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 Warnberg, Julia A1 Osés, Maddi A1 González-Gross, Marcela A1 Gusi, Narcís A1 Aznar, Susana A1 Marín-Cascales, Elena A1 González-Valeiro, Miguel Ángel A1 Serra-Majem, Lluís A1 Terrados, Nicolás A1 Tur, Josep A. A1 Segú, Marta A1 Fitó, Montserrat A1 Benavente Marín, Juan Carlos A1 Labayen, Idoia A1 Zapico, Augusto G. 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. K1 Obesidad en niños K1 Niños - Alimentación - Situación económica K1 Adolescentes - Trastornos nutricionales - Situación económica 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/10630/27000 UL https://hdl.handle.net/10630/27000 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 MÁ, et al. Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study. Nutrients. 2023; 15(8):1987. https://doi.org Homs C, Berruezo P, Arcarons A, Wärnberg J, Osés M, González-Gross M, Gusi N, Aznar S, Marín-Cascales E, González-Valeiro MÁ, et al. Independent and Joined Association between Socioeconomic Indicators and Pediatric Obesity in Spain: The PASOS Study. Nutrients. 2023; 15(8):1987. https://doi.org/10.3390/nu15081987 NO The PASOS study was funded by Fundación PROBITAS (2019) and the Gasol Foundation (2019-2020). Additional funds were received from the Barça Foundation (2019-2020), Banco Santander (2019), IFA (2019-2020), Vienna (2019), and the Fundación Deporte Joven (2019) (no references are applicable). J.A.T., M.G.-G. and C.B. are funding by Instituto de Salud Carlos III through the CIBEROBN CB12/03/30038, which are co-funded by the European Regional Development Fund.Partial funding for open access charge: Universidad de Málaga DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 20 ene 2026