RT Journal Article T1 Lifestyle Clusters of Diet Quality, Sleep, and Screen Time and Associations with Weight Status in Children from Madrid City: ENPIMAD Study A1 López-Sobaler, Ana M. A1 Peral Suárez, África A1 Bermejo López, Laura María A1 Salas González, María Dolores A1 Cuadrado Soto, Esther A1 Lozano Estevan, María Del Carmen A1 Loria Kohen, Viviana Constanza A1 Díaz-Olalla, José Manuel A1 González Rodríguez, Liliana Guadalupe A1 Aparicio Vizuete, Aranzazu A1 López Sobaler, Ana María AB 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. PB MDPI SN 2072-6643 YR 2024 FD 2024 LK https://hdl.handle.net/20.500.14352/108046 UL https://hdl.handle.net/20.500.14352/108046 LA eng NO Peral-Suárez Á, Bermejo LM, Salas-González MD, Cuadrado-Soto E, Lozano-Estevan MDC, Loria-Kohen V, González-Rodríguez LG, Aparicio A, Díaz-Olalla JM, López-Sobaler AM. Lifestyle Clusters of Diet Quality, Sleep, and Screen Time and Associations with Weight Status in Children from Madrid City: ENPIMAD Study. Nutrients. 2024; 16(13):2096. https://doi.org/10.3390/nu16132096 NO Madrid Salud NO Ayuntamiento de Madrid NO Ministerio de Universiades (España) NO European Union-Next Generation EU DS Docta Complutense RD 17 abr 2025