{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T14:37:19Z","timestamp":1771339039145,"version":"3.50.1"},"reference-count":91,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T00:00:00Z","timestamp":1648684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: The alarming increase in childhood obesity is a global public health problem since it has significant health consequences. This cross-sectional study aimed to identify the potentially modifiable risk factors for developing excess weight and determine the importance of developing certain habits to prevent childhood overweight and obesity. Methods: The sample included 416 students between the ages of 12 and 14 (12.8 \u00b1 0.62) first-year high school students from Murcia in Spain. Data were collected on their lifestyle habits through the ENHASA questionnaire, and the somatometry of the participants was measured. Such data were studied through structural equation modeling and importance-performance map analyses. Results: The modifiable risk factors that presented the greatest potency directly regarding when developing excess weight in adolescents were \u2018use of electronic devices\u2019 and \u2018not performing physical activity\u2019 (p &lt; 0.001). \u2018Social and school environment\u2019 and \u2018diet\u2019 showed relationships but no significant differences with overweight or obesity. Globally, the lifestyle habit of the greatest importance for not being overweight was \u2018engagement in extracurricular physical activities\u2019. On the other hand, the habits related to using new technologies in a sedentary way showed the best capacity for improvement. Therefore, it would be very efficient to focus on them to control excess weight. Conclusion: Responsible and limited use of screens and engaging in extracurricular physical activities may be the most remarkable and cost-effective strategies for obesity prevention programs.<\/jats:p>","DOI":"10.3390\/ijerph19074124","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T21:33:03Z","timestamp":1648762383000},"page":"4124","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Influence of Lifestyle Habits in the Development of Obesity during Adolescence"],"prefix":"10.3390","volume":"19","author":[{"given":"Pedro Juan","family":"Carpena Lucas","sequence":"first","affiliation":[{"name":"Pediatric Service, Hospital Virgen del Castillo, 30510 Murcia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0556-7239","authenticated-orcid":false,"given":"Francisco","family":"S\u00e1nchez-Cubo","sequence":"additional","affiliation":[{"name":"Department of Political Economy and Public Finance, Economic and Business Statistics and Economic Policy, Faculty of Social Sciences, University of Castilla-La Mancha, 16007 Cuenca, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9701-8148","authenticated-orcid":false,"given":"Manuel","family":"Vargas Vargas","sequence":"additional","affiliation":[{"name":"Faculty of Economic and Business Sciences, University of Castilla-La Mancha, 02006 Albacete, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6161-0214","authenticated-orcid":false,"given":"Jos\u00e9","family":"Mond\u00e9jar Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Department of Statistics, Faculty of Social Sciences in Cuenca, University of Castilla-La Mancha, 16007 Cuenca, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2022, February 20). Obesity: Preventing and Managing the Global Epidemic: Report of a WHO Consultation. Available online: https:\/\/apps.who.int\/iris\/handle\/10665\/42330."},{"key":"ref_2","first-page":"16","article-title":"Epidemiolog\u00eda Del Sobrepeso y La Obesidad En Ni\u00f1os y Adolescentes","volume":"179","author":"Sandoval","year":"2008","journal-title":"Rev. Posgrado VIa C\u00e1tedra Med."},{"key":"ref_3","unstructured":"World Health Organization (2022, February 15). Consideration of the Evidence on Childhood Obesity for the Commission on Ending Childhood Obesity: Report of the Ad Hoc Working Group on Science and Evidence for Ending Childhood Obesity. Available online: https:\/\/apps.who.int\/iris\/handle\/10665\/206549."},{"key":"ref_4","unstructured":"World Health Organization (2022, March 20). Sixty-Fifth World Health Assembly. Available online: https:\/\/apps.who.int\/gb\/DGNP\/pdf_files\/A65_REC1-en.pdf."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2627","DOI":"10.1016\/S0140-6736(17)32129-3","article-title":"Worldwide Trends in Body-Mass Index, Underweight, Overweight, and Obesity from 1975 to 2016: A Pooled Analysis of 2416 Population-Based Measurement Studies in 1289 Million Children, Adolescents, and Adults","volume":"390","author":"Bentham","year":"2017","journal-title":"Lancet"},{"key":"ref_6","unstructured":"(2021, October 20). Estudio ALADINO 2019: Estudio sobre Alimentaci\u00f3n, Actividad F\u00edsica, Desarrollo Infantil y Obesidad en Espa\u00f1a 2019. Available online: https:\/\/www.aesan.gob.es\/AECOSAN\/web\/nutricion\/detalle\/aladino_2019.htm."