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...

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Detalhes bibliográficos
Autores: Homs, Clara, Berruezo Torres Gómez de Cádiz, Paula, Arcarons, Albert, Wärnberg, Julia, Osés, Maddi, Gonzalez-Gross, Marcela, Gusi, Narcis, Aznar Laín, Susana, Marín Cascales, Elena, González Valeiro, Miguel, Serra Majem, Lluís, Terrados, Nicolas, Tur, Josep A., Segú, Marta, Fitó Colomer, Montserrat, Benavente Marín, Juan Carlos, Labayen, Idoia, Zapico, Augusto G., Sánchez Gómez, Jesús, Jiménez-Zazo, Fabio, Alcaraz, Pedro E., Sevilla-Sanchez, Marta, Herrera-Ramos, Estefanía, Pulgar-Muñoz, Susana, Bouzas, Cristina, Milà, Raimon, Schröder, Helmut, Gómez, Santiago F.
Tipo de documento: artigo
Data de publicação:2023
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositório:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:20.500.14342/6090
Acesso em linha:https://hdl.handle.net/20.500.14342/6090
https://doi.org/10.3390/nu15081987
Access Level:Acceso aberto
Palavra-chave:Obesitat en els infants
Obesitat en els adolescents
Classes socials
Descrição
Resumo: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.

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