{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:48:34Z","timestamp":1792147714638,"version":"4.4.0"},"reference-count":35,"publisher":"Elsevier BV","issue":"12","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Carlos III Health Institute","doi-asserted-by":"publisher","award":["RD24\/0005\/0004"],"award-info":[{"award-number":["RD24\/0005\/0004"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007041","name":"Universidad de Zaragoza","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.es","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Atenci\u00f3n Primaria"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.aprim.2026.103609","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T13:28:44Z","timestamp":1790083724000},"page":"103609","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Efectividad de las intervenciones en las escuelas para la prevenci\u00f3n y reducci\u00f3n de la obesidad y el sobrepeso infantil: una revisi\u00f3n sistem\u00e1tica y un metaan\u00e1lisis"],"prefix":"10.1016","volume":"58","author":[{"given":"F\u00e1tima","family":"M\u00e9ndez-L\u00f3pez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandra","family":"Aguilar-Latorre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Vicente-Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Gast\u00f3n-Faci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Magall\u00f3n-Botaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.aprim.2026.103609_bib0180","article-title":"Organizaci\u00f3n Mundial de la Salud","year":"2022","journal-title":"Actividad f\u00edsica"},{"key":"10.1016\/j.aprim.2026.103609_bib0185","article-title":"Ministerio de Sanidad Servicios Sociales e Igualdad. Actividad F\u00edsica para la Salud y Reducci\u00f3n del Sedentarismo. Recomendaciones para la poblaci\u00f3n","year":"2022","journal-title":"Estrategia de Promoci\u00f3n de la Salud y Prevenci\u00f3n en el SNS. Madrid"},{"key":"10.1016\/j.aprim.2026.103609_bib0190","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1016\/j.recesp.2017.12.007","article-title":"Persistencia y variaci\u00f3n del sobrepeso y la obesidad en la poblaci\u00f3n preescolar de la Comunidad de Madrid tras dos a\u00f1os de seguimiento. Cohorte ELOIN","volume":"71","author":"Ortiz-Marr\u00f3n","year":"2018","journal-title":"Rev Esp Cardiol."},{"key":"10.1016\/j.aprim.2026.103609_bib0195","article-title":"Organizaci\u00f3n Mundial de la Salud","year":"2024","journal-title":"Obesidad y sobrepeso"},{"key":"10.1016\/j.aprim.2026.103609_bib0200","article-title":"Centro Nacional para la Prevenci\u00f3n de Enfermedades Cr\u00f3nicas y Promoci\u00f3n de la Salud","year":"2021","journal-title":"Acerca del \u00edndice de masa corporal para ni\u00f1os y adolescentes"},{"key":"10.1016\/j.aprim.2026.103609_bib0205","article-title":"Organizaci\u00f3n mundial de la salud","year":"2017","journal-title":"La obesidad entre los ni\u00f1os y los adolescentes se ha multiplicado por 10 en los cuatro \u00faltimos decenios"},{"key":"10.1016\/j.aprim.2026.103609_bib0210","series-title":"Nelson. Pediatr\u00eda Esencial","author":"Marcdante","year":"2023"},{"key":"10.1016\/j.aprim.2026.103609_bib0215","article-title":"Medline Plus. Biblioteca Nacional de Medicina de los EE. UU","year":"2023","journal-title":"Obesidad en ni\u00f1os"},{"key":"10.1016\/j.aprim.2026.103609_bib0220","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD008958.pub2","article-title":"The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement","author":"Langford","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.aprim.2026.103609_bib0225","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD009728.pub4","article-title":"Physical activity, diet and other behavioural interventions for improving cognition and school achievement in children and adolescents with obesity or overweight","author":"Martin","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.aprim.2026.103609_bib0230","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1016\/j.recesp.2021.06.016","article-title":"Declaraci\u00f3n PRISMA 2020: una gu\u00eda actualizada para la publicaci\u00f3n de revisiones sistem\u00e1ticas","volume":"74","author":"Page","year":"2021","journal-title":"Rev Esp Cardiol"},{"key":"10.1016\/j.aprim.2026.103609_bib0235","series-title":"Lectura cr\u00edtica de estudios de tratamiento. Ensayos