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e192430","DOI":"10.1001\/jamapediatrics.2019.2430","article-title":"Prevalence and Trends of Overweight and Obesity in European Children from 1999 to 2016: A Sys-tematic Review and Meta-Analysis","volume":"173","author":"Moreno","year":"2019","journal-title":"JAMA Pediatr."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1038\/ijo.2010.222","article-title":"Long-Term Impact of Overweight and Obesity in Childhood and Adolescence on Morbidity and Premature Mortality in Adulthood: Systematic Review","volume":"35","author":"Reilly","year":"2011","journal-title":"Int. J. Obes."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1038\/ijo.2009.61","article-title":"Childhood Obesity and Adult Cardiovascular Disease Risk: A Systematic Review","volume":"34","author":"Lloyd","year":"2010","journal-title":"Int. J. Obes."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1007\/s11892-014-0508-y","article-title":"Obesity and Type 2 Diabetes in Children: Epidemiology and Treatment","volume":"14","author":"Pulgaron","year":"2014","journal-title":"Curr. Diab. Rep."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1737","DOI":"10.1016\/S0140-6736(10)60171-7","article-title":"Childhood Obesity","volume":"375","author":"Han","year":"2010","journal-title":"Lancet"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1159\/000331996","article-title":"Presence of the Metabolic Syndrome in Obese Children at Prepubertal Age","volume":"58","author":"Olza","year":"2011","journal-title":"Ann. Nutr. Metab."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/S0140-6736(02)09678-2","article-title":"Childhood Obesity: Public-Health Crisis, Common Sense Cure","volume":"360","author":"Ebbeling","year":"2002","journal-title":"Lancet"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1016\/S0025-7753(02)72525-6","article-title":"Factores Metab\u00f3licos En La Poblaci\u00f3n Escolar Asociados a Mortalidad Cardiovascular En Los Adultos. Estudio Cuatro Provincias","volume":"118","author":"Benavente","year":"2002","journal-title":"Med. Clin."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/S0214-9168(05)73326-X","article-title":"Prevalencia de Factores de Riesgo Cardiovascular En La Infancia y Adolescencia: Estudio Carmona","volume":"17","author":"Almendro","year":"2005","journal-title":"Cl\u00ednica Investig. Arterioscler."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1111\/apa.14551","article-title":"Hypertension in Childhood Obesity","volume":"108","year":"2019","journal-title":"Acta Paediatr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1999","DOI":"10.1161\/01.CIR.0000161369.71722.10","article-title":"Overweight in Children and Adolescents: Pathophysiology, Consequences, Prevention, and Treatment","volume":"111","author":"Daniels","year":"2005","journal-title":"Circulation"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1097\/01.MPG.0000161147.16590.12","article-title":"Overweight Children and Adolescents: A Clinical Report of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition","volume":"40","author":"Baker","year":"2005","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"187","DOI":"10.4103\/2249-4863.154628","article-title":"Childhood Obesity: Causes and Consequences","volume":"4","author":"Bhadoria","year":"2015","journal-title":"J. Fam. Med. Prim. Care"},{"key":"ref_20","unstructured":"Hidalgo Vicario, M., Rodr\u00edguez Molinero, L., and Mu\u00f1oz Calvo, M.T. (2021). Medicina de La Adolescencia. Atenci\u00f3n Integral. Sociedad Espa\u00f1ola de Medicina de La Adolescencia (SEMA), Ergon. [3rd ed.]."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1053\/jhep.2003.50193","article-title":"Nonalcoholic Steatohepatitis: Summary of an AASLD Single Topic Conference","volume":"37","author":"Caldwell","year":"2003","journal-title":"Hepatology"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1093\/ije\/dyg108","article-title":"Relationship between Body Mass and Gastro-Oesophageal Reflux Symptoms: The Bristol Helicobacter Project","volume":"32","author":"Murray","year":"2003","journal-title":"Int. J. Epidemiol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1002\/j.1536-4801.2006.tb00012.x","article-title":"Relationship of Hepatic Steatosis to Adipose Tissue Distribution in Pediatric Nonalcoholic Fatty Liver Disease","volume":"42","author":"Fishbein","year":"2006","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.2106\/00004623-199308000-00002","article-title":"Acute Slipped Capital Femoral Epiphysis: The Importance of Physeal Stability","volume":"75","author":"Loder","year":"1993","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.fertnstert.2003.10.004","article-title":"Revised 2003 Consensus on Diagnostic Criteria and Long-Term Health Risks Related to Polycystic Ovary Syndrome","volume":"81","author":"Fauser","year":"2004","journal-title":"Fertil. Steril."