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00925njm 22002777a 4500 dc Homs, Clara author Berruezo, Paula author Arcarons, Albert author Wärnberg, Julia author Osés, Maddi author González-Gross, Marcela author Gusi, Narcis author Aznar, Susana author Marín-Cascales, Elena author González-Valeiro, Miguel Ángel author Serra-Majem, Lluis author Terrados, Nicolás author Tur, Josep A author Segu, Marta author Fito, Montserrat author Benavente-Marín, Juan Carlos author Labayen, Idoia author Zapico, Augusto Garcia author Sánchez-Gómez, Jesús author Jiménez-Zazo, Fabio author Alcaraz, Pedro E author Sevilla-Sanchez, Marta author Herrera-Ramos, Estefania author Pulgar-Muñoz, Susana author Bouzas, Cristina author Milà, Raimon author Schröder, Helmut author Gómez, Santiago F author 2023-04-20 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. Homs C, Berruezo P, Arcarons A, Wärnberg J, Osés M, González-Gross M, et al. Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study. Nutrients. 2023 Apr 20;15(8). 10.3390/nu15081987 2072-6643 Nutrients https://hdl.handle.net/20.500.13003/18948 37111206 L2022976651 2-s2.0-85156132198 https://hdl.handle.net/20.500.12105/23690 978956400001 Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study