A perspective on gamification as a strategy to promote adaptive eating behaviors in school-age children
DOI:
https://doi.org/10.32870/jbf.v5i10.97Keywords:
Adaptive eating behaviors, Gamification, Healthy eating, Healthy life program, Child and adolescent populationAbstract
The consumption of ultraprocessed food in Mexico has increased in recent years, exceeding the recommended intake. This trend has contributed to health problems in the population, along with a low consumption of fruits and vegetables among children and adolescents. In this context, the infant stage is key for establishing eating habits that promote health throughout life. However, traditional strategies for modifying eating behaviors in school populations have shown limited effectiveness. In response to these challenges, guidelines have been established for the sale of food in school environments in Mexico. This document proposes gamification as an innovative pedagogical strategy with the potential to complement public policies for healthy school nutrition. Through the analysis of the current regulatory framework, the theoretical foundations of eating behavior, and empirical evidence, the discussion explores how gamification can foster meaningful learning, stimulate intrinsic motivation, and strengthen the adoption of adaptive eating behaviors in children and adolescents. Oriented by pedagogical objectives and adapted to the school context, gamification can be a valuable tool for transforming the school food environment into a healthier, more educational and participatory space.
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References
Ahn, S. J. G., Johnsen, K., Robertson, T., Moore, J., Brown, S., Marable, A., y Basu, A. (2015). Using virtual pets to promote physical activity in children: An application of the youth physical activity promotion model. Journal of Health Communication, 20(7), 807-815. https://doi.org/10.1080/10810730.2015.1018597
Aldemir, T., Celik, B., y Kaplan, G. (2018). A qualitative investigation of student perceptions of game elements in a gamified course. Computers in Human Behavior, 78, 235-254. https://doi.org/10.1016/j.chb.2017.10.001
Alianza por la Salud Alimentaria. (2023, 20 de diciembre). ¿Qué pasará con la comida chatarra en la escuela? Esto dice la ley que entra en vigor. https://alianzasalud.org.mx/2023/12/que-pasara-con-la-comida-chatarra-en-la-escuela-esto-dice-la-ley-que-entra-en-vigor/
Álvarez-Sánchez, C., Contento, I., Jiménez-Aguilar, A., Koch, P., Gray, H. L., Guerra, L. A., Rivera-Dommarco, J., Uribe-Carvajal, R. y Shamah-Levy, T. (2018). Does the Mexican sugar-sweetened beverage tax have a signaling effect? ENSANUT 2016. PLOS ONE, 13(8), e0199337. https://doi.org/10.1371/journal.pone.0199337
Aresi, G., Giampaolo, M., Chiavegatti, B., y Marta, E. (2023). Process evaluation of food game: A gamified school-based intervention to promote healthier and more sustainable dietary choices. Journal of Prevention, 44(6), 705-727. https://doi.org/10.1007/s10935-023-00741-3
Bandura, A. (1986). Social Foundations of Thought and Action. Prentice Hall
Baranowski, T., Buday, R., Thompson, D. I., y Baranowski, J. (2008). Playing for real: Video games and stories for health-related behavior change. American Journal of Preventive Medicine, 34(1), 74-82.E10. https://doi.org/10.1016/j.amepre.2007.09.027
Baranowski, T., Baranowski, J., Chen, T.-A., Buday, R., Beltran, A., Dadabhoy, H., Ryan, C., y Lu, A. S. (2019). Videogames that encourage healthy behavior did not alter fasting insulin or other diabetes risks in children: randomized clinical trial. Games for Health Journal, 8(4), 257-264. https://doi.org/10.1089/g4h.2018.0097