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"205","DOI":"10.3928\/00904481-20130924-11","article-title":"Pediatric Obesity, Metabolic Syndrome, and Obstructive Sleep Apnea Syndrome","volume":"42","author":"Nevin","year":"2013","journal-title":"Pediatr. Ann."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1016\/S0022-3476(89)80738-3","article-title":"Sleep-Associated Breathing Disorders in Morbidly Obese Children and Adolescents","volume":"115","author":"Mallory","year":"1989","journal-title":"J. Pediatr."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1111\/obr.12245","article-title":"Longitudinal Impact of Sleep on Overweight and Obesity in Children and Adolescents: A Systematic Review and Bias-Adjusted Meta-Analysis","volume":"16","author":"Fatima","year":"2015","journal-title":"Obes. Rev."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1038\/ijo.2009.42","article-title":"Health-Related Quality of Life in Obese Children and Adolescents","volume":"33","author":"Tsiros","year":"2009","journal-title":"Int. J. Obes."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"82","DOI":"10.3109\/17477160903473697","article-title":"Self-Esteem and Quality of Life in Obese Children and Adolescents: A Systematic Review","volume":"5","author":"Griffiths","year":"2010","journal-title":"Int. J. Pediatric Obes."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1080\/00048670701787560","article-title":"Clustering of Psychosocial Symptoms in Overweight Children","volume":"42","author":"Gibson","year":"2008","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1001\/jama.293.1.70","article-title":"Health-Related Quality of Life of Overweight and Obese Children","volume":"293","author":"Williams","year":"2005","journal-title":"J. Am. Med. Assoc."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"S37","DOI":"10.1038\/ijo.2010.238","article-title":"Psychological Correlates of Childhood Obesity","volume":"34","author":"Puder","year":"2010","journal-title":"Int. J. Obes."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1161\/01.CIR.0000019555.61092.9E","article-title":"Cardiovascular Health in Childhood: A Statement for Health Professionals from the Committee on Atherosclerosis, Hypertension, and Obesity in the Young (AHOY) of the Council on Cardiovascular Disease in the Young, American Heart Association","volume":"106","author":"Williams","year":"2002","journal-title":"Circulation"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1136\/bmj.c6224","article-title":"Association between General and Central Adiposity in Childhood, and Change in These, with Cardiovascular Risk Factors in Adolescence: Prospective Cohort Study","volume":"341","author":"Lawlor","year":"2010","journal-title":"BMJ"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/S0140-6736(08)60269-X","article-title":"Body-Mass Index and Incidence of Cancer: A Systematic Review and Meta-Analysis of Prospective Observational Studies","volume":"371","author":"Renehan","year":"2008","journal-title":"Lancet"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1038\/s41366-021-01000-3","article-title":"Obesity during Childhood Is Associated with Higher Cancer Mortality Rate during Adulthood: The I3C Consortium","volume":"46","author":"Nuotio","year":"2022","journal-title":"Int. J. Obes."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1353\/foc.2006.0004","article-title":"The Consequences of Childhood Overweight and Obesity","volume":"16","author":"Daniels","year":"2006","journal-title":"Future Child."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e476","DOI":"10.1161\/01.CIR.0000140114.83145.59","article-title":"Prevention Conference VII: Obesity, a Worldwide Epidemic Related to Heart Disease and Stroke: Group III: Worldwide Comorbidities of Obesity","volume":"110","author":"Caterson","year":"2004","journal-title":"Circulation"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"2735","DOI":"10.1161\/CIRCULATIONAHA.105.169404","article-title":"Diagnosis and Management of the Metabolic Syndrome: An American Heart Association\/National Heart, Lung, and Blood Institute Scientific Statement","volume":"112","author":"Grundy","year":"2005","journal-title":"Circulation"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1177\/019027250606900202","article-title":"Body Weight and the Quality of Interpersonal Relationships","volume":"69","author":"Carr","year":"2016","journal-title":"Soc. Psychol. Q."