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To investigate the effects of a long-term, individualized and family-based lifestyle intervention on physical activity, sedentary behavior and diet quality in children.

We carried out a 2-year intervention study in a population sample of 506 children aged 6–8 years in Finland in 2007–2012. We allocated the participants at baseline in the intervention and control group. We assessed physical activity and sedentary behavior by questionnaires and diet by food records.

Total physical activity (+ 9 min/d in intervention group vs. − 5 min/d in control group, p = 0.001 for time*group interaction), unsupervised physical activity (+ 7 min/d vs. − 9 min/d, p < 0.001) and organized sports (+ 8 min/d vs. + 3 min/d, p = 0.001) increased in the intervention group but not in the control group. Using computer and playing video games increased less in the intervention group than in the control group (+ 9 min/d vs. + 19 …