{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:49:50Z","timestamp":1760147390290,"version":"build-2065373602"},"reference-count":39,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"ANID (National Agency for Research and Development)","award":["11170395"],"award-info":[{"award-number":["11170395"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Chronic non-communicable diseases (NCDs) are a public health problem that affect the quality of life and well-being of people, especially the youth, who have been identified as a high-risk population. Physical inactivity is a key risk factor for NCDs, and an unhealthy diet is a significant driver of NCDs. On the other hand, physical exercise and healthy habits are effective methods of prevention. Although there are scales that measure different behaviors related to NCDs, most of them have been developed in another language (e.g., English) or only focus on one aspect of NCDs. The present study aimed to develop a scale to assess healthy behaviors (i.e., healthy eating and physical exercise) in Spanish-speaking university students, using an instrumental design, with a sample of 369 Chilean university students between 18 and 25 years of age. The results presented show evidence of validity through an exploratory structural equation model (ESEM), reliability estimation through McDonald\u2019s omega and Cronbach\u2019s alpha, evidence of invariance by sex, and evidence of validity in relation to other variables with an SEM model. It is concluded that the Healthy Behavior Scale, consisting of nine items to measure healthy eating and physical exercise, is a brief instrument with evidence of reliability and validity (CFI = 0.998; TLI = 0.995; and RMSEA = 0.063) for application in a Spanish-speaking university population, offering potential applications in research instruments, screening studies, and the development of new studies for other contexts.<\/jats:p>","DOI":"10.3390\/ijerph20032627","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T05:04:48Z","timestamp":1675227888000},"page":"2627","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Development of a Scale to Measure Healthy Behaviors in Spanish-Speaking University Students"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6870-8326","authenticated-orcid":false,"given":"Carla","family":"Semir-Gonz\u00e1lez","sequence":"first","affiliation":[{"name":"Escuela de Psicolog\u00eda y Filosof\u00eda, Universidad de Tarapac\u00e1, Arica 1020000, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5407-3158","authenticated-orcid":false,"given":"Rodrigo","family":"Ferrer-Urbina","sequence":"additional","affiliation":[{"name":"Escuela de Psicolog\u00eda y Filosof\u00eda, Universidad de Tarapac\u00e1, Arica 1020000, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Suazo-Navarro","sequence":"additional","affiliation":[{"name":"Escuela de Psicolog\u00eda y Filosof\u00eda, Universidad de Tarapac\u00e1, Arica 1020000, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catalina","family":"Flores-Denegri","sequence":"additional","affiliation":[{"name":"Escuela de Psicolog\u00eda y Filosof\u00eda, Universidad de Tarapac\u00e1, Arica 1020000, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darinka","family":"Bolados","sequence":"additional","affiliation":[{"name":"Escuela de Psicolog\u00eda y Filosof\u00eda, Universidad de Tarapac\u00e1, Arica 1020000, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joaqu\u00edn","family":"Rosales","sequence":"additional","affiliation":[{"name":"Escuela de Psicolog\u00eda y Filosof\u00eda, Universidad de Tarapac\u00e1, Arica 1020000, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geraldy","family":"Sep\u00falveda-P\u00e1ez","sequence":"additional","affiliation":[{"name":"Escuela de Psicolog\u00eda y Filosof\u00eda, Universidad de Tarapac\u00e1, Arica 1020000, Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,1]]},"reference":[{"key":"ref_1","unstructured":"Organizaci\u00f3n Mundial de la Salud (2022, December 20). Enfermedades No Transmisibles. Available online: https:\/\/www.who.int\/es\/news-room\/fact-sheets\/detail\/noncommunicable-diseases."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Echeverr\u00eda, G., Tiboni, O., Berkowitz, L., Pinto, V., Samith, B., von Schultzendorff, A., Pedrals, N., Bitran, M., Ruini, C., and Ryff, C.D. (2020). Mediterranean Lifestyle to Promote Physical, Mental, and Environmental Health: The Case of Chile. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17228482"},{"key":"ref_3","unstructured":"Institute for Health Metrics and Evaluation (2021, November 13). Chile. Available online: http:\/\/www.healthdata.org\/chile."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.tem.2019.11.010","article-title":"Science and Health Policies to Tackle Chronic Diseases in Chile","volume":"31","author":"Bambs","year":"2020","journal-title":"Trends Endocrinol. Metab."