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/j.1467-789X.2004.00133.x","article-title":"Obesity in Children and Young People: A Crisis in Public Health","volume":"5","author":"Lobstein","year":"2004","journal-title":"Obes. Rev. Suppl."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1177\/002214650404500403","article-title":"Body Mass Index, Academic Achievement, and School Context: Examining the Educational Experiences of Adolescents at Risk of Obesity","volume":"45","author":"Crosnoe","year":"2004","journal-title":"J. Health Soc. Behav."},{"key":"ref_44","unstructured":"(2022, January 10). UNICEF-WHO-The World Bank: Joint Child Malnutrition Estimates- Levels and Trends. Available online: https:\/\/data.unicef.org\/resources\/jme-report-2020\/."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1007\/s10654-008-9239-1","article-title":"Health-Economic Burden of Obesity in Europe","volume":"23","author":"Reinhold","year":"2008","journal-title":"Eur. J. Epidemiol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.1136\/bmj.39048.503750.BE","article-title":"Childhood Obesity","volume":"333","author":"Reilly","year":"2006","journal-title":"BMJ"},{"key":"ref_47","first-page":"99","article-title":"Family Influence on Childhood Excess Weith in the Region of Murcia, Spain","volume":"119","author":"Monreal","year":"2021","journal-title":"Argent. Pediatr."},{"key":"ref_48","unstructured":"World Health Organization (2022, February 20). The World Health Report 2002. Reducing Risks, Life, Promoting Healthy. Available online: https:\/\/apps.who.int\/iris\/handle\/10665\/67454."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1089\/chi.2020.0174","article-title":"Modifiable Early Childhood Risk Factors for Obesity at Age Four Years","volume":"17","author":"Malihi","year":"2021","journal-title":"Child. Obes."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"2224","DOI":"10.1016\/S0140-6736(12)61766-8","article-title":"A Comparative Risk Assessment of Burden of Disease and Injury Attributable to 67 Risk Factors and Risk Factor Clusters in 21 Regions, 1990-2010: A Systematic Analysis for the Global Burden of Disease Study 2010","volume":"380","author":"Lim","year":"2012","journal-title":"Lancet"},{"key":"ref_51","first-page":"CD001871","article-title":"Interventions for Preventing Obesity in Children (Review)","volume":"2","author":"Waters","year":"2011","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.anpedi.2016.03.012","article-title":"Intervenciones Cl\u00ednicas En Sobrepeso y Obesidad: Revisi\u00f3n Sistem\u00e1tica de La Literatura 2009\u20132014","volume":"86","author":"Rajmil","year":"2017","journal-title":"An. Pediatr."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"2422","DOI":"10.1002\/oby.20515","article-title":"School-Based Obesity Prevention Programs: A Meta-Analysis of Randomized Controlled Trials","volume":"21","author":"Rabinowitz","year":"2013","journal-title":"Obesity"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1111\/obr.12277","article-title":"What Childhood Obesity Prevention Programmes Work? A Systematic Review and Meta-Analysis","volume":"16","author":"Wang","year":"2015","journal-title":"Obes. Rev."},{"key":"ref_55","first-page":"CD012691","article-title":"Diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years","volume":"6","author":"Loveman","year":"2017","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Galan-Lopez, P., Sanchez-Oliver, A.J., Pihu, M., G\u00edslad\u00f3tt\u00edr, T., Dom\u00ednguez, R., and Ries, F. (2020). Association between Adherence to the Mediterranean Diet and Physical Fitness with Body Composition Parameters in 1717 European Adolescents: The Adoleshealth Study. Nutrients, 12.","DOI":"10.3390\/nu12010077"},{"key":"ref_57","first-page":"394","article-title":"Valoraci\u00f3n Del Estado Nutricional y de H\u00e1bitos y Preferencias Alimentarias En Una Poblaci\u00f3n Infanto-Juvenil (7 a 16 A\u00f1os) de La Comunidad de Madrid","volume":"36","author":"Villarino","year":"2019","journal-title":"Nutr. Hosp."},{"key":"ref_58","unstructured":"World Health Organization (2021, December 15). Global Strategy on Diet, Physical Activity and Health. Available online: https:\/\/www.who.int\/publications\/i\/item\/9241592222."