Barata, G., Gama, S., Jorge, J., y Gonçalves, D. (2017). Studying student differentiation in gamified education: A long-term study. Computers in Human Behavior, 71, 550-585. https://doi.org/10.1016/j.chb.2016.08.049
Bell, B. M., Martinez, L., Gotsis, M., Lane, H. C., Davis, J. N., Antunez-Castillo, L., Ragusa, G., y Spruijt-Metz, D. (2018). Virtual Sprouts: A virtual gardening pilot intervention increases self-efficacy to cook and eat fruits and vegetables in minority youth. Games for Health Journal, 7(2), 127-135. https://doi.org/10.1089/g4h.2017.0102
Berger, V., y Schrader, U. (2016). Fostering sustainable nutrition behavior through gamification. Sustainability, 8(1), 67. https://doi.org/10.3390/su8010067
Bernal-Gómez, S. J., López-Espinoza, A., Aguilera-Cervantes, V. G., Housn, F. E., Martínez-Rodríguez, T. Y., y Mora Vergara, A. P. (2022). ¿Cuál es la relación entre las emociones, la alimentación y la salud? Alternativas Cubanas en Psicología, 10(29), 80–90. https://acupsi.org/cual-es-la-relacion-entre-las-emociones-la-alimentacion-y-la-salud/
Calvert, S., Dempsey, R. C., y Povey, R. (2019). Delivering in-school interventions to improve dietary behaviours amongst 11- to 16-year-olds: A systematic review. Obesity Reviews, 20(4), 543-553. https://doi.org/10.1111/obr.12797
Chow, C. Y., Riantiningtyas, R. R., Kanstrup, M. B., Papavasileiou, M., Liem, G. D., y Olsen, A. (2020). Can games change children’s eating behaviour? A review of gamification and serious games. Food Quality and Preference, 80, 103823. https://doi.org/10.1016/j.foodqual.2019.103823
Colchero, M. A., Popkin, B. M., Rivera, J. A. y Ng, S. W. (2016). Beverage purchases from stores in Mexico under the excise tax on sugar sweetened beverages: observational study. BMJ, 352, h6704. https://doi.org/10.1136/bmj.h6704
Currier, J. (2008, noviembre 5). Gamification: Game Mechanics is the New Marketing. Ooga Labs. https://blog.oogalabs.com/2008/11/05/gamification-game-mechanics-is-the-new-marketing/
de la Cruz, L. y Garduño, J. (2021). Bebidas azucaradas: la batalla contra el sobrepeso y la obesidad en México. Revista Digital Universitaria, 22(3). https://doi.org/10.22201/cuaieed.16076079e.2021.22.3.6
DeSmet, A., Shegog, R., Van Ryckeghem, D., Crombez, G., y De Bourdeaudhuij, I. (2015). A Systematic review and meta-analysis of interventions for sexual health promotion involving serious digital games. Games for Health Journal, 4(2), 78-90. https://doi.org/10.1089/g4h.2014.0110
Dignan, A. (2011). Game Frame: Using Games as a Strategy for Success. Simon and Schuster.
Espinosa-Curiel, I. E., Pozas-Bogarin, E. E., Hernández-Arvizu, M., Navarro-Jiménez, M. E., Delgado-Pérez, E. E., Martínez-Miranda, J., y Pérez-Espinosa, H. (2022). HelperFriend, a serious game for promoting healthy lifestyle behaviors in children: Design and pilot study. JMIR Serious Games, 10(2), e33412. https://doi.org/10.2196/33412
Espinosa-Curiel, I. E., Pozas-Bogarin, E. E., Lozano-Salas, J. L., Martínez-Miranda, J., Delgado-Pérez, E. E., y Estrada-Zamarron, L. S. (2020). Nutritional education and promotion of healthy eating behaviors among Mexican children through video games: design and pilot test of FoodRateMaster. JMIR Serious Games, 8(2), e16431. https://doi.org/10.2196/16431
Fathi Najafi, T., Andaroon, N., Bolghanabadi, N., Sharifi, N., y Dashti, S. (2025). Gamification in midwifery education: A systematic review. BMC Medical Education, 25, 297. https://doi.org/10.1186/s12909-025-06880-x
Ferrara, J. (2012). Playful Design: Creating Game Experiences in Everyday Interfaces. Rosenfeld Media.
