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. 2024 Jun 30;16(13):2096.
doi: 10.3390/nu16132096.

Lifestyle Clusters of Diet Quality, Sleep, and Screen Time and Associations with Weight Status in Children from Madrid City: ENPIMAD Study

África Peral-Suárez  1   2 , Laura M Bermejo  1   2   3 , María Dolores Salas-González  1   2 , Esther Cuadrado-Soto  1   2 , María Del Carmen Lozano-Estevan  1   2 , Viviana Loria-Kohen  1   2 , Liliana G González-Rodríguez  1   2 , Aránzazu Aparicio  1   2   3 , José Manuel Díaz-Olalla  4 , Ana M López-Sobaler  1   2   3
Affiliations

Lifestyle Clusters of Diet Quality, Sleep, and Screen Time and Associations with Weight Status in Children from Madrid City: ENPIMAD Study

África Peral-Suárez et al. Nutrients. .

Abstract

Background: Childhood overweight and obesity is a global concern and has increased in Spain over the last decades. Combinations of lifestyle behaviors (i.e., diet, sleep, and sedentarism) are highly related to weight status. Therefore, this study aimed to identify lifestyle patterns among children from Madrid City, and analyze associations with the prevalence of overweight, obesity, and abdominal obesity, considering socio-economic factors.

Methods: A cross-sectional analysis was conducted on 4545 children from the ENPIMAD study with data on diet, sleep, anthropometric, and socio-economic variables. K-means cluster analysis was used to identify lifestyle clusters, and logistic regressions were used to examine the associations between socio-economic indicators and cluster membership, and between clusters and weight status.

Results: Findings show three lifestyle clusters (healthy, mixed, and unhealthy), with boys and older children more represented in the unhealthy cluster. Food insecurity and low socio-economic status were associated with unhealthier clusters in boys and girls. Children in unhealthier clusters were more likely to have obesity and abdominal obesity. However, these associations disappeared in girls after controlling for food insecurity.

Conclusion: These results provide insight into the combination of behaviors and socio-economic factors associated with childhood obesity that may aid in the design of future interventions.

Keywords: abdominal obesity; children; clusters; diet; food insecurity; lifestyle; sedentary; sleep; socio-economic status; weight status.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Sample selection flowchart.
Figure 2
Figure 2
Lifestyle clusters.
See this image and copyright information in PMC

References

    1. Smith J.D., Fu E., Kobayashi M.A. Prevention and Management of Childhood Obesity and Its Psychological and Health Comorbidities. Annu. Rev. Clin. Psychol. 2020;16:351–378. doi: 10.1146/annurev-clinpsy-100219-060201. - DOI - PMC - PubMed
    1. Morales Camacho W.J., Molina Díaz J.M., Plata Ortiz S., Plata Ortiz J.E., Morales Camacho M.A., Calderón B.P. Childhood Obesity: Aetiology, Comorbidities, and Treatment. Diabetes Metab. Res. Rev. 2019;35:e3203. doi: 10.1002/dmrr.3203. - DOI - PubMed
    1. Yan Y., Liu J., Zhao X., Cheng H., Huang G., Mi J. Abdominal Visceral and Subcutaneous Adipose Tissues in Association with Cardiometabolic Risk in Children and Adolescents: The China Child and Adolescent Cardiovascular Health (CCACH) Study. BMJ Open Diabetes Res. Care. 2019;7:e000824. doi: 10.1136/bmjdrc-2019-000824. - DOI - PMC - PubMed
    1. Viitasalo A., Schnurr T.M., Pitkänen N., Hollensted M., Nielsen T.R.H., Pahkala K., Atalay M., Lind M.V., Heikkinen S., Frithioff-Bøjsøe C., et al. Abdominal Adiposity and Cardiometabolic Risk Factors in Children and Adolescents: A Mendelian Randomization Analysis. Am. J. Clin. Nutr. 2019;110:1079–1087. doi: 10.1093/ajcn/nqz187. - DOI - PMC - PubMed
    1. World Health Organization (WHO) Obesity and Overweight. [(accessed on 21 June 2023)]. Available online: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.

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