Regional healthy lifestyle programs in the Spanish school context: a scoping review based on the NAOS Strategy

Authors

DOI:

https://doi.org/10.55040/47whrn73

Keywords:

adolescence, NAOS Strategy, physical activity, healthy eating, school context

Abstract

Promoting healthy lifestyle habits during adolescence is an educational and public health priority due to its influence on students’ present and future well-being. In Spain, the NAOS Strategy provides an institutional framework aimed at promoting balanced nutrition and regular physical activity among school-aged populations. The aim of this study was to analyze, through a scoping review, regional programs and initiatives promoting healthy lifestyle habits among adolescents in the Spanish school context, assessing their documentary alignment with the objectives of the NAOS Strategy and describing their main characteristics, available resources, and evaluation and follow-up systems. A scoping review was conducted through a systematic search of the institutional websites of the 17 Autonomous Communities, applying previously established inclusion and exclusion criteria. Variables related to objectives, contents, resources, documentary availability, evaluation, and follow-up were analyzed. The results identified 13 Healthy Lifestyle Programs and 32 complementary resources, unevenly distributed across territories. A high documentary presence of contents related to awareness-raising, nutrition education, and physical activity promotion was observed, whereas evaluation and follow-up showed insufficient development. It is concluded that the Autonomous Communities show broad availability of institutional initiatives linked to the NAOS Strategy, although relevant shortcomings remain in systematization, documentary transparency, and program evaluation.

References

Adriaanse, M. A., Vinkers, C. D., De Ridder, D. T., Hox, J. J., & De Wit, J. B. (2011). Do implementation intentions help to eat a healthy diet? A systematic review and meta-analysis of the empirical evidence. Appetite, 56(1), 183–193. https://doi.org/10.1016/j.appet.2010.10.012

Agencia Española de Seguridad Alimentaria y Nutrición. (2005). Estrategia para la nutrición, actividad física y prevención de la obesidad (NAOS). Ministerio de Sanidad y Consumo. https://www.aesan.gob.es/AECOSAN/docs/documentos/nutricion/estrategianaos.pdf

Agencia Española de Seguridad Alimentaria y Nutrición. (2019). Prevalencia de sobrepeso y obesidad en España en el informe “The heavy burden of obesity” de la OCDE (2019) y en otras fuentes de datos. https://www.aesan.gob.es/AECOSAN/docs/documentos/nutricion/observatorio/Resumen_resultados_informe_OCD-NAOS.pdf

Andrades, K., Faúndez, C., Carreño, J., López, M., Sobarzo, F., Valderrama, C., Villar, N., Castillo, F., & Westphal, G. (2022). Relación entre actividad física, rendimiento académico y funciones ejecutivas en adolescentes. Revista Ciencias de la Actividad Física UCM, 23(2). https://doi.org/10.29035/rcaf.23.2.10

Anselmi, G. D., de Oliveira Barbosa, A. A., Ferrari, G., Fernandes, A. C. P., Araneda-Flores, J., González, D. A., Arancibia González, D., & Pizarro-Quevedo, T. (2025). Overview of systematic reviews on behavioral determinants of physical activity and healthy eating in schoolchildren. Scientific Reports, 15, Article 35379. https://doi.org/10.1038/s41598-025-19332-9

Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616

Azzopardi, P. S., Hearps, S. J., Francis, K. L., Kennedy, E. C., Mokdad, A. H., Kassebaum, N. J., & Patton, G. C. (2019). Progress in adolescent health and wellbeing. The Lancet, 393(10176), 1101–1118. https://doi.org/10.1016/S0140-6736(18)32427-9

Bailey, A. P., Hetrick, S. E., Rosenbaum, S., Purcell, R., & Parker, A. G. (2018). Treating depression with physical activity in adolescents. Psychological Medicine, 48(7), 1068–1083. https://doi.org/10.1017/S0033291717002653

