Evidence map›Paper›PMID 41584738›Full record

ReviewJournal of nutrition and metabolism2026

The Effects of Physical Activity Together With Nutrition Programs in Educational Settings on Obesity and Overweight Reduction in Preschool Children: A Systematic Review of Randomized Controlled Trials.

Markel Rico-González, Adrián Moreno-Villanueva, Carlos D Gómez-Carmona, Jorge Carlos-Vivas, Suraiya Saleem

Abstract readReview
In one paragraph

Review in Journal of nutrition and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Markel Rico-GonzálezDepartment of Didactics of Music, Plastic and Body Expression, University of the Basque Country, UPV-EHU, Leioa, Spain.ORCID https://orcid.org/0000-0002-9849-0444
Adrián Moreno-VillanuevaFaculty of Health Science, University Isabel I, Burgos, 09003, Spain.ORCID https://orcid.org/0000-0002-7301-0619
Carlos D Gómez-CarmonaDepartment of Music, Plastic and Body Expression, Research Group in Training, Physical Activity and Sports Performance (ENFYRED), University of Zaragoza, Teruel, 44003, Spain, unizar.es.ORCID https://orcid.org/0000-0002-4084-8124
Jorge Carlos-VivasFaculty of Sport Sciences, Physical Activity for Education, Performance and Health (PAEPH) Research Group, University of Extremadura, Cáceres, 10003, Spain, unex.es.ORCID https://orcid.org/0000-0002-6377-9950
Suraiya SaleemDepartment of Didactics of Music, Plastic and Body Expression, University of the Basque Country, UPV-EHU, Leioa, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The first years of life are crucial to start preventive interventions that can have an impact on lifestyle and later overweight and obesity. Being obese during preschool years increases the likelihood of remaining obese as an adult and is associated with serious health conditions. Combined physical activity and nutritional interventions may produce synergistic effects on child development, but evidence from school-based programs is still limited. This systematic review investigated the impact of physical activity programs with simultaneous nutrition-related interventions in obese preschoolers. Methods: Systematic search across five databases (PubMed, ProQuest, SCOPUS, Web of Science, and SPORTDiscus) up to August 31, 2025. Randomized controlled trials examining combined in-preschool physical activity and nutrition-related interventions in preschool children recruited from educational settings were included. Methodological quality was rated using the RoB-2 scale. This systematic review was registered in PROSPERO. Conclusions: Combined preschool-based interventions integrating physical activity and nutrition show modest but consistent benefits in reducing BMI and improving dietary and behavioral outcomes in obese preschoolers. Family involvement and structural changes in the school environment appear to enhance effectiveness. Despite methodological limitations and heterogeneity across trials, evidence supports preschool years as a critical window for obesity prevention. Future studies should adopt standardized outcomes, longer follow-up, and cost-effectiveness analyses to inform large-scale implementation.

Indexed as

body compositionbone healthmicronutrientsmotor performanceschool-based interventionsynergistic effects

Identifiers

PMID41584738
PMCPMC12824873

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.