{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T03:03:17Z","timestamp":1760151797913,"version":"build-2065373602"},"reference-count":21,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T00:00:00Z","timestamp":1669766400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"FOUNDATION FOR SCIENCE AND TECHNOLOGY (FCT)","doi-asserted-by":"publisher","award":["SFRH\/BD\/79512\/2011","UIDB\/00317\/2020","UIDB\/04469\/2020"],"award-info":[{"award-number":["SFRH\/BD\/79512\/2011","UIDB\/00317\/2020","UIDB\/04469\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"name":"RESEARCH CENTRE ON CHILD STUDIES (R&amp;D Unit 317 of FCT","award":["SFRH\/BD\/79512\/2011","UIDB\/00317\/2020","UIDB\/04469\/2020"],"award-info":[{"award-number":["SFRH\/BD\/79512\/2011","UIDB\/00317\/2020","UIDB\/04469\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>This case study describes the impact of the \u2018Planning Health in School\u2019 programme (PHS-pro) on the nutritional status and lifestyle behaviours of two twins with obesity. As part of a larger research project involving 449 adolescents in grade-6, PHS-pro aims at preventing obesity and guiding children towards healthy behaviours. Twins were evaluated for anthropometric measurements\u2014height, weight, body mass index (BMI), waist circumference (WC), and lifestyle behaviours before (baseline) and after (8 months) PHS-pro and at a follow-up (one-year later). At the baseline, both twins were obese according to the international cut-off points of Cole. After PHS-pro, improvements in anthropometric parameters were found: the boy decreased his BMI by 10% and lost 9.0 cm in WC, while remaining obese; the girl decreased her BMI by 8% and lost 8.7 cm in WC, changing to the overweight category. At the follow-up, a slight increase in the anthropometric parameters was found in both twins; however, they did not return to the baseline values. The programme successfully promoted positive changes in behaviours and improved nutritional status, showing the long-term effects of the PHS-pro. Although it is a school-based intervention to prevent obesity, the PHS-pro is helpful in weight reduction even in children already with obesity.<\/jats:p>","DOI":"10.3390\/children9121866","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T04:05:24Z","timestamp":1669781124000},"page":"1866","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of the \u2018Planning Health in School\u2019 Programme on a Pair of Twins with Obesity"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6416-9142","authenticated-orcid":false,"given":"Margarida","family":"Vieira","sequence":"first","affiliation":[{"name":"Research Centre on Child Studies, University of Minho, 4710-057 Braga, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0034-1329","authenticated-orcid":false,"given":"Gra\u00e7a S.","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Research Centre on Child Studies, University of Minho, 4710-057 Braga, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,30]]},"reference":[{"key":"ref_1","first-page":"9","article-title":"Deaths and burden of chronic disease in Europe","volume":"Volume 20","author":"Busse","year":"2010","journal-title":"Tackling Chronic Disease in Europe: Strategies, Interventions and Challenges"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"GBD 2015 Obesity Collaborators (2017). 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