Barja, S., Pino, M., Portela, I., & Leis, R. (2020). Evaluación de los hábitos de alimentación y actividad física en escolares gallegos. Nutrición Hospitalaria, 37(1), 93–100. https://doi.org/10.20960/nh.02668

Barnes, C., McCrabb, S., Stacey, F., Nathan, N., Yoong, S. L., Grady, A., Sutherland, R., Hodder, R., Innes-Hughes, C., Davies, M., & Wolfenden, L. (2021). Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: A systematic review. Translational Behavioral Medicine, 11(7), 1365–1410. https://doi.org/10.1093/tbm/ibab037

Bélanger-Gravel, A., Godin, G., & Amireault, S. (2013). A meta-analytic review of implementation intentions on physical activity. Health Psychology Review, 7(1), 23–54. https://doi.org/10.1080/17437199.2011.560095

Biddle, S. J. H., & Asare, M. (2011). Physical activity and mental health in children and adolescents. British Journal of Sports Medicine, 45(11), 886–895. https://doi.org/10.1136/bjsports-2011-090185

Biddle, S. J. H., García Bengoechea, E., & Wiesner, G. (2017). Sedentary behaviour and adiposity in youth: A systematic review of reviews and analysis of causality. International Journal of Behavioral Nutrition and Physical Activity, 14, Article 43. https://doi.org/10.1186/s12966-017-0497-8

Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., & Willumsen, J. F. (2020). WHO guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955

Burdette, A. M., Needham, B. L., Taylor, M. G., & Hill, T. D. (2017). Health lifestyles in adolescence. Journal of Health and Social Behavior, 58(4), 520–536. https://doi.org/10.1177/0022146517735313

Cabaco, A. S., Urchaga, J. D., Guevara, R. M., & Moral-García, J. E. (2021). Psychopathological risk factors and body image. Children, 8(2), 105. https://doi.org/10.3390/children8020105

Carrillo, P. J., Rosa, A., & García, E. (2021). Actividad física y calidad de la dieta en escolares. Revista Española de Nutrición Humana y Dietética, 25(1), 95–103. https://doi.org/10.14306/renhyd.25.1.1139

Chaput, J. P., Willumsen, J., Bull, F., Chou, R., Ekelund, U., Firth, J., & Katzmarzyk, P. T. (2020). WHO guidelines for children and adolescents. International Journal of Behavioral Nutrition and Physical Activity, 17(1). https://doi.org/10.1186/s12966-020-01037-z

Contento, I. R. (2016). Nutrition education: Linking research, theory, and practice. Jones & Bartlett Learning.

Dabravolskaj, J., Kalubi, J., Moore, J., Mandour, B. A., Honorato, C., Veugelers, P. J., & Maximova, K. (2025). Intervention activities and implementation strategies for school-based health promotion: Identifying core functions and forms to facilitate scale-up of an effective intervention. Global Implementation Research and Applications. https://doi.org/10.1177/26334895251385936

Health Behaviour in School-aged Children. (2018). HBSC study: Key findings. https://www.who.int/europe/initiatives/health-behaviour-in-school-aged-children-(hbsc)-study

Kickbusch, I. (2015). The political determinants of health. BMJ, 350. https://doi.org/10.1136/bmj.h81

Langford, R., Bonell, C. P., Jones, H. E., Pouliou, T., Murphy, S. M., Waters, E., Komro, K. A., Gibbs, L. F., Magnus, D., & Campbell, R. (2014). The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement. Cochrane Database of Systematic Reviews, 2014(4), CD008958. https://doi.org/10.1002/14651858.CD008958.pub2

Lozano, M. (2019). Estrategia de promoción de la salud en España. Revista de la Asociación Española de Investigación de la Comunicación, 6(11), 112–128.

