130543 20240319081030.0 doi 10.1111/IJPO.12901 sideral 134306 ART-2022-134306 eng Latorre-Román, Pedro Ángel Healthy lifestyles and physical fitness are associated with abdominal obesity among Latin-American and Spanish preschool children: A cross-cultural study 2022 Access copy available to the general public Unrestricted Background: Identifying environmental factors that influence health in children are necessary to develop preventive strategies. Objective: To determine the association between the lifestyles of children (i.e., Mediterranean diet (MD), physical activity (PA), fitness and screen time (ST) with abdominal obesity (AO) of preschoolers from three Spanish-speaking countries (Chile, Colombia and Spain) with different socioeconomic levels and Human Development Index (HDI) indicators. Material and Methods: This cross-sectional study included 982 schoolchildren (aged 4–6 years; 56.8% girls) from Chile (n = 409), Colombia (n = 281), and Spain (n = 292). Body mass index (BMI), waist circumference (WC), waist-to-height ratio (WtHR), adherence to the MD, PA, ST and physical fitness were evaluated. Results: Spanish preschoolers reported a lower WtHR (p < 0.001), greater physical fitness (Z-score) (p < 0.001) and higher adherence to the MD (p < 0.001) than their Chilean and Colombian peers. In addition, Colombian preschoolers had a better lifestyle (PA + ST) than their Chilean and Spanish peers (p < 0.001). Chilean preschoolers reported a higher prevalence of AO than the Spanish preschoolers (65% vs. 51.9%; p = 0.001). Conclusion: Lifestyle had a significant association with AO among Spanish-speaking preschool children, with physical fitness especially being a relevant factor regardless of the country of origin. The findings of the current study may support the development of public guidelines focusing on healthy lifestyles in children to create effective plans that contribute to the early treatment of AO in preschool children. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 3.8 2022 PEDIATRICS 17 / 130 = 0.131 2022 Q1 T1 1.202 2022 Health Policy 2022 Q1 Public Health, Environmental and Occupational Health 2022 Q1 Pediatrics, Perinatology and Child Health 2022 Q1 Nutrition and Dietetics 2022 Q1 7.0 2022 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Guzmán-Guzmán, Iris Paola Párraga-Montilla, Juan Caamaño-Navarrete, Felipe Salas-Sánchez, Jesús Palomino-Devia, Constanza Reyes-Oyola, Felipe Augusto Álvarez, Cristian Casa-Pérez, Ana Cardona Linares, Antonio J. Universidad de Zaragoza (orcid)0000-0002-1473-6997 Delgado-Floody, Pedro 1006 245 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Educación Física y Depor. 17, 7 (2022), 1-8 Pediatr. obes. Pediatric obesity 2047-6302 861004 http://zaguan.unizar.es/record/130543/files/texto_completo.pdf Versión publicada 2109304 http://zaguan.unizar.es/record/130543/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:130543 articulos driver 2024-03-18-17:07:05 ARTICLE