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1136\/bjsports-2016-096224","article-title":"International Variability in 20 m Shuttle Run Performance in Children and Youth: Who Are the Fittest from a 50-Country Comparison? A Systematic Literature Review with Pooling of Aggregate Results","volume":"52","author":"Lang","year":"2018","journal-title":"Br. J. Sports Med."},{"key":"ref_60","first-page":"236","article-title":"Adherence to the Mediterranean Diet, and Importance of Physical Activity and Screen Time in Extremaduran High School Adolescents","volume":"38","year":"2020","journal-title":"Nutr. Hosp."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"e20162592","DOI":"10.1542\/peds.2016-2592","article-title":"Media Use in School-Aged Children and Adolescents","volume":"138","author":"Hill","year":"2016","journal-title":"Pediatrics"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"E108","DOI":"10.1111\/jpc.12041","article-title":"Television Viewing Behaviour among Pre-Schoolers: Implications for Public Health Recommendations","volume":"49","author":"Cox","year":"2013","journal-title":"J. Paediatr. Child Health"},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"AAP Council on Communications and Media (2016). Media and Young Minds. Pediatrics, 138, e20162591.","DOI":"10.1542\/peds.2016-2591"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"e20171603","DOI":"10.1542\/peds.2017-1603","article-title":"The Metabolic Syndrome in Children and Adolescents: Shifting the Focus to Cardiometabolic Risk Factor Clustering","volume":"140","author":"Magge","year":"2017","journal-title":"Pediatrics"},{"key":"ref_65","unstructured":"D\u00edez-Ga\u00f1\u00e1n, L., Gal\u00e1n-Labaca, I., Le\u00f3n-Dom\u00ednguez, C.M., and Zorrilla-Torras, B. (2022, March 21). Encuesta de Nutrici\u00f3n Infantil de La Comunidad de Madrid. Available online: https:\/\/www.comunidad.madrid\/sites\/default\/files\/doc\/sanidad\/encuesta_de_nutricion_infantil.pdf."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.anpedi.2014.07.006","article-title":"H\u00e1bitos Alimentarios, Conductas Sedentarias y Sobrepeso y Obesidad En Adolescentes de Barcelona","volume":"83","author":"Ariza","year":"2015","journal-title":"An. Pediatr."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"136.e1","DOI":"10.1016\/j.anpedi.2012.04.011","article-title":"Prevenci\u00f3n de La Obesidad Desde La Actividad F\u00edsica: Del Discurso Te\u00f3rico a La Pr\u00e1ctica","volume":"77","author":"Moreno","year":"2012","journal-title":"An. Pediatr."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1321","DOI":"10.3945\/jn.112.158154","article-title":"Obesity-Related Eating Behaviors Are Associated with Low Physical Activity and Poor Diet Quality in Spain","volume":"142","author":"Mesas","year":"2012","journal-title":"J. Nutr."},{"key":"ref_69","unstructured":"World Health Organization (2022, February 06). Obesity and Overweight. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1089\/chi.2020.0115","article-title":"Latent Class Analysis of Lifestyle Risk Factors and Association with Overweight and\/or Obesity in Children and Adolescents: Systematic Review","volume":"17","author":"Liberali","year":"2021","journal-title":"Child. Obes."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1111\/j.1651-2227.2007.00243.x","article-title":"Health-Related-Quality-of-Life in Obese Adolescents Is Decreased and Inversely Related to BMI","volume":"96","author":"Hofsteenge","year":"2007","journal-title":"Acta Paediatr."},{"key":"ref_72","first-page":"131","article-title":"Influence of overweight on the health-related quality of life in adolescents","volume":"82","author":"Herranz","year":"2015","journal-title":"An. Pediatr."},{"key":"ref_73","first-page":"209","article-title":"Factors associated with overweight and obesity in high school students","volume":"19","year":"2017","journal-title":"Rev. Pediatr. Aten. Primaria"},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Manzano-Carrasco, S., Felipe, J.L., Sanchez-Sanchez, J., Hernandez-Martin, A., Clavel, I., Gallardo, L., and Garcia-Unanue, J. (2020). Relationship between Adherence to the Mediterranean Diet and Body Composition with Physical Fitness Parameters in a Young Active Population. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17093337"},{"key":"ref_75","doi-asserted-by":"crossref","unstructured":"W\u00e4rnberg, J., P\u00e9rez-Farin\u00f3s, N., Benavente-Mar\u00edn, J.C., G\u00f3mez, S.F., Labayen, I., Zapico, A., Gusi, N., Aznar, S., Alcaraz, P.E., and Gonz\u00e1lez-Valeiro, M. (2021). Screen Time and Parents\u2019 Education Level Are Associated with Poor Adherence to the Mediterranean Diet in Spanish Children and Adolescents: The PASOS Study. J. Clin. Med., 10.","DOI":"10.3390\/jcm10040795"},{"key":"ref_76","first-page":"177","article-title":"Design and Validation of a Questionnaire to Study Healthy Habits among Adolescents Aged 12\u201314 Years","volume":"119","year":"2021","journal-title":"Arch. Argent. Pediatr."