Inclusion criteria |
 Aged 8–12 years |
 Criteria for the classification of risk of T2D [1]a |
1. Obesity status according to the World Obesity Federation [24] 2. Overweight and the presence of at least one of the following metabolic abnormalities: 2.1. Family history of T2D in first- or second-degree relative; Signs of insulin resistance or conditions associated with insulin resistance (acanthosis nigricans, HOMA > 2.5, glucose between 100 and 125 mg/dL; Hypertension (systolic blood pressure ≥ 130 mmHg and/or diastolic blood pressure ≥ 85 mmHg); Dyslipidemia (HDL < 40 mg/dL, TG > 150 mg/dL); 2.2. Ethnic minority with higher risk |
 To have at least one parent or caregiver willing to participate in the program sessions |
Exclusion criteria |
 Not available for assessment and intervention sessions |
 Medical conditions or medications that would affect study results or limit physical exercise |