RT Journal Article
T1 Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study
A1 Homs, Clara
A1 Berruezo, Paula
A1 Arcarons, Albert
A1 Wärnberg, Julia
A1 Osés, Maddi
A1 González Gross, Marcela
A1 Gusi, Narcis
A1 Aznar, Susana
A1 Marín Cascales, Elena
A1 González Valeiro, Miguel Ángel
A1 Serra Majem, Lluis
A1 Terrados, Nicolás
A1 Tur, Josep A.
A1 Segú, Marta
A1 Fitó, Montserrat
A1 Benavente Marín, Juan Carlos
A1 Labayen, Idoia
A1 García Zapico, Augusto
A1 Sánchez Gómez, Jesús
A1 Jiménez Zazo, Fabio
A1 Alcaraz, Pedro E.
A1 Sevilla Sánchez, Marta
A1 Herrera Ramos, Estefanía
A1 Pulgar Muñoz, Susana
A1 Bouzas, Cristina
A1 Milà, Raimon
A1 Schröder, Helmut
A1 Gómez, Santiago F.
AB 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.
PB MDPI
YR 2023
FD 2023-04-20
LK https://hdl.handle.net/20.500.14352/103878
UL https://hdl.handle.net/20.500.14352/103878
LA eng
NO Homs, C., Berruezo, P., Arcarons, A., Wärnberg, J., Osés, M., González-Gross, M., Gusi, N., Aznar, S., Marín-Cascales, E., González-Valeiro, M. Á., Serra-Majem, L., Terrados, N., Tur, J. A., Segú, M., Fitó, M., Benavente-Marín, J. C., Labayen, I., Zapico, A. G., Sánchez-Gómez, J., Jiménez-Zazo, F., … Gómez, S. F. (2023). Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study. Nutrients, 15(8), 1987. https://doi.org/10.3390/nu15081987
NO Fundación PROBITAS
NO Fundación Gasol
NO Fundación Barça
NO Banco Santander
NO Instituto de Salud Carlos III
NO European Commission
DS Docta Complutense
RD 18 dic 2025