Gobierno de Me?xico. (2022). El sobrepeso y la obesidad se ha incrementado en todo el mundo durante las u?ltimas tres de?cadas. Dirección General del Servicio de Información Agroalimentaria y Pesquera. https://www.gob.mx/agricultura%7Cdgsiap/articulos/el-sobrepeso-y-la-obesidad-se-ha-incrementado-en-todo-el-mundo-durante-las-ultimas-tres-decadas
Georgiou, Y., Ioannou, A., y Ioannou, M. (2019). Investigating immersion and learning in a low-embodied versus high-embodied digital educational game: Lessons learned from an implementation in an authentic school classroom. Multimodal Technologies and Interaction, 3(4), 68. https://doi.org/10.3390/mti3040068
Gobierno de México (2024). Manual para personas que preparan, distribuyen y venden alimentos en las escuelas. Vive Saludable Vive Feliz. Vida Saludable 2025 y Manual de Alimentos
Gobierno de México. (2025). Estrategia de vida saludable. Vive saludable, vive feliz. https://vidasaludable.gob.mx/
Hammady, R., y Arnab, S. (2022). Serious gaming for behaviour change: A systematic review. Information, 13(3), 142. https://doi.org/10.3390/info13030142
Haruna, H., Hu, X., Chu, S. K. W., Mellecker, R. R., Gabriel, G., y Ndekao, P. S. (2018). Improving sexual health education programs for adolescent students through game-based learning and gamification. International Journal of Environmental Research and Public Health, 15(9), 2027. https://doi.org/10.3390/ijerph15092027
Herlitz, L., MacIntyre, H., Osborn, T., y Bonell, C. (2020). The sustainability of public health interventions in schools: A systematic review. Implementation Science, 15, 4. https://doi.org/10.1186/s13012-019-0961-8
Hernández-F, M., Hernández-Cordero, S., Unar-Munguia, M., Gómez-Arias, W. A., Lozano-Hidalgo, E., Peña-Ruiz, L. S., y Teruel-Belismelis, G. (2025). Association of expenditure on ultra-processed foods and beverages and anthropometric indicators in Mexican children: A longitudinal study. PLoS ONE, 20(3): e0317831. https://doi.org/10.1371/journal.pone.0317831
Hun Gamboa, N., Castillo, V., González, S., Caroca, J., Martínez-Rodríguez, T., Mora, A., y Bernal-Gómez, S. (2025). Estilos de alimentación desadaptativos y conductas alimentarias de riesgo en Chile. Revista Mexicana de Trastornos Alimentarios, 15(1), 63–76. https://doi.org/10.22201/fesi.20071523e.2025.1.822
Instituto Nacional de Salud Pública (2024). Resultados de la ENSANUT 2020-2023. Portal INSP. https://www.insp.mx/avisos/presentan-resultados-de-la-ensanut-2020-2023
Kurtzman, G. W., Day, S. C., Small, D. S., Lynch, M., Zhu, J., Wang, W., Rareshide, C. A. L., y Patel, M. S. (2018). Social incentives and gamification to promote weight loss: The LOSE IT randomized, controlled trial. Journal of General Internal Medicine, 33(10), 1669-1675. https://doi.org/10.1007/s11606-018-4552-1
Lam, Y. W., Hew, K. F., y Chiu, K. F. (2018). Improving argumentative writing: Effects of a blended learning approach and gamification. Language Learning & Technology, 22(1), 97–118. https://doi.org/10125/44583
López-Espinoza, A., Martínez-Moreno, A. G., Aguilera-Cervantes, V. G., Salazar-Estrada, J. G., Navarro-Meza, M., Reyes-Castillo, Z., García-Sánchez, N. E., y Jiménez-Briseño, A. (2018). Estudio e investigación del comportamiento alimentario: Raíces, desarrollo y retos. Revista Mexicana de Trastornos Alimentarios, 9(1), 107-118. https://doi.org/10.22201/fesi.20071523e.2018.1.465
