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The aim of this study was to describe the goals, activities, and methods of EUMOVE project in developing a set of resources targeting both primary and secondary schools that allow the entire educational community to promote healthy lifestyles (HL). The EUMOVE project is an Erasmus+ program based in the Creating Active Schools (CAS) framework. The project lasted 3 years and was developed by 14 academic and non-governmental institutions from Spain, Portugal, France, Italy, and the UK. EUMOVE was divided into three phases. In the first phase, several work packages were carried out aimed to ensure the coordination/management of the project activities. In the second phase, seven educational resources strengthened by rigorous scientific research were developed to promote HL from schools. During the last phase, all the resources were disseminated through scientific seminars, workshops with families and teachers, and the online promotion by the non-governmental institutions of each country. The EUMOVE project developed and promoted a smartphone APP, video/activity repository of physically active lessons, active break virtual platform, learning units, and parent/teachers/school-leaders' guidelines to promote physical activity, active commuting, active school playgrounds, healthy diet, and sleep habits. To our knowledge, EUMOVE is the first European project to provide a set of practical tools based on scientific evidence to help schools or future school-wide interventions implement a paradigm shift based on the CAS framework for the promotion of HL. Future research will need to investigate the implementation, effectiveness, and scalability of this proposal. [ABSTRACT FROM AUTHOR]

Background: The aim of this study was to examine associations of total volume and bouts of sedentary time (ST) and moderate to vigorous physical activity (MVPA) with physical fitness (PF) in youth. Methods: This was a 2-year follow-up study with 1418 children and adolescents (51.7% boys). Accelerometers were used to assess ST and MVPA. Cardiorespiratory and muscular fitness values were objectively measured and combined in a global PF variable. Weight status was objectively obtained. Linear regression analyses were used to examine the cross-sectional (using scores at baseline) and longitudinal associations (using the change in the variables) of total volume and bouts of ST and MVPA with PF. Results: Total ST was negatively associated with global PF (β = −0.488, P <.001 in cross-sectional analysis; β = −0.234, P =.003 in longitudinal analysis). However, this association was not independent of MVPA. Total volume of MVPA showed a positive association with global PF independently of ST and weight status (β = 0.285, P <.001 in cross-sectional analysis; β = 0.119, P =.001 in longitudinal analysis). Longitudinal associations found between ST and MVPA accumulated in bouts of various lengths and global PF became nonsignificant when their respective total volumes are included in the model. Conclusions: These results underline the need to accumulate minutes of MVPA, regardless of the bout duration, to increase PF levels in youth. [ABSTRACT FROM AUTHOR]

Background: According to the current physical activity (PA) recommendations, children should accumulate 60 minutes of moderate to vigorous PA (MVPA) throughout the day, 30 minutes of MVPA during the school hours, and 50% of the recess time in MVPA. Our aim was to examine the temporal trends of accelerometer-based PA during the previously mentioned day segments and the proportion of children who met the PA recommendations. Methods: This was a cross-sectional study with 2 independent samples: 499 fourth graders (49.2% females) in 2011–2012 and 364 fourth graders (46.9% females) in 2017–2018. Hip-worn accelerometers were used to assess PA. Results: A decline in light PA, moderate PA, vigorous PA, MVPA, and total PA during whole day, and in the rate of compliance with daily MVPA recommendations in males (P <.01) was observed from 2011–2012 to 2017–2018. Females decreased their daily light PA and moderate PA (P <.05). A decline in all PA variables during school hours in both sexes (P <.05) and in the rate of compliance with the 30 minutes of MVPA recommended during school hours in males (P <.001) were observed. There were no differences in PA during recesses. Conclusions: Interventions are needed to attenuate the temporal decrease in PA levels in children. [ABSTRACT FROM AUTHOR]

The current study evaluated longitudinal associations between profile transitions of context-specific sedentary behaviour (SB) and changes in academic performance (AP) among school-aged youth. Participants were 466 children and 717 adolescents (50.8% males) aged 8–18 years (children = 7.92 ± 0.41 years; adolescents = 11.85 ± 1.53 years). Non-school SBs and AP were evaluated at baseline and two years later. General linear mixed models were implemented, controlling for age, region, parental education, body mass index, and cardiorespiratory fitness. Cross-sectionally, participants with an Educative-profile (i.e., highest scores in doing homework with/without computer and reading for fun) had higher AP when compared to other profiles. Longitudinally, males who changed from a Screen- to an Educative-profile had higher AP than males who changed from an Educative- to a Social- or Screen-SB profile (p < 0.01). No significant differences were found in females. These findings show the importance of analysing SB patterns from a qualitative perspective (i.e., context-specific for boosting school children AP) and highlighting time spent in educative as the most positive for AP, as well the need to implement interventions to reduce time on screen and social behaviours, especially targeting males. [ABSTRACT FROM AUTHOR]