aleatorios. ed.","author":"Cabello L\u00f3pez","year":"2022"},{"key":"10.1016\/j.aprim.2026.103609_bib0240","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.medcli.2010.09.034","article-title":"Declaraci\u00f3n CONSORT 2010: actualizaci\u00f3n de la lista de comprobaci\u00f3n para informar ensayos cl\u00ednicos aleatorizados de grupos paralelos","volume":"137","author":"Cobos-Carb\u00f3","year":"2011","journal-title":"Med Clin (Barc)"},{"key":"10.1016\/j.aprim.2026.103609_bib0245","doi-asserted-by":"crossref","first-page":"103","DOI":"10.4097\/kjae.2018.71.2.103","article-title":"Introduction to systematic review and meta-analysis","volume":"71","author":"Ahn","year":"2018","journal-title":"Korean J Anesthesiol"},{"key":"10.1016\/j.aprim.2026.103609_bib0250","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.cct.2015.09.002","article-title":"Meta-analysis in clinical trials revisited","volume":"45","author":"DerSimonian","year":"2015","journal-title":"Contemp Clin Trials"},{"key":"10.1016\/j.aprim.2026.103609_bib0255","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1258\/1355819021927674","article-title":"Statistical heterogeneity in systematic reviews of clinical trials: A critical appraisal of guidelines and practice","volume":"7","author":"Higgins","year":"2002","journal-title":"J Health Serv Res Policy"},{"key":"10.1016\/j.aprim.2026.103609_bib0260","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1136\/bmj.315.7109.629","article-title":"Bias in meta-analysis detected by a simple, graphical test","volume":"315","author":"Egger","year":"1997","journal-title":"BMJ"},{"key":"10.1016\/j.aprim.2026.103609_bib0265","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.2307\/2533446","article-title":"Operating characteristics of a rank correlation test for publication bias","volume":"50","author":"Begg","year":"1994","journal-title":"Biometrics"},{"key":"10.1016\/j.aprim.2026.103609_bib0270","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1093\/jn\/nxy259","article-title":"The Incidence of Obesity, Assessed as Adiposity, Is Reduced After 1 Year in Primary Schoolchildren by the POIBA Intervention","volume":"149","author":"Ariza","year":"2019","journal-title":"J Nutr"},{"key":"10.1016\/j.aprim.2026.103609_bib0275","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.gaceta.2016.10.013","article-title":"Mejora de la calidad de la dieta y del estado nutricional en poblaci\u00f3n infantil mediante un programa innovador de educaci\u00f3n nutricional: INFADIMED","volume":"31","author":"Bibiloni","year":"2017","journal-title":"Gac Sanit"},{"key":"10.1016\/j.aprim.2026.103609_bib0280","doi-asserted-by":"crossref","first-page":"137","DOI":"10.6018\/300491","article-title":"Educaci\u00f3n para la salud: implementaci\u00f3n del programa \u00abSportfruits\u00bb en escolares de Granada","volume":"6","author":"Gonz\u00e1lez-Valero","year":"2017","journal-title":"SPORT TK-Revista EuroAmericana de Ciencias del Deporte"},{"key":"10.1016\/j.aprim.2026.103609_bib0285","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1136\/jech.2009.102319","article-title":"Assessment of a school-based intervention in eating habits and physical activity in school children: The AVall study","volume":"65","author":"Llargues","year":"2011","journal-title":"J Epidemiol Community Health"},{"key":"10.1016\/j.aprim.2026.103609_bib0290","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/S1575-0922(09)71943-6","article-title":"Estado ponderal, h\u00e1bitos alimentarios y de actividad f\u00edsica en escolares de primer curso de educaci\u00f3n primaria: estudio AVall","volume":"6","author":"Llargues","year":"2009","journal-title":"Endocrinol Nutr"},{"key":"10.1016\/j.aprim.2026.103609_bib0295","doi-asserted-by":"crossref","first-page":"2592","DOI":"10.1016\/j.clnu.2018.12.029","article-title":"Impact of school-based nutrition and physical activity intervention on body mass index eight years after cessation of randomized controlled trial (AVall study)","volume":"38","author":"Recasens","year":"2019","journal-title":"Clin Nutr"},{"key":"10.1016\/j.aprim.2026.103609_bib0300","doi-asserted-by":"crossref","DOI":"10.1093\/eurpub\/ckw199","article-title":"Four-year outcomes of an educational intervention in healthy habits in schoolchildren: the Avall 3 Trial","author":"Llargu\u00e9s","year":"2016","journal-title":"Eur J Public