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Castillo-Paredes, A., Inostroza Jim\u00e9nez, N., Parra-Sald\u00edas, M., Palma-Leal, X., Felipe, J.L., P\u00e1gola Aldazabal, I., D\u00edaz-Mart\u00ednez, X., and Rodr\u00edguez-Rodr\u00edguez, F. (2021). Environmental and Psychosocial Barriers Affect the Active Commuting to University in Chilean Students. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18041818"},{"key":"ref_6","first-page":"5591662","article-title":"Consumption of Deep-Fried Food and Its Association with Cardiovascular Risk Factors among First-Year Students in a Chilean University","volume":"2021","author":"Flores","year":"2021","journal-title":"Nutr. Metab."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1080\/07448481.2020.1741593","article-title":"Association between eating habits and quality of life among Chilean university students","volume":"70","author":"Lanuza","year":"2022","journal-title":"J. Am. Coll. Health"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Mello Rodrigues, V., Bray, J., Fernandes, A.C., Luci Bernardo, G., Hartwell, H., Secchi Martinelli, S., Lazzarin Uggioni, P., Barletto Cavalli, S., and Proen\u00e7a, R.P.d.C. (2019). Vegetable Consumption and Factors Associated with Increased Intake among College Students: A Scoping Review of the Last 10 Years. Nutrients, 11.","DOI":"10.3390\/nu11071634"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e1077","DOI":"10.1016\/S2214-109X(18)30357-7","article-title":"Worldwide trends in insufficient physical activity from 2001 to 2016: A pooled analysis of 358 population-based surveys with 1\u00b79 million participants","volume":"6","author":"Guthold","year":"2018","journal-title":"Lancet Glob. Health"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"21702","DOI":"10.1038\/s41598-021-01167-9","article-title":"Prevalence and co-occurrence of lifestyle risk factors for non-communicable diseases according to sociodemographic characteristics among adults Chilean residents","volume":"11","author":"Aburto","year":"2021","journal-title":"Sci. Rep."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2973","DOI":"10.1590\/1413-81232020258.32762018","article-title":"Doen\u00e7as Cr\u00f4nicas N\u00e3o Transmiss\u00edveis e fatores de risco e prote\u00e7\u00e3o em adultos com ou sem plano de sa\u00fade","volume":"25","author":"Malta","year":"2020","journal-title":"Ci\u00eanc. Sa\u00fade Coletiva"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"90","DOI":"10.28917\/ism.2018-v2-90","article-title":"El MERCOSUR frente a las enfermedades cr\u00f3nicas no transmisibles (ECNT)","volume":"2","author":"Tobar","year":"2018","journal-title":"Rev. MERCOSUR Pol\u00edticas Soc."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"653","DOI":"10.4067\/S0717-75182019000500653","article-title":"Una de cada cinco muertes en el mundo se asocian a una alimentaci\u00f3n no saludable: \u00bfCu\u00e1l es la realidad chilena?","volume":"46","author":"Leiva","year":"2019","journal-title":"Rev. Chil. Nutr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s41043-018-0152-2","article-title":"Dietary habits and metabolic risk factors for non-communicable diseases in a university undergraduate population","volume":"37","author":"Olatona","year":"2018","journal-title":"J. Health Popul. Nutr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.smhs.2019.08.006","article-title":"Physical Activity, Exercise, and Chronic Diseases: A Brief Review","volume":"1","author":"Anderson","year":"2019","journal-title":"Sport. Med. Health Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1186\/1479-5868-8-98","article-title":"Systematic review of sedentary behaviour and health indicators in school-aged children and youth","volume":"8","author":"Tremblay","year":"2011","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_17","unstructured":"American Educational Research Association, American Psychological Association, and National Council on Measurement in Education (2014). Standards for Educational and Psychological Testing, American Educational Research Association."},{"key":"ref_18","unstructured":"Jessor, R., Costa, F.M., and Turbin, T. (2003). 2 Survey of Personal and Social Development, Colorado University Press, Institute of Behavioral Science."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/1479-5868-11-30","article-title":"Escala de clima de salud familiar (escala FHC): Desarrollo y validaci\u00f3n","volume":"11","author":"Niermann","year":"2014","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e12207","DOI":"10.1111\/jspn.12207","article-title":"Psychometric testing of the healthy eating and physical activity self-efficacy questionnaire and the healthy eating and physical activity behavior recall questionnaire for children","volume":"23","author":"Lassetter","year":"2018","journal-title":"J. Spec. Pediatr. Nurs."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1071\/PY11107","article-title":"The Healthy Lifestyle Scale for University Students: Development and psychometric testing","volume":"18","author":"Dong","year":"2004","journal-title":"Aust. J. Prim. Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1017\/S0140525X10000725","article-title":"Beyond WEIRD: Towards a broad-based behavioral science","volume":"33","author":"Henrich","year":"2010","journal-title":"Behav. Brain Sci."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"249","DOI":"10.5354\/0719-5281.2014.33915","article-title":"Dise\u00f1o y validaci\u00f3n de un cuestionario de h\u00e1bitos de vida de alimentaci\u00f3n y actividad f\u00edsica para escolares de 8-12 a\u00f1os","volume":"18","author":"Guerrero","year":"2014","journal-title":"Rev. Chil. Salud P\u00fablica"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1590\/S1135-57272012000300005","article-title":"Dise\u00f1o y validaci\u00f3n de dos escalas para medir la actitud hacia la alimentaci\u00f3n y la actividad f\u00edsica durante la adolescencia","volume":"86","year":"2012","journal-title":"Rev. Espa\u00f1ola Salud P\u00fablica"},{"key":"ref_25","first-page":"1038","article-title":"Un sistema de clasificaci\u00f3n de los dise\u00f1os de investigaci\u00f3n en psicolog\u00eda","volume":"29","author":"Ato","year":"2013","journal-title":"An. Psicol. Ann. Psychol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"227","DOI":"10.4067\/S0717-95022017000100037","article-title":"T\u00e9cnicas de Muestreo sobre una Poblaci\u00f3n a Estudio","volume":"35","author":"Otzen","year":"2017","journal-title":"Int. J. Morphol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2515245920918253","DOI":"10.1177\/2515245920918253","article-title":"Power Analysis for Parameter Estimation in Structural Equation Modeling: A Discussion and Tutorial","volume":"4","author":"Wang","year":"2021","journal-title":"Adv. Methods Pract. Psychol. Sci."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1177\/1094428114555994","article-title":"Cronbach\u2019s coefficient alpha: Well known but poorly understood","volume":"18","author":"Cho","year":"2015","journal-title":"Organ. Res. Methods"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"a494","DOI":"10.1136\/bmj.a494","article-title":"Changing perceptions of weight in Great Britain: Comparison of two population surveys","volume":"337","author":"Johnson","year":"2008","journal-title":"BMJ (Clin. Res. Ed.)"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1080\/10705510903008204","article-title":"Exploratory structural equation modeling","volume":"16","author":"Asparouhov","year":"2009","journal-title":"Struct. Equ. Model. A Multidiscip. J."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1080\/10705511.2014.915373","article-title":"A comparison of diagonal weighted least squares robust estimation techniques for ordinal data","volume":"21","author":"DiStefano","year":"2014","journal-title":"Struct. Equ. Model."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1080\/10705511.2014.934850","article-title":"Using exploratory factor analysis to determine the dimensionality of discrete responses","volume":"22","author":"Barendse","year":"2015","journal-title":"Struct. Equ. Model. A Multidiscip. J."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1016\/j.sapharm.2016.06.006","article-title":"Update to core reporting practices in structural equation modeling","volume":"13","author":"Schreiber","year":"2017","journal-title":"Res. Soc. Adm. Pharm."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1037\/a0026802","article-title":"Bayesian structural equation modeling: A more flexible representation of substantive theory","volume":"17","author":"Asparouhov","year":"2012","journal-title":"Psychol. Methods"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1080\/10705510701301834","article-title":"Sensitivity of goodness off itindex estolack of measurement invariance","volume":"14","author":"Chen","year":"2007","journal-title":"Struct. Equ. Model."},{"key":"ref_36","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Social Sciences, Lawrence Erlbaum Associates."},{"key":"ref_37","first-page":"788","article-title":"The importance of physical activity, food and fitness for human health and life\u2014A review","volume":"7","author":"Manimozhi","year":"2018","journal-title":"Asian J. Multidimens. Res. (AJMR)"},{"key":"ref_38","first-page":"1345","article-title":"Asociaci\u00f3n entre factores de riesgo cardiometab\u00f3licos, actividad f\u00edsica y sedentarismo en universitarios chilenos","volume":"34","author":"Morales","year":"2017","journal-title":"Nutr. Hosp."},{"key":"ref_39","first-page":"251","article-title":"Eating habits and physical condition of physical education students","volume":"41","author":"Duran","year":"2014","journal-title":"Rev. Chil. Nutr."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/3\/2627\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:20:53Z","timestamp":1760120453000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/3\/2627"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,1]]},"references-count":39,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["ijerph20032627"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20032627","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2023,2,1]]}}}