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.3945\/ajcn.2010.29786","article-title":"Global Prevalence and Trends of Overweight and Obesity among Preschool Children","volume":"92","author":"Borghi","year":"2010","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_78","first-page":"45","article-title":"Adiposity assessment from waist to height ratio: Prediction equations for Spanish infant population","volume":"31","author":"Ejeda","year":"2011","journal-title":"Nutr. Clin. y Diet. Hosp."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1093\/ajcn\/72.2.490","article-title":"Evaluation of Waist Circumference, Waist-to-Hip Ratio, and the Conicity Index as Screening Tools for High Trunk Fat Mass, as Measured by Dual-Energy X-Ray Absorptiometry, in Children Aged 3\u201319 Y","volume":"72","author":"Taylor","year":"2000","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_80","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, Lawrence Erlbaum Associates. [2nd ed.]."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1207\/s15327906mbr2603_7","article-title":"How Many Subjects Does It Take to Do a Regression Analysis?","volume":"26","author":"Green","year":"1991","journal-title":"Multivar. Behav. Res."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"1","DOI":"10.15585\/mmwr.ss6708a1","article-title":"Youth Risk Behavior Surveillance\u2014United States, 2017","volume":"67","author":"Kann","year":"2018","journal-title":"MMWR. Surveill. Summ."},{"key":"ref_83","first-page":"290","article-title":"Prevalence of overweight, obesity and abdominal obesity in the Spanish population aged 3 to 24 years. The ENPE study","volume":"73","year":"2020","journal-title":"Rev. Esp. Cardiol."},{"key":"ref_84","first-page":"1043","article-title":"Overweight and childhood obesity according to socioeconomic variables in third grade school-age children in the city of Barcelona","volume":"36","year":"2019","journal-title":"Nutr. Hosp."},{"key":"ref_85","first-page":"302","article-title":"Excess weight and abdominal obesity in Galician children and adolescents","volume":"89","author":"Leis","year":"2018","journal-title":"An. Pediatr."},{"key":"ref_86","first-page":"1129","article-title":"Adherence to the Mediterranean diet in rural and urban adolescents of southern Spain, life satisfaction, anthropometry, and physical and sedentary activities","volume":"28","author":"Nuviala","year":"2013","journal-title":"Nutr. Hosp."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/j.atherosclerosis.2011.04.003","article-title":"Very High Childhood Obesity Prevalence and Low Adherence Rates to the Mediterranean Diet in Greek Children: The GRECO Study","volume":"217","author":"Farajian","year":"2011","journal-title":"Atherosclerosis"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1007\/s00038-009-8054-0","article-title":"Urbanization Influences Dietary Habits of Cypriot Children: The CYKIDS Study","volume":"54","author":"Lazarou","year":"2009","journal-title":"Int. J. Public Health"},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1111\/obr.12420","article-title":"Social Influence in Childhood Obesity Interventions: A Systematic Review","volume":"17","author":"Jalali","year":"2016","journal-title":"Obes. Rev."},{"key":"ref_90","first-page":"159","article-title":"Relationship between modifiable risk factors and overweight in adolescents aged 12\u201314 years","volume":"95","year":"2021","journal-title":"An. Pediatr."},{"key":"ref_91","doi-asserted-by":"crossref","unstructured":"LeBlanc, A.G., Katzmarzyk, P.T., Barreira, T.V., Broyles, S.T., Chaput, J.P., Church, T.S., Fogelholm, M., Harrington, D.M., Hu, G., and Kuriyan, R. (2015). Correlates of Total Sedentary Time and Screen Time in 9\u201311 Year-Old Children around the World: The International Study of Childhood Obesity, Lifestyle and the Environment. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0129622"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/7\/4124\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:47:09Z","timestamp":1760136429000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/7\/4124"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,31]]},"references-count":91,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,4]]}},"alternative-id":["ijerph19074124"],"URL":"https:\/\/doi.org\/10.3390\/ijerph19074124","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,31]]}}}