Lubans, D. R., Richards, J., Hillman, C., Faulkner, G., Beauchamp, M., Nilsson, M., & Biddle, S. (2016). Physical activity and mental health in youth. Pediatrics, 138(3). https://doi.org/10.1542/peds.2016-1642

Malik, V. S., Li, Y., Pan, A., De Koning, L., Schernhammer, E., Willett, W. C., & Hu, F. B. (2019). Sugar-sweetened beverages and weight gain. American Journal of Clinical Nutrition, 98(4), 1084–1102. https://doi.org/10.3945/ajcn.113.058362

Mozaffarian, D., & Forouhi, N. G. (2018). Dietary guidelines and health. BMJ, 360. https://doi.org/10.1136/bmj.k822

Patterson, R., McNamara, E., Tainio, M., De Sá, T. H., Smith, A. D., Sharp, S. J., & Wijndaele, K. (2018). Sedentary behaviour and mortality. European Journal of Epidemiology, 33(9), 811–829. https://doi.org/10.1007/s10654-018-0380-1

Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., & Bonell, C. (2016). Adolescent health and wellbeing. The Lancet, 387(10036), 2423–2478. https://doi.org/10.1016/S0140-6736(16)00579-1

Pérez, I. J., Tercedor, P., & Delgado, M. (2015). Programas escolares de actividad física. Nutrición Hospitalaria, 32(2), 534–554.

Pérez-Romero, N., Sánchez, C., & Sabarit, A. (2023). Programas de actividad física y mejora cognitiva. Apuntes de Psicología, 41(1), 29–48. https://doi.org/10.55414/ap.v41i1.1526

Prestwich, A., Webb, T. L., & Conner, M. (2015). Using theory to develop and test interventions to promote changes in health behaviour: Evidence, issues, and recommendations. Current Opinion in Psychology, 5, 1–5. https://doi.org/10.1016/j.copsyc.2015.02.011

Rhodes, R. E., McEwan, D., & Rebar, A. L. (2019). Behaviour change theories in physical activity. Psychology of Sport and Exercise, 42, 100–109. https://doi.org/10.1016/j.psychsport.2018.11.010

Sánchez, W. G. V., Arias, E. A. A., Galvis, F. H. M., Cardona, D., & Pulido, S. (2023). Habilidades motrices y concentración. Retos, 48, 511–518. https://doi.org/10.47197/retos.v48.94077

Santos, F., Sousa, H., Gouveia, É. R., Lopes, H., Peralta, M., Martins, J., Murawska-Ciałowicz, E., Żurek, G., & Marques, A. (2023). School-based family-oriented health interventions to promote physical activity in children and adolescents: A systematic review. American Journal of Health Promotion, 37(2), 243–262. https://doi.org/10.1177/08901171221113836

Talens, C., da Quinta, N., Adebayo, F. A., Erkkola, M., Heikkilä, M., Bargiel-Matusiewicz, K., Ziółkowska, N., Rioja, P., Łyś, A. E., Santa Cruz, E., & Meinilä, J. (2025). Mobile- and web-based interventions for promoting healthy diets, preventing obesity, and improving health behaviors in children and adolescents: Systematic review of randomized controlled trials. Journal of Medical Internet Research, 27, e60602. https://doi.org/10.2196/60602

Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, 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., Godfrey, C. M., Macdonald, M. T., Langlois, E. V., Soares-Weiser, K., Moriarty, J., Clifford, T., Tunçalp, Ö., & Straus, S. E. (2018). PRISMA-ScR: Checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850

World Health Organization. (2018). Adolescent mental health. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health

World Health Organization. (2020). Guidelines on physical activity and sedentary behaviour. https://www.who.int/publications/i/item/9789240015128

World Health Organization. (2021). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

World Health Organization. (2022). Healthy diet and physical activity recommendations. https://www.who.int/news-room/fact-sheets/detail/healthy-diet

Wu, J., Yang, Y., Yu, H., Li, L., Chen, Y., & Sun, Y. (2023). Comparative effectiveness of school-based exercise interventions on physical fitness in children and adolescents: A systematic review and network meta-analysis. Frontiers in Public Health, 11, 1194779. https://doi.org/10.3389/fpubh.2023.1194779

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2026-08-01

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