Interventions focused on Physical Activity and Nutrition to combat obesity in children and adolescents. A scoping review
DOI:
https://doi.org/10.47197/retos.v69.114378Keywords:
Obesity, physical activity, nutrition, food and adolescentsAbstract
Introduction: Childhood and adolescent obesity represents a concerning global epidemic, driven by physical inactivity, sedentary lifestyles, and inadequate eating habits.
Objective: To analyse the effectiveness of interventions focusing on physical activity and nutrition in the prevention and treatment of childhood and adolescent obesity.
Methodology: A search for scientific studies published up to January 2025 was conducted using PubMed, Web of Science, and Scopus databases. The keywords used were: Children OR Adolescent AND Obesity AND Exercise AND Nutrition AND Prevention. All articles that evaluated the effect of exercise and nutrition interventions focused on obesity prevention in children and adolescents were included. The search strategy yielded 491 studies, of which 8 met the eligibility criteria.
Results: Evidence shows that most young people do not meet the World Health Organization (WHO) recommendation of 60 minutes of daily moderate to vigorous physical activity, which is directly related to sedentary behavior and excessive screen time, factors that contribute to the increasing prevalence of obesity. Interventions that combine nutritional education, increased physical activity, and reduced screen time show efficacy, although current programs often lack long-term sustainability.
Conclusion: Comprehensive and sustained approaches involving schools, families, and communities within a health education model are needed. Thus, addressing overweight and obesity as a public health problem requires a multifaceted approach that includes improvements in nutrition, increased physical activity, and education to reduce sedentary behaviors.
References
Alvarado Molina, Nadia, Guzmán Sierra, Diana, Ureña Retana, Ivannia, & Fernández Rojas, Xinia. (2020). Evaluación de una intervención educativa para mejorar el consumo de frutas, vegetales y la ac-tividad física de docentes en tres centros educativos públicos en Costa Rica. Población y Salud en Mesoamérica, 18(1), 302-330. https://dx.doi.org/10.15517/psm.v18i1.40821
Ang, Y. N., Wee, B. S., Poh,. K., & Ismail, M. N. (2013). Multifactorial influences of childhood obesity. Cu-rrent Obesity Reports, 2, 10-22. https://doi.org/10.1007/s13679-012-0042-7
Barja-Fernández, Silvia, Pino Juste, Margarita, Portela Pino, Iago, & Leis, Rosaura. (2020). Evaluación de los hábitos de alimentación y actividad física en escolares gallegos. Nutrición Hospitalaria, 37(1), 93-100. https://dx.doi.org/10.20960/nh.02668.
Calderón García, A., Marrodán Serrano, M. D., Villarino Marín, A., & Martínez Álvarez, J. R. (2019). Valo-ración del estado nutricional y de hábitos y preferencias alimentarias en una población infanto-juvenil (7 a 16 años) de la Comunidad de Madrid. Nutrición Hospitalaria, 36(2), 394-404. https://dx.doi.org/10.20960/nh.2244
Cortés-Roco, G., Vesga-Oviedo, S., Hurtado-Almonacid, J., Gallardo-Rodríguez, R., Páez-Herrera, J., Re-yes-Amigo, T., & Yañez Sepulveda, R. A. (2025). Efecto de un programa integral de actividad fí-sica sobre la condición física, el sedentarismo y el tiempo de pantalla en escolares. (Effect of a comprehensive physical activity program on physical fitness, sedentary lifestyle and screen time in schoolchildren). Retos, 63, 778–790. https://doi.org/10.47197/retos.v63.109391
Farinola, M. G., & Bazán, N. E. (2011). Conducta sedentaria y actividad física en estudiantes universita-rios: un estudio piloto. Revista Argentina de Cardiología, 79(4),351-354. https://www.redalyc.org/articulo.oa?id=305326988008
Fernández Rojas, Xinia, Blanco Hernández, Deidamia, Zúñiga Escobar, Marianela, Masis Carazo, Gabrie-la, & Barrantes Montoya, Azálea María. (2020). Efectividad del modelo Póngale vida para la prevención de la obesidad infantil en escolares del cantón de La Unión, Costa Rica. Población y Salud en Mesoamérica, 18(1), 351-377. https://dx.doi.org/10.15517/psm.v18i1.40816
