161897 20260217205448.0 doi 10.1007/s00431-023-05389-z sideral 144508 ART-2024-144508 eng Garcidueñas-Fimbres, Tany E. Adherence to a healthy lifestyle behavior composite score and cardiometabolic risk factors in Spanish children from the CORALS cohort 2024 Access copy available to the general public Unrestricted To assess the associations between the adherence to a composite score comprised of 6 healthy lifestyle behaviors and its individual components with several cardiometabolic risk factors in Spanish preschool children. Cross-sectional analyses were conducted in 938 participants included in the CORALS cohort aged 3–6 years. Six recognized healthy lifestyle behaviors (breastfeeding, sleep duration, physical activity, screentime, adherence to the Mediterranean diet, and eating speed) were assessed in a composite score. Multiple linear and logistic regression models were fitted to assess the associations with cardiometabolic risk factors (weight status, waist circumference, fat mass index, blood pressure, fasting plasma glucose, and lipid profile). In the adjusted multiple linear and logistic regression models, compared with the reference category of adherence to the healthy lifestyle behavior composite score, those participants in the category of the highest adherence showed significant decreased prevalence risk of overweight or obesity [OR (95% CI), 0.4 (0.2, 0.6)] as well as significant lower waist circumference, fat mass index (FMI), systolic blood pressure and fasting plasma glucose concentration [β (95% CI), − 1.4 cm (− 2.5, − 0.4); − 0.3 kg/m2 (− 0.5, − 0.1); and − 3.0 mmHg (− 5.2, − 0.9); − 1.9 mg/dL (− 3.5, − 0.4), respectively]. Slow eating speed was individually associated with most of the cardiometabolic risk factors.   Conclusions: Higher adherence to the healthy lifestyle behavior composite score was associated with lower waist circumference, FMI, other cardiometabolic risk factors, and risk of overweight or obesity in Spanish preschool children. Further studies are required to confirm these associations. To assess the associations between the adherence to a composite score comprised of 6 healthy lifestyle behaviors and its individual components with several cardiometabolic risk factors in Spanish preschool children. Cross-sectional analyses were conducted in 938 participants included in the CORALS cohort aged 3–6 years. Six recognized healthy lifestyle behaviors (breastfeeding, sleep duration, physical activity, screentime, adherence to the Mediterranean diet, and eating speed) were assessed in a composite score. Multiple linear and logistic regression models were fitted to assess the associations with cardiometabolic risk factors (weight status, waist circumference, fat mass index, blood pressure, fasting plasma glucose, and lipid profile). In the adjusted multiple linear and logistic regression models, compared with the reference category of adherence to the healthy lifestyle behavior composite score, those participants in the category of the highest adherence showed significant decreased prevalence risk of overweight or obesity [OR (95% CI), 0.4 (0.2, 0.6)] as well as significant lower waist circumference, fat mass index (FMI), systolic blood pressure and fasting plasma glucose concentration [β (95% CI), − 1.4 cm (− 2.5, − 0.4); − 0.3 kg/m2 (− 0.5, − 0.1); and − 3.0 mmHg (− 5.2, − 0.9); − 1.9 mg/dL (− 3.5, − 0.4), respectively]. Slow eating speed was individually associated with most of the cardiometabolic risk factors. Conclusions: Higher adherence to the healthy lifestyle behavior composite score was associated with lower waist circumference, FMI, other cardiometabolic risk factors, and risk of overweight or obesity in Spanish preschool children. Further studies are required to confirm these associations. info:eu-repo/semantics/openAccess by https://creativecommons.org/licenses/by/4.0/deed.es 2.6 2024 PEDIATRICS 37 / 191 = 0.194 2024 Q1 T1 0.934 2024 Pediatrics, Perinatology and Child Health 2024 Q1 5.9 2024 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Gómez-Martínez, Carlos Pascual-Compte, Maria Jurado-Castro, Jose Manuel Leis, Rosaura Moreno, Luis A. Universidad de Zaragoza (orcid)0000-0003-0454-653X Navas-Carretero, Santiago Codoñer-Franch, Pilar Echeverria, Ana Moreira Pastor-Villaescusa, Belén López-Rubio, Alicia García, Sara Moroño De Miguel-Etayo, Pilar Universidad de Zaragoza (orcid)0000-0001-6173-5850 Martínez, J. Alfredo Aguayo, Inmaculada Velasco Vázquez-Cobela, Rocío Escribano, Joaquín Miguel-Berges, María Luisa De La Torre-Aguilar, María José Gil-Campos, Mercedes Salas-Salvadó, Jordi Babio, Nancy 1006 255 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Enfermería 1011 615 Universidad de Zaragoza Dpto. Microb.Ped.Radio.Sal.Pú. Área Medic.Prevent.Salud Públ. 183, 4 (2024), 1819-1830 Eur. j. pediatr. European Journal of Pediatrics 0340-6199 1653536 http://zaguan.unizar.es/record/161897/files/texto_completo.pdf Versión publicada 2206415 http://zaguan.unizar.es/record/161897/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:161897 articulos driver 2026-02-17-20:18:16 ARTICLE