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Aerobic fitness increased in the intervention group, while did not change among controls. Anthropometric parameters remained unchanged in the intervention group, but waist circumference increased in controls, particularly in summer. CONCLUSIONS Findings suggest a positive impact of this intervention. Measures to mitigate unhealthy changes during the summer break are needed.BACKGROUND In Europe, there is not routinely collected data on children's food insecurity. Indirect data show that food insecurity is on the rise in Europe, which may