McGuirt, J. T., Enahora, B., Dyson, O. L., Tripicchio, G. L., Mallard, L., y Rhea, C. K. (2021). Virtual avatar coaching with community context for adult-child dyads with low income. Journal of Nutrition Education and Behavior, 53(3), 232-239. https://doi.org/10.1016/j.jneb.2020.12.004
Organizacio?n Mundial de la Salud [OMS]. (2024). Obesidad y sobrepeso. https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight
Pakarinen, A., Parisod, H., Smed, J., y Salanterä, S. (2017). Health game interventions to enhance physical activity self-efficacy of children: A quantitative systematic review. Journal of Advanced Nursing, 73(4), 794-811. https://doi.org/10.1111/jan.13160
Patel, M. S., Benjamin, E. J., Volpp, K. G., Fox, C. S., Small, D. S., Massaro, J. M., Lee, J. J., Hilbert, V., Valentino, M., Taylor, D. H., Manders, E. S., Mutalik, K., Zhu, J., Wang, W., y Murabito, J. M. (2017). Effect of a game-based intervention designed to enhance social incentives to increase physical activity among families: The BE FIT randomized clinical trial. JAMA Internal Medicine, 177(11), 1586-1593. https://doi.org/10.1001/jamainternmed.2017.3458
Raybourn, E. M., y Bos, N. (2005). Design and evaluation challenges of serious games. CHI ’05 Extended Abstracts on Human Factors in Computing Systems, 2049-2050. https://doi.org/10.1145/1056808.1057094
Reilly, J. y Kelly, J (2011). Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. International Journal of Obesity, 35, 891–898 https://doi.org/10.1038/ijo.2010.222
Rendon, A. A., Lohman, E. B., Thorpe, D., Johnson, E. G., Medina, E., y Bradley, B. (2012). The effect of virtual reality gaming on dynamic balance in older adults. Age and Ageing, 41(4), 549-552. https://doi.org/10.1093/ageing/afs053
Ribes, E., y López. (1985). Teoría de la conducta. Trillas
Rohde, A., Duensing, A., Dawczynski, C., Godemann, J., Lorkowski, S., y Brombach, C. (2019). An app to improve eating habits of adolescents and young adults (Challenge to Go): Systematic development of a theory-based and target group–adapted mobile app intervention. JMIR mHealth and uHealth, 7(8), e11575. https://doi.org/10.2196/11575
Santos, I. K. D., Medeiros, R. C. da S. C. de, Medeiros, J. A. de, Almeida-Neto, P. F. de, Sena, D. C. S. de, Cobucci, R. N., Oliveira, R. S., Cabral, B. G. de A. T., y Dantas, P. M. S. (2021). Active video games for improving mental health and physical fitness-an alternative for children and adolescents during social isolation: An overview. International Journal of Environmental Research and Public Health, 18(4), 1641. https://doi.org/10.3390/ijerph18041641
Sarabia, A. A., Peña, Y. F., Pedrero, V., y Pessa, R. P. (2024). Estigma del peso y conductas alimentarias en estudiantes universitarios: Resultados de un estudio transversal. Revista Española de Nutrición humana y Dietética, 28(4), 308-317. https://doi.org/10.14306/renhyd.28.4.2241
Secretaría de Educación Pública [SEP]. (2024). Lineamientos para la preparación, distribución y expendio de alimentos y bebidas dentro de toda escuela del Sistema Educativo Nacional. Gobierno de México. https://educacionbasica.sep.gob.mx/lineamientos-para-la-preparacion-distribucion-y-expendio-de-alimentos-y-bebidas-dentro-de-toda-escuela-del-sistema-educativo-nacional/
