MEditerranean LIfestyle in Pediatric Obesity Prevention

Hypothesis A healthy lifestyle, based on the promotion of the Mediterranean dietary pattern and regular physical activity, decrease the likelihood of developing obesity and cardio-metabolic abnormalities during childhood and adolescence. Objectives To assess, in a cohort of children at high risk of obesity, if an intervention during childhood and adolescence, considering a healthy lifestyle based on the promotion of Mediterranean dietary pattern and regular physical activity, when compared with a control group Main objective 1. To decrease obesity incidence 5 and 10 years after the start of the intervention Secondary objectives 2. To improve body composition (Body mass index z-score, Fat mass index z-score, waist circumference) assessed in a yearly basis 3. To improve health-related physical fitness assessed in a yearly basis 4. To improve cardiovascular risk factor (classic and omics) associated with obesity 1, 3, 5 and 10 years after the start of the intervention Intermediary objectives 5. To increase the adherence to a Mediterranean dietary pattern 1, 3, 5 and 10 years after the start of the intervention 6. To increase the adherence to age-specific physical activity recommendations 1, 3, 5 and 10 years after the start of the intervention