RT info:eu-repo/semantics/article
T1 How socioeconomic status affects weight status through health-related lifestyles: a latent class analysis
A1 García Mayor, Jesús
A1 Moreno Llamas, Antonio
A1 De la Cruz Sánchez, Ernesto
K1 Social determinants
K1 Obesity
K1 Physical activity
K1 Diet
K1 Latent class analysis
K1 Mediation analysis
AB AbstractAimsObesity levels have increased worldwide with serious public health concerns. However, weight status is related to socioeconomic status (SES), which may also influence health-related lifestyles. Here, we study the association between SES and obesity mediated by diet and physical activity.Methods and resultsUsing cross-sectional data from 2006, 2011, 2014, and 2017 Spanish health surveys (the final sample consisted of 61 768 adults aged between 18 and 64 years), we conducted a latent class analysis to estimate health-related lifestyle clusters (based on dietary patterns and physical activity) and mediation analyses to evaluate the association of SES and obesity through the clustering of health-related lifestyles. In both men and women, SES was inversely related to obesity (P < 0.001) and positively related to healthier lifestyle classes (P < 0.001). Obesity was inversely related to healthier lifestyle classes (P < 0.001). A small—although significant—proportion mediated by the clustering of lifestyles was found as follows: 4.9%, 95% CI (6.6%, 3.2%) in men and 2.3%, 95% CI (3.4%, 1.3%) in women for educational attainment, 5.3%, 95% CI (7.2%, 3.6%) in men and 2.0%, 95% CI (2.9%, 1.1%) in women for occupational social class, and 4.9%, 95% CI (6.5%, 3.1%) and 1.9%, 95% CI (2.9%, 1.1%) combining the above two SES indicators.ConclusionsSES is related to obesity through clustering health-related lifestyles, with greater emphasis on men. However, the complex relationship between SES and weight status also suggests other indicators that contribute to the social gradient of obesity.
PB OXFORD ACADEMY
SN 1474-5151
YR 2022
FD 2022
LK https://uvadoc.uva.es/handle/10324/81338
UL https://uvadoc.uva.es/handle/10324/81338
LA eng
NO García-Mayor, J., Moreno-Llamas, A., & De la Cruz-Sánchez, E. (2023). How socioeconomic status affects weight status through health-related lifestyles: a latent class analysis. European Journal of Cardiovascular Nursing, 22(7), 730-744.
NO Producción Científica
DS UVaDOC
RD 14-ene-2026