Flores-Castro, O., & González Urrutia, R. (2020). Caracterización de la intervención educativa realizada por estudiantes de nutrición en escuelas públicas del cantón de La Unión para la prevención de la obesidad y la promoción de la salud. Población y Salud en Mesoamérica, 18(1), 494-522. https://dx.doi.org/10.15517/psm.v18i1.40765
García-Hernández M., Besana-Danieles, R (2024). Eficacia de una intervención educativa escolar para la prevención de la obesidad infantil. Nure Investigación, 21 (128). https://doi.org/10.58722/nure.v21i128.2431
Garcia-Continente, X., Allué, N., Pérez-Giménez, A., Ariza, C., Sánchez-Martínez, F., López, M., Nebot, M (2015). Hábitos alimentarios, conductas sedentarias y sobrepeso y obesidad en adolescentes de Barcelona. Anales de Pediatría, 83(1):3-10. https://www.analesdepediatria.org/es-habitos-alimentarios-conductas-sedentarias-sobrepeso-articulo-S169540331
Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2020). Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million partici-pants. The Lancet. Child & adolescent health, 4(1), 23–35. https://doi.org/10.1016/S2352-4642(19)30323-2
Heimsoth, E., Szabo, G (2022). Save the Children International, Save the Children US. https://resourcecentre.savethechildren.net/document/global-girlhood-report-2022-girls-on-the-frontline/
Jakicic, J. M., Apovian, C. M., Barr-Anderson, D. J., Courcoulas, A. P., Donnelly, J. E., Ekkekakis, P., Hop-kins, M., Lambert, E. V., Napolitano, M. A., & Volpe, S. L. (2024). Physical Activity and Excess Body Weight and Adiposity for Adults. American College of Sports Medicine Consensus State-ment. Medicine and science in sports and exercise, 56(10), 2076–2091. https://doi.org/10.1249/MSS.0000000000003520
Kawalec, A., Mozrzymas, R., Domżol, A., Zachurzok, A., Szczepańska, M., Noczyńska, A., & Zwolińska, D. (2024). Physical Activity and Its Potential Determinants in Obese Children and Adolescents un-der Specialist Outpatient Care—A Pilot Cross-Sectional Study. Healthcare, 12(2), 260. mail-to:https://doi.org/10.3390/healthcare12020260
Kerr, J. A., Patton, G. C., Cini, K. I., Abate, Y. H., Abbas, N., Abd Al Magied, A. H., ... & Azzolino, D. (2025). Global, regional, and national prevalence of child and adolescent overweight and obesity, 1990–2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021. The Lancet. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)00397-6/fulltext
Kraus, W. E., Janz, K. F., Powell, K. E., Campbell, W. W., Jakicic, J. M., Troiano, R. P., Sprow, K., Torres, A., Piercy, K. L., & 2018 PHYSICAL ACTIVITY GUIDELINES ADVISORY COMMITTEE* (2019). Daily Step Counts for Measuring Physical Activity Exposure and Its Relation to Health. Medicine and science in sports and exercise, 51(6), 1206–1212. https://doi.org/10.1249/MSS.0000000000001932
King, J. E., Jebeile, H., Garnett, S. P., Baur, L. A., Paxton, S. J., & Gow, M. L. (2020). Physical activity based pediatric obesity treatment, depression, self-esteem and body image: A systematic review with meta-analysis. Mental Health and Physical Activity, 19, 100342. https://doi.org/10.1016/j.mhpa.2020.100342
Lin, X., & Li, H. (2021). Obesity: Epidemiology, Pathophysiology, and Therapeutics. Frontiers in endo-crinology, 12, 706978. https://doi.org/10.3389/fendo.2021.706978
Maldonado Soto, J., Castillo-Quezada, H., Hernandez Mosqueira, C., & Sandoval-Obando, E. (2023). Efec-tividad de programas de intervención escolar orientada la reducción de la obesidad infantil: Una revisión sistemática (Effectiveness of school intervention programs to reduce childhood obesi-ty). Retos, 47, 603–609. https://doi.org/10.47197/retos.v47.95928
Martínez Díaz, Juan Daniel, Ortega Chacón, Verónica, & Muñoz Ronda, Francisco José. (2016). El diseño de preguntas clínicas en la práctica basada en la evidencia: modelos de formulación. Enfermería Global, 15(43), 431-438. Recuperado en 08 de marzo de 2025, de http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412016000300016&lng=es&tlng=es.