Secretaría de Educación Pública y Secretaría de Salud. (2024). Acuerdo mediante el cual se establecen los Lineamientos generales a los que deberán sujetarse la preparación, la distribución y el expendio de los alimentos y bebidas preparados, procesados y a granel, así como el fomento de los estilos de vida saludables en alimentación, dentro de toda escuela del Sistema Educativo Nacional. Diario Oficial de la Federación. https://www.dof.gob.mx/nota_detalle.php?codigo=5740005&fecha=30/09/2024#gsc.tab=0
Sera, L., y Wheeler, E. (2017). Game on: The gamification of the pharmacy classroom. Currents in Pharmacy Teaching and Learning, 9(1), 155-159. https://doi.org/10.1016/j.cptl.2016.08.046
Sistema Nacional para el Desarrollo Integral de la Familia [DIF]. (2023). Con la reforma a la Ley General de Educación, México avanza hacia la reducción del ambiente obesogénico en centros escolares. https://www.gob.mx/difnacional/articulos/con-la-reforma-a-la-ley-general-de-educacion-mexico-avanza-hacia-la-reduccion-del-ambiente-obeso-genico-en-centros-escolares
Smit, E. S., Meijers, M. H. C., y van der Laan, L. N. (2021). Using virtual reality to stimulate healthy and environmentally friendly food consumption among children: an interview study. International Journal of Environmental Research and Public Health, 18(3), 1088. https://doi.org/10.3390/ijerph18031088
Suleiman-Martos, N., García-Lara, R. A., Martos-Cabrera, M. B., Albendín-García, L., Romero-Béjar, J. L., Cañadas-De la Fuente, G. A., y Gómez-Urquiza, J. L. (2021). Gamification for the Improvement of Diet, Nutritional Habits, and Body Composition in Children and Adolescents: A Systematic Review and Meta-Analysis. Nutrients, 13(7), 2478. https://doi.org/10.3390/nu13072478
Tolentino-Mayo, L., Durán, R., Espinosa, F., Ferré, I., Munguía, A., y Barquera, S. (2023). Análisis de los argumentos recibidos en la consulta pública para el etiquetado frontal de advertencia mexicano. Salud publica de Mexico, 66(1), 67–77. https://doi.org/10.21149/14908
Trost, S. G., Sundal, D., Foster, G. D., Lent, M. R., y Vojta, D. (2014). Effects of a pediatric weight management program with and without active video games a randomized trial. JAMA Pediatrics, 168(5), 407-413. https://doi.org/10.1001/jamapediatrics.2013.3436
Wang, J., Baranowski, T., Lau, P. W. C., Pitkethly, A. J., y Buday, R. (2015). Acceptability and Applicability of an American Health Videogame with Story for Childhood Obesity Prevention Among Hong Kong Chinese Children. Games for Health Journal, 4(6), 513-519. https://doi.org/10.1089/g4h.2015.0029
Wang, J. J., Baranowski, T., Lau, P. W. C., Buday, R., y Gao, Y. (2017). Story Immersion May Be Effective in Promoting Diet and Physical Activity in Chinese Children. Journal of Nutrition Education and Behavior, 49(4), 321-329.e1. https://doi.org/10.1016/j.jneb.2017.01.001
Williams, W. M., y Ayres, C. G. (2020). Can Active Video Games Improve Physical Activity in Adolescents? A Review of RCT. International Journal of Environmental Research and Public Health, 17(2), 669. https://doi.org/10.3390/ijerph17020669
Yoon, C. Y., Hazzard, V. M., Emery, R. L., Mason, S. M., y Neumark-Sztainer, D. (2022). Everyday discrimination as a predictor of maladaptive and adaptive eating: Findings from EAT 2018. Appetite, 170, 105878. https://doi.org/10.1016/j.appet.2021.105878
Zichermann, G., y Cunningham, C. (2011). Gamification by Design: Implementing Game Mechanics in Web and Mobile Apps. O’Reilly Media, Inc.
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