Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study

Childhood obesity is a public health problem worldwide. An important determinant of child and adolescent obesity is socioeconomic status (SES). However, the magnitude of the impact of different SES indicators on pediatric obesity on the Spanish population scale is unclear. The aim of this study was...

Descripción completa

Detalles Bibliográficos
Autores: Homs, Clara, Berruezo, Paula, Arcarons, Albert, Wärnberg, Julia, Osés, Maddi, González Gross, Marcela, Gusi, Narcis, Aznar, Susana, Marín Cascales, Elena, González Valeiro, Miguel Ángel, Serra Majem, Lluis, Terrados, Nicolás, Tur, Josep A., Segú, Marta, Fitó, Montserrat, Benavente Marín, Juan Carlos, Labayen, Idoia, García Zapico, Augusto, Sánchez Gómez, Jesús, Jiménez Zazo, Fabio, Alcaraz, Pedro E., Sevilla Sánchez, Marta, Herrera Ramos, Estefanía, Pulgar Muñoz, Susana, Bouzas, Cristina, Milà, Raimon, Schröder, Helmut, Gómez, Santiago F.
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/103878
Acceso en línea:https://hdl.handle.net/20.500.14352/103878
Access Level:acceso abierto
Palabra clave:616-056.25-053.2
Obesity
Child
Adolescent
Socioeconomic status
Cross-sectional study
Pediatría
Dietética y nutrición (Medicina)
32 Ciencias Médicas
3206 Ciencias de la Nutrición
id ES_7f7980f1cb0aa2e902925b3ea46a370d
oai_identifier_str oai:docta.ucm.es:20.500.14352/103878
network_acronym_str ES
network_name_str España
repository_id_str
spelling Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS StudyHoms, ClaraBerruezo, PaulaArcarons, AlbertWärnberg, JuliaOsés, MaddiGonzález Gross, MarcelaGusi, NarcisAznar, SusanaMarín Cascales, ElenaGonzález Valeiro, Miguel ÁngelSerra Majem, LluisTerrados, NicolásTur, Josep A.Segú, MartaFitó, MontserratBenavente Marín, Juan CarlosLabayen, IdoiaGarcía Zapico, AugustoSánchez Gómez, JesúsJiménez Zazo, FabioAlcaraz, Pedro E.Sevilla Sánchez, MartaHerrera Ramos, EstefaníaPulgar Muñoz, SusanaBouzas, CristinaMilà, RaimonSchröder, HelmutGómez, Santiago F.616-056.25-053.2ObesityChildAdolescentSocioeconomic statusCross-sectional studyPediatríaDietética y nutrición (Medicina)32 Ciencias Médicas3206 Ciencias de la NutriciónChildhood obesity is a public health problem worldwide. An important determinant of child and adolescent obesity is socioeconomic status (SES). However, the magnitude of the impact of different SES indicators on pediatric obesity on the Spanish population scale is unclear. The aim of this study was to assess the association between three SES indicators and obesity in a nationwide, representative sample of Spanish children and adolescents. A total of 2791 boys and girls aged 8 to 16 years old were included. Their weight, height, and waist circumference were measured. SES was assessed using two parent/legal guardian self-reported indicators (educational level -University/non-University- and labor market status -Employed/Unemployed-). As a third SES indicator, the annual mean income per person was obtained from the census section where the participating schools were located (≥12.731€/<12.731€). The prevalence of obesity, severe obesity, and abdominal obesity was 11.5%, 1.4%, and 22.3%, respectively. Logistic regression models showed an inverse association of both education and labor market status with obesity, severe obesity, and abdominal obesity (all p < 0.001). Income was also inversely associated with obesity (p < 0.01) and abdominal obesity (p < 0.001). Finally, the highest composite SES category (University/Employed/≥12.731€ n = 517) showed a robust and inverse association with obesity (OR = 0.28; 95% CI: 0.16–0.48), severe obesity (OR = 0.20; 95% CI: 0.05–0.81), and abdominal obesity (OR = 0.36; 95% CI: 0.23–0.54) in comparison with the lowest composite SES category (Less than University/Unemployed/<12.731€; n = 164). No significant interaction between composite SES categories and age and gender was found. SES is strongly associated with pediatric obesity in Spain.MDPIUniversidad Complutense de Madrid20232023-04-2020232023-04-20journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/103878reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1038782026-06-02T12:44:21Z
dc.title.none.fl_str_mv Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study
title Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study
spellingShingle Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study
Homs, Clara
616-056.25-053.2
Obesity
Child
Adolescent
Socioeconomic status
Cross-sectional study
Pediatría
Dietética y nutrición (Medicina)
