Growing Up Happily in the Family" is a program to prevent child maltreatment targeted at parents of children aged 0-5 years old in at-risk psychosocial contexts. The program is delivered via either a group-based or a home-visit format. The objective of this study was to evaluate the impact of various implementation components in the home and group versions on changes in parental attitudes about child development and education. At-risk and non at-risk parents participated in the group-based (196 participants in 26 groups) and home-visit (95 participants) versions of the program delivered through local social services. We analyzed program adherence, adaptations, participant responsiveness, quality of delivery, and implementation barriers as predictors of changes in parental attitudes. The results showed that greater program adherence, better quality of delivery and participant responsiveness, and positive climate predicted changes in parental attitudes in both formats. Therefore, it is important to take into account the quality of the implementation process when testing the effectiveness of early group-based and home-visit interventions in at-risk families.

A reduction in mortality from CVD was noted. The largest rates were seen among men and in persons 75 years of age or older. The largest increases in mortality rates from IHD and AMI were seen in semi-urban and rural areas, among men, and in persons 75 years of age or older. Special attention should be paid to risk factors for CVD, such as smoking, arterial hypertension, overweight and obesity, sedentary habits, and an unhealthy diet.

"La obesidad afecta a más del 60% de los adultos costarricenses. Existe consenso en cuanto a que la acumulación de grasa en la región intraabdominal es un riesgo para las enfermedades cardiovasculares, y que la medición de la circunferencia abdominal es un indicador indirecto para su identificación."

Background: Sedentary lifestyle in children and adolescents has been associated in multiple investigations with lack of healthy recreation, low academic performance and socialization, drug use and a higher rate of violence. On the other hand, physical activity has been considered a protective factor for the prevention of non-communicable diseases and health promotion. Objective: To determine the association between sedentary or active behaviors and biopsychosocial factors of children and adolescents of Costa Rica. Materials and Methods: Descriptive cross-sectional study in a population of 2284 students from 64 educational centers (40 elementary schools and 24 high schools) in Costa Rica in 2016. A total of 1063 elementary students were interviewed and 1221 middle and high school students completed a validated and self-administered questionnaire under the supervision of the researchers. Information was collected on sociodemographic, anthropometric data, dietary, psychosocial factors and on sedentary behavior. Logistic regression models were performed to examine the association between biopsychosocial factors and sedentary or active lifestyles in children. Results: The study points out that more than half of the children and adolescents (52.0%) are sedentary and 64.0% do not follow the recommendations for the use of screen time. Only 44.0% are active and follow the screen time recommended. The characteristics of the children and adolescents who are sedentary and spend too much screen time are related to younger age, male sex, high socioeconomic status, and belong to an extended family structure (p < 0.05

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