Health"},{"key":"10.1016\/j.aprim.2026.103609_bib0305","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.endonu.2012.03.002","article-title":"Evaluaci\u00f3n a medio plazo de una intervenci\u00f3n educativa en h\u00e1bitos alimentarios y de actividad f\u00edsica en escolares: estudio Avall 2","volume":"59","author":"Llargu\u00e9s","year":"2012","journal-title":"Endocrinol Nutr"},{"key":"10.1016\/j.aprim.2026.103609_bib0310","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1139\/apnm-2017-0348","article-title":"Effectiveness of a school-based program focusing on diet and health habits taught through physical exercise","volume":"43","author":"Pablos","year":"2018","journal-title":"Appl Physiol Nutr Metab"},{"key":"10.1016\/j.aprim.2026.103609_bib0315","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.anpedi.2014.08.010","article-title":"Efectividad de una intervenci\u00f3n escolar contra la obesidad","volume":"83","author":"P\u00e9rez Sol\u00eds","year":"2015","journal-title":"An Pediatr (Engl Ed)"},{"key":"10.1016\/j.aprim.2026.103609_bib0320","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/1745-6215-15-58","article-title":"A primary-school-based study to reduce the prevalence of childhood obesity \u2013 The EdAl (Educaci\u00f3 en Alimentaci\u00f3) study: a randomized controlled trial","volume":"15","author":"Tarro","year":"2014","journal-title":"Trials"},{"key":"10.1016\/j.aprim.2026.103609_bib0325","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1186\/s12889-017-5006-0","article-title":"Follow-up of a healthy lifestyle education program (the EdAl study): Four years after cessation of randomized controlled trial intervention","volume":"18","author":"Llaurad\u00f3","year":"2018","journal-title":"BMC Public Health"},{"key":"10.1016\/j.aprim.2026.103609_bib0330","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1016\/j.jadohealth.2014.06.020","article-title":"Follow-up of a Healthy Lifestyle Education Program (the Educaci\u00f3 en Alimentaci\u00f3 Study): 2 Years After Cessation of Intervention","volume":"55","author":"Tarro","year":"2014","journal-title":"J Adolesc Health"},{"key":"10.1016\/j.aprim.2026.103609_bib0335","article-title":"Instituto Nacional de Estad\u00edstica","year":"2017","journal-title":"Encuesta nacional de Salud de Espa\u00f1a 2017. Madrid"},{"key":"10.1016\/j.aprim.2026.103609_bib0340","first-page":"33","article-title":"Programas de intervenci\u00f3n para la promoci\u00f3n de h\u00e1bitos alimentarios y actividad f\u00edsica en escolares espa\u00f1oles de Educaci\u00f3n Primaria: revisi\u00f3n sistem\u00e1tica","author":"\u00c1vila Garc\u00eda","year":"2016","journal-title":"Nutr Hosp"},{"key":"10.1016\/j.aprim.2026.103609_bib0345","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD007651.pub2","article-title":"School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18","author":"Dobbins","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.aprim.2026.103609_bib0350","article-title":"Strategies for enhancing the implementation of school-based policies or practices targeting risk factors for chronic disease","volume":"2017","author":"Wolfenden","year":"2017","journal-title":"Cochrane Database Syst Rev"}],"container-title":["Atenci\u00f3n Primaria"],"original-title":[],"language":"es","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0212656726001678?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0212656726001678?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:15:00Z","timestamp":1792145700000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0212656726001678"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":35,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["S0212656726001678"],"URL":"https:\/\/doi.org\/10.1016\/j.aprim.2026.103609","relation":{},"ISSN":["0212-6567"],"issn-type":[{"value":"0212-6567","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Efectividad de las intervenciones en las escuelas para la prevenci\u00f3n y reducci\u00f3n de la obesidad y el sobrepeso infantil: una revisi\u00f3n sistem\u00e1tica y un metaan\u00e1lisis","name":"articletitle","label":"Article Title"},{"value":"Atenci\u00f3n Primaria","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.aprim.2026.103609","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Espa\u00f1a, S.L.U.","name":"copyright","label":"Copyright"}],"article-number":"103609"}}