The aims of this study were (i) to examine the sedentary time (ST) during different time periods [i.e., weekend, out-of-school weekdays hours, school hours, recess, physical education classes (PEC)] in children and adolescents; (ii) to identify 2-year longitudinal changes in the ST for these periods; and (iii) to examine if ST at baseline is associated with ST 2 years later. This was a 2-year follow-up study with 826 (51.9% boys) children and 678 (50.7% boys) adolescents. Accelerometers were used to assess ST. Students spent more than 60% of their weekend, out-of-school hours and school hours in ST. During these periods, girls and adolescents were more sedentary than boys and children, respectively (p < 0.05). Over 2-year follow-up, ST increased during the weekend, out-of-school hours, school hours and recess in all subgroups studied (p < 0.001). ST during PEC declined 2% per year in children (p < 0.001) but it increased in adolescents (p < 0.05). ST during the periods analysed at baseline was lowly associated with ST during these periods 2 years later (intraclass correlations from <0.001 to 0.364). Interventions in these settings may be adequate if the intention is to avoid ST increase in students. [ABSTRACT FROM AUTHOR]

BACKGROUND The aims were to: (1) examine the levels of physical activity (PA) during different time periods (ie, daily PA, school hour PA, recess PA, physical education classes [PEC] PA) in children and adolescents; and (2) identify the rate of compliance with the specific PA recommendations for these time periods. METHODS: The participants were 1925 (940 girls) children and adolescents from 40 Spanish schools. Hip‐worn accelerometers were used to assess PA during different time periods. RESULTS: Boys and children were more physically active and had a greater percentage meeting the daily PA recommendation and the school‐based PA recommendation than girls and adolescents, respectively. Compliance with daily PA recommendation was markedly higher than that with the school‐based PA recommendation, regardless of sex and age groups (ie, 80.4% vs 24.1% for daily and school‐based PA recommendations, respectively, in child boys). A very low percentage (ie, 9.7% and 1.2% of child boys with almost 50% of moderate‐to‐vigorous PA during recess and PEC, respectively) of students reached the recommended PA levels for recess and PEC. CONCLUSIONS: Physical activity levels during school hours, recess, and PEC in children and adolescents are very low. Promoting PA in school settings is essential, especially in girls and adolescents. [ABSTRACT FROM AUTHOR]

The study aimed (a) to examine changes in physical activity (PA) during the whole day, school hours, recess, and physical education classes (PEC) during a 2‐year period in primary and secondary students; (b) to identify changes in the proportion of compliance with specific PA recommendations for these periods; and (c) to examine whether PA levels at baseline are associated with PA levels 2 years later. Eight hundred and fourteen (51.8% boys) children and 658 (50.1% boys) adolescents from 41 Spanish schools participated in the study. Hip‐worn accelerometers were used to assess PA during different time periods. Light PA (LPA) declined during the whole day, school hours, recess (all P < 0.001, except child girls for recess), and PEC (all, P < 0.05) in children and adolescents. Moderate‐to‐vigorous PA (MVPA) during the whole day and recess declined in child boys (P < 0.01 and P < 0.001, respectively) and adolescent boys (P < 0.001 and P < 0.05, respectively). MVPA during PEC declined in adolescent boys (P < 0.001) and adolescent girls (all P < 0.05). The proportion of compliance with the specific PA recommendations for these periods declined (P < 0.05), except for PEC in adolescent girls. PA during the whole day at baseline was moderately associated with PA during the whole day years later (ICCs = 0.210‐0.544, with one exception), but this association was lower for the school‐based PA. In conclusion, time spent in MVPA and LPA during the whole day and recess declined over time in child and adolescent boys and during PEC in adolescents. These findings highlight the need to promote PA interventions in these settings. [ABSTRACT FROM AUTHOR]

The aim was to examine the degree of satisfaction with Physical Education (PE) of Spanish teenagers and to determine whether there are differences according to gender, age, physical activity or body type. A total of 2293, 12-16 year-old adolescents participated in this cross-sectional study. The data collection instruments were the School Questionnaire and the Adolescent Physical Activity Measure (MVPA). Participants were categorised as normal-weight or overweight (including obese). Results showed that 62% of participants reported a high level of liking for PE and 69.2% showed high enjoyment levels. Girls and younger students showed higher satisfaction with PE. Being overweight had a more negative impact on PE satisfaction than physical inactivity itself. Normal-weight teenagers were more widely accepted than their overweight classmates in PE lessons. Physically inactive normal-weight boys and girls were more likely to perceive that teachers had a favourable opinion of them than their physically active overweight classmates. [ABSTRACT FROM AUTHOR]