Monteiro, C. A., Moubarac, J. C., Cannon, G., Ng, S. W., & Popkin, B. (2013). Ultra-processed products are becoming dominant in the global food system. Obesity reviews : an official journal of the Inter-national Association for the Study of Obesity, 14 Suppl 2, 21–28. https://doi.org/10.1111/obr.12107
Navidad Cobo, L., Villodres, G. C., & Padial-Ruz, R. (2025). Efecto de un programa de actividad física y educación nutricional para la mejora de hábitos saludables en educación primaria. Retos, 64, 479–506. https://doi.org/10.47197/retos.v64.109226
Naciones Unidas. (2021). Objetivos de Desarrollo Sostenible: 17 objetivos para transformar nuestro mundo. https://www.un.org/sustainabledevelopment/es/
Organización Panamericana de la Salud (2020). Monitoreo del progreso en las ENT. https://www.paho.org/es/temas/enfermedades-no-transmisibles/monitoreo-progreso-ent
Parra-Escartín, Belén, & Villalobos, Felipe. (2020). Evaluación de los hábitos dietéticos y niveles de ac-tividad física en adolescentes escolares: un estudio transversal. Revista Española de Nutrición Humana y Dietética, 24(4), 357-365. Epub 25 de octubre de 2021.https://dx.doi.org/10.14306/renhyd.24.4.1045.
Piggin, J. (2020). What is physical activity? A holistic definition for teachers, researchers and policy makers. Frontiers in sports and active living, 2, 72. https://doi.org/10.3389/fspor.2020.00072
Pulido, R. O., & Ramírez Ortega, M. L. (2020). Actividad física, cognición y rendimiento escolar: una breve revisión desde las neurociencias (Physical Activity, cognition, and academic performan-ce: a brief review from the neurosciences). Retos, 38, 868–878. https://doi.org/10.47197/retos.v38i38.72378
Roldán González, E., Orozco Bolaños, N. A., Ortiz Cabrera, M. F., Hurtado Otero, M. L., & Orozco Torres, M. A. (2025). Efectos del ejercicio físico y educación en salud sobre los comportamientos se-dentarios y hábitos alimenticios en escolares con sobrepeso y obesidad. Retos, 64, 541–559. https://doi.org/10.47197/retos.v64.102540
Sanchez-Urrea, A., & Izquierdo Rus, T. (2021). Factores socioeconómicos que influyen en la salud nutri-cional y actividad física de escolares (Influence of socioeconomic factors in the health state of primary education students). Retos, 40, 95–108. https://doi.org/10.47197/retos.v1i40.81106
Schröder, H., Fitó, M., Estruch, R., Martínez-González, M. A., Corella, D., Salas-Salvadó, J., Lamuela-Raventós, R., Ros, E., Salaverría, I., Fiol, M., Lapetra, J., Vinyoles, E., Gómez-Gracia, E., Lahoz, C., Serra-Majem, L., Pintó, X., Ruiz-Gutierrez, V., & Covas, M. I. (2011). A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. The Journal of nutrition, 141(6), 1140–1145. https://doi.org/10.3945/jn.110.135566
Spear, B. A., Barlow, S. E., Ervin, C., Ludwig, D. S., Saelens, B. E., Schetzina, K. E., & Taveras, E. M. (2007). Recommendations for treatment of child and adolescent overweight and obesity. Pediatrics, 120 Suppl 4, S254–S288. https://doi.org/10.1542/peds.2007-2329F
Story, M., Kaphingst, K. M., & French, S. (2006). The role of schools in obesity prevention. The Future of children, 16(1), 109–142. https://doi.org/10.1353/foc.2006.0007
