (2008). Self-reported seasonality is associated with complaints of sleep problems and deficient sleep duration: the Hordaland health study. Journal of Sleep Research, 17(1), 63–72. https://doi.org/10.1111/j.1365-2869.2008.00628.x
  • Pablos, A., Nebot, V., Va ̃nó-Vicent, V., Ceca, D., y Elvira, L. (2018). Effectiveness of a school-based program focusing on diet and health habits taught through physical exercise. Applied Physiology, Nutrition, and Metabolism, 43(4), 331–337. https://doi.org/10.1139/apnm-2017-0348
  • Pyper, E., Harrington, D., y Manson, H. (2017). Do parents’ support behaviours predict whether or not their children get sufficient sleep? A cross-sectional study. BMC Public Health, 17(1), 1–10. https://doi.org/10.1186/s12889-017-4334-4
  • Rhodes, R. E., Guerrero, M. D., Vanderloo, L. M., Barbeau, K., Birken, C. S., Chaput, J.-P., Faulkner, G., Janssen, I., Madigan, S., Mâsse, L. C., McHugh, T.-L., Perdew, M., Stone, K., Shelley, J., Spinks, N., Tamminen, K. A., Tomasone, J. R., Ward, H., Welsh, F., y Tremblay, M. S. (2020). Development of a consensus statement on the role of the family in the physical activity, sedentary, and sleep behaviours of children and youth. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 74. https://doi.org/10.1186/s12966-020-00973-0
  • Rollo, S., Antsygina, O., y Tremblay, M. S. (2020). The whole day matters: Understanding 24-hour movement guideline adherence and relationships with health indicators across the lifespan. Journal of Sport and Health Science, 9(6), 0–48. https://doi.org/10.1016/j.jshs.2020.07.004
  • Ryan, R. M., y Deci, E. L. (2017). Self-determination theory. Basic psychological needs in motivation, development and wellness. Guilford Publications.
  • Saunders, T. J., Gray, C. E., Poitras, V. J., Chaput, J.-P., Janssen, I., Katzmarzyk, P. T., Olds, T., Connor Gorber, S., Kho, M. E., Sampson, M., Tremblay, M. S., y Carson, V. (2016). Combinations of physical activity, sedentary behaviour and sleep: relationships with health indicators in school-aged children and youth. Applied Physiology, Nutrition, and Metabolism, 41(6), 283–293. https://doi.org/10.1139/apnm-2015-0626
  • Serra-Majem, L., Ribas, L., Ngo, J., Ortega, R. M., García, A., Pérez-Rodrigo, C., y Aranceta, J. (2004). Food, youth and the Mediterranean diet in Spain Development of KIDMED, Mediterranean diet quality index in children and adolescents. Public Health Nutrition, 7(07), 931–935. https://doi.org/10.1079/phn2004556
  • Sevil-Serrano, J., García-González, L., Abós, Á., Generelo, E., y Aibar, A. (2019). Can high schools be an effective setting to promote healthy lifestyles? Effects of a multiple behavior change intervention in adolescents. Journal of Adolescent Health, 64(4), 478–486. https://doi.org/10.1016/j.jadohealth.2018.09.027
  • Tapia-Serrano, M. Á., Sevil-Serrano, J., Sáncez-Oliva, D., Vaquero-Solís, M., y Sánchez-Miguel, P. A. (2020). Promoción de comportamientos saludables en niños y niñas de Educación Primaria desde el plan de acción tutorial. Wanceulen.
  • Teixeira, P. J., Marques, M. M., Silva, M. N., Brunet, J., Duda, J. L., Haerens, L., La Guardia, J., Lindwall, M., Lonsdale, C., Markland, D., Michie, S., Moller, A. C., Ntoumanis, N., Patrick, H., Reeve, J., Ryan, R. M., Sebire, S. J., Standage, M., Vansteenkiste, M., y . . . Hagger, M. S. (2020). Classification of motivation and behavior change techniques used in self-determination theory-based interventions in health contexts. Motivation Science, 6(4), 438–455. https://doi.org/10.1037/mot0000172
  • Thomas, G., Bennie, J. A., De Cocker, K., Castro, O., y Biddle, S. J. (2019). A descriptive epidemiology of screen-based devices by children and adolescents: a scoping review of 130 surveillance studies since 2000. Child Indicators Research, 1–16. https://doi.org/10.1007/s12187-019-09663-1
  • Tremblay, M. S., Aubert, S., Barnes, J. D., Saunders, T. J., Carson, V., Latimer-Cheung, A. E., Chastin, S. F. M., Altenburg, T. M., y Chinapaw, M. J. M. (2017). Sedentary Behavior Research Network (SBRN) – Terminology Consensus Project process and outcome. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 75. https://doi.org/10.1186/s12966-017-0525-8
  • Tremblay, M. S., Carson, V., Chaput, J.-P., Connor Gorber, S., Dinh, T., Duggan, M., Faulkner, G., Gray, C. E., Gruber, R., Janson, K., Janssen, I., Katzmarzyk, P. T., Kho, M. E., Latimer-Cheung, A. E., LeBlanc, C., Okely, A. D., Olds, T., Pate, R. R., Phillips, A., . . . Zehr, L. (2016). Canadian 24-hour movement guidelines for children and youth: an integration of physical activity, sedentary behaviour, and sleep. Applied Physiology, Nutrition, and Metabolism, 41(6), 311–327. https://doi.org/10.1139/apnm-2016-0151
  • van de Kop, J. H., van Kernebeek, W. G., Otten, R. H. J. J., Toussaint, H. M., y Verhoeff, A. P. (2019). School-based physical activity interventions in prevocational adolescents: A systematic review and meta-analyses. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 65(2), 185–194. https://doi.org/10.1016/j.jadohealth.2019.02.022
  • Voss, C., Ogunleye, A. A., y Sandercock, G. R. H. (2013). Physical Activity Questionnaire for children and adolescents: English norms and cut-off points. Pediatrics International, 55(4), 498–507. https://doi.org/10.1111/ped.12092
  • Yamakita, M., Sato, M., Ando, D., Suzuki, K., y Yamagata, Z. (2014). Availability of a simple self-report sleep questionnaire for 9- to 12-year-old children. Sleep and Biological Rhythms, 12(4), 279–288. https://doi.org/10.1111/sbr.12072
  • Yee, A. Z. H., Lwin, M. O., y Ho, S. S. (2017). The influence of parental practices on child promotive and preventive food consumption behaviors: A systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 1–14. https://doi.org/10.1186/s12966-017-0501-3
  • Yoshida-Montezuma, Y., Ahmed, M., y Ezezika, O. (2020). Does gamification improve fruit and vegetable intake in adolescents? A systematic review. Nutrition and Health, 26(4), 347–366. https://doi.org/10.1177/0260106020936143
  • Zhang, T., Lu, G., y Wu, X. Y. (2020). Associations between physical activity, sedentary behaviour and self-rated health among the general population of children and adolescents: A systematic review and meta-analysis. BMC Public Health, 20(1), 1343. https://doi.org/10.1186/s12889-020-09447-1
  • Zhao, N., Tao, K., Wang, G., y Xia, Z. (2019). Global obesity research trends during 1999 to 2017?: A bibliometric analysis. Medicine, 98(4) https://doi.org/10.