The aim of the study was to assess the effects that a steps/day programme may have on body mass index (BMI) among primary education students (11.37±0.48 years). A six-week controlled trial with a follow-up was completed with an experimental group (N=66, pedometer + steps/day programme + reinforcement programme in their physical education (PE) marks + weekly follow-up in PE), and a control group (N=76). Omron HJ-152-E2 pedometers were used. Normoweight students complied with programme requirements to a greater extent than their overweight counterparts (72.7 vs 59.1%). The programmed minimum number of 12,000 steps/day for boys and 10,000 for girls was exceeded by 83% of boys and 60% of girls. The differences in the number of steps/day between boys (14,274) and girls (10,626) were significant across all the measured periods (p<.05). The results show that the teenagers who complied with the programme requirements reduced their BMI significantly after the intervention (p<.001) and this reduction persisted for six weeks after the programme (p<.001). In conclusion, the six-week programme of 12,000 steps/day for boys and 10,000 for girls, jointly with a reinforcement programme in their PE marks and weekly follow-up by their PE teacher, reduces BMI significantly in 11-12-year-old schoolchildren. Monitored steps/day programmes in the PE curriculum increase out-of-school physical activity and reduce BMI in 11-12-year-old schoolchildren. [ABSTRACT FROM AUTHOR]

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Background and objectives: This study examined the association of physical activity and sedentarism with tobacco and alcohol consumption, and adherence to the Mediterranean diet in teenagers of both genders. Methods: A total number of 1897 Spanish teenagers (12-16 year-olds) took part in the present cross-sectional study. The variables were measured by means of questionnaires previously validated for these ages. Results: Physical activity was positively associated to the degree of adherence to the Mediterranean diet for both genders (β = .144, P < .001 for boys and β = .066, P < .05 for girls), and inversely associated to smoking for boys (β = -.135, P = < .001). Sedentary behaviors for leisure purposes (TV and PC) were negatively associated to adherence to the Mediterranean diet for both boys (β = -.100 and β = -.104, both P < .05, respectively) and girls (β = -.148 and β = -.141, both P < .001), and positively associated to alcohol consumption for girls (β = .114, P < .01 and β = .199, P < .001, respectively). Conclusion: results suggest that physical activity and sedentary behaviors have an important relationship with the adherence to the Mediterranean diet in teenagers. Also, higher levels of physical activity in boys can lead to reduced tobacco use, while watching TV and PC leisure can lead to increased alcohol consumption in girls. [ABSTRACT FROM AUTHOR]

The aim of this study was to examine the association between physical self-concept and physical activity, the intention to be physically active, life satisfaction, and adherence to the Mediterranean diet in adolescents. A total of 1,808 Spanish adolescents (12-16 years of age) participated in this cross-sectional study. Physical Self Questionnaire, Moderate-to-Vigorous Physical Activity Screening Measure, Intention to be Physically Active Scale, Satisfaction with Life Scale, and Mediterranean Diet Quality Index were administered. The boys with a lower physical self-concept showed higher odd ratios of being inactive, having low intentions of being physically active, poor life satisfaction and low adherence to the Mediterranean diet. Similarly, most of the associations were also statistically significant in girls as well. In conclusion, the study reveals that having a low level of physical self-concept increases the risk of being inactive and of having a low level of intention to be physically active, life satisfaction and adherence to the Mediterranean diet in adolescents. [ABSTRACT FROM AUTHOR]

Background: The Mediterranean diet is one of the healthier diet models. Mediterranean food patterns are suffering a deterioration that can especially affect children and adolescents. Objective: Determine adherence to the Mediterranean diet in adolescents of southern Spain and its relationship with the residence area, sex, age, life satisfaction, anthropometry, and habits of physical activity and sedentary activities. Methodology: A total of 1973 adolescents (11-18 years) of southern Spain participated in this descriptive crosssectional study. Cut-off value between rural and urban locations was 10000 inhabitants. Adherence to the Mediterranean diet was calculated from the KIDMED questionnaire. Life satisfaction, physical activity, and sedentary activities also were measured through valid and reliable questionnaires. Body mass index and % body fat were measured using the TANITA BC-420-S body analyzer. Results: 30.9% of the adolescents reported an optimal quality diet, percent higher in rural locations (P < 0.05). Adherence was lower in older adolescents (P < 0.001), it was not different between sexes or according to anthropometric variables. Adolescents more satisfied with their lives (P < 0.001), more active (P < 0.001), more studious (P < 0.001), and less sedentary in front of a screen (P < 0.001) showed greater adherence to the Mediterranean food pattern. Conclusion: The majority of adolescents need to improve their nutritional quality. Compared with these subjects, the adolescents most adherent to the Mediterranean diet had a healthier lifestyle and they showed greater life satisfaction. [ABSTRACT FROM AUTHOR]