{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:45:59Z","timestamp":1769726759355,"version":"3.49.0"},"reference-count":91,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:00:00Z","timestamp":1699401600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Noncommunicable diseases and obesity are between the major health threat due to consumption of unhealthy foods and limited time spent on physical activities, a situation of particular concern among children. Since children spend most of their time at school, this study intends to investigate the effect of a school intervention program, which combines recreational football and nutrition education, on body composition, physical fitness, physical activity, blood pressure and heart rate, eating behaviours, nutritional knowledge, and psychological status in elementary school children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 67 children, between 7 and 10 years old, were allocated into three groups: the Football Group (FG) which held 2 weekly sessions of 60\u2005min of recreational football, the Nutrition and Football Group (NFG) which held 2 sessions per week of 60\u2005min of recreational football plus 60\u2005min of nutritional education and the Control Group (CG) which maintained its usual curriculum. The intervention lasted 12 weeks. All measurements were collected before and after the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Intervention groups significantly (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05) improved BMI Z-score, rest heart rate, horizontal jump and shuttle test, physical activity level, and psychosocial health. The NFG group significantly decreased (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05) waist-to-height ratio and blood pressure, and significantly increased (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05) nutritional knowledge, fruit, and fish consumption. While FG significantly decreased (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05) the percentage of fat mass and significantly increased (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05) muscle mass and performance in the 20\u2005m sprint.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The results have shown to improve nutritional status, explosive strength, aerobic and neuromuscular fitness, as well as increase the level of physical activity. The nutritional education sessions contributed to increase nutritional knowledge and to improve the consumption of healthy food groups in a ludic-educational way. The \u201cFootball and Nutrition for Health\u201d program was able to induce short-term improvements in several health markers, highlighting the role of the school curriculum in children's health.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2023.1251053","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T16:15:57Z","timestamp":1699546557000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Effects of \u201cFootball and Nutrition for Health\u201d program on body composition, physical fitness, eating behaviours, nutritional knowledge, and psychological status among 7 to 10 years school children"],"prefix":"10.3389","volume":"11","author":[{"given":"Micaela C.","family":"Morgado","sequence":"first","affiliation":[]},{"given":"M\u00f3nica","family":"Sousa","sequence":"additional","affiliation":[]},{"given":"Andr\u00e9 B.","family":"Coelho","sequence":"additional","affiliation":[]},{"given":"Susana","family":"Vale","sequence":"additional","affiliation":[]},{"given":"J\u00falio A.","family":"Costa","sequence":"additional","affiliation":[]},{"given":"Andr\u00e9","family":"Seabra","sequence":"additional","affiliation":[]}],"member":"1965","published-online":{"date-parts":[[2023,11,8]]},"reference":[{"key":"B1","volume-title":"WHO European regional obesity: Report 2022","year":"2022"},{"key":"B2","volume-title":"Report on the fifth round of data collection, 2018\u20132020: WHO European childhood obesity surveillance initiative (COSI)","year":"2022"},{"key":"B3","volume-title":"Childhood obesity surveillance initiative: COSI Portugal 2019","author":"Mendes","year":"2021"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/nu12082481","article-title":"A snapshot of European children\u2019s eating habits: results from the fourth round of the WHO European childhood obesity surveillance initiative (COSI)","volume":"12","author":"Williams","year":"2020","journal-title":"Nutrients"},{"key":"B5","volume-title":"WHO Guidelines on physical activity and sedentary behaviour","year":"2020"},{"key":"B6","volume-title":"Global action plan on physical activity 2018\u20132030: more active people for a healthier world","year":"2018"},{"key":"B7","volume-title":"Better food and nutrition in Europe: a progress report monitoring policy implementation in the WHO European region","year":"2018"},{"key":"B8","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1017\/S1368980011001935","article-title":"Food intake of European adolescents in the light of different food-based dietary guidelines: results of the HELENA (healthy lifestyle in Europe by nutrition in adolescence) study","volume":"15","author":"Diethelm","year":"2012","journal-title":"Public Health Nutr"},{"key":"B9","doi-asserted-by":"publisher","first-page":"3033","DOI":"10.3390\/nu14153033","article-title":"Eating behavior associated with food intake in European adolescents participating in the HELENA study","volume":"14","author":"Maneschy","year":"2022","journal-title":"Nutrients"},{"key":"B10","volume-title":"Incentives and disincentives for reducing sugar in manufactured foods: an exploratory supply chain analysis: a set of insights for member states in the context of the WHO European food and nutrition action plan 2015\u20132020","year":"2017"},{"key":"B11","doi-asserted-by":"publisher","first-page":"1166","DOI":"10.1136\/bjsports-2016-096266","article-title":"Small-sided football in schools and leisure-time sport clubs improves physical fitness, health profile, well-being and learning in children","volume":"50","author":"Krustrup","year":"2016","journal-title":"Br J Sports Med"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1394","DOI":"10.1136\/bjsports-2016-096124","article-title":"\u201cFIFA 11 for health\u201d for Europe. 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