Tricco, A. C., Lillie, E., Zarin, W., O'Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Hors-ley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., Lewin, S., … Straus, S. E. (2018). PRISMA Extension for Scoping Re-views (PRISMA-ScR): Checklist and Explanation. Annals of internal medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850
Yañez Sepulveda, R. A., Castillo-Catalán, R., Castro-Figueroa, F., Silva-Minetto, C., Cortés-Roco, G., Hurta-do-Almonacid, J., Páez-Herrera, J., Reyes-Amigo, T., & Zavala Crichton, J. P. (2024). Tiempo en pantalla, tiempo sedentario y clima escolar en tiempo de pandemia en estudiantes entre 11 y 14 años de la región de Valparaíso, Chile (Screen time, sedentary time and school climate level in times of pandemic in students between 11 and 14 years of age in the Valparaíso Region). Retos, 53, 367–373. https://doi.org/10.47197/retos.v53.101316
Ward, Z. J., Willett, W. C., Hu, F. B., Pacheco, L. S., Long, M. W., & Gortmaker, S. L. (2022). Excess mortali-ty
associated with elevated body weight in the USA by state and demographic subgroup: a modelling study. Clinical Medicine, 48. https://www.thelancet.com/journals/eclinm/article/PIIS2589-53702200159-6/fulltext
Wang, D., & Stewart, D. (2013). The implementation and effectiveness of school-based nutrition pro-motion programmes using a health-promoting schools approach: a systematic review. Public health nutrition, 16(6), 1082–1100. https://doi.org/10.1017/S1368980012003497
WHO. Global Strategy on Diet, Physical Activity and Health. World Health Organization; Geneva, Swit-zerland: 2019.
World Health Organization (WHO). Health promoting schools [Internet]. [citado 7 de octubre de 2024]. Disponible en: https://www.who.int/health-topics/health-promoting-schools
World Health Organization (WHO). New WHO-led study says majority of adolescents worldwide are not sufficiently physically active [Internet]. 2019 [citado 7 de octubre de 2024]. Disponible en: https://www.who.int/news/item/22-11-2019-new-who-led-study-says-majority-of-adolescents-worldwide-are-not-sufficiently-physically-active-putting-their-current-and-future-health-at-risk
Wijtzes, A. I., van de Gaar, V. M., van Grieken, A., de Kroon, M. L., Mackenbach, J. P., van Lenthe, F. J., Jan-sen, W., & Raat, H. (2017). Effectiveness of interventions to improve lifestyle behaviors among socially disadvantaged children in Europe. European journal of public health, 27(2), 240–247. https://doi.org/10.1093/eurpub/ckw136
World Obesity Federation. World Obesity Atlas 2023. World Obesity Federation; London, UK: 2023. https://www.worldobesity.org/resources/resource-library/world-obesity-atlas-2023
Zhou, X. D., Chen, Q. F., Yang, W., Zuluaga, M., Targher, G., Byrne, C. D., ... & Zheng, M. H. (2024). Burden of disease attributable to high body mass index: an analysis of data from the Global Burden of Disease Study 2021. Clinical Medicine, 76. https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00427-9/fulltext
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Raúl González-Carrera, José Adrián Montenegro-Espinosa, Héctor Gutiérrez-Espinoza, Rodrigo Yáñez-Sepúlveda, Jorge Olivares-Arancibia, Guillermo Cortés-Roco, Juan José Pérez-Soto, José Francisco López-Gil

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.