{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T13:51:46Z","timestamp":1784728306932,"version":"3.55.0"},"reference-count":53,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2013,3,6]],"date-time":"2013-03-06T00:00:00Z","timestamp":1362528000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980013000244_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>Results of the WHO European Childhood Obesity Surveillance Initiative indicated that on average one out of four primary-school children is overweight or obese. Portugal presented one of the highest prevalences of obesity. Childhood obesity prevention and treatment should be a top priority. The aim of the present study was to evaluate the effectiveness of Program Obesity Zero (POZ), a multi-component, community-, family- and school-based childhood obesity intervention.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000244_abs2\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>Parents and children attended four individual nutrition and physical activity counselling sessions, a one-day healthy cooking workshop and two school extracurricular sessions of nutrition education. Waist circumference, BMI, physical activity level, sedentary behaviours, and nutrition and physical activity knowledge, attitudes and behaviour were assessed at baseline and after 6 months. Diet was assessed using two 24 h recalls, at baseline and at 6 months.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000244_abs3\" sec-type=\"general\"><jats:title>Setting<\/jats:title><jats:p>Five Portuguese municipalities and local communities.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000244_abs4\" sec-type=\"subjects\"><jats:title>Subjects<\/jats:title><jats:p>Two hundred and sixty-six overweight children (BMI \u2265 85th percentile) aged 6\u201310 years, from low-income families in five Portuguese municipalities, were assigned to the intervention.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000244_abs5\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Children showed reductions in waist circumference (\u22122\u00b70 cm; <jats:italic>P<\/jats:italic> &lt; 0\u00b70001), mean BMI (\u22120\u00b77 kg\/m<jats:sup>2<\/jats:sup>; <jats:italic>P<\/jats:italic> &lt; 0\u00b70001) and BMI-for-age percentile (\u22121\u00b77; <jats:italic>P<\/jats:italic> &lt; 0\u00b70001) at 6 months. Overall, children's intake of fruit and vegetables was &lt;400 g\/d throughout the intervention. After 6 months, higher fibre consumption and an apparent decrease in sugary soft drinks intake to a quarter of that observed at baseline (mean intake: 198 ml\/d at baseline), with improvements in physical activity levels and screen time &lt;2 h\/d, were also observed.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980013000244_abs6\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>The findings suggested that POZ is a promising intervention programme, at municipality level, to tackle childhood overweight and obesity.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980013000244","type":"journal-article","created":{"date-parts":[[2013,3,6]],"date-time":"2013-03-06T06:03:44Z","timestamp":1362549824000},"page":"1043-1051","source":"Crossref","is-referenced-by-count":27,"title":["Program Obesity Zero (POZ) \u2013 a community-based intervention to address overweight primary-school children from five Portuguese municipalities"],"prefix":"10.1017","volume":"16","author":[{"given":"Ana Isabel","family":"Rito","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Ana","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Ramos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"Breda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,3,6]]},"reference":[{"key":"S1368980013000244_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2003.10.021"},{"key":"S1368980013000244_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2004.06.044"},{"key":"S1368980013000244_ref36","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2003.200"},{"key":"S1368980013000244_ref52","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-11-119"},{"key":"S1368980013000244_ref30","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.089896"},{"key":"S1368980013000244_ref20","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2011.88"},{"key":"S1368980013000244_ref7","unstructured":"Borys J-M , Bodo YL , Henauw SD et al. 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