32 Ciencias Médicas
3206 Ciencias de la Nutrición
title_short Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study
title_full Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study
title_fullStr Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study
title_full_unstemmed Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study
title_sort Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study
dc.creator.none.fl_str_mv Homs, Clara
Berruezo, Paula
Arcarons, Albert
Wärnberg, Julia
Osés, Maddi
González Gross, Marcela
Gusi, Narcis
Aznar, Susana
Marín Cascales, Elena
González Valeiro, Miguel Ángel
Serra Majem, Lluis
Terrados, Nicolás
Tur, Josep A.
Segú, Marta
Fitó, Montserrat
Benavente Marín, Juan Carlos
Labayen, Idoia
García Zapico, Augusto
Sánchez Gómez, Jesús
Jiménez Zazo, Fabio
Alcaraz, Pedro E.
Sevilla Sánchez, Marta
Herrera Ramos, Estefanía
Pulgar Muñoz, Susana
Bouzas, Cristina
Milà, Raimon
Schröder, Helmut
Gómez, Santiago F.
author Homs, Clara
author_facet Homs, Clara
Berruezo, Paula
Arcarons, Albert
Wärnberg, Julia
Osés, Maddi
González Gross, Marcela
Gusi, Narcis
Aznar, Susana
Marín Cascales, Elena
González Valeiro, Miguel Ángel
Serra Majem, Lluis
Terrados, Nicolás
Tur, Josep A.
Segú, Marta
Fitó, Montserrat
Benavente Marín, Juan Carlos
Labayen, Idoia
García Zapico, Augusto
Sánchez Gómez, Jesús
Jiménez Zazo, Fabio
Alcaraz, Pedro E.
Sevilla Sánchez, Marta
Herrera Ramos, Estefanía
Pulgar Muñoz, Susana
Bouzas, Cristina
Milà, Raimon
Schröder, Helmut
Gómez, Santiago F.
author_role author
author2 Berruezo, Paula
Arcarons, Albert
Wärnberg, Julia
Osés, Maddi
González Gross, Marcela
Gusi, Narcis
Aznar, Susana
Marín Cascales, Elena
González Valeiro, Miguel Ángel
Serra Majem, Lluis
Terrados, Nicolás
Tur, Josep A.
Segú, Marta
Fitó, Montserrat
Benavente Marín, Juan Carlos
Labayen, Idoia
García Zapico, Augusto
Sánchez Gómez, Jesús
Jiménez Zazo, Fabio
Alcaraz, Pedro E.
Sevilla Sánchez, Marta
Herrera Ramos, Estefanía
Pulgar Muñoz, Susana
Bouzas, Cristina
Milà, Raimon
Schröder, Helmut
Gómez, Santiago F.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 616-056.25-053.2
Obesity
Child
Adolescent
Socioeconomic status
Cross-sectional study
Pediatría
Dietética y nutrición (Medicina)
32 Ciencias Médicas
3206 Ciencias de la Nutrición
topic 616-056.25-053.2
Obesity
Child
Adolescent
Socioeconomic status
Cross-sectional study
Pediatría
Dietética y nutrición (Medicina)
32 Ciencias Médicas
3206 Ciencias de la Nutrición
description Childhood obesity is a public health problem worldwide. An important determinant of child and adolescent obesity is socioeconomic status (SES). However, the magnitude of the impact of different SES indicators on pediatric obesity on the Spanish population scale is unclear. The aim of this study was to assess the association between three SES indicators and obesity in a nationwide, representative sample of Spanish children and adolescents. A total of 2791 boys and girls aged 8 to 16 years old were included. Their weight, height, and waist circumference were measured. SES was assessed using two parent/legal guardian self-reported indicators (educational level -University/non-University- and labor market status -Employed/Unemployed-). As a third SES indicator, the annual mean income per person was obtained from the census section where the participating schools were located (≥12.731€/<12.731€). The prevalence of obesity, severe obesity, and abdominal obesity was 11.5%, 1.4%, and 22.3%, respectively. Logistic regression models showed an inverse association of both education and labor market status with obesity, severe obesity, and abdominal obesity (all p < 0.001). Income was also inversely associated with obesity (p < 0.01) and abdominal obesity (p < 0.001). Finally, the highest composite SES category (University/Employed/≥12.731€ n = 517) showed a robust and inverse association with obesity (OR = 0.28; 95% CI: 0.16–0.48), severe obesity (OR = 0.20; 95% CI: 0.05–0.81), and abdominal obesity (OR = 0.36; 95% CI: 0.23–0.54) in comparison with the lowest composite SES category (Less than University/Unemployed/<12.731€; n = 164). No significant interaction between composite SES categories and age and gender was found. SES is strongly associated with pediatric obesity in Spain.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-04-20
2023
2023-04-20
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/103878
url https://hdl.handle.net/20.500.14352/103878
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869411827037765632
score 15,300724